WorldWideScience

Sample records for subject astronaut medical

  1. An Earthling to an Astronaut: Medical Challenges

    Science.gov (United States)

    Davis, Jeffrey R.

    2011-01-01

    Humans can travel safely into space in low Earth orbit (LEO) or to near-Earth objects if several medical, physiological, environmental, and human factors issues risks are mitigated. Research must be performed in order to set standards in these four areas, and current NASA standards are contained in the Space Flight Human System Standards volumes 1 and 2, and crew medical certification standards. These three sets of standards drive all of the clinical, biomedical research and environmental technology development for the NASA human space flight program. These standards also drive the identification of specific risks to crew health and safety, and we currently manage 65 human system risks within the human space flight program. Each risk has a specific program of research, technology development, and development of operational procedures to mitigate the risks. Some of the more important risks tat will be discussed in this talk include exposure to radiation, behavioral health due to confinement in a closed cabin, physiological changes such as loss of bone, muscle and exercise capability, reduction in immune system capability, environmental threats of maintaining an adequate atmosphere and water for drinking, avoidance of toxic or infectious material, protection of hearing, and human factors issues of equipment and task design. A nutritious and varied food supply must also be provided. All of these risks will be discussed and current strategies for mitigating these risks for long-duration human space flight. In mitigating these 65 human system risks, novel approaches to problem solving must be employed to find the most appropriate research and technology based applications. Some risk mitigations are developed internally to NASA while others are found through research grants, technology procurements, and more recently open innovation techniques to seek solutions from the global technical community. Examples and results will be presented from all of these approaches

  2. Medical survey of European astronauts during Mir missions

    Science.gov (United States)

    Clément, G.; Hamilton, D.; Davenport, L.; Comet, B.

    2010-10-01

    This paper reviews the medical operations performed on six European astronauts during seven space missions on board the space station Mir. These missions took place between November 1988 and August 1999, and their duration ranged from 14 days to 189 days. Steps of pre-flight medical selection and flight certification are presented. Countermeasures program used during the flight, as well as rehabilitation program following short and long-duration missions are described. Also reviewed are medical problems encountered during the flight, post-flight physiological changes such as orthostatic intolerance, exercise capacity, blood composition, muscle atrophy, bone density, and radiation exposure.

  3. A Comparison of Tandem Walk Performance Between Bed Rest Subjects and Astronauts

    Science.gov (United States)

    Miller, Chris; Peters, Brian; Kofman, Igor; Philips, Tiffany; Batson, Crystal; Cerisano, Jody; Fisher, Elizabeth; Mulavara, Ajitkumar; Feiveson, Alan; Reschke, Millard; hide

    2015-01-01

    Astronauts experience a microgravity environment during spaceflight, which results in a central reinterpretation of both vestibular and body axial-loading information by the sensorimotor system. Subjects in bed rest studies lie at 6deg head-down in strict bed rest to simulate the fluid shift and gravity-unloading of the microgravity environment. However, bed rest subjects still sense gravity in the vestibular organs. Therefore, bed rest isolates the axial-unloading component, thus allowing for the direct study of its effects. The Tandem Walk is a standard sensorimotor test of dynamic postural stability. In a previous abstract, we compared performance on a Tandem Walk test between bed rest control subjects, and short- and long-duration astronauts both before and after flight/bed rest using a composite index of performance, called the Tandem Walk Parameter (TWP), that takes into account speed, accuracy, and balance control. This new study extends the previous data set to include bed rest subjects who performed exercise countermeasures. The purpose of this study was to compare performance during the Tandem Walk test between bed rest subjects (with and without exercise), short-duration (Space Shuttle) crewmembers, and long-duration International Space Station (ISS) crewmembers at various time points during their recovery from bed rest or spaceflight.

  4. Muscle fatigue evaluation of astronaut upper limb based on sEMG and subjective assessment

    Science.gov (United States)

    Zu, Xiaoqi; Zhou, Qianxiang; Li, Yun

    2012-07-01

    All movements are driven by muscle contraction, and it is easy to cause muscle fatigue. Evaluation of muscle fatigue is a hot topic in the area of astronaut life support training and rehabilitation. If muscle gets into fatigue condition, it may reduce work efficiency and has an impact on psychological performance. Therefore it is necessary to develop an accurate and usable method on muscle fatigue evaluation of astronaut upper limb. In this study, we developed a method based on surface electromyography (sEMG) and subjective assessment (Borg scale) to evaluate local muscle fatigue. Fifteen healthy young male subjects participated in the experiment. They performed isometric muscle contractions of the upper limb. sEMG of the biceps brachii were recorded during the entire process of isotonic muscle contraction and Borg scales of muscle fatigue were collected in certain times. sEMG were divided into several parts, and then mean energy of each parts were calculated by the one-twelfth band octave method. Equations were derived based on the relationship between the mean energy of sEMG and Borg scale. The results showed that cubic curve could describe the degree of local muscle fatigue, and could be used to evaluate and monitor local muscle fatigue during the entire process.

  5. Astronaut Medical Selection and Flight Medicine Care During the Shuttle ERA 1981 to 2011

    Science.gov (United States)

    Johnston, S.; Jennings, R.; Stepaniak, P.; Schmid, J.; Rouse, B.; Gray, G.; Tarver, B.

    2011-01-01

    The NASA Shuttle Program began with congressional budget approval in January 5, 1972 and the launch of STS-1 on April 12, 1981 and recently concluded with the landing of STS-135 on July 21, 2011. The evolution of the medical standards and care of the Shuttle Era Astronauts began in 1959 with the first Astronaut selection. The first set of NASA minimal medical standards were documented in 1977 and based on Air Force, Navy, Department of Defense, and the Federal Aviation Administration standards. Many milestones were achieved over the 30 years from 1977 to 2007 and the subsequent 13 Astronaut selections and 4 major expert panel reviews performed by the NASA Flight Medicine Clinic, Aerospace Medicine Board, and Medical Policy Board. These milestones of aerospace medicine standards, evaluations, and clinical care encompassed the disciplines of preventive, occupational, and primary care medicine and will be presented. The screening and retention standards, testing, and specialist evaluations evolved through periodic expert reviews, evidence based medicine, and Astronaut medical care experience. The last decade of the Shuttle Program saw the development of the International Space Station (ISS) with further Space medicine collaboration and knowledge gained from our International Partners (IP) from Russia, Canada, Japan, and the European Space Agencies. The Shuttle Program contribution to the development and implementation of NASA and IP standards and waiver guide documents, longitudinal data collection, and occupational surveillance models will be presented along with lessons learned and recommendations for future vehicles and missions.

  6. Automation of PCXMC and ImPACT for NASA Astronaut Medical Imaging Dose and Risk Tracking

    Science.gov (United States)

    Bahadori, Amir; Picco, Charles; Flores-McLaughlin, John; Shavers, Mark; Semones, Edward

    2011-01-01

    To automate astronaut organ and effective dose calculations from occupational X-ray and computed tomography (CT) examinations incorporating PCXMC and ImPACT tools and to estimate the associated lifetime cancer risk per the National Council on Radiation Protection & Measurements (NCRP) using MATLAB(R). Methods: NASA follows guidance from the NCRP on its operational radiation safety program for astronauts. NCRP Report 142 recommends that astronauts be informed of the cancer risks from reported exposures to ionizing radiation from medical imaging. MATLAB(R) code was written to retrieve exam parameters for medical imaging procedures from a NASA database, calculate associated dose and risk, and return results to the database, using the Microsoft .NET Framework. This code interfaces with the PCXMC executable and emulates the ImPACT Excel spreadsheet to calculate organ doses from X-rays and CTs, respectively, eliminating the need to utilize the PCXMC graphical user interface (except for a few special cases) and the ImPACT spreadsheet. Results: Using MATLAB(R) code to interface with PCXMC and replicate ImPACT dose calculation allowed for rapid evaluation of multiple medical imaging exams. The user inputs the exam parameter data into the database and runs the code. Based on the imaging modality and input parameters, the organ doses are calculated. Output files are created for record, and organ doses, effective dose, and cancer risks associated with each exam are written to the database. Annual and post-flight exposure reports, which are used by the flight surgeon to brief the astronaut, are generated from the database. Conclusions: Automating PCXMC and ImPACT for evaluation of NASA astronaut medical imaging radiation procedures allowed for a traceable and rapid method for tracking projected cancer risks associated with over 12,000 exposures. This code will be used to evaluate future medical radiation exposures, and can easily be modified to accommodate changes to the risk

  7. Protecting Astronaut Medical Privacy: Review of Presentations and Publications for Attributability

    Science.gov (United States)

    Wear, M. L.; Charvat, J. M.; Lee, L. R.; Babiak-Vazquez, A.; Mason, S. S.; Van Baalen, M.

    2018-01-01

    Retrospective research and medical data collected on astronauts can be a valuable resource for researchers. This data can be requested from two separate NASA Archives. The Lifetime Surveillance of Astronaut Health (LSAH) holds astronaut medical data, and the Life Sciences Data Archive (LSDA) holds research data. One condition of use of astronaut research and medical data is the requirement that all abstracts, publications and presentations using this data must be reviewed for attributability. All final versions of abstracts, presentations, posters, and manuscripts must be reviewed by LSDA/LSAH prior to submission to a conference, journal, or other entities outside the Principal Investigator (PI) laboratory [including the NASA Export Control Document Availability Authorization (DAA) system]. If material undergoes multiple revisions (e.g., journal editor comments), the new versions must also be reviewed by LSDA/LSAH prior to re-submission to the journal. The purpose of this review is to ensure that no personally identifiable information (PII) is included in materials that are presented in a public venue or posted to the public domain. The procedures for submitting materials for review will be outlined. The process that LSAH/LSDA follows for assessing attributability will be presented. Characteristics and parameter combinations that often prompt attributability concerns will be identified. A published case report for a National Football League (NFL) player will be used to demonstrate how, in a population of public interest, a combination of information can result in inadvertent release of private or sensitive information.

  8. Medical qualification of a commercial spaceflight participant: not your average astronaut.

    Science.gov (United States)

    Jennings, Richard T; Murphy, David M F; Ware, David L; Aunon, Serena M; Moon, Richard E; Bogomolov, Valery V; Morgun, Valeri V; Voronkov, Yuri I; Fife, Caroline E; Boyars, Michael C; Ernst, Randy D

    2006-05-01

    Candidates for commercial spaceflight may be older than the typical astronaut and more likely to have medical problems that place them at risk during flight. Since the effects of microgravity on many medical conditions are unknown, physicians have little guidance when evaluating and certifying commercial spaceflight participants. This dynamic new era in space exploration may provide important data for evaluating medical conditions, creating appropriate medical standards, and optimizing treatment alternatives for long-duration spaceflight. A 57-yr-old spaceflight participant for an ISS mission presented with medical conditions that included moderately severe bullous emphysema, previous spontaneous pneumothorax with talc pleurodesis, a lung parenchymal mass, and ventricular and atrial ectopy. The medical evaluation required for certification was extensive and included medical studies and monitoring conducted in analogue spaceflight environments including altitude chambers, high altitude mixed-gas simulation, zero-G aircraft, and high-G centrifuge. To prevent recurrence of pneumothorax, we performed video-assisted thoracoscopic pleurodesis, and to assess lung masses, several percutaneous or direct biopsies. The candidate's 10-d mission was without incident. Non-career astronauts applying for commercial suborbital and orbital spaceflight will, at least in the near future, challenge aerospace physicians with unknowns regarding safety during training and flight, and highlight important ethical and risk-assessment problems. The information obtained from this new group of space travelers will provide important data for the evaluation and in-flight treatment of medical problems that space programs have not yet addressed systematically, and may improve the medical preparedness of exploration-class missions.

  9. Astronaut Bone Medical Standards Derived from Finite Element (FE) Models of QCT Scans from Population Studies

    Science.gov (United States)

    Sibonga, J. D.; Feiveson, A. H.

    2014-01-01

    This work was accomplished in support of the Finite Element [FE] Strength Task Group, NASA Johnson Space Center [JSC], Houston, TX. This group was charged with the task of developing rules for using finite-element [FE] bone-strength measures to construct operating bands for bone health that are relevant to astronauts following exposure to spaceflight. FE modeling is a computational tool used by engineers to estimate the failure loads of complex structures. Recently, some engineers have used this tool to characterize the failure loads of the hip in population studies that also monitored fracture outcomes. A Directed Research Task was authorized in July, 2012 to investigate FE data from these population studies to derive these proposed standards of bone health as a function of age and gender. The proposed standards make use of an FE-based index that integrates multiple contributors to bone strength, an expanded evaluation that is critical after an astronaut is exposed to spaceflight. The current index of bone health used by NASA is the measurement of areal BMD. There was a concern voiced by a research and clinical advisory panel that the sole use of areal BMD would be insufficient to fully evaluate the effects of spaceflight on the hip. Hence, NASA may not have a full understanding of fracture risk, both during and after a mission, and may be poorly estimating in-flight countermeasure efficacy. The FE Strength Task Group - composed of principal investigators of the aforementioned population studies and of FE modelers -donated some of its population QCT data to estimate of hip bone strength by FE modeling for this specific purpose. Consequently, Human Health Countermeasures [HHC] has compiled a dataset of FE hip strengths, generated by a single FE modeling approach, from human subjects (approx.1060) with ages covering the age range of the astronauts. The dataset has been analyzed to generate a set of FE strength cutoffs for the following scenarios: a) Qualify an

  10. Neutral Buoyancy Test NB-15, Scientific Airlock Contingency Operations - test subject Astronaut Paul

    Science.gov (United States)

    1977-01-01

    Once the United States' space program had progressed from Earth's orbit into outerspace, the prospect of building and maintaining a permanent presence in space was realized. To accomplish this feat, NASA launched a temporary workstation, Skylab, to discover the effects of low gravity and weightlessness on the human body, and also to develop tools and equipment that would be needed in the future to build and maintain a more permanent space station. The structures, techniques, and work schedules had to be carefully designed to fit this unique construction site. The components had to be lightweight for transport into orbit, yet durable. The station also had to be made with removable parts for easy servicing and repairs by astronauts. All of the tools necessary for service and repairs had to be designed for easy manipulation by a suited astronaut. And construction methods had to be efficient due to limited time the astronauts could remain outside their controlled environment. In lieu of all the specific needs for this project, an environment on Earth had to be developed that could simulate a low gravity atmosphere. A Neutral Buoyancy Simulator (NBS) was constructed by NASA Marshall Space Flight Center (MSFC) in 1968. Since then, NASA scientists have used this facility to understand how humans work best in low gravity and also provide information about the different kinds of structures that can be built. With the help of the NBS, building a space station became more of a reality. In a joint venture between NASA/Langley Research Center in Hampton, VA and MSFC, the Assembly Concept for Construction of Erectable Space Structures (ACCESS) was developed and demonstrated at MSFC's NBS. The primary objective of this experiment was to test the ACCESS structural assembly concept for suitability as the framework for larger space structures and to identify ways to improve the productivity of space construction. Pictured is a demonstration of ACCESS.

  11. Launch and Landing of Russian Soyuz - Medical Support for US and Partner Astronauts

    Science.gov (United States)

    Menon, Anil

    2017-01-01

    Launching, landing, flight route, expeditions, Soyuz, near Kazakhstan USOS Crew Surgeon -Quarantine and direct care to crew before launch, then present in close proximity to launch for abort. IP Crew Surgeon -same Deputy Crew Surgeon -Back up for crew surgeon, care for immediate family, stationed at airport for helicopter abort response Russian based US doctor -Coordinate with SOS staff USOS Crew Surgeon -Nominal helicopter response and initial medical care and support during return on gulfstreamIPcenter dotP Crew Surgeon -same Deputy Crew Surgeon -Ballistic helicopter support Russian based US doctor -Coordinate with SOS staff Direct return doctor -Direct medical care on return flight

  12. Subjective experience of depressed mood among medical students ...

    African Journals Online (AJOL)

    prediction and prevention of suicide. The aim was to examine feelings of hopelessness and suicidal ideation among medical students at the University of Pretoria, and their knowledge about and attitude towards help structures provided by the. University. Subjective experience of depressed mood among medical students ...

  13. The spectrum of subjective effects of antipsychotic medication

    NARCIS (Netherlands)

    Wolters, HA; Knegtering, R; Wiersma, D; van den Bosch, RJ

    2003-01-01

    Background: This study examined the spectrum of subjective experiences which patients attribute to the use of antipsychotic medication. Methods: We collected interview data and answers to structured questions based on a comprehensive checklist in 77 patients using various types of classical or

  14. Developing a biomedical expert finding system using medical subject headings.

    Science.gov (United States)

    Singh, Harpreet; Singh, Reema; Malhotra, Arjun; Kaur, Manjit

    2013-12-01

    Efficient identification of subject experts or expert communities is vital for the growth of any organization. Most of the available expert finding systems are based on self-nomination, which can be biased, and are unable to rank experts. Thus, the objective of this work was to develop a robust and unbiased expert finding system which can quantitatively measure expertise. Medical Subject Headings (MeSH) is a controlled vocabulary developed by the National Library of Medicine (NLM) for indexing research publications, articles and books. Using the MeSH terms associated with peer-reviewed articles published from India and indexed in PubMed, we developed a Web-based program which can be used to identify subject experts and subjects associated with an expert. We have extensively tested our system to identify experts from India in various subjects. The system provides a ranked list of experts where known experts rank at the top of the list. The system is general; since it uses information available with the PubMed, it can be implemented for any country. The expert finding system is able to successfully identify subject experts in India. Our system is unique because it allows the quantification of subject expertise, thus enabling the ranking of experts. Our system is based on peer-reviewed information. Use of MeSH terms as subjects has standardized the subject terminology. The system matches requirements of an ideal expert finding system.

  15. Using Topic Models to Interpret MEDLINE's Medical Subject Headings

    Science.gov (United States)

    Newman, David; Karimi, Sarvnaz; Cavedon, Lawrence

    We consider the task of interpreting and understanding a taxonomy of classification terms applied to documents in a collection. In particular, we show how unsupervised topic models are useful for interpreting and understanding MeSH, the Medical Subject Headings applied to articles in MEDLINE. We introduce the resampled author model, which captures some of the advantages of both the topic model and the author-topic model. We demonstrate how topic models complement and add to the information conveyed in a traditional listing and description of a subject heading hierarchy.

  16. Bibliometric perspectives on medical innovation using the medical subject headings of PubMed

    NARCIS (Netherlands)

    Leydesdorff, L.; Rotolo, D.; Rafols, I.

    2012-01-01

    Multiple perspectives on the nonlinear processes of medical innovations can be distinguished and combined using the Medical Subject Headings (MeSH) of the MEDLINE database. Focusing on three main branches—"diseases," "drugs and chemicals," and "techniques and equipment"—we use base maps and overlay

  17. Objective and subjective personality characteristics of medical students

    Science.gov (United States)

    Meit, Heather Anderson

    The present study viewed personality characteristics of medical students using both objective (i.e., a valid and reliable psychological instrument) and subjective methods (i.e., medical students' self-ratings of how they viewed themselves and how they believed others viewed them). The 16 Personality Factor Questionnaire (16PF, 5th Edition) and a researcher developed instrument, the Subjective Rating Form (SRF), were utilized in this study. Significant differences were found in 16PF scores from entry to medical school (Time 1) to exit from medical school (Time 2). Significant differences were also observed when SRF scores were compared between Self at Time 1 (retrospectively), Self at Time 2, and self-ratings made from the perspective of Other. Most striking were differences between 16PF and SRF scores when compared with each other, at both Time 1 and Time 2. This last group of findings translated into differences between the actual and perceived self (i.e., real vs. ideal). The implications of such differences are discussed.

  18. Archives of Medical Research: an historical and subject coverage overview.

    Science.gov (United States)

    Lozoya, X; Rivera-Arce, E; Domínguez, F; Arellano, M L; Muñoz, O

    1995-01-01

    A bibliometric study about the subject content of the articles published in the Mexican scientific journal Archives of Medical Research is reported. The journal, published by the Mexican Institute of Social Security (IMSS), is comprised of 100 regular issues and 12 special supplements giving a total amount of 1,424 reports on medical research performed in Mexico during the last 25 years. According to the type of studies published during this period, we found that there is a similar percent of biomedical and clinical reports in the journal (47 and 42%, respectively) and a low proportion of epidemiological and medical educational reports (8 and 3%, respectively). Six thematic areas of research have been permanently published in this journal: investigations on infectious and neurological diseases being the areas mainly represented (34% of the total, corresponding to 17% in each area), followed by studies in reproductive biology (10%) and endocrine (7%), oncological (5%) and cardiovascular (3%) diseases. The tendency of the subjects covered by the journal during this period shows an increment in reports on infectious and parasitic disorders together with an increase in publications related to medicinal plant pharmacology; reproductive biology and endocrine studies show also an increasing tendency. On the other hand, a moderate decrease in studies related to neurological, oncological and cardiovascular diseases is observed. The origin of contributions during the last five years has balanced the proportion of papers published from IMSS scientists, other Mexican biomedical researchers and foreign contributions, thus reflecting favorably the recent changes in the journal's policies. This journal represents a clear example of a scientific publication edited in a developing country, originating as a national publication that evolved progressively into an international biomedical journal.

  19. Accuracy of medical subject heading indexing of dental survival analyses.

    Science.gov (United States)

    Layton, Danielle M; Clarke, Michael

    2014-01-01

    To assess the Medical Subject Headings (MeSH) indexing of articles that employed time-to-event analyses to report outcomes of dental treatment in patients. Articles published in 2008 in 50 dental journals with the highest impact factors were hand searched to identify articles reporting dental treatment outcomes over time in human subjects with time-to-event statistics (included, n = 95), without time-to-event statistics (active controls, n = 91), and all other articles (passive controls, n = 6,769). The search was systematic (kappa 0.92 for screening, 0.86 for eligibility). Outcome-, statistic- and time-related MeSH were identified, and differences in allocation between groups were analyzed with chi-square and Fischer exact statistics. The most frequently allocated MeSH for included and active control articles were "dental restoration failure" (77% and 52%, respectively) and "treatment outcome" (54% and 48%, respectively). Outcome MeSH was similar between these groups (86% and 77%, respectively) and significantly greater than passive controls (10%, P indexed as such. Significantly more time-related MeSH were allocated to the included than the active controls (92% and 79%, respectively, P = .02), or to the passive controls (22%, P < .001). MeSH allocation within MEDLINE to time-to-event dental articles was inaccurate and inconsistent. Statistical MeSH were omitted from 30% of the included articles and incorrectly allocated to 15% of active controls. Such errors adversely impact search accuracy.

  20. Revision of the Wayne State University Medical Library subject catalog using the 1966 Medical Subject Heading system.

    Science.gov (United States)

    Pings, V M; Ferrario, J A

    1967-01-01

    Wayne State University Medical Library (WSUML) revised its monograph subject catalog in 1961 utilizing the 1960 edition of MeSH as an authority list. With the introduction of MEDLARS in 1963 by NLM, all topical subheadings were omitted from MeSH. Inasmuch as this omission could not accommodate the needs of WSUML, the 1960 edition of MeSH was retained as a guideline. In January 1966, when MeSH resumed the incorporation of topical subheadings, WSUML was faced with a decision whether to continue the current policy or to adopt the form as presented in the latest edition of MeSH. This report describes the methodology employed in adopting a new policy, the findings which resulted from the change, and an evaluation of this reorganization.

  1. Characterization of the Medical Subject Headings thesaurus for pharmacy.

    Science.gov (United States)

    Minguet, Fernando; Van Den Boogerd, Lucienne; Salgado, Teresa M; Correr, Cassyano J; Fernandez-Llimos, Fernando

    2014-11-15

    The completeness and utility of pharmacy-oriented Medical Subject Headings (MeSH) relative to MeSH terminology pertaining to other healthcare professions (dentistry and nursing) are evaluated. The 2013 version of the MeSH thesaurus-the standard vocabulary used by the National Library of Medicine (NLM) to index articles in PubMed and MEDLINE-was searched for dentistry-, nursing-, and pharmacy-specific terms using a truncation strategy (search terms: nurs*, dent*, and pharm*); the hierarchical level of each term and the number of descendant terms (an indication of the granularity of the associated NLM-indexed content) were determined. PubMed searches were conducted to identify areas of the MeSH hierarchy containing dentistry- and nursing-specific terms but no equivalent pharmacy-specific term. The search of the MeSH thesaurus identified 145 terms representing dentistry-specific activities and 94 and 26 terms specific to nursing and pharmacy practice, respectively. Analysis of the three sets of MeSH terms indicated that dentistry-oriented MeSH terms were generally situated more prominently within the MeSH hierarchy than terms for nursing- and pharmacy-oriented research; the MeSH terminology oriented toward nursing or dentistry practice was relatively more granular, allowing for increased specificity and power of information retrieval during PubMed and MEDLINE searches. Seventeen proposed new MeSH terms describing key areas of pharmacy practice were identified; the inclusion of these terms in the MeSH hierarchy could substantially expand and improve the retrievability of NLM-indexed literature. Imbalances and gaps were found in MeSH coverage of pharmacy concepts and terminology relative to MeSH terminology specific to the nursing and dentistry professions. Copyright © 2014 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  2. Philosophy on astronaut protection: Perspective of an astronaut

    Energy Technology Data Exchange (ETDEWEB)

    Baker, E.

    1997-04-30

    There are significant differences in the risks during the launch of a spacecraft, its journey, and its subsequent return to earth, as contrasted to the risks of latent cancers that may develop as a result of the associated radiation exposures. Once the spacecraft has landed, following a successful mission, the risks of accidental death are over. The risks of latent cancers, however, will remain with the astronauts for the rest of their lives. The same may be true for many of the effects of the space environment, including microgravity. Compounding the problem with respect to radiation are the large uncertainties accompanying the estimates of the associated latent cancer risks. In addition to radiation doses received as a result of being exposed in space, astronauts have received significant does of radiation in conjunction with medical examinations and experiments conducted to obtain data on the effects of the space environment on humans. The experiments were considered to be a part of the {open_quotes}job{close_quotes} of being an astronaut, and the resulting doses were included in the medical records. Following this approach, the accompanying doses were counted against the career limits being imposed on each astronaut. As a result, volunteering for such experiments could cause an earlier termination of the career of an astronaut than would otherwise have occurred and add to the total radiation exposure, thereby increasing one`s risk of subsequent illness. Through cooperative efforts, these does have been significantly reduced in recent years. In fact, one of the outcomes of these efforts has been the incorporation of the ALARA concept into the radiation protection program for the astronauts. The fact that a space mission has a range of risks, including some that are relatively large, is no justification for failing to reduce the accompanying radiation risk.

  3. Uneasy subjects: medical students' conflicts over the pharmaceutical industry.

    Science.gov (United States)

    Holloway, Kelly

    2014-08-01

    In this article I report on an investigation of the pharmaceutical industry's influence in medical education. Findings are based on fifty semi-structured interviews with medical students in the United States and Canada conducted between 2010 and 2013. Participant responses support the survey-based literature demonstrating that there is clear and pervasive influence of the pharmaceutical industry in medical education. They also challenge the theory that medical students feel entitled to industry gifts and uncritically accept industry presence. I investigate how medical students who are critical of the pharmaceutical industry negotiate its presence in the course of their medical education. Findings suggest that these participants do not simply absorb industry presence, but interpret it and respond in complex ways. Participants were uncomfortable with industry influence throughout their medical training and found multifaceted ways to resist. They struggled with power relations in medical training and the prevailing notion that industry presence is a normal part of medical education. I argue that this pervasive norm of industry presence is located in neoliberal structural transformations within and outside both education and medicine. The idea that industry presence is normal and inevitable represents a challenge for students who are critical of industry. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

  4. Geoscience Training for NASA Astronaut Candidates

    Science.gov (United States)

    Young, K. E.; Evans, C. A.; Bleacher, J. E.; Graff, T. G.; Zeigler, R.

    2017-01-01

    After being selected to the astronaut office, crewmembers go through an initial two year training flow, astronaut candidacy, where they learn the basic skills necessary for spaceflight. While the bulk of astronaut candidate training currently centers on the multiple subjects required for ISS operations (EVA skills, Russian language, ISS systems, etc.), training also includes geoscience training designed to train crewmembers in Earth observations, teach astronauts about other planetary systems, and provide field training designed to investigate field operations and boost team skills. This training goes back to Apollo training and has evolved to support ISS operations and future exploration missions.

  5. Den danske astronaut

    DEFF Research Database (Denmark)

    Jakobsen, Lars Sejersgård

    2015-01-01

    Undervisningsmateriale til mellemtrinnet om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015......Undervisningsmateriale til mellemtrinnet om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015...

  6. Den danske astronaut

    DEFF Research Database (Denmark)

    Jakobsen, Lars Sejersgård

    2015-01-01

    Undervisningsmateriale til udskolingen om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015......Undervisningsmateriale til udskolingen om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015...

  7. Astronaut Donald Slayton

    Science.gov (United States)

    1959-01-01

    Astronaut Donald 'Deke' Slayton, one of the original seven astronauts for Mercury Project selected by NASA on April 27, 1959. Astronaut Slayton had never been into space, grounded because of an irregular heartbeat, until he flew on the Apollo/Soyuz Test Project (ASTP) on July 15, 1975.

  8. Distinguishing medication-free subjects with unipolar disorder from subjects with bipolar disorder : state matters

    NARCIS (Netherlands)

    Rive, Maria M.; Redlich, Ronny; Schmaal, Lianne; Marquand, Andre F.; Dannlowski, Udo; Grotegerd, Dominik; Veltman, Dick J.; Schene, Aart H.; Ruhe, Henricus G.

    2016-01-01

    Objectives: Recent studies have indicated that pattern recognition techniques of functional magnetic resonance imaging (fMRI) data for individual classification may be valuable for distinguishing between major depressive disorder (MDD) and bipolar disorder (BD). Importantly, medication may have

  9. Distinguishing medication-free subjects with unipolar disorder from subjects with bipolar disorder: state matters

    NARCIS (Netherlands)

    Rive, M.M.; Redlich, R.; Schmaal, L.; Marquand, A.F.; Dannlowski, U.; Grotegerd, D.; Veltman, D.J.; Schene, A.H.; Ruhe, H.G.

    2016-01-01

    OBJECTIVES: Recent studies have indicated that pattern recognition techniques of functional magnetic resonance imaging (fMRI) data for individual classification may be valuable for distinguishing between major depressive disorder (MDD) and bipolar disorder (BD). Importantly, medication may have

  10. Mapping of medical acronyms and initialisms to Medical Subject Headings (MeSH) across selected systems.

    Science.gov (United States)

    Shultz, Mary

    2006-10-01

    Given the common use of acronyms and initialisms in the health sciences, searchers may be entering these abbreviated terms rather than full phrases when searching online systems. The purpose of this study is to evaluate how various MEDLINE Medical Subject Headings (MeSH) interfaces map acronyms and initialisms to the MeSH vocabulary. The interfaces used in this study were: the PubMed MeSH database, the PubMed Automatic Term Mapping feature, the NLM Gateway Term Finder, and Ovid MEDLINE. Acronyms and initialisms were randomly selected from 2 print sources. The test data set included 415 randomly selected acronyms and initialisms whose related meanings were found to be MeSH terms. Each acronym and initialism was entered into each MEDLINE MeSH interface to determine if it mapped to the corresponding MeSH term. Separately, 46 commonly used acronyms and initialisms were tested. While performance differed widely, the success rates were low across all interfaces for the randomly selected terms. The common acronyms and initialisms tested at higher success rates across the interfaces, but the differences between the interfaces remained. Online interfaces do not always map medical acronyms and initialisms to their corresponding MeSH phrases. This may lead to inaccurate results and missed information if acronyms and initialisms are used in search strategies.

  11. Ethics in action: Approving and improving medical research with human subjects

    NARCIS (Netherlands)

    de Jong, J.P.

    2013-01-01

    In this thesis, Jean Philippe de Jong presents a new understanding of ethical oversight on medical research with human subjects and proposes that two philosophies for ethical oversight exist: '(dis)approving' and 'improving'. Systems for ethical oversight on medical research have been in place for

  12. First year medical students' learning style preferences and their correlation with performance in different subjects within the medical course.

    Science.gov (United States)

    Hernández-Torrano, Daniel; Ali, Syed; Chan, Chee-Kai

    2017-08-08

    Students commencing their medical training arrive with different educational backgrounds and a diverse range of learning experiences. Consequently, students would have developed preferred approaches to acquiring and processing information or learning style preferences. Understanding first-year students' learning style preferences is important to success in learning. However, little is understood about how learning styles impact learning and performance across different subjects within the medical curriculum. Greater understanding of the relationship between students' learning style preferences and academic performance in specific medical subjects would be valuable. This cross-sectional study examined the learning style preferences of first-year medical students and how they differ across gender. This research also analyzed the effect of learning styles on academic performance across different subjects within a medical education program in a Central Asian university. A total of 52 students (57.7% females) from two batches of first-year medical school completed the Index of Learning Styles Questionnaire, which measures four dimensions of learning styles: sensing-intuitive; visual-verbal; active-reflective; sequential-global. First-year medical students reported preferences for visual (80.8%) and sequential (60.5%) learning styles, suggesting that these students preferred to learn through demonstrations and diagrams and in a linear and sequential way. Our results indicate that male medical students have higher preference for visual learning style over verbal, while females seemed to have a higher preference for sequential learning style over global. Significant associations were found between sensing-intuitive learning styles and performance in Genetics [β = -0.46, B = -0.44, p styles and performance in Genetics [β = 0.36, B = 0.43, p learning techniques. Instructors can also benefit by modifying and adapting more appropriate teaching approaches in these

  13. Efficacy and safety of medical cannabinoids in older subjects: A systematic review

    NARCIS (Netherlands)

    Elsen, G.A.H. van den; Ahmed, A.I.A.; Lammers, M.; Kramers, C.; Verkes, R.J.; Marck, M.A. van der; Olde Rikkert, M.G.M.

    2014-01-01

    This systematic review aims to integrate the evidence on indications, efficacy, safety and pharmacokinetics of medical cannabinoids in older subjects. The literature search was conducted using PubMed, EMBASE, CINAHL and Cochrane Library. We selected controlled trials including solely older subjects

  14. Subjectivity

    Directory of Open Access Journals (Sweden)

    Jesús Vega Encabo

    2015-11-01

    Full Text Available In this paper, I claim that subjectivity is a way of being that is constituted through a set of practices in which the self is subject to the dangers of fictionalizing and plotting her life and self-image. I examine some ways of becoming subject through narratives and through theatrical performance before others. Through these practices, a real and active subjectivity is revealed, capable of self-knowledge and self-transformation. 

  15. Medication adherence interventions that target subjects with adherence problems: Systematic review and meta-analysis.

    Science.gov (United States)

    Conn, Vicki S; Ruppar, Todd M; Enriquez, Maithe; Cooper, Pam

    2016-01-01

    Inadequate medication adherence is a pervasive, under-recognized cause of poor health outcomes. Many intervention trials designed to improve medication adherence have targeted adults with adherence problems. No previous reviews have synthesized the effectiveness of medication adherence interventions focused on subjects with medication adherence difficulties. This systematic review and meta-analysis synthesized findings from medication adherence intervention studies conducted among adults with medication adherence difficulties. Primary research studies were eligible for inclusion if they tested an intervention designed to increase medication adherence among adults with documented adherence difficulties and reported medication adherence behavior outcomes. Comprehensive search strategies of 13 computerized databases, author and ancestry searches, and hand searches of 57 journals were used to locate eligible primary research. Participant demographics, intervention characteristics, and methodological features were reliably coded from reports along with medication adherence outcomes. Effect sizes for outcomes were calculated as standardized mean differences, and random effects models were used to estimate overall mean effects. Exploratory dichotomous and continuous variable moderator analyses were employed to examine potential associations between medication adherence effect size and sample, intervention, and methodological characteristics. Data were extracted from 53 reports of studies involving 8243 individual primary study participants. The overall standardized mean difference effect size for treatment vs. control subjects was 0.301. For treatment pre- vs. post-intervention comparisons, the overall effect size was 0.533. Significantly larger effect sizes were associated with interventions incorporating prompts to take medications than interventions lacking medication prompts (0.497 vs. 0.234). Larger effect sizes were also found for interventions that linked

  16. Medication Adherence Interventions That Target Subjects with Adherence Problems: Systematic Review and Meta-analysis

    Science.gov (United States)

    Conn, Vicki S.; Ruppar, Todd M.; Enriquez, Maithe; Cooper, Pam

    2015-01-01

    Background Inadequate medication adherence is a pervasive, under-recognized cause of poor health outcomes. Many intervention trials designed to improve medication adherence have targeted adults with adherence problems. No previous reviews have synthesized the effectiveness of medication adherence interventions focused on subjects with medication adherence difficulties. Objective This systematic review and meta-analysis synthesized findings from medication adherence intervention studies conducted among adults with medication adherence difficulties. Methods Primary research studies were eligible for inclusion if they tested an intervention designed to increase medication adherence among adults with documented adherence difficulties and reported medication adherence behavior outcomes. Comprehensive search strategies of 13 computerized databases, author and ancestry searches, and hand searches of 57 journals were used to locate eligible primary research. Participant demographics, intervention characteristics, and methodological features were reliably coded from reports along with medication adherence outcomes. Effect sizes for outcomes were calculated as standardized mean differences, and random effects models were used to estimate overall mean effects. Exploratory dichotomous and continuous variable moderator analyses were employed to examine potential associations between medication adherence effect size and sample, intervention, and methodological characteristics. Results Data were extracted from 53 reports of studies involving 8,243 individual primary study participants. The overall standardized mean difference effect size for treatment vs. control subjects was 0.301. For treatment pre- vs. post-intervention comparisons, the overall effect size was 0.533. Significantly larger effect sizes were associated with interventions incorporating prompts to take medications than interventions lacking medication prompts (0.497 vs. 0.234). Larger effect sizes were also found

  17. Ethics in action: Approving and improving medical research with human subjects

    OpenAIRE

    de Jong, J.P.

    2013-01-01

    In this thesis, Jean Philippe de Jong presents a new understanding of ethical oversight on medical research with human subjects and proposes that two philosophies for ethical oversight exist: '(dis)approving' and 'improving'. Systems for ethical oversight on medical research have been in place for many years, with Research Ethics Committees as their cornerstone. Although these oversight systems aim to ensure that the ethical quality of research is in order, they have been criticized for imped...

  18. Bibliometric Perspectives on Medical Innovation using the Medical Subject Headings (MeSH) of PubMed

    CERN Document Server

    Leydesdorff, Loet; Rafols, Ismael

    2012-01-01

    Multiple perspectives on the nonlinear processes of medical innovations can be distinguished and combined using the Medical Subject Headings (MeSH) of the Medline database. Focusing on three main branches-"diseases," "drugs and chemicals," and "techniques and equipment"-we use base maps and overlay techniques to investigate the translations and interactions and thus to gain a bibliometric perspective on the dynamics of medical innovations. To this end, we first analyze the Medline database, the MeSH index tree, and the various options for a static mapping from different perspectives and at different levels of aggregation. Following a specific innovation (RNA interference) over time, the notion of a trajectory which leaves a signature in the database is elaborated. Can the detailed index terms describing the dynamics of research be used to predict the diffusion dynamics of research results? Possibilities are specified for further integration between the Medline database, on the one hand, and the Science Citati...

  19. Research monitoring by US medical institutions to protect human subjects: compliance or quality improvement?

    NARCIS (Netherlands)

    de Jong, Jean Philippe; van Zwieten, Myra C. B.; Willems, Dick L.

    2013-01-01

    In recent years, to protect the rights and welfare of human subjects, institutions in the USA have begun to set up programmes to monitor ongoing medical research. These programmes provide routine, onsite oversight, and thus go beyond existing oversight such as investigating suspected misconduct or

  20. Redefining the pharmacology and pharmacy subject category in the journal citation reports using medical subject headings (MeSH).

    Science.gov (United States)

    Minguet, Fernando; Salgado, Teresa M; Santopadre, Claudio; Fernandez-Llimos, Fernando

    2017-10-01

    Background The Journal Citation Reports (JCR) Pharmacology and Pharmacy subject category is heterogeneous. The inclusion of journals with basic and clinical scopes, which have different citation patterns, compromises comparability of impact factors among journals within the category. Objective To subdivide the Pharmacology and Pharmacy category into basic pharmacology, clinical pharmacology, and pharmacy based on the analyses of Medical Subject Headings (MeSH) as a proxy of journals' scopes. Setting JCR. Method All articles, and respective MeSH, published in 2013, 2014, and 2015 in all journals included in the 2014 JCR Pharmacology and Pharmacy category were retrieved from PubMed. Several models using a combination of the 14 MeSH categories and specific MeSH tree branches were tested using hierarchical cluster analysis. Main outcome measure Distribution of journals across the subcategories of the JCR Pharmacology and Pharmacy subject category. Results A total of 107,847 articles from 214 journals were included. Nine different models combining the MeSH categories M (Persons) and N (Health Care) with specific MeSH tree branches (selected ad-hoc) and Pharmacy-specific MeSH (identified in previous research) consistently grouped 142 journals (66.4%) in homogeneous groups reflecting their basic and clinical pharmacology, and pharmacy scopes. Ultimately, journals were clustered into: 150 in basic pharmacology, 43 in clinical pharmacology, 16 in basic pharmacology and clinical pharmacology, and 5 in pharmacy. Conclusion The reformulation of the Pharmacology and Pharmacy category into three categories was demonstrated by the consistent results obtained from testing nine different clustering models using the MeSH terms assigned to their articles.

  1. Attitudes and subjective norms: determinants of parents' intentions to reduce childhood fever with medications.

    Science.gov (United States)

    Walsh, A; Edwards, H; Fraser, J

    2009-06-01

    Fever is a natural protective response of the host organism. Mild to moderate fevers, up to 40.0 degrees C, have immunological benefits and do not need to be reduced. However, parents regularly reduce fever with medications to prevent perceived harmful outcomes. This study identified the determinants of parents' intentions to reduce childhood fever with medications. A community-based cross-sectional survey was conducted with 391 Australian parents of children aged between 6 months and 5 years. Recruitment was through advertising, face-to-face and snowball methods. The survey targeted constructs of the Theory of Planned Behavior: attitudes, subjective norms, perceived behavioral control, intentions and previously identified background factors. Structural equation modeling identified 69% of the variance in intentions. The strongest influences were from non-scientifically based attitudes (phobic) (beta=0.55) and subjective norms (husband/partner and doctors) (beta=0.36). Attitudes (beta=0.69) and subjective norms (beta=0.52) were strongly determined by child medication behavior (whether the child took medications easily when febrile) which had a total effect on intentions of beta=0.66. Perceived control, education and number of children had minimal influence on intentions. There is an urgent need for (i) the education of both parents in the benefits of fever and (ii) for doctors to consistently provide parents with evidence-based information.

  2. Subjective and Objective Evaluation of PBL Outcomes in Preclinical Medical Students

    Directory of Open Access Journals (Sweden)

    Ramesh Kumar Marya

    2012-01-01

    Full Text Available Problem based learning curriculum is widely recognized as a progressive, learner-centered, active learning approach and is currently used in the entire medical curriculum in over 10% of medical schools worldwide. But, is there real evidence that PBL is more effective than traditional approaches? In this report, outcomes of a PBL tutorial in 55 second year MBBS students have been evaluated by the facilitators (subjective evaluation and by asking the students a set of questions based on the intended outcome of the PBL ( objective evaluation soon after the completion of PBL tutorial. In the subjective assessment by the facilitators, all the students scored over 80% marks. In the objective assessment, out of 55 students, only three students scored over 50% marks. Perusal of answers to individual questions revealed appalling lack of knowledge of the subject. To conclude, before introduction of PBL-based curriculum in medical schools, usefulness of PBLs in preclinical medical education needs to be thoroughly investigated by objective evaluation of intended outcomes.

  3. A case study: using social tagging to engage students in learning Medical Subject Headings*

    Science.gov (United States)

    Bresnahan, Megan; Flynn, David B.; Harzbecker, Joseph; Blanchard, Mary; Ginn, David

    2009-01-01

    In exploring new ways of teaching students how to use Medical Subject Headings (MeSH), librarians at Boston University's Alumni Medical Library (AML) integrated social tagging into their instruction. These activities were incorporated into the two-credit graduate course, “GMS MS 640: Introduction to Biomedical Information,” required for all students in the graduate medical science program. Hands-on assignments and in-class exercises enabled librarians to present MeSH and the concept of a controlled vocabulary in a familiar and relevant context for the course's Generation Y student population and provided students the opportunity to actively participate in creating their education. At the conclusion of these activities, students were surveyed regarding the clarity of the presentation of the MeSH vocabulary. Analysis of survey responses indicated that 46% found the concept of MeSH to be the clearest concept presented in the in-class intervention. PMID:19404497

  4. Selecting the Mercury Seven The Search for America's First Astronauts

    CERN Document Server

    Burgess, Colin

    2011-01-01

    In January 1959, after an exhaustive search through military service records, a number of Americas elite test pilots received orders to attend a series of top-secret briefings in Washington, D.C. These briefings were designed to assist in selecting a group of astronauts for the newly formed National Aeronautics and Space Administration (NASA) and its man-in-space program, Project Mercury. Following in-depth medical and psychological screening, 32 finalists were chosen. They would be subjected to the most rigorous, exploratory, and even degrading medical and psychological stress tests ever imposed on the nation's service personnel. NASA wanted the best of the best in its quest for the nation's first astronauts, and this is the story of that search for a group of near-supermen who were destined to become trailblazing pioneers of American space flight. For the very first time, after extensive research and numerous interviews, the names and amazing stories of those 32 finalists are finally revealed in this book. ...

  5. Management of Asymptomatic Renal Stones in Astronauts

    Science.gov (United States)

    Reyes, David; Locke, James

    2016-01-01

    Introduction: Management guidelines were created to screen and manage asymptomatic renal stones in U.S. astronauts. The risks for renal stone formation in astronauts due to bone loss and hypercalcuria are unknown. Astronauts have a stone risk which is about the same as commercial aviation pilots, which is about half that of the general population. However, proper management of this condition is still crucial to mitigate health and mission risks in the spaceflight environment. Methods: An extensive review of the literature and current aeromedical standards for the monitoring and management of renal stones was done. The NASA Flight Medicine Clinic's electronic medical record and Longitudinal Survey of Astronaut Health were also reviewed. Using this work, a screening and management algorithm was created that takes into consideration the unique operational environment of spaceflight. Results: Renal stone screening and management guidelines for astronauts were created based on accepted standards of care, with consideration to the environment of spaceflight. In the proposed algorithm, all astronauts will receive a yearly screening ultrasound for renal calcifications, or mineralized renal material (MRM). Any areas of MRM, 3 millimeters or larger, are considered a positive finding. Three millimeters approaches the detection limit of standard ultrasound, and several studies have shown that any stone that is 3 millimeters or less has an approximately 95 percent chance of spontaneous passage. For mission-assigned astronauts, any positive ultrasound study is followed by low-dose renal computed tomography (CT) scan, and flexible ureteroscopy if CT is positive. Other specific guidelines were also created. Discussion: The term "MRM" is used to account for small areas of calcification that may be outside the renal collecting system, and allows objectivity without otherwise constraining the diagnostic and treatment process for potentially very small calcifications of uncertain

  6. Creating Digital Question Databases: Use of Self-Tests in Teaching Medical Subjects

    Directory of Open Access Journals (Sweden)

    Kołodziejczak Barbara

    2015-12-01

    Full Text Available Enhancement of teaching using digital materials is rapidly entering the world of medical studies. Creation of a self-learning environment supported with self-tests is received well, or even enthusiastically, among students. On the other hand, there is a relatively large group of opponents among university teachers, who do not see the need for changes in teaching and testing methodology to be made. This attitude may be surfacing as a result of anxiety connected with implementing new technologies in teaching medical subjects, as well as the belief that implementing new technologies does not have an immediate effect on learning quality. The authors of this article attempt to demonstrate that a thoughtful choice of e-learning platform facilitates the process of implementing online learning and testing aids in medical faculties. The second part of the article presents initial results of studies concerning the efficiency of learning enhanced with self-tests. Our analysis details the results of exams in pathophysiology taken by students of the medical faculty at the Poznan University of Medical Sciences. After the course, an evaluation survey was completed by 195 students concerning the quality of teaching with the use of the OLAT (Online Learning and Training e-learning portal. It showed that students had positive attitudes toward learning with the use of online materials, particularly with regard to the use of self-tests, which allowed students to check their knowledge independently in exam-like conditions. The article that follows is targeted at those teachers who are interested in implementing a self-study and electronic knowledge evaluation environment for their courses, not necessarily in medical subjects.

  7. Recommendations for the implemantation of the new German medical curriculum (27.6.2002 in the subjects Epidemiology, Medical Biometry and Medical Informatics

    Directory of Open Access Journals (Sweden)

    Hilgers, Ralf-Dieter

    2005-04-01

    Full Text Available In the Approbationsordnung für Ärzte (German regulation for the Curriculum in Medicine of 27th June, 2002 the disciplines Epidemiology, Medical Biometry and Medical Informatics are combined in one obligatory cross-sectional subject of the second part of the medical exam. In addition, it is possible to study topics from these disciplines in more detail on a voluntary basis. The aim of teaching this cross-sectional subject is to qualify the students to assess their own actions critically, to apply recommendations with care, and to learn to use tools like systematic documentation and modern information technology.For the mentioned disciplines a catalogue has been developed which is subdivided in three parts. In the first part methods are described which are needed to support medical decisions. The second part refers to support of medical supply and quality management, whereas the third part deals with the basic elements of Public Health and Health Economics, with respect to causation of diseases and prevention.

  8. Managing the Risk for Early Onset Osteoporosis in Long-Duration Astronauts Due to Spaceflight

    Science.gov (United States)

    Sibonga, Jean D.

    2010-01-01

    Early Onset Osteoporosis is probably the most recognized but poorly understood long-term health risk due to spaceflight. Osteoporosis management is primarily prophylactic and clinical interventions rely upon the ability to predict fractures which is currently determined by surrogate measures of bone strength. The RMAT for Early Onset Osteoporosis identified some open issues related to the fact that long-duration astronauts compose a unique group of subjects for which clinical approaches for osteoporosis management do not apply. Long-duration astronauts are healthy, young (25 to 55 years of age), predominantly male, and physical fit relative to the typical osteoporosis patient. Moreover, during prolonged space missions (typically 6-month missions) the skeleton not only adapts to weightlessness, but is influenced by numerous risk factors induced by operational constraints, e.g., inability to maintain preflight weight-bearing and aerobic activities, sub-optimal dietary intake (e.g., high sodium content for food stability, lack of fresh fruit and vegetables), suppression of vitamin D metabolism by uv shielding, and remote medicine care. Moreover, adaptation results in novel changes to astronauts bones that cannot be detected by current medically-useful measures. Consequently, a panel of clinicians (recognized leaders and policy-makers in osteoporosis) was convened to review the dataset of bone measures and bone loss risk factors in long-duration astronauts. Driven by the queries in the RMAT, the panel was charged to determine 1) if an intervention is required to prevent this risk, 2) what type and at what time would intervention be optimal, 3) what is the clinical trigger that would require a medical response from flight surgeons and 4) how should research data be used in the clinical care of astronauts. Hence, the RMAT determined that a bone health policy need to be formulated specific for this unique cohort subjected to a novel skeletal condition

  9. Dr. James McGee shows three astronauts how to handle non-poisonous snake

    Science.gov (United States)

    1967-01-01

    Dr. James W. McGee (right), Medical Operations Office, Manned Spacecraft Center, shows three astronauts how to handle a non-poisonous snake during desert survival training in Washington state. Left to right, are Astronauts Thomas K. Mattingly, Alfred M. Worden, and John L. Swigert Jr.; and Dr. McGee. The astronauts are dressed in faked Arab clothing.

  10. Astronaut health monitoring

    Science.gov (United States)

    Inscore, Frank; Shende, Chetan; Gift, Alan; Maksymiuk, Paul; Farquharson, Stuart

    2006-10-01

    Extended weightlessness causes numerous deleterious changes in human physiology, including space motion sickness, cephalad fluid shifts, reduced immune response, and breakdown of muscle tissue with subsequent loss of bone mass and formation of renal stones. Furthermore, these physiological changes also influence the metabolism of drugs used by astronauts to minimize these deleterious effects. Unfortunately, the changes in human physiology in space are also reflected in drug metabolism, and current pre-flight analyses designed to set dosage are inadequate. Furthermore, current earth-based analytical laboratory methods that employ liquid or gas chromatography for separation and fluorescence or mass spectrometry for trace detection are labor intensive, slow, massive, and not cost-effective for operation in space. In an effort to overcome these instrument limitations we have been developing a sampling device to both separate these drugs and metabolites from urine, and generate surface-enhanced Raman (SER) spectra. The detailed molecular vibrational information afforded by Raman scattering allows chemical identification, while the surface-enhancement increases sensitivity by six or more orders of magnitude and allows detection of nanogram per milliliter concentrations. Generally no more than 1 milliliter of sample is required and complete analysis can be performed in 5 minutes using a portable, light-weight Raman spectrometer. Here we present the SER analysis of several drugs used by astronauts measured in synthetic urine and reconstituted urine.

  11. [Self-perception, colonic transit and characteristics of subjects seeking medical care for constipation in Mexico.].

    Science.gov (United States)

    Carmona-Sánchez, R; Remes-Troche, J M; Gómez-Escudero, O; Icaza-Chávez, M E; García-Leiva, J

    2009-01-01

    Subjects seeking medical care for constipation were evaluated to find out: a) how they describe their complaint, b) their symptoms and colonic transit (CT) time, and c) determine what factors may allow to detect colonic inertia (CI) or obstructive defecation (OD). MATERIAL AND METHODS Patients demographics and medical history were collected and the modular Rome III questionnaire was applied. A screening CT with radioopaque markers was performed in all subjects. Those with an abnormal result underwent a multiple-pellet CT . Factors associated with CI and OD were analyzed. 105 patients were enrolled (92 females, mean age 36.7 years). Seventy patients described constipation as a bowel movement involving straining or being less frequently than expected (67%). The screening CT was normal in 79 patients (75%). Multiple-pellet CT was performed in 23 patients (9 normal, CI in 6, OD in 8). Irritable bowel syndrome (IBS) criteria were met by 79 subjects (75%) and functional constipation by 26 (25%). A greater proportion of patients with CI or OD had attended the Emergency Room, used suppositories or enemas and interfered their activities due to constipation, during the previous year to the survey (p<0.05). Most patients described constipation as straining or lower frequency (67%) than expected. CT was normal in 84% of the patients, but it detected 6 cases of CI and 8 of OD. Patients that attended the Emergency Room, used suppositories or enemas and those whom activities were interfered turned out with CI or OD more frequently.

  12. Documentation of ethical conduct of human subject research published in Saudi medical journals.

    Science.gov (United States)

    Al-Gaai, E A; Hammami, M M; Al Eidan, M

    2012-07-01

    We evaluated the documentation of ethical conduct (obtaining institutional review board approval and consent and following ethical guidelines) of human subject research studies published in Saudi Arabian medical journals between 1979 and 2007. Studies were classified as retrospective, prospective noninterventional, interventional or survey/interview. Of 1838 studies published in 286 journal issues of 11 Saudi Arabian medical journals, only 0.9% documented the ethical guidelines followed, with a significantly higher rate for studies published after year 2000 (1.7%). Of 821 studies requiring institutional review board approval, 8.6% documented obtaining the approval and informed consent, with a significantly higher rate for interventional studies (19.4%), post-year 2000 studies (19.7%) and studies performed outside Saudi Arabia (15.9%). The low documentation rate suggests editor's lack of rigor and/or investigators' ignorance of guidelines. The higher documentation rate after year 2000 suggests an ongoing improvement.

  13. Astronaut Aldrin is photographed by Astronaut Armstrong on the Moon

    Science.gov (United States)

    1969-01-01

    Apollo 11 Onboard Film -- The deployment of scientific experiments by Astronaut Edwin Aldrin Jr. is photographed by Astronaut Neil Armstrong. Man's first landing on the Moon occurred today at 4:17 p.m. as Lunar Module 'Eagle' touched down gently on the Sea of Tranquility on the east side of the Moon.

  14. Astronauts For Hire The Emergence of a Commercial Astronaut Corps

    CERN Document Server

    Seedhouse, Erik

    2012-01-01

    The spaceflight industry is being revolutionized. It is no longer the sole preserve of professional astronauts working on government-funded manned spaceflight programs. As private companies are being encouraged to build and operate launch vehicles, and even spacecraft that can be hired on a contract basis, a new breed of astronauts is coming into being. Astronauts for Hire describes how this commercial astronaut corps will be selected and trained. It provides a unique insight into the kinds of missions and tasks that the astronauts will be involved in, from suborbital science missions to commercial trips to low Earth orbit. The book also describes the new fleet of commercial spaceships being developed - reusable rocket-propelled vehicles that will offer quick, routine, and affordable access to the edge of space. The author also explores the possibility of private enterprise establishing interplanetary spaceports, lunar bases, and outposts on the surface of Mars.

  15. NASA study of cataract in astronauts (NASCA). Report 1: Cross-sectional study of the relationship of exposure to space radiation and risk of lens opacity.

    Science.gov (United States)

    Chylack, Leo T; Peterson, Leif E; Feiveson, Alan H; Wear, Mary L; Manuel, F Keith; Tung, William H; Hardy, Dale S; Marak, Lisa J; Cucinotta, Francis A

    2009-07-01

    The NASA Study of Cataract in Astronauts (NASCA) is a 5-year longitudinal study of the effect of space radiation exposure on the severity/progression of nuclear, cortical and posterior subcapsular (PSC) lens opacities. Here we report on baseline data that will be used over the course of the longitudinal study. Participants include 171 consenting astronauts who flew at least one mission in space and a comparison group made up of three components: (a) 53 astronauts who had not flown in space, (b) 95 military aircrew personnel, and (c) 99 non-aircrew ground-based comparison subjects. Continuous measures of nuclear, cortical and PSC lens opacities were derived from Nidek EAS 1000 digitized images. Age, demographics, general health, nutritional intake and solar ocular exposure were measured at baseline. Astronauts who flew at least one mission were matched to comparison subjects using propensity scores based on demographic characteristics and medical history stratified by gender and smoking (ever/never). The cross-sectional data for matched subjects were analyzed by fitting customized non-normal regression models to examine the effect of space radiation on each measure of opacity. The variability and median of cortical cataracts were significantly higher for exposed astronauts than for nonexposed astronauts and comparison subjects with similar ages (P=0.015). Galactic cosmic space radiation (GCR) may be linked to increased PSC area (P=0.056) and the number of PSC centers (P=0.095). Within the astronaut group, PSC size was greater in subjects with higher space radiation doses (P=0.016). No association was found between space radiation and nuclear cataracts. Cross-sectional data analysis revealed a small deleterious effect of space radiation for cortical cataracts and possibly for PSC cataracts. These results suggest increased cataract risks at smaller radiation doses than have been reported previously.

  16. Educating Astronauts About Conservation Biology

    Science.gov (United States)

    Robinson, Julie A.

    2001-01-01

    This article reviews the training of astronauts in the interdisciplinary work of conservation biology. The primary responsibility of the conservation biologist at NASA is directing and supporting the photography of the Earth and maintaining the complete database of the photographs. In order to perform this work, the astronauts who take the pictures must be educated in ecological issues.

  17. ASTRONAUT ALDRIN UNDERGOES SPACESUIT CHECKS

    Science.gov (United States)

    1969-01-01

    ASTRONAUT ALDRIN UNDERGOES SPACESUIT CHECKS KSC-69PC-0374 69-HC-742,S-266,ARCHIVE-00337 White undergoing spacesuit checks, Apollo 11 lunar module pilot Edwin E. Aldrin, Jr., watches Astronauts Neil A. Armstrong and Michael Collins suit up for launch.

  18. Universal values of Canadian astronauts

    Science.gov (United States)

    Brcic, Jelena; Della-Rossa, Irina

    2012-11-01

    Values are desirable, trans-situational goals, varying in importance, that guide behavior. Research has demonstrated that universal values may alter in importance as a result of major life events. The present study examines the effect of spaceflight and the demands of astronauts' job position as life circumstances that affect value priorities. We employed thematic content analysis for references to Schwartz's well-established value markers in narratives (media interviews, journals, and pre-flight interviews) of seven Canadian astronauts and compared the results to the values of National Aeronautics and Space Administration (NASA) and Russian Space Agency (RKA) astronauts. Space flight did alter the level of importance of Canadian astronauts' values. We found a U-shaped pattern for the values of Achievement and Tradition before, during, and after flight, and a linear decrease in the value of Stimulation. The most frequently mentioned values were Achievement, Universalism, Security, and Self-Direction. Achievement and Self Direction are also within the top 4 values of all other astronauts; however, Universalism was significantly higher among the Canadian astronauts. Within the value hierarchy of Canadian astronauts, Security was the third most frequently mentioned value, while it is in seventh place for all other astronauts. Interestingly, the most often mentioned value marker (sub-category) in this category was Patriotism. The findings have important implications in understanding multi-national crew relations during training, flight, and reintegration into society.

  19. The Investigation of Drug Addiction Potential among Medical Students: Role of Subjective Components of Anger

    Directory of Open Access Journals (Sweden)

    A Agha Yusefi

    2016-02-01

    Full Text Available Objective: Given that drug addiction is not merely related to a specific individual or group, and few studies have investigated the role of anger in the development of drug addiction, this study was done to investigate the role of the components of anger in predicting addiction potential. Method: A descriptive-correlation research design was used for the conduct of this study. The number of 309 medical students in Kermanshah city was selected using stratified cluster sampling and completed Spielberger's State-Trait Anger Scale (STAS and Zargar’s addiction potential questionnaire. Results: The results showed that ate anger, trait anger, anger expression-out (AXO, anger expression-in (AXI, the overall index for the expression of anger were significantly associated with addiction potential. Similarly, anger control-out (ACO, anger control-in (ACI were correlated with addiction potential. In addition, the regression analysis results indicated that the components of state anger and anger expression-in (AXI together can predict 35% of changes related to addiction potential. Conclusion: State anger and anger expression-in (AXI as subjective components of anger have a significant role in predicting addiction potential among medical students. Anger management programs for medical students, as the most important segment of the society in the field of public health, are recommended to assign more credit to these two components.

  20. Subjective quality and depth assessment in stereoscopic viewing of volume-rendered medical images

    Science.gov (United States)

    Rousson, Johanna; Couturou, Jeanne; Vetsuypens, Arnout; Platisa, Ljiljana; Kumcu, Asli; Kimpe, Tom; Philips, Wilfried

    2014-03-01

    No study to-date explored the relationship between perceived image quality (IQ) and perceived depth (DP) in stereoscopic medical images. However, this is crucial to design objective quality metrics suitable for stereoscopic medical images. This study examined this relationship using volume-rendered stereoscopic medical images for both dual- and single-view distortions. The reference image was modified to simulate common alterations occurring during the image acquisition stage or at the display side: added white Gaussian noise, Gaussian filtering, changes in luminance, brightness and contrast. We followed a double stimulus five-point quality scale methodology to conduct subjective tests with eight non-expert human observers. The results suggested that DP was very robust to luminance, contrast and brightness alterations and insensitive to noise distortions until standard deviation σ=20 and crosstalk rates of 7%. In contrast, IQ seemed sensitive to all distortions. Finally, for both DP and IQ, the Friedman test indicated that the quality scores for dual-view distortions were significantly worse than scores for single-view distortions for multiple blur levels and crosstalk impairments. No differences were found for most levels of brightness, contrast and noise distortions. So, DP and IQ didn't react equivalently to identical impairments, and both depended whether dual- or single-view distortions were applied.

  1. Using PBL and Interactive Methods in Teaching Subjects in Medical Education

    Directory of Open Access Journals (Sweden)

    Nadiia Demikhova

    2016-12-01

    Full Text Available In modern life information and telecommunication technologies are becoming more and more developed. It especially attracts and captures the young - young scientists, teachers and students.The purpose of the article is to highlight the experience of implementing technology of problem-based learning in the traditional system of teaching medical disciplines. We try to analyze the impact of the training project Tempus «Introduction of innovative teaching strategies in medical education and the development of the international network of national training centers" (530519-TEMPUS-1-2012-1-UK-TEMPUS-JPCR on the quality of teaching students of medical orientation. A problem-oriented learning is used as an innovative educational technology in teaching of biomedical subjects - (problem-based learning - PBL, team training(team-based learning - TBL, interactive lectures (interactive engagement, peer instruction with clickers, discussion, training in cooperation (collaborative learning, cooperative learning (cooperative learning. We came to the conclusion the development and implementation of the system of communicative, interactive problem-based learning, characterized by practice-oriented approach, provides a reproducible stable planned results in practical terms with the formation of skills and abilities at the beds of the patients, helps self-organization and increases competitiveness of a person, able to adapt in the conditions in society that is developing rapidly.

  2. The subjective experiences of people who regularly receive depot neuroleptic medication in the community.

    Science.gov (United States)

    Phillips, L; McCann, E

    2007-09-01

    Little has been written on the subjective experiences of people who receive depot injections in the community. The authors of this paper have identified distinct gaps in the literature in terms of the views of service users regarding this particular intervention. Existing studies tend to focus upon the side effects of depot neuroleptic medication and the attitudes of Community Mental Health Nurses (CMHNs) towards administering depot medication and issues of compliance and non-compliance. Mental health nurses are frequently perceived as adhering solely to a biomedical approach to patient care in their practice and the therapeutic aspects of their role is frequently unacknowledged. This paper explores how, within the process of giving a depot injection, CMHNs are able to carry out an assessment of their client's needs as well as being someone who is consistent, reliable and supportive. This means that the process of giving a depot injection may be considered as a therapeutic intervention. Qualitative data were obtained through the administration of a semi-structured interview schedule that was constructed and consisted of a range of questions that elicited service users views and opinions related to their experiences of receiving depot neuroleptic medication in the community. The relationship between patient and nurse, as this study reveals, was one that was not only therapeutic, but also provided a forum where psychosocial and clinical issues could be discussed and explored. Crucially, the service users felt they did have a role and an influence in the delivery of their care.

  3. Astronautics summary and prospects

    CERN Document Server

    Kiselev, Anatoly Ivanovich; Menshikov, Valery Alexandrovich

    2003-01-01

    The monograph by A.I.Kiselev, A.A. Medvedev and Y.A.Menshikov, Astronautics: Summary and Prospects, aroused enthusiasm both among experts and the public at large. This is due to the felicitous choice of presentation that combines a simple description of complex space matters with scientificsubstantiation of the sub­ jectmatter described. The wealth of color photos makes the book still more attractive, and it was nominated for an award at the 14th International Moscow Book Fair, being singled out as the "best publication of the book fair". The book's popularity led to a second edition, substantially revised and enlarged. Since the first edition did not sufficiently cover the issues of space impact on ecology and the prospective development of space systems, the authors revised the entire volume, including in it the chapter "Space activity and ecology" and the section "Multi-function space systems". Using the federal monitoring system, now in the phase of system engi­ neering, as an example, the authors consi...

  4. Enhancing Astronaut Performance using Sensorimotor Adaptability Training

    Directory of Open Access Journals (Sweden)

    Jacob J Bloomberg

    2015-09-01

    Full Text Available Astronauts experience disturbances in balance and gait function when they return to Earth. The highly plastic human brain enables individuals to modify their behavior to match the prevailing environment. Subjects participating in specially designed variable sensory challenge training programs can enhance their ability to rapidly adapt to novel sensory situations. This is useful in our application because we aim to train astronauts to rapidly formulate effective strategies to cope with the balance and locomotor challenges associated with new gravitational environments - enhancing their ability to learn to learn. We do this by coupling various combinations of sensorimotor challenges with treadmill walking. A unique training system has been developed that is comprised of a treadmill mounted on a motion base to produce movement of the support surface during walking. This system provides challenges to gait stability. Additional sensory variation and challenge are imposed with a virtual visual scene that presents subjects with various combinations of discordant visual information during treadmill walking. This experience allows them to practice resolving challenging and conflicting novel sensory information to improve their ability to adapt rapidly. Information obtained from this work will inform the design of the next generation of sensorimotor countermeasures for astronauts.

  5. Searching the literature using medical subject headings versus text word with PubMed.

    Science.gov (United States)

    Chang, Angela A; Heskett, Karen M; Davidson, Terence M

    2006-02-01

    This study was conducted to investigate the performance of two search strategies in the retrieval of information from the National Library of Medicine (NLM) on otolaryngology-head and neck surgery related conditions and diagnoses using PubMed. Two search strategies-one based on the use of Medical Subject Headings (MeSH) and the second based on text word searching-were compared. The MeSH search provided a more efficient search than the text word search. Head and neck surgeons can most efficiently search the NLM using PubMed as a search engine by initiating the search with MeSH terms. Once a key article is identified, the searcher should use the "Related Articles" feature.

  6. Quantitative biomedical annotation using medical subject heading over-representation profiles (MeSHOPs

    Directory of Open Access Journals (Sweden)

    Cheung Warren A

    2012-09-01

    Full Text Available Abstract Background MEDLINE®/PubMed® indexes over 20 million biomedical articles, providing curated annotation of its contents using a controlled vocabulary known as Medical Subject Headings (MeSH. The MeSH vocabulary, developed over 50+ years, provides a broad coverage of topics across biomedical research. Distilling the essential biomedical themes for a topic of interest from the relevant literature is important to both understand the importance of related concepts and discover new relationships. Results We introduce a novel method for determining enriched curator-assigned MeSH annotations in a set of papers associated to a topic, such as a gene, an author or a disease. We generate MeSH Over-representation Profiles (MeSHOPs to quantitatively summarize the annotations in a form convenient for further computational analysis and visualization. Based on a hypergeometric distribution of assigned terms, MeSHOPs statistically account for the prevalence of the associated biomedical annotation while highlighting unusually prevalent terms based on a specified background. MeSHOPs can be visualized using word clouds, providing a succinct quantitative graphical representation of the relative importance of terms. Using the publication dates of articles, MeSHOPs track changing patterns of annotation over time. Since MeSHOPs are quantitative vectors, MeSHOPs can be compared using standard techniques such as hierarchical clustering. The reliability of MeSHOP annotations is assessed based on the capacity to re-derive the subset of the Gene Ontology annotations with equivalent MeSH terms. Conclusions MeSHOPs allows quantitative measurement of the degree of association between any entity and the annotated medical concepts, based directly on relevant primary literature. Comparison of MeSHOPs allows entities to be related based on shared medical themes in their literature. A web interface is provided for generating and visualizing MeSHOPs.

  7. Quantitative biomedical annotation using medical subject heading over-representation profiles (MeSHOPs).

    Science.gov (United States)

    Cheung, Warren A; Ouellette, B F Francis; Wasserman, Wyeth W

    2012-09-27

    MEDLINE®/PubMed® indexes over 20 million biomedical articles, providing curated annotation of its contents using a controlled vocabulary known as Medical Subject Headings (MeSH). The MeSH vocabulary, developed over 50+ years, provides a broad coverage of topics across biomedical research. Distilling the essential biomedical themes for a topic of interest from the relevant literature is important to both understand the importance of related concepts and discover new relationships. We introduce a novel method for determining enriched curator-assigned MeSH annotations in a set of papers associated to a topic, such as a gene, an author or a disease. We generate MeSH Over-representation Profiles (MeSHOPs) to quantitatively summarize the annotations in a form convenient for further computational analysis and visualization. Based on a hypergeometric distribution of assigned terms, MeSHOPs statistically account for the prevalence of the associated biomedical annotation while highlighting unusually prevalent terms based on a specified background. MeSHOPs can be visualized using word clouds, providing a succinct quantitative graphical representation of the relative importance of terms. Using the publication dates of articles, MeSHOPs track changing patterns of annotation over time. Since MeSHOPs are quantitative vectors, MeSHOPs can be compared using standard techniques such as hierarchical clustering. The reliability of MeSHOP annotations is assessed based on the capacity to re-derive the subset of the Gene Ontology annotations with equivalent MeSH terms. MeSHOPs allows quantitative measurement of the degree of association between any entity and the annotated medical concepts, based directly on relevant primary literature. Comparison of MeSHOPs allows entities to be related based on shared medical themes in their literature. A web interface is provided for generating and visualizing MeSHOPs.

  8. Medical Image Processing for Fully Integrated Subject Specific Whole Brain Mesh Generation

    Directory of Open Access Journals (Sweden)

    Chih-Yang Hsu

    2015-05-01

    Full Text Available Currently, anatomically consistent segmentation of vascular trees acquired with magnetic resonance imaging requires the use of multiple image processing steps, which, in turn, depend on manual intervention. In effect, segmentation of vascular trees from medical images is time consuming and error prone due to the tortuous geometry and weak signal in small blood vessels. To overcome errors and accelerate the image processing time, we introduce an automatic image processing pipeline for constructing subject specific computational meshes for entire cerebral vasculature, including segmentation of ancillary structures; the grey and white matter, cerebrospinal fluid space, skull, and scalp. To demonstrate the validity of the new pipeline, we segmented the entire intracranial compartment with special attention of the angioarchitecture from magnetic resonance imaging acquired for two healthy volunteers. The raw images were processed through our pipeline for automatic segmentation and mesh generation. Due to partial volume effect and finite resolution, the computational meshes intersect with each other at respective interfaces. To eliminate anatomically inconsistent overlap, we utilized morphological operations to separate the structures with a physiologically sound gap spaces. The resulting meshes exhibit anatomically correct spatial extent and relative positions without intersections. For validation, we computed critical biometrics of the angioarchitecture, the cortical surfaces, ventricular system, and cerebrospinal fluid (CSF spaces and compared against literature values. Volumina and surface areas of the computational mesh were found to be in physiological ranges. In conclusion, we present an automatic image processing pipeline to automate the segmentation of the main intracranial compartments including a subject-specific vascular trees. These computational meshes can be used in 3D immersive visualization for diagnosis, surgery planning with haptics

  9. Subject, function, and trend in medical ethics research: a comparative study of Chinese and non-Chinese literature using bibliometrics.

    Science.gov (United States)

    Jiang, Lanhui; Shen, Jiantong; Li, Youping; Deng, Shaolin; Wu, Taixiang; Chen, Baoqing; Xie, Zhiyi; Qin, Chaoyi; Yu, Zhiyuan; Qin, Chuan; Huang, Jin; Liu, Xuemei; Li, Yan; Jiang, Jie

    2012-05-01

    To perform a comparative quantitative and qualitative analysis of Chinese and non-Chinese medical ethics literature using systematic research and literature analysis in order to discern research trends in the area and provide baseline data as a reference for relevant decision making and further study. We retrieved articles using MeSH terms and keywords related to medical ethics in PubMed and CNKI, and then constructed a set of charts by applying word co-occurrence, The Pathfinder Networks algorithms, an included subject chart, a research field relationship chart, and strategy coordination charts. The total of number of papers retrieved from PubMed was six times that retrieved from CNKI. Outside China, medical ethics has been studied in eight fully shaped subject fields, including morals, ethical review, physician-patient relationships, clinical trials, euthanasia, ethics education, clinical ethics, and health policy. In contrast, medical ethics research in China is still confined to five subject fields: morals, physician-patient relations, medical ethics education, ethical review, and medical research. Medical ethics research outside China emphasizes the application of medical ethics to solve emerging problems in clinical and medical research. It is mainly centered on morals, ethical review, and physician-patient relations. By comparison, medical ethics research in China places greater emphasis on morals and medical education. In order to narrow this gap between China and other countries, we should broaden the research scope of medical ethics and add more applied research, such as ethical review and medical education. © 2012 Blackwell Publishing Asia Pty Ltd and Chinese Cochrane Center, West China Hospital of Sichuan University.

  10. Latent Virus Reactivation in Space Shuttle Astronauts

    Science.gov (United States)

    Mehta, S. K.; Crucian, B. E.; Stowe, R. P.; Sams, C.; Castro, V. A.; Pierson, D. L.

    2011-01-01

    Latent virus reactivation was measured in 17 astronauts (16 male and 1 female) before, during, and after short-duration Space Shuttle missions. Blood, urine, and saliva samples were collected 2-4 months before launch, 10 days before launch (L-10), 2-3 hours after landing (R+0), 3 days after landing (R+14), and 120 days after landing (R+120). Epstein-Barr virus (EBV) DNA was measured in these samples by quantitative polymerase chain reaction. Varicella-zoster virus (VZV) DNA was measured in the 381 saliva samples and cytomegalovirus (CMV) DNA in the 66 urine samples collected from these subjects. Fourteen astronauts shed EBV DNA in 21% of their saliva samples before, during, and after flight, and 7 astronauts shed VZV in 7.4% of their samples during and after flight. It was interesting that shedding of both EBV and VZV increased during the flight phase relative to before or after flight. In the case of CMV, 32% of urine samples from 8 subjects contained DNA of this virus. In normal healthy control subjects, EBV shedding was found in 3% and VZV and CMV were found in less than 1% of the samples. The circadian rhythm of salivary cortisol measured before, during, and after space flight did not show any significant difference between flight phases. These data show that increased reactivation of latent herpes viruses may be associated with decreased immune system function, which has been reported in earlier studies as well as in these same subjects (data not reported here).

  11. Cardiovascular Disease Outcomes Among the NASA Astronaut Corps

    Science.gov (United States)

    Charvat, Jacqueline M.; Lee, Stuart M. C.; Wear, Mary L.; Stenger, Michael B.; Van Baalen, Mary

    2018-01-01

    BACKGROUND: Acute effects of spaceflight on the cardiovascular system have been studied extensively, but the combined chronic effects of spaceflight and aging are not well understood. Preparation for and participation in spaceflight activities are associated with changes in the cardiovascular system such as decreased carotid artery distensibility and decreased ventricular mass which may lead to an increased risk of cardiovascular disease. Additionally, astronauts who travel into space multiple times or for longer durations may be at an increased risk across their lifespan. To that end, the purpose of this study was to determine the incidence of common cardiovascular disease (CVD) outcomes among the NASA astronaut corps during their active career and through retirement. METHODS: Cardiovascular disease outcomes were defined as reports of any of the following: myocardial infarction (MI), revascularization procedures (coronary artery bypass graft surgery [CABG] or percutaneous coronary intervention [PCI]), hypertension, stroke or transient ischemic attack [TIA], heart failure, or total CVD (as defined by the AHA - combined outcome of MI, Angina Pectoris, heart failure, stroke, and hypertension). Each outcome was identified individually from review of NASA's Electronic Medical Record (EMR), EKG reports, and death certificates using ICD-9 codes as well as string searches of physician notes of astronaut exams that occurred between 1959 and 2016. RESULTS: Of 338 NASA astronauts selected as of 2016, 9 reported an MI, 12 reported a revascularization procedure, (7 PCI and 5 CABG), 4 reported Angina (without MI), 5 reported heart failure, 9 reported stroke/TIA, and 96 reported hypertension. Total CVD was reported in 105 astronauts. No astronaut who had an MI or revascularization procedure flew a spaceflight mission following the event. All MI, revascularization, and stroke events occurred in male astronauts. When reviewing astronaut ECG reports, abnormal ECG reports were found

  12. Leveraging output term co-occurrence frequencies and latent associations in predicting medical subject headings.

    Science.gov (United States)

    Kavuluru, Ramakanth; Lu, Yuan

    2014-11-01

    Trained indexers at the National Library of Medicine (NLM) manually tag each biomedical abstract with the most suitable terms from the Medical Subject Headings (MeSH) terminology to be indexed by their PubMed information system. MeSH has over 26,000 terms and indexers look at each article's full text while assigning the terms. Recent automated attempts focused on using the article title and abstract text to identify MeSH terms for the corresponding article. Most of these approaches used supervised machine learning techniques that use already indexed articles and the corresponding MeSH terms. In this paper, we present a new indexing approach that leverages term co-occurrence frequencies and latent term associations computed using MeSH term sets corresponding to a set of nearly 18 million articles already indexed with MeSH terms by indexers at NLM. The main goal of our study is to gauge the potential of output label co-occurrences, latent associations, and relationships extracted from free text in both unsupervised and supervised indexing approaches. In this paper, using a novel and purely unsupervised approach, we achieve a micro-F-score that is comparable to those obtained using supervised machine learning techniques. By incorporating term co-occurrence and latent association features into a supervised learning framework, we also improve over the best results published on two public datasets.

  13. Improving information retrieval using Medical Subject Headings Concepts: a test case on rare and chronic diseases.

    Science.gov (United States)

    Darmoni, Stéfan J; Soualmia, Lina F; Letord, Catherine; Jaulent, Marie-Christine; Griffon, Nicolas; Thirion, Benoît; Névéol, Aurélie

    2012-07-01

    As more scientific work is published, it is important to improve access to the biomedical literature. Since 2000, when Medical Subject Headings (MeSH) Concepts were introduced, the MeSH Thesaurus has been concept based. Nevertheless, information retrieval is still performed at the MeSH Descriptor or Supplementary Concept level. The study assesses the benefit of using MeSH Concepts for indexing and information retrieval. Three sets of queries were built for thirty-two rare diseases and twenty-two chronic diseases: (1) using PubMed Automatic Term Mapping (ATM), (2) using Catalog and Index of French-language Health Internet (CISMeF) ATM, and (3) extrapolating the MEDLINE citations that should be indexed with a MeSH Concept. Type 3 queries retrieve significantly fewer results than type 1 or type 2 queries (about 18,000 citations versus 200,000 for rare diseases; about 300,000 citations versus 2,000,000 for chronic diseases). CISMeF ATM also provides better precision than PubMed ATM for both disease categories. Using MeSH Concept indexing instead of ATM is theoretically possible to improve retrieval performance with the current indexing policy. However, using MeSH Concept information retrieval and indexing rules would be a fundamentally better approach. These modifications have already been implemented in the CISMeF search engine.

  14. Astronautics and psychology: recommendations for the psychological training of astronauts.

    Science.gov (United States)

    Haupt, G F

    1991-11-01

    The methods presently applied in the psychological training of astronauts are based on the principle of ensuring maximum performance of astronauts during missions. The shortcomings are obvious since those undergoing training provide nothing but the best ability to cope with Earth problem situations and add simply an experience of space problem situations as they are presently conceived. Earth attitudes and Earth behaviour remain and are simply modified. Through the utilization of interdisciplinary space knowledge a much higher degree of problem anticipation could be achieved and the astronaut be psychologically transformed into a space-being. This would at the same time stimulate interdisciplinary space research. The interdisciplinary space knowledge already available suggests that space requires not only physical and mental adjustments, but a profoundly new relationship with life.

  15. Colonoscopy Screening in the US Astronaut Corps

    Science.gov (United States)

    Masterova, K.; Van Baalen, M.; Wear, M. L.; Murray, J.; Schaefer, C.

    2016-01-01

    BACKGROUND: Historically, colonoscopy screenings for astronauts have been conducted to ensure that astronauts are in good health for space missions. Recently this historical data has been identified as being useful for developing an occupational surveillance requirement. It can be used to assess overall colon health and to have a point of reference for future tests in current and former astronauts, as well as to follow-up and track rates of colorectal cancer and polyps. These rates can be compared to military and other terrestrial populations. In 2003, the active astronaut colonoscopy requirements changed to require less frequent colonoscopies. Since polyp removal during a colonoscopy is an intervention that prevents the polyp from potentially developing into cancer, the procedure decreases the individual's risk for colon cancer. The objective of this study is to evaluate the possible effect of increased follow-up times between colonoscopies on the number and severity of polyps identified during the procedures among both current and former NASA astronauts. Initial results and forward work regarding astronaut colonoscopy screenings will be presented. METHODS: A retrospective study of all colonoscopy procedures performed on NASA astronauts between 1962 and 2015 (both during active career and retirement) was conducted by review of the JSC Clinic Electronic Medical Record and Lifetime Surveillance of Astronaut Health (LSAH) database for colonoscopy screening procedures and pathology reports. The timeframe of interest was from the time of selection into the Astronaut Corps through May 2015 or death. For each colonoscopy report, the following data were captured: date of procedure, age at time of procedure, reason for procedure, quality of bowel prep, completion of procedure and/or reason for termination of procedure, findings of procedure, subsequent treatment (if any), recommended follow-up interval, actual follow up interval, family history of polyps or colon cancer

  16. Transforming the Medical Subject Headings into Linked Data: Creating the Authorized Version of MeSH in RDF.

    Science.gov (United States)

    Bushman, Barbara; Anderson, David; Fu, Gang

    In February 2014 the National Library of Medicine formed the Linked Data Infrastructure Working Group to investigate the potential for publishing linked data, determine best practices for publishing linked data, and prioritize linked data projects, beginning with transforming the Medical Subject Headings as a linked data pilot. This article will review the pilot project to convert the Medical Subject Headings from XML to RDF. It will discuss the collaborative process, the technical and organizational issues tackled, and the future of linked data at the library.

  17. 78 FR 12664 - Human Subject Protection; Acceptance of Data From Clinical Studies for Medical Devices

    Science.gov (United States)

    2013-02-25

    ... regulations on acceptance of data from clinical studies for medical devices. We are proposing to require that... Medical Devices B. Reasons for Proposing To Revise the Regulations II. Description of the Proposed Rule A... regulations for PMA of medical devices in part 814 (21 CFR part 814) permit the acceptance of data from...

  18. A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea

    DEFF Research Database (Denmark)

    Wolff, Andy; Joshi, Revan Kumar; Ekström, Jörgen

    2017-01-01

    the alimentary, cardiovascular, genitourinary, nervous, and respiratory systems. Management strategies include substitution or discontinuation of medications whenever possible, oral or systemic therapy with sialogogues, administration of saliva substitutes, and use of electro-stimulating devices. LIMITATIONS......: While xerostomia was a commonly reported outcome, objectively measured salivary flow rate was rarely reported. Moreover, xerostomia was mostly assessed as an adverse effect rather than the primary outcome of medication use. This study may not include some medications that could cause xerostomia when...... practitioners in assessing patients who complain of dry mouth while taking medications. The list may also prove useful in helping practitioners anticipate adverse effects and consider alternative medications....

  19. Derangements in bone mineral parameters and bone mineral density in south Indian subjects on antiepileptic medications

    Directory of Open Access Journals (Sweden)

    George Koshy

    2014-01-01

    Full Text Available Background: Although there are reports describing the association of alternations of bone and mineral metabolism in epileptic patients with long-term anticonvulsant therapy, there are only limited Indian studies which have looked at this aspect. Objectives: This study was done to compare the prevalence of changes in bone mineral parameters and bone mineral density (BMD in ambulant individuals on long-term anticonvulsant therapy with age- and body mass index (BMI-matched healthy controls. Materials and Methods: There were 55 men (on medications for more than 6 months and age- and BMI-matched 53 controls. Drug history, dietary calcium intake (DCI, and duration of sunlight exposure were recorded. Bone mineral parameters and BMD were measured. Results: The control group had a significantly higher daily DCI with mean ± SD of 396 ± 91 mg versus 326 ± 101 mg (P = 0.007 and more sunlight exposure of 234 ± 81 vs 167 ± 69 min (P = 0.05. BMD at the femoral neck was significantly lower in cases (0.783 ± 0.105 g/cm 2 when compared to controls (0.819 ± 0.114 g/cm 2 . Majority of the patients (61% had low femoral neck BMD (P = 0.04. There was no significant difference in the proportion of subjects with vitamin D deficiency (<20 ng/mL between cases (n = 32 and controls (n = 37 (P = 0.234. Conclusions: Vitamin D deficiency was seen in both the groups in equal proportions, highlighting the existence of a high prevalence of this problem in India. Low femoral neck BMD found in cases may stress the need for supplementing calcium and treating vitamin D deficiency in this specific group. However, the benefit of such intervention has to be studied in a larger proportion of epileptic patients.

  20. Medical Subject Heading (MeSH) annotations illuminate maize genetics and evolution.

    Science.gov (United States)

    Beissinger, Timothy M; Morota, Gota

    2017-01-01

    High-density marker panels and/or whole-genome sequencing, coupled with advanced phenotyping pipelines and sophisticated statistical methods, have dramatically increased our ability to generate lists of candidate genes or regions that are putatively associated with phenotypes or processes of interest. However, the speed with which we can validate genes, or even make reasonable biological interpretations about the principles underlying them, has not kept pace. A promising approach that runs parallel to explicitly validating individual genes is analyzing a set of genes together and assessing the biological similarities among them. This is often achieved via gene ontology analysis, a powerful tool that involves evaluating publicly available gene annotations. However, additional resources such as Medical Subject Headings (MeSH) can also be used to evaluate sets of genes to make biological interpretations. In this manuscript, we describe utilizing MeSH terms to make biological interpretations in maize. MeSH terms are assigned to PubMed-indexed manuscripts by the National Library of Medicine, and can be directly mapped to genes to develop gene annotations. Once mapped, these terms can be evaluated for enrichment in sets of genes or similarity between gene sets to provide biological insights. Here, we implement MeSH analyses in five maize datasets to demonstrate how MeSH can be leveraged by the maize and broader crop-genomics community. We demonstrate that MeSH terms can be effectively leveraged to generate hypotheses and make biological interpretations in maize, and we provide a pipeline that enables the use of MeSH terms in other plant species.

  1. Screening and Management of Asymptomatic Renal Stones in Astronauts

    Science.gov (United States)

    Reyes, David; Locke, James; Sargsyan, Ashot; Garcia, Kathleen

    2017-01-01

    Management guidelines were created to screen and manage asymptomatic renal stones in U.S. astronauts. The true risk for renal stone formation in astronauts due to the space flight environment is unknown. Proper management of this condition is crucial to mitigate health and mission risks. The NASA Flight Medicine Clinic electronic medical record and the Lifetime Surveillance of Astronaut Health databases were reviewed. An extensive review of the literature and current aeromedical standards for the monitoring and management of renal stones was also done. This work was used to develop a screening and management protocol for renal stones in astronauts that is relevant to the spaceflight operational environment. In the proposed guidelines all astronauts receive a yearly screening and post-flight renal ultrasound using a novel ultrasound protocol. The ultrasound protocol uses a combination of factors, including: size, position, shadow, twinkle and dispersion properties to confirm the presence of a renal calcification. For mission-assigned astronauts, any positive ultrasound study is followed by a low-dose renal computed tomography scan and urologic consult. Other specific guidelines were also created. A small asymptomatic renal stone within the renal collecting system may become symptomatic at any time, and therefore affect launch and flight schedules, or cause incapacitation during a mission. Astronauts in need of definitive care can be evacuated from the International Space Station, but for deep space missions evacuation is impossible. The new screening and management algorithm has been implemented and the initial round of screening ultrasounds is under way. Data from these exams will better define the incidence of renal stones in U.S. astronauts, and will be used to inform risk mitigation for both short and long duration spaceflights.

  2. Three-Way Catalog Division Combined with Conversion to Medical Subject Headings (MeSH) in a Medium-sized Medical Library *†

    Science.gov (United States)

    McNutt, Eleanor M.; Poland, Ursula H.

    1974-01-01

    Conversion to MeSH and other reasons are enumerated for the division of an undivided dictionary card catalog into a three-way divided catalog, consisting of Proper Names, Titles, and Topical Subjects sections. Methodology of division is described. Conversion from Library of Congress Subject Headings to Medical Subject Headings (MeSH) as an authority list stimulated such concurrent changes as (1) the introduction of a guide card system that eliminates typing of subject headings on catalog cards and (2) the adoption of a filing system that employs reverse chronological order for all types of sequential material in the Proper Names and Titles sections and for all material in the Topical Subjects section. The ancillary decisions, procedures, and methods necessitated by these major conversions are also described. PMID:4462686

  3. Citation analysis with medical subject Headings (MeSH) using the Web of Knowledge: A new routine

    NARCIS (Netherlands)

    Leydesdorff, L.; Opthof, T.

    2013-01-01

    Citation analysis of documents retrieved from the Medline database (at the Web of Knowledge) has been possible only on a case-by-case basis. A technique is presented here for citation analysis in batch mode using both Medical Subject Headings (MeSH) at the Web of Knowledge and the Science Citation

  4. Latent Herpes Viruses Reactivation in Astronauts

    Science.gov (United States)

    Mehta, Satish K.; Pierson, Duane L.

    2008-01-01

    Space flight has many adverse effects on human physiology. Changes in multiple systems, including the cardiovascular, musculoskeletal, neurovestibular, endocrine, and immune systems have occurred (12, 32, 38, 39). Alterations in drug pharmacokinetics and pharmacodynamics (12), nutritional needs (31), renal stone formation (40), and microbial flora (2) have also been reported. Evidence suggests that the magnitude of some changes may increase with time in space. A variety of changes in immunity have been reported during both short (.16 days) and long (>30 days) space missions. However, it is difficult to determine the medical significance of these immunological changes in astronauts. Astronauts are in excellent health and in superb physical condition. Illnesses in astronauts during space flight are not common, are generally mild, and rarely affect mission objectives. In an attempt to clarify this issue, we identified the latent herpes viruses as medically important indicators of the effects of space flight on immunity. This chapter demonstrates that space flight leads to asymptomatic reactivation of latent herpes viruses, and proposes that this results from marked changes in neuroendocrine function and immunity caused by the inherent stressfullness of human space flight. Astronauts experience uniquely stressful environments during space flight. Potential stressors include confinement in an unfamiliar, crowded environment, isolation, separation from family, anxiety, fear, sleep deprivation, psychosocial issues, physical exertion, noise, variable acceleration forces, increased radiation, and others. Many of these are intermittent and variable in duration and intensity, but variable gravity forces (including transitions from launch acceleration to microgravity and from microgravity to planetary gravity) and variable radiation levels are part of each mission and contribute to a stressful environment that cannot be duplicated on Earth. Radiation outside the Earth

  5. Origins of astronautics in Switzerland

    Science.gov (United States)

    Wadlis, A.

    1977-01-01

    Swiss contributions to astronautics are recounted. Scientists mentioned include: Bernoulli and Euler for their early theoretical contributions; the balloonist, Auguste Piccard; J. Ackeret, for his contributions to the study of aerodynamics; the rocket propulsion pioneer, Josef Stemmer; and the Swiss space scientists, Eugster, Stettbacker, Zwicky, and Schurch.

  6. Creating a mobile subject guide to improve access to point-of-care resources for medical students: a case study.

    Science.gov (United States)

    Boruff, Jill T; Bilodeau, Edward

    2012-01-01

    Can a mobile optimized subject guide facilitate medical student access to mobile point-of-care tools? The guide was created at a library at a research-intensive university with six teaching hospital sites. The team created a guide facilitating medical student access to point-of-care tools directly on mobile devices to provide information allowing them to access and set up resources with little assistance. Two librarians designed a mobile optimized subject guide for medicine and conducted a survey to test its usefulness. Web analytics and survey results demonstrate that the guide is used and the students are satisfied. The library will continue to use the subject guide as its primary means of supporting mobile devices. It remains to be seen if the mobile guide facilitates access for those who do not need assistance and want direct access to the resources. Internet access in the hospitals remains an issue.

  7. Creating a mobile subject guide to improve access to point-of-care resources for medical students: a case study

    Science.gov (United States)

    Boruff, Jill T; Bilodeau, Edward

    2012-01-01

    Question: Can a mobile optimized subject guide facilitate medical student access to mobile point-of-care tools? Setting: The guide was created at a library at a research-intensive university with six teaching hospital sites. Objectives: The team created a guide facilitating medical student access to point-of-care tools directly on mobile devices to provide information allowing them to access and set up resources with little assistance. Methods: Two librarians designed a mobile optimized subject guide for medicine and conducted a survey to test its usefulness. Results: Web analytics and survey results demonstrate that the guide is used and the students are satisfied. Conclusion: The library will continue to use the subject guide as its primary means of supporting mobile devices. It remains to be seen if the mobile guide facilitates access for those who do not need assistance and want direct access to the resources. Internet access in the hospitals remains an issue. PMID:22272160

  8. [Pain medicine as a cross-sectional subject in German medical schools. An opportunity for general pain management].

    Science.gov (United States)

    Kopf, A; Dusch, M; Alt-Epping, B; Petzke, F; Treede, R-D

    2014-08-01

    Unrelieved pain is a substantial public health concern owing in part to deficits in clinical expertise among physicians. In most medical faculties worldwide, teaching on pain and pain management is either nonexistent or limited to a small number of students attending voluntary courses. In light of the fact that pain is the most frequent reason to seek medical advice, the lack of formal training of pain medicine is considered the leading reason for inadequate pain management. Therefore, the patients' unmet needs for adequate diagnosis and therapy call for action. Pain assessment and effective pain management should be a priority in the health care system. The limited number of pain specialists available in hospitals and primary care and CME (continuous medical education) activities focusing on pain are not sufficient to solve the problem. Every practicing physician should, therefore, have basic knowledge of the most prominent painful conditions and management strategies. To achieve this goal, pain medicine should become an integral part of the undergraduate curriculum for medical students. In Germany, pain medicine became a mandatory subject in undergraduate medical studies in 2012. The introduction of pain medicine into the undergraduate curriculum in Germany is a major challenge regarding the development and implementation processes. This article describes current instruments and implementation strategies for pain medicine as a new cross-sectional subject in Germany.

  9. Official portrait of astronaut Robert C. Springer

    Science.gov (United States)

    1988-01-01

    Official portrait of astronaut Robert C. Springer, United Stated Marine Corps (USMC) Colonel, member of Astronaut Class 9 (1980), and mission specialist. Springer wears launch and entry suit (LES) while holding helmet.

  10. Prevalence of Sleep Deficiency and Hypnotic Use Among Astronauts Before, During and After Spaceflight: An Observational Study

    Science.gov (United States)

    Barger, Laura K.; Flynn-Evans, Erin E.; Kubey, Alan; Walsh, Lorcan; Ronda, Joseph M.; Wang, Wei; Wright, Kenneth P.; Czeisler, Charles A.

    2014-01-01

    Background Sleep deprivation and fatigue are common subjective complaints among astronauts. We conducted the first large-scale evaluation of objectively-estimated sleep of astronauts on both short- and long-duration spaceflight missions. Methods Allnon-Russian crewmembers assigned to space shuttle flights with inflight experiments from July 2001 until July 2011 or ISS Expeditions from 2006 –2011 were eligible to participate. We objectively assessed, via wrist actigraphy and daily logs, sleep-wake timing of 64 astronauts on 80 Space Shuttle missions, encompassing 26 Space Transportation System flights (1,063 inflight days), and 21 astronauts on the International Space Station (ISS) (3,248 inflight days) and, for each astronaut, during two Earth-based data-collection intervals prior to and one following spaceflight (4,013 ground-based days). Findings Astronauts attempted and obtained significantly less actigraphically-estimated sleep per night on space shuttle missions (7·35 ± 0·47 and 5·96 ± 0·56 hours, respectively), in the 11-days before spaceflight (7·35 ± 0·51 and 6·04 ± 0·72 hours, respectively) and even three months before spaceflight (7·40 ± 0·59 and 6·29 ± 0·67 hours, respectively) than they did upon their return to Earth (8·01 ± 0·78 and 6·74 ± 0·91 hours, respectively) (p sleep three months prior (6.41 ± 0.65), in the 11 days prior (5.86 ± 0.94) and during spaceflight (6.09 ± 0.67 hours), as compared to the first week post-mission (6.95 ± 1.04 hours; p sleep-promoting medications on 52% of nights (500/963) and 2 doses on 17% of nights during flight (87/500); 75% of ISS crewmembers (12/16) reported using sleep-promoting medications. Interpretation Sleep deficiency in astronauts was prevalent not only during space shuttle and ISS missions, but also throughout a 3-month pre-flight training interval. Despite chronic sleep curtailment, sleeping pill use was pervasive during spaceflight. As chronic sleep loss produces performance

  11. Astronautics

    Science.gov (United States)

    1977-01-01

    Principles of rocket engineering, flight dynamics, and trajectories are discussed in this summary of Soviet rocket development and technology. Topics include rocket engine design, propellants, propulsive efficiency, and capabilities required for orbital launch. The design of the RD 107, 108, 119, and 214 rocket engines and their uses in various satellite launches are described. NASA's Saturn 5 and Atlas Agena launch vehicles are used to illustrate the requirements of multistage rockets.

  12. Relationship Between Medication Adherence and Health-Related Quality of Life in Subjects With COPD: A Systematic Review.

    Science.gov (United States)

    Ágh, Tamás; Dömötör, Péterné; Bártfai, Zoltán; Inotai, András; Fujsz, Eszter; Mészáros, Ágnes

    2015-02-01

    Various aspects of medication adherence and health-related quality of life (HRQOL) have been studied in subjects with COPD. Nevertheless, little is known about the association between these factors. The aim of this study was to undertake a systematic review of the published literature focusing on the relationship between medication adherence and HRQOL in COPD. A systematic literature search of English language articles was conducted in April 2013 using MEDLINE. No publication date limits were defined. All of the included studies were assessed for quality. Seven studies were included in the review. Three of the assessed studies found no correlation, and 3 studies described positive and 2 studies reported negative associations between medication adherence and HRQOL. The results indicate that an improved HRQOL may be a trigger for non-adherence in patients with COPD. The relationship between medication adherence and HRQOL may be dual. The effect of medication adherence on HRQOL might be a consequence of the effectiveness of therapy and the negative effects (ie, side effects, daily life limitation of therapy, social stigma) that it can generate. HRQOL might also influence the patterns of patients' drug use, as an increased HRQOL might trigger non-adherence. The dynamics between adherence and HRQOL might differ over time, as the negative effects of medication non-adherence might become dominant in the long term. Copyright © 2015 by Daedalus Enterprises.

  13. Medical Student Dissection of Cadavers Improves Performance on Practical Exams but not on the NBME Anatomy Subject Exam

    OpenAIRE

    Sargent Jones, Leslie; Paulman, Lance E.; Thadani, Raj; Terracio, Louis

    2009-01-01

    We have examined whether cadaver dissection by first year medical students (MIs) affected their performance in two test measures: the NBME Gross Anatomy and Embryology Subject Exam (dissection-relevant questions only), and practical exams given at the end of each major section within the course. The dissections for the entire course were divided into 18 regional dissection units and each student was assigned to dissect one third of the regional units; the other two-thirds of the material was ...

  14. Subject and discipline-specific publication trends in South African medical research, 1996�2011

    Directory of Open Access Journals (Sweden)

    Tahir S. Pillay

    2013-09-01

    Full Text Available Medical and health sciences institutions and organisations are faced with challenges in resource allocation for research and publishing. The aim of this study was to retrospectively analyse South African publication trends in medicine to provide guidance for future strategic planning in academic medicine. We used the Scimago database spanning the years 1996–2011 to analyse South African publication outputs in a number of categories in medicine, as defined in the Scopus database. The data reveal a number of significant growth areas but also reveal areas that should potentially be growing but remain static. In some areas, growth has aligned with the expectations of health and disease trends, but other areas, in which growth would have been expected, have remained static. Interesting features are also revealed when the data are compared with those of other developed and developing countries. For 1996–2011, South African medical publication output ranked 33 in the world based on the number of publications, but 28 based on the h-index. Interestingly, whilst South Africa produced less than 25% of the output of India, the h-index for South Africa is 153 compared with 145 for India. South Africa’s medical publication output has steadily increased over the 14-year period but the number of citations per document has declined. This analysis provides a useful strategic overview for medical institutions and government funding organisations to guide the allocation of research budgets and resources in a discipline- or category-specific manner to influence research outputs.

  15. Subjective well-being and its association with peer caring and resilience among nursing vs medical students: A questionnaire study.

    Science.gov (United States)

    Zhao, FangFang; Guo, Yujie; Suhonen, Riitta; Leino-Kilpi, Helena

    2016-02-01

    The subjective well-being (SWB) of nursing and medical students is a very important component in the training of future nurses and doctors, as well-being enables them to be more productive. The study examined the effects of peer caring and resilience on SWB as well as the mediating and moderating effects of resilience in the relationship between peer caring and SWB. A cross-sectional survey design was used. A university and an affiliated hospital in China. The convenience sample consisted of 426 nursing students and 336 medical students. Questionnaires comprising peer caring measurement, a resilience scale and a well-being scale were used in the spring of 2014. Students participate in the study showed low SWB. There was a significant difference between nursing students and medical students in peer caring, but not in SWB and resilience. The mediating effects of resilience on the relationship between peer caring and SWB were examined. As hypothesized, resilience mediated the relationship between peer caring and SWB partly for nursing students (SE=0.022, 95% CI=0.041-0.128) and fully for medical students (SE=0.023, 95% CI=0.067-0.161). Resilience did not statistically significantly moderate the peer caring-SWB relationship for nursing students (β=0.092, p=0.057) but did so for medical students (β=0.108, pPeer caring and resilience improved the SWB of both nursing students and medical students. In addition, resilience improved SWB through peer caring for both nursing students and medical students, and higher resilience in medical students enhanced the positive effects of peer caring on SWB. Therefore, educators should promote peer caring and resilience in order to improve students' SWB. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Locomotor problems of supersonic aviation and astronautics.

    Science.gov (United States)

    Remes, P

    1989-04-01

    Modern high-speed aviation and space flight are fraught with many problems and require a high standard of health and fitness. Those responsible for the health of pilots must appreciate the importance of early diagnosis even before symptoms appear. This is particularly true in terms of preventing spinal injuries where even a single Schmorl's node may make a pilot unfit for high-speed flying. Spinal fractures are frequent during emergency ejection and landing. Helicopter crews are particularly prone to spinal disc degeneration due to vibration. By effective lowering of vibration by changes in the seats, a reduction in such lesions is possible. The osteoporosis and muscle atrophy occurring among astronauts subjected to prolonged weightlessness can be prevented by regular physical exercises.

  17. [Gender perspective relevant in many medical school subjects. Essential to perceive men and women holistically].

    Science.gov (United States)

    Hamberg, Katarina

    2003-12-04

    Gender perspective in medicine implies that people are seen as biological as well as social and cultural creatures and the concept of wholeness is important. Still, it is common that biological explanations dominate when gender differences in various symptoms and disorders are discussed in medicine and medical training. Applying a gender perspective implies a change in that attention is then also paid to social conditions for men and women in various contexts, for example in education, on the labour market, and in different ethnic groups, parallel and simultaneously to biological causes. In this article it is shown that a gender perspective is relevant in many fields of medical training. A gender perspective can bring new insights in education about the healthy and diseased body, investigation and treatment of disease, communication and the patient-doctor-relationship, as well as career and speciality choices. The need for education of teachers on gender issues is a crucial issue for those responsible for the academic syllabus.

  18. Subject and discipline-specific publication trends in South African medical research, 1996�2011

    OpenAIRE

    Tahir S. Pillay

    2013-01-01

    Medical and health sciences institutions and organisations are faced with challenges in resource allocation for research and publishing. The aim of this study was to retrospectively analyse South African publication trends in medicine to provide guidance for future strategic planning in academic medicine. We used the Scimago database spanning the years 1996–2011 to analyse South African publication outputs in a number of categories in medicine, as defined in the Scopus database. The data reve...

  19. Medical students' subjective ratings of stress levels and awareness of student support services about mental health.

    Science.gov (United States)

    Walter, Garry; Soh, Nerissa Li-Wey; Norgren Jaconelli, Sanna; Lampe, Lisa; Malhi, Gin S; Hunt, Glenn

    2013-06-01

    To descriptively assess medical students' concerns for their mental and emotional state, perceived need to conceal mental problems, perceived level of support at university, knowledge and use of student support services, and experience of stresses of daily life. From March to September 2011, medical students at an Australian university were invited to complete an anonymous online survey. 475 responses were received. Students rated study and examinations (48.9%), financial concerns (38.1%), isolation (19.4%) and relationship concerns (19.2%) as very or extremely stressful issues. Knowledge of available support services was high, with 90.8% indicating they were aware of the university's medical centre. Treatment rates were modest (31.7%). Students' concerns about their mental state were generally low, but one in five strongly felt they needed to conceal their emotional problems. Despite widespread awareness of appropriate support services, a large proportion of students felt they needed to conceal mental and emotional problems. Overall treatment rates for students who were greatly concerned about their mental and emotional state appeared modest, and, although comparable with those of similarly aged community populations, may reflect undertreatment. It would be appropriate for universities to address stressors identified by students. Strategies for encouraging distressed students to obtain appropriate assessment and treatment should also be explored. Those students who do seek healthcare are most likely to see a primary care physician, suggesting an important screening role for these health professionals.

  20. Changes in Neutrophil Functions in Astronauts

    Science.gov (United States)

    Kaur, Indreshpal; Simons, Elizabeth R.; Castro, Victoria; Pierson, Duane L.

    2002-01-01

    Neutrophil functions (phagocytosis, oxidative burst, degranulation) and expression of surface markers involved in these functions were studied in 25 astronauts before and after 4 space shuttle missions. Space flight duration ranged from 5 to 11 days. Blood specimens were obtained 10 days before launch (preflight or L-10), immediately after landing (landing or R+0), and again at 3 days after landing (postflight or R+3). Blood samples were also collected from 9 healthy low-stressed subjects at 3 time points simulating a 10-day shuttle mission. The number of neutrophils increased at landing by 85 percent when compared to the preflight numbers. Neutrophil functions were studied in whole blood using flow cytometric methods. Phagocytosis of E.coli-FITC and oxidative burst capacity of the neutrophils following the 9 to 11 day missions were lower at all three sampling points than the mean values for control subjects. Phagocytosis and oxidative burst capacity of the astronauts was decreased even 10-days before space flight. Mission duration appears to be a factor in phagocytic and oxidative functions. In contrast, following the short-duration (5-days) mission, these functions were unchanged from control values. No consistent changes in degranulation were observed following either short or medium length space missions. The expression of CD16, CD32, CD11a, CD11b, CD11c, L-selectin and CD36 was measured and found to be variable. Specifically, CD16 and CD32 did not correlate with the changes in oxidative burst and phagocytosis. We can conclude from this study that the stresses associated with space flight can alter the important functions of neutrophils.

  1. Peer-Assisted History-Taking Groups: A Subjective Assessment of their Impact Upon Medical Students' Interview Skills.

    Science.gov (United States)

    Keifenheim, Katharina Eva; Petzold, Ernst Richard; Junne, Florian; Erschens, Rebecca Sarah; Speiser, Natalie; Herrmann-Werner, Anne; Zipfel, Stephan; Teufel, Martin

    2017-01-01

    Background and Objectives: Among the clinical skills needed by all physicians, history taking is one of the most important. The teaching model for peer-assisted history-taking groups investigated in the present study consists of small-group courses in which students practice conducting medical interviews with real patients. The purpose of this pilot study was to investigate the expectations, experiences, and subjective learning progress of participants in peer-assisted history-taking groups. Methods: The 42 medical student participants completed a 4-month, peer-assisted, elective history-taking course, which both began and ended with a subjective assessment of their interview skills by way of a pseudonymized questionnaire. Measures comprised the students' self-assessment of their interview skills, their expectations of, and their experiences with the course and especially with the peer tutors. Results: Medical students' most important motivations in attending peer-assisted history-taking groups were becoming able to complete a structured medical interview, to mitigate difficult interviewing situations, and to address patients' emotional demands appropriately. By the end of the course, students' self-assessment of both their interview skills and management of emotional issues improved significantly. Students especially benefitted from individual feedback regarding interview style and relationship formation, as well as generally accepted and had their expectations met by peer tutors. Conclusions: To meet the important learning objectives of history-taking and management of emotional issues, as well as self-reflection and reflection of student-patient interactions, students in the field greatly appreciate practicing medical interviewing in small, peer-assisted groups with real patients. At the same time, peer tutors are experienced to be helpful and supportive and can help students to overcome inhibitions in making contact with patients.

  2. Dependency-like behaviors and pain coping styles in subjects with chronic migraine and medication overuse: results from a 1-year follow-up study

    OpenAIRE

    Biagianti, Bruno; Grazzi, Licia; Usai, Susanna; Gambini, Orsola

    2014-01-01

    Background Even after successful detoxification, 20-40% of subjects presenting chronic migraine with symptomatic medication overuse (CMwMO) relapse into medication overuse within one year. In this restrospective analysis on subjects referred to our center for detoxification, we investigated whether personality traits, dependency-like behaviors and pain coping styles predicted those who relapsed into medication overuse within the 12 months following the detoxification and those who did not. Me...

  3. A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea:A Systematic Review Sponsored by the World Workshop on Oral Medicine VI

    OpenAIRE

    Wolff, Andy; Joshi, Revan Kumar; Ekström, Jörgen; Aframian, Doron; Pedersen, Anne Marie Lynge; Proctor, Gordon; Narayana, Nagamani; Villa, Alessandro; Sia, Ying Wai; Aliko, Ardita; McGowan, Richard; Kerr, Alexander Ross; Jensen, Siri Beier; Vissink, Arjan; Dawes, Colin

    2017-01-01

    BACKGROUND: Medication-induced salivary gland dysfunction (MISGD), xerostomia (sensation of oral dryness), and subjective sialorrhea cause significant morbidity and impair quality of life. However, no evidence-based lists of the medications that cause these disorders exist.OBJECTIVE: Our objective was to compile a list of medications affecting salivary gland function and inducing xerostomia or subjective sialorrhea.DATA SOURCES: Electronic databases were searched for relevant articles publish...

  4. Development of a Medical Care Terminal for Efficient Monitoring of Bedridden Subjects

    Directory of Open Access Journals (Sweden)

    Filipe Pereira

    2016-01-01

    Full Text Available This work is developed in the context of Ambient Assisted Living (AAL and has as main objective the development of a mechatronic system that allows the care of bedridden patients with ongoing medical care handled by a single person. The developed Medical Care Terminal (MCT improves autonomy in home care, safety, comfort, and hygiene of bedridden patients. The MCT has six biomedical sensors and four environmental sensors. Data acquisition and processing is performed using Arduino and LabVIEW platforms, respectively. The proposed solution has, as main feature, its adaptability to the patient needs. One of the MCT functionalities is the remote access to the patient data through the web. The caregiver may request help from a specialist who sends back information in real time to perform first aid assistance. This device has a flexible configuration allowing a fast and cheap reconfiguration according the specific needs of the patient. The proposed mechatronic system intends to meet the needs of bedridden patients improving their quality of life, health, safety, and comfort, while enabling the remote monitoring of the patients.

  5. Subjective experience of depressed mood among medical students at the University of Pretoria

    Directory of Open Access Journals (Sweden)

    L van Niekerk

    2008-03-01

    Full Text Available Introduction. Following the suicide of a 4th-year medicalstudent, questions were raised as to whether medicalstudents are more vulnerable to depression and suicide thantheir counterparts studying other courses at the University ofPretoria. A literature search revealed that medical students anddoctors run a higher risk for suicide than other students andprofessions. Method. A questionnaire was devised and distributed tomedical students and a control group of other students, askingabout feelings of despair/hopelessness, suicide ideation andprevious attempts, knowledge regarding support structuresprovided by the university, and willingness to use thesestructures. Results. Both groups of students responded similarly to allquestions. Frequency of diagnosed psychiatric illness, use ofmedication, and suicidal thoughts and attempts did not differsignificantly. Both groups of students were unaware of supportservices offered by the university, and both were unwilling toutilise such services. The students seemed to have high ratesof depression in comparison with prevalence data from othercountries. Conclusion. Attempts to improve support for medical studentsshould address students’ awareness of available supportstructures and their willingness to utilise them.

  6. Analysis of the impact of medical technology assessment subjects on BME curricula.

    Science.gov (United States)

    Martínez Licona, Fabiola; Azpiroz Leehan, Joaquín; Méndez, Miguel Cadena; Sacristán Rock, Emilio

    2012-01-01

    This paper presents and analyzes the factors that have arisen on the implementation of the medical technology assessment and management courses, and the academic methodologies used to deal with them. Five courses that cover topics as Technology Management, Health Economics, Quality Assessment, Innovation and Entrepreneurship were designed as electives for BME curriculum and have been taught for the last two years. The activities carried out within the courses are described and their impact on the comprehension of the course contents are presented. Also, several elements and factors pertaining to the teaching-learning process are discussed. Future perspectives for the students that follow this sub-specialty branch of the BME curriculum are presented.

  7. [Study of the health status of subjects born with medical-assisted reproduction: the connexion between epidemiology and bioethics].

    Science.gov (United States)

    Spagnolo, A; Meli, P

    1998-01-01

    The knowledge of the newborns' health status from medical assisted procreation techniques represents the main objective of public health in this field. It is not acceptable, in fact, the use of fertilisation and artificial insemination techniques without a correct evaluation of these newborns' health status. As probable risks exist in medical protocols of treatments (mothers' exposition to hormonal drugs, manipulations of gametes, embryo development in growing coculture with different animal cells, cryopreservation, lack of natural selection of spermatozoa in intracytoplasmatic sperm injection techniques), a check of the results of these techniques is extremely necessary. Newborns' health status must be detected not only at delivery time but also in the following period to evaluate the right physical and psychological development. To estimate infertility risk that these children might run after their mothers' hormonal treatment, it is necessary to follow these subjects till adult age.

  8. Self-medication hypothesis in substance-abusing psychotic patients: Can it help some subjects?

    Directory of Open Access Journals (Sweden)

    Susanta Kumar Padhy

    2016-01-01

    Full Text Available Background and Objectives: The evidence for gself.medication hypothesish (SMH in patients with dual diagnosis psychosis has been conflicting, though largely not supported, recently. But, still can SMH be a beneficial one in some patients with dual diagnosis remains a question. Methods: The study was conducted at Drug De.addiction and Treatment Centre, Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, a Tertiary Care Hospital in India. This cross.sectional comparative study had psychotic patients with substance use disorder as cases and those without substance use disorder as controls. Demographic details, clinical information, and Brief Psychiatric Rating Scale (BPRS scores were ascertained for cases and controls. Cases were additionally administered modified Stated Reasons Scale and modified Perceived Effects Scale. Results: Case and controls were comparable on demographic details and duration of psychotic illness, but cases had significantly lower scores on BPRS. The reasons reported for substance abuse in cases were more often nonhedonistic than hedonistic. Perceived effects of major substances of abuse (alcohol, cannabis, and opioids were different. Alcohol use was associated with perceived decrease in loneliness and cannabis was associated with perceived increase in suspiciousness and delusions. Considerable match was found between reasons for taking the substances and the effects perceived. Interpretation and Conclusions: Incorporating reasons for taking substance and their perceived effects in the treatment regimen would certainly help a subset of such difficult.to.treat patients. India being a low.resource country with a scarcity of experts and specialized dual diagnosis clinics, these findings may have an important implication in the clinical practice.

  9. The Frequency of Reporting Ethical Issues in Human Subject Articles Published in Iranian Medical Journals: 2009-2013.

    Science.gov (United States)

    Astaneh, Behrooz; Khani, Parisa

    2017-11-10

    Researchers should strictly consider the participants' rights. They are required to document such protections as an ethical approval of the study proposal, the obtaining "informed consent", the authors' "conflict of interests", and the source of "financial support" in the published articles. The purpose of this study was to assess the frequency of reporting ethical issues in human subject articles published in Iranian medical journals during 2009-2013. In this cross-sectional study, we randomly reviewed 1460 human subject articles published in Iranian medical journals during 2009-2013 in two Persian and English language groups. Data collection was carried out by assessing articles, focusing on the documentation "ethics committee approval", patients' "informed consent", "financial support", "confidentiality", and "conflict of interest". Of 1460 evaluated articles, 443 (30.3%) reported "ethics committee approval", 686 (47.0%) reported "informed consent", 594 (40.7%) reported "financial support", and 341 (23.4%) reported "conflict of interest". 13% of the articles referred to patients' confidentiality in their text. There was a significant association between these ethical documentations and the year of publication. Articles published in English language journals reported "ethics committee approval", "financial support", and "conflict of interest" significantly more than Persian language journals, but the frequency of "informed consent" was similar. Ethical documentation rate in Iranian medical journals is not up to the expected standards of reputable journals which might be related to a lack of awareness and the education of the authors and the journal's editors. Precise reporting of ethical considerations in medical articles by authors are recommended. It is suggested journals and policymakers pay more attention to reporting this issue while providing standard guidelines in this regard.

  10. The therapeutic efficacy of intensive medical therapy in ameliorating high-density lipoprotein dysfunction in subjects with type two diabetes.

    Science.gov (United States)

    Kashyap, Sangeeta; Kheniser, Karim; Li, Ling; Bena, James; Kasumov, Takhar

    2016-08-27

    To determine whether 12 months of intensive medical therapy (IMT) improves HDL functionality parameters in subjects with type II diabetes (T2D). Retrospective, randomized, and controlled 12-month IMT intervention trial that enrolled 13-subjects with T2D (age 51- years, fasting glucose 147 mg/dL, body mass index [BMI] 36.5 kg/m(2)) and nine healthy control (46-years, fasting glucose 90 mg/dL, BMI 26.5 kg/m2). Subjects with T2D underwent IMT and HDL functionality measures (pro-inflammatory index of high-density lipoprotein (pHDL)), paraoxonase one (PON1), ceruloplasmin (Cp), and myeloperoxidase (MPO) activity were performed on samples at baseline and at 12-months following IMT. At baseline, pHDL index was significantly higher in subjects with T2D (p therapy alone may only have relatively miniscule effects on the aforementioned factors, in relation to the aggregate.

  11. Comparison of Medical Subject Headings and text-word searches in MEDLINE to retrieve studies on sleep in healthy individuals*

    Science.gov (United States)

    Jenuwine, Elizabeth S.; Floyd, Judith A.

    2004-01-01

    Objective: The objective was to investigate the performance of two search strategies in the retrieval of primary research papers containing descriptive information on the sleep of healthy people from MEDLINE. Methodology: Two search strategies—one based on the use of only Medical Subject Headings (MeSH), the second based on text-word searching—were evaluated as to their specificity and sensitivity in retrieving a set of relevant research papers published in the journal Sleep from 1996 to 2001 that were preselected by a hand search. Results: The subject search provided higher specificity than the text-word search (66% and 47%, respectively) but lower sensitivity (78% for the subject search versus 88% for the text-word search). Each search strategy gave some unique relevant hits. Conclusions: The two search strategies complemented each other and should be used together for maximal retrieval. No combination of MeSH terms could provide comprehensive yet reasonably precise retrieval of relevant articles. The text-word searching had sensitivity and specificity comparable to the subject search. In addition, use of text words “normal,” “healthy,” and “control” in the title or abstract fields to limit the final sets provided an efficient way to increase the specificity of both search strategies. PMID:15243641

  12. Survey of keyword adjustment of published articles medical subject headings in journal of mazandaran university of medical sciences (2009-2010).

    Science.gov (United States)

    Kabirzadeh, Azar; Siamian, Hasan; Abadi, Ebrahim Bagherian Farah; Saravi, Benyamin Mohseni

    2013-01-01

    NONE DECLARED. Keywords are the most important tools for Information retrieval. They are usually used for retrieval of articles based on contents of information reserved from printed and electronic resources. Retrieval of appropriate keywords from Medical Subject Headings (MeSH) can impact with exact, correctness and short time on information retrieval. Regarding the above mentioned matters, this study was done to compare the Latin keywords was in the articles published in the Journal of Mazandaran University of Medical Sciences. This is a descriptive study. The data were extracted from the key words of Englsih abstracts of articles published in the years 2009-2010 in the Journal of Mazandaran University of Medical Sciences by census method. Checklist of data collection is designed, based on research objectives and literature review which has face validity. Compliance rate in this study was to determine if the keywords cited in this article as a full subject of the main subject headings in a MeSH (Bold and the selected word) is a perfect adjustment. If keywords were cited in the article but the main heading is not discussed in the following main topics to be discussed with reference to See and See related it has considered has partial adjustment. Out of 148 articles published in 12 issues in proposed time of studying, 72 research papers were analyzed. The average numbers of authors in each article were 4 ± 1. Results showed that most of specialty papers 42 (58. 4%), belonging to the (Department of Clinical Sciences) School of Medicine, 11 (15.3%) Basic Science, 6(8.4%) Pharmacy, Nursing and Midwifery 5(6.9%), 4(5.5%) Health, paramedical Sciences 3(4.2%), and non medical article 1(1.3%) school of medicine. In general, results showed that 80 (30%) of key words have been used to complete the adjustment. Also, only 1(1.4%) had complete adjustment with all the MeSH key words and in 8 articles(11.4%) key words of had no adjustment with MeSH. The results showed that only

  13. Designing Interfaces for Astronaut Autonomy in Space

    Science.gov (United States)

    Hillenius, Steve

    2015-01-01

    As we move towards human deep space missions, astronauts will no longer be able to say, Houston, we have a problem. The restricted contact with mission control because of the incredible distance from Earth will require astronauts to make autonomous decisions. How will astronauts take on the roles of mission control? This is an area of active research that has far reaching implications for the future of distant spaceflight. Come to this talk to hear how we are using design and user research to come up with innovative solutions for astronauts to effectively explore the Moon, Mars, and beyond.

  14. Astronaut Clothing for Exploration Missions

    Science.gov (United States)

    Poritz, Darwin H.; Orndoff, Evelyne; Kaspranskiy, Rustem R.; Schesinger, Thilini; Byrne, Vicky

    2016-01-01

    Astronaut clothes for exploration missions beyond low Earth orbit need to satisfy several challenges not met by the currently-used mostly-cotton clothing. A laundering system is not expected to be available, and thus soiled garments must be trashed. Jettisoning waste does not seem feasible at this time. The cabin oxygen concentration is expected to be higher than standard, and thus fabrics must better resist ignition and burning. Fabrics need to be identified that reduce logistical mass, that can be worn longer before disposal, that are at least as comfortable as cotton, and that resist ignition or that char immediately after ignition. Human factors and psychology indicate that crew well-being and morale require a variety of colors and styles to accommodate personal identity and preferences. Over the past four years, the Logistics Reduction Project under NASA's Advanced Exploration Systems Program has sponsored the Advanced Clothing System Task to conduct several ground studies and one ISS study. These studies have evaluated length of wear and personal preferences of commercially-available exercise- and routine-wear garments made from several fabrics (cotton, polyester, Merino wool, and modacrylic), woven and knitted. Note that Merino wool and modacrylic char like cotton in ambient air, while polyester unacceptably melts. This paper focuses on the two components of an International Space Station study, onboard and on the ground, with astronauts and cosmonauts. Fabrics were randomized to participants. Length of wear was assessed by statistical survival analysis, and preference by exact binomial confidence limits. Merino wool and modacrylic t-shirts were worn longer on average than polyester t-shirts. Interestingly, self-assessed preferences were inconsistent with length-of-wear behavior, as polyester was preferred to Merino wool and modacrylic.

  15. Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

    Directory of Open Access Journals (Sweden)

    Steinhausen S

    2014-09-01

    Full Text Available Simone Steinhausen,1 Oliver Ommen,2 Sunya-Lee Antoine,1 Thorsten Koehler,3 Holger Pfaff,4 Edmund Neugebauer11Institute for Research in Operative Medicine (IFOM, Witten/Herdecke University, Campus Cologne-Merheim, Germany; 2Federal Centre for Health Education (BZgA, Cologne, Germany; 3Institute for Applied Social Sciences (infas, Bonn, Germany; 4Institute for Medical Sociology, Health Services Research and Rehabilitation Science (IMVR, Faculty of Human Science and Faculty of Medicine, University of Cologne, Germany Purpose: To investigate accident casualties’ long-term subjective evaluation of treatment outcome 6 weeks and 12 months after discharge and its relation to the experienced surgeon’s empathy during hospital treatment after trauma in consideration of patient-, injury-, and health-related factors. The long-term results are compared to the 6-week follow-up outcomes.Patients and methods: Two hundred and seventeen surgery patients were surveyed at 6 weeks, and 206 patients at 12 months after discharge from the trauma surgical general ward. The subjective evaluation of medical treatment outcome was measured 6 weeks and 12 months after discharge with the respective scale from the Cologne Patient Questionnaire. Physician Empathy was assessed with the Consultation and Relational Empathy Measure. The correlation between physician empathy and control variables with the subjective evaluation of medical treatment outcome 12 months after discharge was identified by means of logistic regression analysis under control of sociodemographic and injury-related factors.Results: One hundred and thirty-six patients were included within the logistic regression analysis at the 12-month follow-up. Compared to the 6-week follow-up, the level of subjective evaluation of medical treatment outcome was slightly lower and the association with physician empathy was weaker. Compared to patients who rated the empathy of their surgeon lower than 31 points, patients

  16. Congruence of the Medical Record and Subject Interview on Time of Symptom Onset in Patients Diagnosed With Acute Coronary Syndrome.

    Science.gov (United States)

    Davis, Leslie L; McCoy, Thomas P; Riegel, Barbara; McKinley, Sharon; Doering, Lynn V; Dracup, Kathleen; Moser, Debra K

    Past research has shown discrepancies between the time of symptom onset for patients with acute coronary syndrome (ACS) as documented in the medical record (MR) and patients' recall of the time assessed through subject interviews done later by researchers. The aim of this study is to determine if there were differences between the time of symptom onset documented in the MR and subject interview taking into consideration sex, age group, and recall period for patients admitted to the emergency department for symptoms suggestive of ACS. A secondary analysis was conducted on data from the PROMOTION (Patient Response to Myocardial Infarction Following a Teaching Intervention Offered by Nurses) trial, a multicenter randomized clinical trial to reduce patient prehospital delay to treatment in ACS. Of the 3522 subjects with CAD enrolled into the trial, 3087 subjects completed 2-year follow-up. Of these, 331 subjects sought treatment in the emergency department for ACS symptoms and 276 patients (83%) had complete information on the time of symptom onset from both sources. Of the 276 patients, 25 (9%) had differing times more than 48 hours and were thus excluded. The median difference between the 2 sources was 45.0 minutes. When both times were examined, there were no significant differences in time by sex (P = .720) or by age group (P = .188). The median number of days between the interview and the date of symptom onset was 29.5 days. There was a significant correlation between differences in the time of symptom onset and the length of recall period (rs = 0.148, P = .023). In multivariable modeling, a longer recall period was associated with greater median differences in the symptom onset time (b = 13.2, P = .023). These results suggest that the time of symptom onset obtained at the time of the index event and documented in the MR is not interchangeable with data obtained later by research staff, especially if the interview is not conducted near the time of the index event.

  17. Skylab-4 Mission Onboard Photograph - Astronaut Carr Testing Astronaut Maneuvering Equipment.

    Science.gov (United States)

    1975-01-01

    This Skylab-4 onboard photograph depicts Astronaut Gerald Carr testing Astronaut Maneuvering Equipment (M509) by flying it around under weightless conditions in the Orbital Workshop. The M509 experiment was an operational study to evaluate and conduct an in-orbit verification of the utility of various maneuvering techniques to assist astronauts in performing tasks that were representative of future extravehicular activity requirements.

  18. A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea : A Systematic Review Sponsored by the World Workshop on Oral Medicine VI

    NARCIS (Netherlands)

    Wolff, Andy; Joshi, Revan Kumar; Ekström, Jörgen; Aframian, Doron; Pedersen, Anne Marie Lynge; Proctor, Gordon; Narayana, Nagamani; Villa, Alessandro; Sia, Ying Wai; Aliko, Ardita; McGowan, Richard; Kerr, Alexander Ross; Jensen, Siri Beier; Vissink, Arjan; Dawes, Colin

    BACKGROUND: Medication-induced salivary gland dysfunction (MISGD), xerostomia (sensation of oral dryness), and subjective sialorrhea cause significant morbidity and impair quality of life. However, no evidence-based lists of the medications that cause these disorders exist. OBJECTIVE: Our objective

  19. The quality of medical services in a subjective assessment of hospitalized patients using the SERVQUAL method – a pilot study

    Directory of Open Access Journals (Sweden)

    Paweł Węgłowski

    2016-09-01

    Full Text Available Background . The provision of medical services to patients according to their expectations and needs is necessary for the comfort and quality of life of patients, as well as for the standardization of hospital procedures. In recognizing these needs and expectations, an important step is the verification of provided services in order to improve their quality. The present study was designed to determine differences in service quality, as evaluated by hospitalized patients. Objectives . The analysis of the subjective feelings of hospitalized patients concerning service quality in the context of the application of the SER VQUAL method – a pilot study. Material and methods. The study was conducted in a Lower Silesian hospital in a group of 29 young patients (women: 16, men: 13, average age: 16 diagnosed with kidney disease. In the study a standard sheet of 22 SER VQUAL statements was used, and an analysis of the validity of 5 quality areas important for the patient was conducted. Results. According to the respondents, the most important of all 5 features directly affecting the quality of life during treatment is the ability and skill of the ward staff to provide medical services, so-called reliability – 24.48%. In turn, the least important of all the study characteristics was the aesthetics and ergonomics of rooms, the presence of appropriate equipment, the so-called material dimension – 15.31%. Furthermore, service quality gaps were visible in all five service quality dimensions. Conclusions . 1. The SER VQUAL method helps to identify discrepancies between the perceptions of patients’ expectations in all dimensions of the quality of provided medical services. 2. For the patients the least important is the material dimension, and the most affecting is the dimension associated with the reliability of the medical services. 3. Improvement of the level of satisfaction with the quality of medical services requires proper planning and effective

  20. Space Plants for Astronaut Consumption

    Science.gov (United States)

    Mickens, Matthew A.; Grandpre, Ayla Moriah; Boehm, Emma; Barnwell, Payton

    2017-01-01

    Growing plants in space will be an essential part of sustaining astronauts during long-range missions. During the summer of 2017, three female NASA interns, have been engaged in research relevant to food production in space, and will present their projects to an all female program known as Girls in STEM camp. Ayla Grandpre, a senior from Rocky Mountain College, has performed data mining and analysis of crop growth results gathered through Fairchild Botanical Gardens program, Growing Beyond Earth. Ninety plants were downselected to three for testing in controlled environment chambers at KSC. Ayla has also managed an experiment testing a modified hydroponics known as PONDS, to grow mizuna mustard greens and red robin cherry tomatoes. Emma Boehm, a senior from the University of Minnesota, has investigated methods to sterilize seeds and analyzed the most common microbial communities on seed surfaces. She has tested a bleach fuming method and an ethanol treatment. Emma has also tested Tokyo bekana Chinese cabbage seeds from four commercial seed vendors to identity differences in germination and growth variability. Lastly, Payton Barnwell, a junior from Florida Polytechnic University has shown that light recipes provided by LEDs can alter the growth and nutrition of 'Outredgeous' lettuce, Chinese cabbage, and Mizuna. The results of her light quality experiments will provide light recipe recommendations for space crops that grown in the Advanced Plant Habitat currently aboard the International Space Station.

  1. Subject preferences of first- and second-year medical students for their future specialization at Chitwan Medical College and Teaching Hospital, Chitwan, Nepal – a questionnaire-based study

    Directory of Open Access Journals (Sweden)

    Jha RK

    2015-11-01

    Full Text Available Rajesh K Jha,1 Keshab R Paudel,1 Dev K Shah,2 Ajit K Sah,1 Sangharshila Basnet,1 Phoolgen Sah,1 Sandeep Adhikari1 1Department of Pharmacology, 2Department of Physiology, Chitwan Medical College, Bharatpur, Nepal Introduction: The selection of a discipline for future specialization may be an important factor for the medical students' future career, and it is influenced by multiple factors. The interest of students in the early stages can be improved in subjects related to public health or of academic importance, as per need. Methods: A questionnaire-based study was conducted among 265 first- and second-year medical students of Chitwan Medical College, Nepal to find out their subject of preference for postgraduation and the factors affecting their selection along with their interesting basic science subject. Only the responses from 232 completely filled questionnaires were analyzed. Results: The preference of the students for clinical surgical (50.9%, clinical medical (45.3%, and basic medical (3.9% sciences for postgraduation were in descending order. The most preferred specialty among male students was clinical surgical sciences (56.3%, and among female students, it was clinical medical sciences (53.6%. Although all the students responded to their preferred specialty, only 178 students specified the subject of their interest. General surgery (23.4%, pediatrics (23.4%, and anatomy (2.4% were the most favored subjects for postgraduation among clinical surgical, clinical medical, and basic medical sciences specialties, respectively. More common reasons for selection of specific subject for future career were found to be: personal interests, good income, intellectual challenge, and others. Conclusion: Many students preferred clinical surgical sciences for their future specialization. Among the reasons for the selection of the specialty for postgraduation, no significant reason could be elicited from the present study. Keywords: career, surgical

  2. Parallels between astronauts and terrestrial patients - Taking physiotherapy rehabilitation "To infinity and beyond".

    Science.gov (United States)

    Hides, Julie; Lambrecht, Gunda; Ramdharry, Gita; Cusack, Rebecca; Bloomberg, Jacob; Stokes, Maria

    2017-01-01

    Exposure to the microgravity environment induces physiological changes in the cardiovascular, musculoskeletal and sensorimotor systems in healthy astronauts. As space agencies prepare for extended duration missions, it is difficult to predict the extent of the effects that prolonged exposure to microgravity will have on astronauts. Prolonged bed rest is a model used by space agencies to simulate the effects of spaceflight on the human body, and bed rest studies have provided some insights into the effects of immobilisation and inactivity. Whilst microgravity exposure is confined to a relatively small population, on return to Earth, the physiological changes seen in astronauts parallel many changes routinely seen by physiotherapists on Earth in people with low back pain (LBP), muscle wasting diseases, exposure to prolonged bed rest, elite athletes and critically ill patients in intensive care. The medical operations team at the European Space Agency are currently involved in preparing astronauts for spaceflight, advising on exercises whilst astronauts are on the International Space Station, and reconditioning astronauts following their return. There are a number of parallels between this role and contemporary roles performed by physiotherapists working with elite athletes and muscle wasting conditions. This clinical commentary will draw parallels between changes which occur to the neuromuscular system in the absence of gravity and conditions which occur on Earth. Implications for physiotherapy management of astronauts and terrestrial patients will be discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Determining the association of medical co-morbidity with subjective and objective cognitive performance in an inner city memory disorders clinic: a retrospective chart review

    Directory of Open Access Journals (Sweden)

    Jiang Depeng

    2010-12-01

    Full Text Available Abstract Background Medical co-morbidity may be associated with impaired cognitive function based on prior studies. However, no studies to date have determined to what extent this association is linked to medical illness or other factors that may be linked to medical illness (such as education, income levels, depression or subjective memory loss. The present study examined how medical co-morbidity, socioeconomic status (defined as residential SES, education and depression are associated with subjective and objective memory function in a sample of patients recruited from a university affiliated Memory Disorders Clinic located in a large Canadian inner city teaching hospital. Methods Data was collected from 85 consecutive referrals to an Inner City Memory Disorders Clinic including socio-demographic characteristics, cognitive status and medical co-morbidity. Descriptive and correlational analyses were conducted. Results Impaired objective cognitive function correlated significantly with increased medical co-morbidity and partially with education but not with residential SES or depression. Elevated memory complaints correlated significantly with depression, inversely with residential SES and not at all with medical co-morbidity or education. Conclusions Increased medical co-morbidity is significantly associated with impaired cognitive performance but not with subjective memory complaints in an Inner City Memory Clinic sample.

  4. Official portrait of astronaut Linda M. Godwin

    Science.gov (United States)

    1990-01-01

    Official portrait of Linda M. Godwin, Ph.D., member of Astronaut Class 11 (1984), and space shuttle mission specialist. Godwin wears a navy blue flight suit with space shuttle model displayed on table in front of her.

  5. Haige astronaut venitab Atlantise missiooni / Liisi Poll

    Index Scriptorium Estoniae

    Poll, Liisi, 1980-

    2008-01-01

    Saksamaa astronaut ei saanud haiguse tõttu minna avakosmosesse, mistõttu lükkus edasi ka Euroopa Kosmoseagentuuri laborimooduli paigaldamine rahvusvahelisse kosmosejaama (ISS). Lisa: Teaduslabor Columbos

  6. Astronaut Neil Armstrong participates in simulation training

    Science.gov (United States)

    1969-01-01

    Astronaut Neil A. Armstrong, Apollo 11 commander, participates in simulation training in preparation for the scheduled lunar landing mission. He is in the Apollo Lunar Module Mission SImulator in the Kennedy Space Center's Flight Crew Training Building.

  7. Evaluation of Space Food for Commercial Astronauts

    OpenAIRE

    Ahlstrom, Britt Karin

    2016-01-01

    As commercial aerospace companies advance toward manned spaceflight, they must overcome many hurdles – not only technical, but also human. One of the greatest human challenges they face is food. Throughout the history of human spaceflight, astronauts have primarily eaten food developed by government space agencies. Now, with manned commercial flights on the horizon, astronauts will be provided with an entirely new diet – one comprised of commercially available, ready-to-eat food. Yet will thi...

  8. Astronaut Neil Armstrong during thermovacuum training

    Science.gov (United States)

    1969-01-01

    Astronaut Neil A. Armstrong, commander of the Apollo 11 lunar landing mission, is photographed during thermovacuum training in Chamber B of the Space Environment Simulation Laboratory, Building 32, Manned Spacecraft Center. He is wearing an Extravehicular Mobility Unit. The training simulated lunar surface vacuum and thermal conditions during astronaut operations outside the Lunar Module on the moon's surface. The mirror was used to reflect solar light.

  9. Astronautical Hygiene - A New Discipline to Protect the Health of Astronauts Working in Space

    Science.gov (United States)

    Cain, J. R.

    This paper outlines the rationale for a new scientific discipline namely astronautical hygiene. Astronautical hygiene is an applied science that utilises a knowledge of space toxicology, space medicine, astronautics, occupational hygiene etc. to identify the hazards, assess the exposure risks to health, and thereby determine the measures to mitigate exposure to protect the health of astronauts during living and working in space. This paper describes the nature of the hazards (i.e. physical, chemical, microbial and psychological) encountered during space flight. It discusses exposure risk assessment and the use of sampling techniques to assess astronaut health risks. This paper then discusses the measures used to mitigate exposure to the exposure hazards during space exploration. A case study of the application of the principles of astronautical hygiene to control lunar dust exposure is then described.

  10. The Graphical Representation of the Digital Astronaut Physiology Backbone

    Science.gov (United States)

    Briers, Demarcus

    2010-01-01

    This report summarizes my internship project with the NASA Digital Astronaut Project to analyze the Digital Astronaut (DA) physiology backbone model. The Digital Astronaut Project (DAP) applies integrated physiology models to support space biomedical operations, and to assist NASA researchers in closing knowledge gaps related to human physiologic responses to space flight. The DA physiology backbone is a set of integrated physiological equations and functions that model the interacting systems of the human body. The current release of the model is HumMod (Human Model) version 1.5 and was developed over forty years at the University of Mississippi Medical Center (UMMC). The physiology equations and functions are scripted in an XML schema specifically designed for physiology modeling by Dr. Thomas G. Coleman at UMMC. Currently it is difficult to examine the physiology backbone without being knowledgeable of the XML schema. While investigating and documenting the tags and algorithms used in the XML schema, I proposed a standard methodology for a graphical representation. This standard methodology may be used to transcribe graphical representations from the DA physiology backbone. In turn, the graphical representations can allow examination of the physiological functions and equations without the need to be familiar with the computer programming languages or markup languages used by DA modeling software.

  11. Two Similarity Metrics for Medical Subject Headings (MeSH): An Aid to Biomedical Text Mining and Author Name Disambiguation.

    Science.gov (United States)

    Smalheiser, Neil R; Bonifield, Gary

    2016-04-06

    In the present paper, we have created and characterized several similarity metrics for relating any two Medical Subject Headings (MeSH terms) to each other. The article-based metric measures the tendency of two MeSH terms to appear in the MEDLINE record of the same article. The author-based metric measures the tendency of two MeSH terms to appear in the body of articles written by the same individual (using the 2009 Author-ity author name disambiguation dataset as a gold standard). The two metrics are only modestly correlated with each other (r = 0.50), indicating that they capture different aspects of term usage. The article-based metric provides a measure of semantic relatedness, and MeSH term pairs that co-occur more often than expected by chance may reflect relations between the two terms. In contrast, the author metric is indicative of how individuals practice science, and may have value for author name disambiguation and studies of scientific discovery. We have calculated article metrics for all MeSH terms appearing in at least 25 articles in MEDLINE (as of 2014) and author metrics for MeSH terms published as of 2009. The dataset is freely available for download and can be queried at http://arrowsmith.psych.uic.edu/arrowsmith_uic/mesh_pair_metrics.html. Handling editor: Elizabeth Workman, MLIS, PhD.

  12. Objective and subjective evaluation of the performance of medical contact lenses fitted using a contact lens selection algorithm.

    Science.gov (United States)

    Visser, Esther-Simone; Wisse, Robert P L; Soeters, Nienke; Imhof, Saskia M; Van der Lelij, Allegonda

    2016-08-01

    To evaluate the performance of medical contact lenses (CLs) for a wide range of clinical indications. Prospective cross-sectional study. A total of 281 eyes were evaluated in 281 consecutive patients (≥18 years of age; CL use ≥3 months) who visited the contact lens service in a tertiary academic clinic for a scheduled follow-up visit. The main outcome measured were clinical indications for CL wear; CL type; change in corrected distance visual acuity (CDVA) with CL use; CL wearing duration; CL wearing time; subjective performance measured using a visual analog scale (VAS) questionnaire (score range: 0-100); and effectiveness of the lens-selection algorithm. Wearing CLs significantly improved CDVA compared to wearing spectacles (median change: -0.15 logMAR, range: 1.00 to -2.10; Plenses and users of soft lenses. These results underscore the importance of prescribing scleral lenses and the need for tertiary eye clinics to offer patients a variety of CL types. Copyright © 2016 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

  13. Dependency-like behaviors and pain coping styles in subjects with chronic migraine and medication overuse: results from a 1-year follow-up study.

    Science.gov (United States)

    Biagianti, Bruno; Grazzi, Licia; Usai, Susanna; Gambini, Orsola

    2014-09-19

    Even after successful detoxification, 20-40% of subjects presenting chronic migraine with symptomatic medication overuse (CMwMO) relapse into medication overuse within one year. In this restrospective analysis on subjects referred to our center for detoxification, we investigated whether personality traits, dependency-like behaviors and pain coping styles predicted those who relapsed into medication overuse within the 12 months following the detoxification and those who did not. 63 patients with CMwMO were assessed for personality traits, mood and anxiety, pain coping styles and dependency-like behaviors prior-to and one year after a detoxification program. Of the 42 subjects who attended 1-year follow-up interviews, 11 relapsed into medication overuse despite a temporary benefit from detoxification and did not show clinical or psychological improvement, instead reporting increased anxiety and unmodified perpetuation of severe dependency-like behaviors. In contrast, subjects who did not relapse into medication overuse had clinical improvements that generalized to untreated domains, including decreased depressive symptoms and dependency-like behaviors, although showing unmodified low internal control over pain. Subjects who did not fall into medication overuse throughout the 12 months following the detoxification showed improved clinical, affective and dependence-related outcomes, but not pain coping strategies. Conversely, subjects who relapsed within one year into CMwMO continued to experience significant disability, pain intensity, and dependency-like behaviors. We believe that the persistence of maladaptive pain coping strategies and residual symptomatology increase the risk for recurrent relapses, against which pharmacological interventions are only partially effective. Further studies investigating predictors of relapse are needed to inform multi-disciplinary interventions for CMwMO.

  14. Astronaut Gerald P. Carr flies the Astronaut Maneuvering Equipment in the OWS

    Science.gov (United States)

    1974-01-01

    Astronaut Gerald P. Carr, Skylab 4 commander, flies the M509 Astronaut Maneuvering Equipment. Carr is strapped into the back-mounted, hand-controlled Automatically stabilized Maneuvering Unit (ASMU). The M509 exercise was in the forward dome area of the OWS. THe dome area is about 22 feet in diameter and 19 feet form top to bottom.

  15. Space Shuttle Underside Astronaut Communications Performance Evaluation

    Science.gov (United States)

    Hwu, Shian U.; Dobbins, Justin A.; Loh, Yin-Chung; Kroll, Quin D.; Sham, Catherine C.

    2005-01-01

    The Space Shuttle Ultra High Frequency (UHF) communications system is planned to provide Radio Frequency (RF) coverage for astronauts working underside of the Space Shuttle Orbiter (SSO) for thermal tile inspection and repairing. This study is to assess the Space Shuttle UHF communication performance for astronauts in the shadow region without line-of-sight (LOS) to the Space Shuttle and Space Station UHF antennas. To insure the RF coverage performance at anticipated astronaut worksites, the link margin between the UHF antennas and Extravehicular Activity (EVA) Astronauts with significant vehicle structure blockage was analyzed. A series of near-field measurements were performed using the NASA/JSC Anechoic Chamber Antenna test facilities. Computational investigations were also performed using the electromagnetic modeling techniques. The computer simulation tool based on the Geometrical Theory of Diffraction (GTD) was used to compute the signal strengths. The signal strength was obtained by computing the reflected and diffracted fields along the propagation paths between the transmitting and receiving antennas. Based on the results obtained in this study, RF coverage for UHF communication links was determined for the anticipated astronaut worksite in the shadow region underneath the Space Shuttle.

  16. Stress Level of Dental and Medical Students: Comparison of Effects of a Subject-Based Curriculum versus a Case-Based Integrated Curriculum.

    Science.gov (United States)

    Ahmad, Fatemah A; Karimi, Anfal A; Alboloushi, Naela A; Al-Omari, Qasem D; AlSairafi, Fatimah J; Qudeimat, Muawia A

    2017-05-01

    The aim of this study was to investigate the stress level of medical and dental students at Kuwait University after a case-based integrated curriculum replaced the former subject-based curriculum. A modified version of the Dental Environment Stress questionnaire was used to measure possible stressors for both medical and dental students. The investigators administered the questionnaire for the first time in 2008, when Kuwait University medical and dental schools followed a subject-based curriculum (group A). The same questionnaire was administered for a second time in 2014, when both medical and dental schools had adopted a case-based integrated curriculum (group B). A total of 345 fifth- and sixth-year medical and dental students responded to the questionnaire (group A=187, group B=158), with an overall 83% response rate. The results showed that, for both the dental and medical students, changing to a case-based integrated curriculum raised the stress level for most of the stressors evaluated. "Inconsistency of feedback on work between different instructors," "difficulties in communicating with teaching staff," "amount of assigned class work," and "examinations and grades" were some of the statistically significant stressors for group B students. Female students reported higher levels of stress than male students in both groups. These results suggest that introducing stress management education into the case-based integrated dental and medical curricula could enhance students' psychological well-being.

  17. The Digital Astronaut Project Bone Remodeling Model

    Science.gov (United States)

    Pennline, James A.; Mulugeta, Lealem; Lewandowski, Beth E.; Thompson, William K.; Sibonga, Jean D.

    2014-01-01

    Under the conditions of microgravity, astronauts lose bone mass at a rate of 1% to 2% a month, particularly in the lower extremities such as the proximal femur: (1) The most commonly used countermeasure against bone loss has been prescribed exercise, (2) However, current exercise countermeasures do not completely eliminate bone loss in long duration, 4 to 6 months, spaceflight, (3,4) leaving the astronaut susceptible to early onset osteoporosis and a greater risk of fracture later in their lives. The introduction of the Advanced Resistive Exercise Device, coupled with improved nutrition, has further minimized the 4 to 6 month bone loss. But further work is needed to implement optimal exercise prescriptions, and (5) In this light, NASA's Digital Astronaut Project (DAP) is working with NASA physiologists to implement well-validated computational models that can help understand the mechanisms of bone demineralization in microgravity, and enhance exercise countermeasure development.

  18. Cited References and Medical Subject Headings (MeSH) as Two Different Knowledge Representations : Clustering and Mappings at the Paper Level

    NARCIS (Netherlands)

    Leydesdorff, L.; Comins, J.A.; Sorensen, A.A.; Bornmann, L.; Hellsten, I.

    2016-01-01

    For the biomedical sciences, the Medical Subject Headings (MeSH) make available a rich feature which cannot currently be merged properly with widely used citing/cited data. Here, we provide methods and routines that make MeSH terms amenable to broader usage in the study of science indicators: using

  19. A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI.

    Science.gov (United States)

    Wolff, Andy; Joshi, Revan Kumar; Ekström, Jörgen; Aframian, Doron; Pedersen, Anne Marie Lynge; Proctor, Gordon; Narayana, Nagamani; Villa, Alessandro; Sia, Ying Wai; Aliko, Ardita; McGowan, Richard; Kerr, Alexander Ross; Jensen, Siri Beier; Vissink, Arjan; Dawes, Colin

    2017-03-01

    Medication-induced salivary gland dysfunction (MISGD), xerostomia (sensation of oral dryness), and subjective sialorrhea cause significant morbidity and impair quality of life. However, no evidence-based lists of the medications that cause these disorders exist. Our objective was to compile a list of medications affecting salivary gland function and inducing xerostomia or subjective sialorrhea. Electronic databases were searched for relevant articles published until June 2013. Of 3867 screened records, 269 had an acceptable degree of relevance, quality of methodology, and strength of evidence. We found 56 chemical substances with a higher level of evidence and 50 with a moderate level of evidence of causing the above-mentioned disorders. At the first level of the Anatomical Therapeutic Chemical (ATC) classification system, 9 of 14 anatomical groups were represented, mainly the alimentary, cardiovascular, genitourinary, nervous, and respiratory systems. Management strategies include substitution or discontinuation of medications whenever possible, oral or systemic therapy with sialogogues, administration of saliva substitutes, and use of electro-stimulating devices. While xerostomia was a commonly reported outcome, objectively measured salivary flow rate was rarely reported. Moreover, xerostomia was mostly assessed as an adverse effect rather than the primary outcome of medication use. This study may not include some medications that could cause xerostomia when administered in conjunction with others or for which xerostomia as an adverse reaction has not been reported in the literature or was not detected in our search. We compiled a comprehensive list of medications with documented effects on salivary gland function or symptoms that may assist practitioners in assessing patients who complain of dry mouth while taking medications. The list may also prove useful in helping practitioners anticipate adverse effects and consider alternative medications.

  20. Quality of pharmacy-specific Medical Subject Headings (MeSH) assignment in pharmacy journals indexed in MEDLINE.

    Science.gov (United States)

    Minguet, Fernando; Salgado, Teresa M; van den Boogerd, Lucienne; Fernandez-Llimos, Fernando

    2015-01-01

    The Medical Subject Headings (MeSH) is the National Library of Medicine (NLM) controlled vocabulary for indexing articles. Inaccuracies in the MeSH thesaurus have been reported for several areas including pharmacy. To assess the quality of pharmacy-specific MeSH assignment to articles indexed in pharmacy journals. The 10 journals containing the highest number of articles published in 2012 indexed under the MeSH 'Pharmacists' were identified. All articles published over a 5-year period (2008-2012) in the 10 previously selected journals were retrieved from PubMed. MeSH terms used to index these articles were extracted and pharmacy-specific MeSH terms were identified. The frequency of use of pharmacy-specific MeSH terms was calculated across journals. A total of 6989 articles were retrieved from the 10 pharmacy journals, of which 328 (4.7%) were articles not fully indexed and therefore did not contain any MeSH terms assigned. Among the 6661 articles fully indexed, the mean number of MeSH terms was 10.1 (SD = 4.0), being 1.0 (SD = 1.3) considered as Major MeSH. Both values significantly varied across journals. The mean number of pharmacy-specific MeSH terms per article was 0.9 (SD = 1.2). A total of 3490 (52.4%) of the 6661 articles were indexed in pharmacy journals without a single pharmacy-specific MeSH. Of the total 67193 MeSH terms assigned to articles, on average 10.5% (SD = 13.9) were pharmacy-specific MeSH. A statistically significant different pattern of pharmacy-specific MeSH assignment was identified across journals (Kruskal-Wallis P MeSH terms to articles indexed in pharmacy journals can be improved to further enhance evidence gathering in pharmacy. Over half of the articles published in the top-10 journals publishing pharmacy literature were indexed without a single pharmacy-specific MeSH. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Shifting subjects of health-care: Placing 'medical tourism' in the context of Malaysian domestic health-care reform

    NARCIS (Netherlands)

    Ormond, M.E.

    2011-01-01

    Medical tourism’ has frequently been held to unsettle naturalised relationships between the state and its citizenry. Yet in casting ‘medical tourism’ as either an outside ‘innovation’ or ‘invasion’, scholars have often ignored the role that the neoliberal retrenchment of social welfare structures

  2. [Communication skills in the encounter with patients--current examination subject for medical students. Beneficial educational investment].

    Science.gov (United States)

    Karlberg, Lena; Lindgren, Carl

    2004-09-30

    A continuous and structured training in communication skills for medical students still has a comparatively low priority in the curriculum of Swedish medical schools. A recent American study has demonstrated the value of incorporating such training programs during the early phase of medical studies. The effect of this reported intervention program was evaluated with objective structured clinical examination (OSCE). Significantly higher satisfaction in the medical encounter was documented among patients who met students trained in patient centeredness than among those who met students randomised to a control group. Thus, communication training for medical students improves specific competencies known to affect outcome of care. We report our experience with a similar model of a communication-training program during the first four semesters, with examination at the end of the program, which has been part of the pre-clinical curriculum since 1998 at the Karolinska Institute in Stockholm, Sweden.

  3. Leisure time activities in space: A survey of astronauts and cosmonauts

    Science.gov (United States)

    Kelly, Alan D.; Kanas, Nick

    Questionnaires were returned from 54 astronauts and cosmonauts which addressed preferences for media and media-generated subjects that could be used to occupy leisure time in space. Ninety-three percent of the respondents had access to records or audio cassettes, and cosmonauts had greater access than astronauts to multiple media. Cosmonauts and long-duration space travelers reported that they missed various media more than their astronaut and short-duration counterparts. Media subjects that related to international events, national events and historical topics were rated as most preferable by all respondents and by several of the respondent groups. The findings are discussed in terms of their relevance for occupying free time during future long-duration manned space missions.

  4. Astronaut John Glenn Enters Friendship 7

    Science.gov (United States)

    1962-01-01

    Astronaut John Glenn enters the Mercury spacecraft, Friendship 7, prior to the launch of MA-6 on February 20, 1961 and became the first American who orbited the Earth. The MA-6 mission was the first manned orbital flight boosted by the Mercury-Atlas vehicle, a modified Atlas ICBM (Intercontinental Ballistic Missile), lasted for five hours, and orbited the Earth three times.

  5. Astronaut Glenn in the Friendship 7

    Science.gov (United States)

    1962-01-01

    Astronaut John Glenn in the Friendship 7 capsule during the first manned orbital flight, the MA-6 mission. Boosted by the Mercury-Atlas vehicle, a modified Atlas (intercontinental ballistic missile), the MA-6 mission lasted for 5 hours and orbited the Earth three times.

  6. Astronautics and aeronautics, 1978: A chronology

    Science.gov (United States)

    Janson, Bette R.

    1986-01-01

    This is the 18th in a series of annual chronologies of significant events in the fields of astronautics and aeronautics. Events covered are international as well as national and political as well as scientific and technical. This series is a reference work for historians, NASA personnel, government agencies, congressional staffs, and the media.

  7. Astronautics and aeronautics, 1976. A chronology

    Science.gov (United States)

    Ritchie, E. H.

    1984-01-01

    A chronology of events concerning astronautics and aeronautics for the year 1976 is presented. Some of the many and varied topics include the aerospace industry, planetary exploration, space transportation system, defense department programs, politics, and aerospace medicine. The entries are organized by the month and presented in a news release format.

  8. Astronautics and aeronautics, 1985: A chronology

    Science.gov (United States)

    Janson, Bette R.

    1988-01-01

    This book is part of a series of annual chronologies of significant events in the fields of astronautics and aeronautics. Events covered are international as well as national, in political as well as scientific and technical areas. This series is an important reference work used by historians, NASA personnel, government agencies, and congressional staffs, as well as the media.

  9. Astronaut Scott Carpenter tests balance mechanism performance

    Science.gov (United States)

    1961-01-01

    Astronaut M. Scott Carpenter's balance mechanism performance is tested by his walking on a narrow board in his bare feet. He is performing this test at the School of Aviation Medicine, Pensicola, Florida (04570); Carpenter walks a straight line by putting one foot directly in front of the other to test his balance (04571).

  10. Astronaut Gordon Cooper during flight tests

    Science.gov (United States)

    1963-01-01

    Astronaut L. Gordon Cooper, prime pilot for the Mercury-Atlas 9 mission, relaxes while waiting for weight and balance tests to begin (03974); Cooper prior to entering the Mercury Spacecraft for a series of simulated flight tests. During these tests NASA doctors, engineers and technicians monitor Cooper's performance (03975); Cooper undergoing suit pressurization tests (03976).

  11. Astronaut Gordon Cooper in centrifuge for tests

    Science.gov (United States)

    1963-01-01

    Astronaut L. Gordon Cooper, prime pilot for the Mercury-Atlas 9 mission, is strapped into the gondola while undergoing tests in the centrifuge at the Naval Air Development Center, Johnsville, Pennsylvania. The centrifuge is used to investigate by simulation the pilot's capability to control the vehicle during the actual flight in its booster and reentry profile.

  12. Mission X: Train Like an Astronaut Challenge

    Science.gov (United States)

    Lloyd, Charles W.

    2016-01-01

    The Mission X: Train Like an Astronaut Challenge was developed in 2011 to encourage proper exercise and nutrition at an early age by teaching young people to live and eat like space explorers. The strong correlation between an unhealthy childhood diet and adolescent fitness, and the onset of chronic diseases as an adult is the catalyst for Mission X. Mission X is dedicated to assisting people on a global scale to live healthier lifestyles and learn about human space exploration. The Mission X: Train Like an Astronaut 2015 (MX15) International Challenge hosted almost 40,000 children on 800 teams, 28 countries affiliated with 12 space agencies. The MX15 website included 17 languages. MX15, the fifth annual international fitness challenges sponsored by the NASA Human Research Program worked with the European Space Agency and other space agencies from around the world. In comparison to MX14, MX15 expanded to include four additional new countries, increased the number of students by approximately 68% and the number of teams by 29%. Chile' and South Korea participated in the new fall Astro Charlie Walk Around the Earth Challenge. Pre-challenge training materials were made more readily available from the website. South Korea completed a prospective assessment of the usability of the MX content for improving health and fitness in 212 preschool children and their families. Mission X is fortunate to have the support of the NASA, ESA and JAXA astronaut corps. In MX15, they participated in the opening and closing events as well as while on-board the International Space Station. Italian Astronaut Samantha Cristoretti participated as the MX15 Astronaut Ambassador for health and fitness providing the opening video and other videos from ISS. United Kingdom Astronaut Tim Peake and US Astronaut Kate Rubins have agreed to be the MX Ambassadors for 2016 and 2017 respectively. The MX15 International Working Group Face-to-Face meeting and Closing Event were held at the Agenzia Spaziale

  13. [Current Developments of the Interdisciplinary Subject Rehabilitation, Physical Medicine, Naturopathic Treatment in the German Medical Faculties: Results of the DGRW Faculty Survey in 2015].

    Science.gov (United States)

    Schmidt, S; Bergelt, C; Deck, R; Krischak, G; Morfeld, M; Michel, M; Schwarzkopf, S R; Spyra, K; Walter, S; Mau, W

    2017-02-01

    To ascertain the current development of the rehabilitation-related medical teaching in the interdisciplinary subject Rehabilitation, Physical Medicine, Naturopathic Treatment (Q12) regarding its execution, content, exams and evaluation of teaching at the Medical Faculties the German Society of Rehabilitation Science conducted another faculty survey in 2015. Representatives of all degree courses of human medicine in German Universities (n=41) received a pseudonymised standardised questionnaire in summer 2015. The response rate was 76% (n=31). Half of the faculties (48%) stated that they had a teaching and research unit for at least 1 of the 3 subjects of the interdisciplinary Q12. The Q12-teaching of faculties including these units partially differed from the other faculties. Model medical education programmes provide on average 2 semesters more for Q12-teaching in comparison to the traditional programmes. More than 3 quarters of the traditional programmes and all other courses include other medical professionals besides physicians as lecturers. Multiple choice questions still constitute the most common examination type (94%). Nearly all Medical Faculties evaluate the rehabilitation-related teaching but only half of all them have implemented a financial gratification based on the evaluation results. Even 10 years after the implementation of Q12, major variations were demonstrated regarding the execution, content and methods of medical education in rehabilitation. In the future the influence of the National Competence Based Catalogues of Learning Objectives for Undergraduate Medical Education on the Q12-development and the Q12-teaching in medical university education in Germany with foreign qualification will be of particular interest. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Shifting subjects of health-care: placing "medical tourism" in the context of Malaysian domestic health-care reform.

    Science.gov (United States)

    Ormond, Meghann

    2011-01-01

    "Medical tourism" has frequently been held to unsettle naturalised relationships between the state and its citizenry. Yet in casting "medical tourism" as either an outside "innovation" or "invasion," scholars have often ignored the role that the neoliberal retrenchment of social welfare structures has played in shaping the domestic health-care systems of the "developing" countries recognised as international medical travel destinations. While there is little doubt that "medical tourism" impacts destinations' health-care systems, it remains essential to contextualise them. This paper offers a reading of the emergence of "medical tourism" from within the context of ongoing health-care privatisation reform in one of today's most prominent destinations: Malaysia. It argues that "medical tourism" to Malaysia has been mobilised politically both to advance domestic health-care reform and to cast off the country's "underdeveloped" image not only among foreign patient-consumers but also among its own nationals, who are themselves increasingly envisioned by the Malaysian state as prospective health-care consumers.

  15. Oral magnesium supplements decrease high blood pressure (SBP>155 mmHg) in hypertensive subjects on anti-hypertensive medications: a targeted meta-analysis.

    Science.gov (United States)

    Rosanoff, Andrea; Plesset, Michael R

    2013-01-01

    Previously, we examined 44 human studies involving oral magnesium (Mg) supplementation for hypertension (HT), sorting them according to HT status, Mg dose and anti-hypertensive medication usage. We found that while some studies reported a significant lowering of blood pressure with Mg supplementation, others did not. We present here our first meta-analysis of a uniform subset from this series of studies. Seven studies, involving 135 hypertensive subjects on anti-hypertensive medication continuously for at least six months, with no more than a two-week washout and with a mean starting systolic blood pressure (SBP)>155 mmHg, demonstrated a mean change of -18.7 mmHg [95% CI=-14.95 to -22.45] p155 mmHg starting SBP values or not complying as regards anti-hypertensive medication usage, showed mean changes in both SBP and DBP with oral Mg that, while not approaching the high-responder values of the present study, appeared to include some high-responder subjects combined with low- or non-responder subjects. This uniform subset of seven studies showed a strong effect of Mg treatment in hypertension, which is in stark contrast to results of three other meta-analyses. Using non-uniform sets of studies, the small effects reported in previous meta-analyses may reflect a blending of dissimilar studies, which acted to seriously underestimate the potential of Mg in hypertension in some (but not all) subjects. Within studies, blending of non-, moderate and highresponder subjects in any one study might mask strong effects of Mg treatment in some subjects.

  16. Elevated stress hormone levels relate to Epstein-Barr virus reactivation in astronauts

    Science.gov (United States)

    Stowe, R. P.; Pierson, D. L.; Barrett, A. D.

    2001-01-01

    OBJECTIVE: The objective of this study was to determine the effects of stress and spaceflight on levels of neuroendocrine hormones and Epstein-Barr virus (EBV)-specific antibodies in astronauts. METHODS: Antiviral antibody titers and stress hormones were measured in plasma samples collected from 28 astronauts at their annual medical exam (baseline), 10 days before launch (L-10), landing day (R+0), and 3 days after landing (R+3). Urinary stress hormones were also measured at L-10 and R+0. RESULTS: Significant increases (p stresses associated with spaceflight resulted in decreased virus-specific T-cell immunity and reactivation of EBV.

  17. Astronaut Demographic Database: Everything You Want to Know About Astronauts and More

    Science.gov (United States)

    Keeton, Kathryn; Patterson, Holly

    2011-01-01

    A wealth of information regarding the astronaut population is available that could be especially useful to researchers. However, until now, it has been difficult to obtain that information in a systematic way. Therefore, this "astronaut database" began as a way for researchers within the Behavioral Health and Performance Group to keep track of the ever growing astronaut corps population. Before our effort, compilation of such data could be found, but not in a way that was easily acquired or accessible. One would have to use internet search engines, read through lengthy and potentially inaccurate informational sites, or read through astronaut biographies compiled by NASA. Astronauts are a unique class of individuals and, by examining such information, which we dubbed "Demographics," we hoped to find some commonalities that may be useful for other research areas and future research topics. By organizing the information pertaining to astronauts1 in a formal, unified catalog, we believe we have made the information more easily accessible, readily useable, and user friendly. Our end goal is to provide this database to others as a highly functional resource within the research community. Perhaps the database can eventually be an official, published document for researchers to gain full access.

  18. Study of Patterns and Subjective Quality of Sleep and Their Correlation with Personality Traits among Medical Students of Hamadan University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    A. Farhadi Nasab

    2008-04-01

    Full Text Available Introduction & Objective: Sleep quality can affect human health and daily function. On the other hand, every person has relatively stable personality trait which lives with and has occupational, social and interpersonal interaction. Regarding the importance of sleep quality, and because less considerations have been devoted to correlation between sleep disturbances and personality traits, the present investigation was done. The purpose of this study was to determine personality traits and sleep patterns among medical students in Hamadan medical university and the relationship between traits inquestion sleep patterns as well. Materials & Methods: This descriptive and Cross – Sectional study involving 150 randomly selected medical students. Pittsburgh questionnaire, MMPI and a checking list for demographic information were employed. Data processing and statistical analysis were performed using SPSS10.Results: The findings of this study have showed that 48 percent of our cases have suffered from sleep disturbances. The number of personality traits such as narcissistic, histrionic and borderline (cluster B observed among students had greater frequencies than other traits. The average of night and day sleep time was 8.95±2.01. No meaningful correlation has been found between sleep disturbances and personality traits in our cases.Conclusion: A great number of medical students suffer from sleep disturbances, because it may highly affect student’s health and their daily function. More and wider studies should be done.

  19. Astronauts Armstrong and Scott arrive at Hickam Field, Hawaii

    Science.gov (United States)

    1966-01-01

    Astronauts Neil A. Armstrong (center), command pilot, and David R. Scott, pilot, arrive at Hickam Field, Hawaii on their way from Naha, Okinawa, to Cape Kennedy, Florida. Astronaut Walter M. Schirra Jr. is at extreme left.

  20. Astronaut-Deployable Geophysical and Environmental Monitoring Stations

    Science.gov (United States)

    Guzewich, S. D.; Bleacher, J. E.; Smith, M. D.; Khayat, A.; Conrad, P.

    2017-06-01

    Geophysical and environmental monitoring stations could be deployed by astronauts exploring Mars to create a broad network that would collect high-value scientific information while also enhancing astronaut safety.

  1. [Medical professionals on the subject of their core values: the importance of practice-based stories and intrinsic motivation].

    Science.gov (United States)

    Witman, Yolande; van den Kerkhof, Peter C M; Braat, Didi D M

    2013-01-01

    In the current system for guaranteeing quality of care, emphasis is placed firmly on external control of professionals. We looked for a way to appeal to the intrinsic motivation of medical professionals and to discover what they mean by 'good work'. This was achieved with the aid of reflective sessions using the toolkit 'Good Work': in four sessions three different groups of medical professionals (medical department chairs, residents and interns) from a Dutch university hospital reflected on the topics 'excellence', 'moral responsibility' and 'personal engagement'. The participants exchanged practice-based stories during the sessions. The most important theme was moral responsibility, with its accompanying dilemmas. The sessions gave rise to feelings of mutual acknowledgement, recognition, inspiration and motivation. Sharing meaningful practice-based stories can be considered as a 'moment of learning', strengthening professional identity and stimulating intrinsic motivation. More space for this form of reflection might restore the balance with external control systems.

  2. Cardiovascular Disease Risk in NASA Astronauts Across the Lifespan: Historical Cohort Studies

    Science.gov (United States)

    Charvat, Jacqueline M.; Lee, Stuart M. C.; Davenport, Eddie; Barlow, Carolyn E.; Radford, Nina B.; De Fina, Laura F.; Stenger, Michael B.; Van Baalen, Mary

    2017-01-01

    astronauts, for a large number of subjects since 1971. The purpose of this study is to understand the incidence of cardiovascular disease outcomes and risk factors in the astronaut corps and determine whether the rates of disease are different than these two cohorts. The research questions are: 1. Are there differences in the incidence of CVD outcomes (MI, revascularization, and stroke) between each cohort and the NASA Astronaut cohort? 2. Are there differences in the incidence of CVD risks (hypertension, hyperlipidemia, arrhythmias, and diabetes) between each cohort and the NASA Astronaut cohort? 3. Are there differences between each cohort and the NASA Astronaut cohort in how CVD risk factors (e.g., lipids, behaviors) change across time? Collectively, results from these studies will enhance our understanding of how cardiovascular disease outcomes and risk factors change across time in astronauts compared to other longitudinally-studied healthy cohorts and determine if there are interactions between or additive effects of the occupational health effects of spaceflight exposure and normal aging.

  3. [Psychosocial behaviour and subjective experience specific to the course of study of medical students in their first and fifth years of study].

    Science.gov (United States)

    Voltmer, E; Kieschke, U; Spahn, C

    2008-02-01

    This study concerns the evaluation of study-related psychosocial risk factors and resources in medical students at the beginning and before the end of their course of studies. Written questionnaires were filled out by medical students in Lübeck and Freiburg in their first and fifth years of study and analysed with three standard instruments (AVEM, SAM, F-Sozu). The response rate was 84.5% (n=435) in the first and 83.0% (n=351) in the fifth year of study. At the outset of their course of study, most of the students evinced behaviour and subjective experience patterns which were not deleterious to their health. Nevertheless, even at this point in time, 22.9% of the students showed a risk constellation with an excessive commitment to work and readiness to overstrain themselves. With 17.9% resignatory exhaustion with a highly restrictive subjective quality of life was found. In the fifth year of study, this proportion had increased to 23.3%, while the quality of health behaviour and subjective experience patterns deteriorated. Self-awareness and social support were augmented by comparison with norm samples. A portion of the medical students showed a risk constellation in behaviour and subjective experience at the very beginning of their studies. At the end, this tendency has significantly strengthened. The integration of teaching contents dealing with health promotion and successful coping with stress for the medical students themselves would therefore seem essential for the conservation of the health and working capacity of the students, as well as in order to prevent subsequent profession-specific mental stress and burn-out.

  4. The use of prescription opioid medication by patients with borderline personality disorder and axis II comparison subjects: a 10-year follow-up study.

    Science.gov (United States)

    Frankenburg, Frances R; Fitzmaurice, Garrett M; Zanarini, Mary C

    2014-04-01

    The first purpose was to determine the rate of use of prescription opioid medication reported by patients with borderline personality disorder and to compare that to the rate reported by Axis II comparison subjects during a 10-year period of prospective follow-up. The second purpose was to determine the most clinically relevant predictors of prescription opioid use among borderline patients. The medical conditions and Axis I disorders of 264 borderline patients and 63 Axis II comparison subjects were assessed at 6-year follow-up and 5 contiguous follow-up waves that were 2 years apart. These assessments were conducted between July 1998 and December 2010. Family history of psychiatric disorder was assessed at baseline by interviewers blind to the diagnostic status of the subjects. All 3 areas were assessed using semistructured interviews with proven psychometric properties: the Medical History and Services Utilization Interview (MHSUI), the Structured Clinical Interview for DSM-III-R Axis I Disorders (SCID-I), and the Revised Family History Questionnaire. Borderline patients were significantly more likely to report the use of prescription opioid medication over time than Axis II comparison subjects (OR = 1.79; 95% CI, 1.01-3.17). The best predictors of opioid use among borderline patients were the time-varying presence of back pain (OR = 1.95; 95% CI, 1.41-2.70), fibromyalgia (OR = 3.29; 95% CI, 1.70-6.36), and osteoarthritis (OR =3.32; 95% CI, 2.08-5.29) as well as a baseline history of drug abuse (OR= 1.89; 95% CI, 1.27-2.81). The sustained use of prescription opioids is common among and discriminating for patients with borderline personality disorder. The results also suggest that these borderline patients may be particularly sensitive to physical pain-mirroring their well-known heightened sensitivity to emotional pain. © Copyright 2014 Physicians Postgraduate Press, Inc.

  5. Global visibility for global health: Is it time for a new descriptor in Medical Subject Heading (MeSH of MEDLINE/PubMed?

    Directory of Open Access Journals (Sweden)

    Ana Marušic´

    2013-06-01

    Full Text Available Despite a large body of research in global health (almost 9000 articles published in PubMed until 2012, the term “global health” is not included in the Medical Subject Headings (MeSH of the NLM – its controlled vocabulary thesaurus which NLM uses to index articles in MEDL INE. There are only 6 journals currently covered by PubMed which specialize in global health, including Journal of Global Health.

  6. Objective and subjective evaluation of the performance of medical contact lenses fitted using a contact lens selection algorithm

    NARCIS (Netherlands)

    Visser, Esther-Simone; Wisse, Robert P L; Soeters, Nienke; Imhof, Saskia M; van der Lelij, Allegonda

    PURPOSE: To evaluate the performance of medical contact lenses (CLs) for a wide range of clinical indications. DESIGN: Prospective cross-sectional study. METHODS: A total of 281 eyes were evaluated in 281 consecutive patients (≥18 years of age; CL use ≥3 months) who visited the contact lens service

  7. [Medical professionals on the subject of their core values: the importance of practice-based stories and intrinsic motivation

    NARCIS (Netherlands)

    Witman, Y.; Kerkhof, P.C. van de; Braat, D.D.M.

    2013-01-01

    In the current system for guaranteeing quality of care, emphasis is placed firmly on external control of professionals. We looked for a way to appeal to the intrinsic motivation of medical professionals and to discover what they mean by 'good work'. This was achieved with the aid of reflective

  8. Social desirability bias in personality testing: Implications for astronaut selection

    Science.gov (United States)

    Sandal, Gro M.; Musson, Dave; Helmreich, Robert. L.; Gravdal, Lene

    2005-07-01

    The assessment of personality is recognized by space agencies as an approach to identify candidates likely to perform optimally during spaceflights. In the use of personality scales for selection, the impact of social desirability (SD) has been cited as a concern. Study 1 addressed the impact of SD on responses to the Personality Characteristic Inventory (PCI) and NEO-FFI. This was achieved by contrasting scores from active astronauts (N=65) with scores of successful astronaut applicants (N=63), and between pilots applicants (N=1271) and pilot research subjects (N=120). Secondly, personality scores were correlated with scores on the Marlow Crown Social Desirability Scale among applicants to managerial positions (N=120). The results indicated that SD inflated scores on PCI scales assessing negative interpersonal characteristics, and impacted on four of five scales in NEO-FFI. Still, the effect sizes were small or moderate. Study 2 addressed performance implications of SD during an assessment of males applying to work as rescue personnel operations in the North Sea (N=22). The results showed that SD correlated negatively with cognitive test performance, and positively with discrepancy in performance ratings between self and two observers. In conclusion, caution is needed in interpreting personality scores in applicant populations. SD may be a negative predictor for performance under stress.

  9. Train Like an Astronaut Educational Outreach

    Science.gov (United States)

    Garcia, Yamil L.; Lloyd, Charles; Reeves, Katherine M.; Abadie, Laurie J.

    2012-01-01

    In an effort to reduce the incidence of childhood obesity, the National Aeronautics and Space Administration (NASA), capitalizing on the theme of human spaceflight developed two educational outreach programs for children ages 8-12. To motivate young "fit explorers," the Train Like an Astronaut National (TLA) program and the Mission X: Train Like an Astronaut International Fitness Challenge (MX) were created. Based on the astronauts' physical training, these programs consist of activities developed by educators and experts in the areas of space life sciences and fitness. These Activities address components of physical fitness. The educational content hopes to promote students to pursue careers in science, technology, engineering, and math (STEM) fields. At the national level, in partnership with First Lady Michelle Obama's Let?s Move! Initiative, the TLA program consists of 10 physical and 2 educational activities. The program encourages families, schools, and communities to work collaboratively in order to reinforce in children and their families the importance of healthy lifestyle habits In contrast, the MX challenge is a cooperative outreach program involving numerous space agencies and other international partner institutions. During the six-week period, teams of students from around the world are challenged to improve their physical fitness and collectively accumulate points by completing 18 core activities. During the 2011 pilot year, a t otal of 137 teams and more than 4,000 students from 12 countries participated in the event. MX will be implemented within 24 countries during the 2012 challenge. It is projected that 7,000 children will "train like an astronaut".

  10. Art concept of Astronaut in Maneuvering Unit during EVA

    Science.gov (United States)

    1966-01-01

    This artist concept of a Gemini astronaut, wearing an Astronaut Maneuvering Unit, during extravehicular activity. An umbilical tether secures the astronaut to the Gemini spacecraft (upper left). The Agena Target Vehicle (lower right) is used for Gemini rendezvous and docking maneuvers.

  11. Former Astronaut Neil A. Armstrong Visits MSFC

    Science.gov (United States)

    2007-01-01

    Among several other NASA dignitaries, former astronaut Neil A. Armstrong visited the Marshall Space Flight Center (MSFC) in attendance of the annual NASA Advisory Council Meeting. While here, Mr. Armstrong was gracious enough to allow the casting of his footprint. This casting will join those of other astronauts on display at the center. Armstrong was first assigned to astronaut status in 1962. He served as command pilot for the Gemini 8 mission, launched March 16, 1966, and performed the first successful docking of two vehicles in space. In 1969, Armstrong was commander of Apollo 11, the first manned lunar landing mission, and gained the distinction of being the first man to land a craft on the Moon and the first man to step on its surface. Armstrong subsequently held the position of Deputy Associate Administrator for Aeronautics, NASA Headquarters Office of Advanced Research and Technology, from 1970 to 1971. He resigned from NASA in 1971. Pictured with Armstrong is MSFC employee Daniel McFall, who assisted with the casting procedure.

  12. End effector with astronaut foot restraint

    Science.gov (United States)

    Monford, Leo G., Jr. (Inventor)

    1991-01-01

    The combination of a foot restraint platform designed primarily for use by an astronaut being rigidly and permanently attached to an end effector which is suitable for attachment to the manipulator arm of a remote manipulating system is described. The foot restraint platform is attached by a brace to the end effector at a location away from the grappling interface of the end effector. The platform comprises a support plate provided with a pair of stirrups for receiving the toe portion of an astronaut's boots when standing on the platform and a pair of heel retainers in the form of raised members which are fixed to the surface of the platform and located to provide abutment surfaces for abutting engagement with the heels of the astronaut's boots when his toes are in the stirrups. The heel retainers preclude a backward sliding movement of the feet on the platform and instead require a lifting of the heels in order to extract the feet. The brace for attaching the foot restraint platform to the end effector may include a pivot or swivel joint to permit various orientations of the platform with respect to the end effector.

  13. Alterations in the heart rate and activity rhythms of three orbital astronauts on a space mission

    Science.gov (United States)

    Liu, Zhizhen; Wan, Yufeng; Zhang, Lin; Tian, Yu; Lv, Ke; Li, Yinghui; Wang, Chunhui; Chen, Xiaoping; Chen, Shanguang; Guo, Jinhu

    2015-01-01

    Environmental factors in space are dramatically different from those on Earth. The spaceflight environment has been known to influence human physiology and behavior on orbital missions. In this study, we investigated alterations in the diurnal rhythms of activity and heart rate of three Chinese astronauts on a space mission. An analysis of the heart rate data showed a significant decrease in heart rate amplitudes during flight in all three subjects. The heart rate amplitudes of all the three astronauts were significantly dampened during flight, and the minimum as well as the maximum value of heart rate increased after flight. A phase shift in heart rate was observed in one of the three astronauts after flight. These results demonstrate the influence of spaceflight on heart physiology and function. In addition, a significant decrease in body trunk activity and rhythmicity occurred during flight, demonstrating that the spaceflight environment disturbs motion adaptation and diurnal activity rhythms.

  14. Stress-induced subclinical reactivation of varicella zoster virus in astronauts

    Science.gov (United States)

    Mehta, Satish K.; Cohrs, Randall J.; Forghani, Bagher; Zerbe, Gary; Gilden, Donald H.; Pierson, Duane L.

    2004-01-01

    Varicella zoster virus (VZV) becomes latent in human ganglia after primary infection. VZV reactivation occurs primarily in elderly individuals, organ transplant recipients, and patients with cancer and AIDS, correlating with a specific decline in cell-mediated immunity to the virus. VZV can also reactivate after surgical stress. The unexpected occurrence of thoracic zoster 2 days before space flight in a 47-year-old healthy astronaut from a pool of 81 physically fit astronauts prompted our search for VZV reactivation during times of stress to determine whether VZV can also reactivate after non-surgical stress. We examined total DNA extracted from 312 saliva samples of eight astronauts before, during, and after space flight for VZV DNA by polymerase chain reaction: 112 samples were obtained 234-265 days before flight, 84 samples on days 2 through 13 of space flight, and 116 samples on days 1 through 15 after flight. Before space flight, only one of the 112 saliva samples from a single astronaut was positive for VZV DNA. In contrast, during and after space flight, 61 of 200 (30%) saliva samples were positive in all eight astronauts. No VZV DNA was detected in any of 88 saliva samples from 10 healthy control subjects. These results indicate that VZV can reactivate subclinically in healthy individuals after non-surgical stress. Copyright 2004 Wiley-Liss, Inc.

  15. Tele-echocardiography – Made for astronauts, now in hospitals

    Directory of Open Access Journals (Sweden)

    M. Balasingam

    2017-03-01

    Full Text Available Telemedicine, ie ‘the delivery of healthcare and sharing of medical knowledge using telecommunication systems' has penetrated every field of medicine. As a result, tele-echocardiography, the study of the heart via telemedicine started expanding. Ironically, space became the next frontier for mankind's new innovations and technology pursuit. However, the microgravity environment of space is known to be challenging to astronauts hearts. As such, new tele-echocardiography techniques have evolved. The main aim was to research a system that can be operated by a layperson but still be able to provide high yield diagnostic information in real time to specialists on earth. This spin-off space technology is recognized to have a positive impact, especially in developing countries with vast terrain. It is now utilized in hospitals and other terrestial locations where patients in remote regions can have their hearts analysed and data relayed to specialists in bigger centres for interpretation and further management.

  16. The Application of Leap Motion in Astronaut Virtual Training

    Science.gov (United States)

    Qingchao, Xie; Jiangang, Chao

    2017-03-01

    With the development of computer vision, virtual reality has been applied in astronaut virtual training. As an advanced optic equipment to track hand, Leap Motion can provide precise and fluid tracking of hands. Leap Motion is suitable to be used as gesture input device in astronaut virtual training. This paper built an astronaut virtual training based Leap Motion, and established the mathematics model of hands occlusion. At last the ability of Leap Motion to handle occlusion was analysed. A virtual assembly simulation platform was developed for astronaut training, and occlusion gesture would influence the recognition process. The experimental result can guide astronaut virtual training.

  17. Non-adherence to anti-hypertensive medication in low- and middle-income countries: a systematic review and meta-analysis of 92443 subjects.

    Science.gov (United States)

    Nielsen, J Ø; Shrestha, A D; Neupane, D; Kallestrup, P

    2017-01-01

    Hypertension is a rising global burden, and low- and middle-income countries account for 80% of deaths due to complications of hypertension. Hypertension can be controlled by adhering to anti-hypertensive medication. However, non-adherence is an increasing challenge. This review aims to systematically evaluate non-adherence to anti-hypertensive medication among adults in low- and middle-income countries and explore factors affecting non-adherence to anti-hypertensive medication. We performed a systematic search for studies published between 1 January 2000 and 31 August 2015. A selection process was performed for data extraction with a combination of Medical Subject Headings terms: 'hypertension' and 'adherence'. Further search criteria were: language ('english'), species ('humans'), and low- and middle-income countries. A total of 22 studies met the inclusion criteria. The pooled percentage of non-adherence when using the eight-item Morisky Medication Adherence Scale (MMAS) was 63.35% (confidence of interval (CI): 38.78-87.91) and 25.45% (CI:17.23-33.76) when using the 80 and 90% cut-off scales. The factors were classified into the five dimensions of adherence defined by the World Health Organization, and the majority of the studies reported factors from the dimension 'social and economic factors'. This systematic review demonstrated considerable variation of non-adherence to anti-hypertensive medication in low- and middle-income countries depending on the methods used to estimate non-adherence. The results showed a high non-adherence when the MMAS eight-item scale was used and low when the 80 and 90% cut-off scales were used. The majority of factors affecting non-adherence to anti-hypertensive medication fell within the World Health Organization defined dimension 'social and economic factors'.

  18. Psychophysiological monitoring of operator's emotional stress in aviation and astronautics.

    Science.gov (United States)

    Simonov, P V; Frolov, M V; Ivanov, E A

    1980-01-01

    The level of emotional stress depending on the power of motivation and the estimation by the subject of the probability (possibility) of goal achievement, largely influences the operator's skill performance (that of a pilot, controller, astronaut). A decrease in the emotional tonus leads to drowsiness, lack of vigilance, missing of significant signals, and to slower reactions. The extremely high stress level disorganizes the activity, complicates it with a trend toward untimely acts and reactions to the insignificant signals (false alarms). The best methods to monitor the degree of the operator's emotional state during his skill performance are the integral estimation of the changes in heart-rate and T-peak amplitude, as well as the analysis of spectral and intonational characteristics of the human voice during radio conversation. These methods were tested on paratroopers, pilots in civil aviation, and airport controllers.

  19. Comprehensive visual field test & diagnosis system in support of astronaut health and performance

    Science.gov (United States)

    Fink, Wolfgang; Clark, Jonathan B.; Reisman, Garrett E.; Tarbell, Mark A.

    Long duration spaceflight, permanent human presence on the Moon, and future human missions to Mars will require autonomous medical care to address both expected and unexpected risks. An integrated non-invasive visual field test & diagnosis system is presented for the identification, characterization, and automated classification of visual field defects caused by the spaceflight environment. This system will support the onboard medical provider and astronauts on space missions with an innovative, non-invasive, accurate, sensitive, and fast visual field test. It includes a database for examination data, and a software package for automated visual field analysis and diagnosis. The system will be used to detect and diagnose conditions affecting the visual field, while in space and on Earth, permitting the timely application of therapeutic countermeasures before astronaut health or performance are impaired. State-of-the-art perimetry devices are bulky, thereby precluding application in a spaceflight setting. In contrast, the visual field test & diagnosis system requires only a touchscreen-equipped computer or touchpad device, which may already be in use for other purposes (i.e., no additional payload), and custom software. The system has application in routine astronaut assessment (Clinical Status Exam), pre-, in-, and post-flight monitoring, and astronaut selection. It is deployable in operational space environments, such as aboard the International Space Station or during future missions to or permanent presence on the Moon and Mars.

  20. The Digital Astronaut: An integrated modeling and database system for space biomedical research and operations

    Science.gov (United States)

    White, Ronald J.; McPhee, Jancy C.

    2007-02-01

    The Digital Astronaut is an integrated, modular modeling and database system that will support space biomedical research and operations in a variety of fundamental ways. This system will enable the identification and meaningful interpretation of the medical and physiological research required for human space exploration, a determination of the effectiveness of specific individual human countermeasures in reducing risk and meeting health and performance goals on challenging exploration missions and an evaluation of the appropriateness of various medical interventions during mission emergencies, accidents and illnesses. Such a computer-based, decision support system will enable the construction, validation and utilization of important predictive simulations of the responses of the whole human body to the types of stresses experienced during space flight and low-gravity environments. These simulations will be essential for direct, real-time analysis and maintenance of astronaut health and performance capabilities. The Digital Astronaut will collect and integrate past and current human data across many physiological disciplines and simulations into an operationally useful form that will not only summarize knowledge in a convenient and novel way but also reveal gaps that must be filled via new research in order to effectively ameliorate biomedical risks. Initial phases of system development will focus on simulating ground-based analog systems that are just beginning to collect multidisciplinary data in a standardized way (e.g., the International Multidisciplinary Artificial Gravity Project). During later phases, the focus will shift to development and planning for missions and to exploration mission operations. Then, the Digital Astronaut system will enable evaluation of the effectiveness of multiple, simultaneously applied countermeasures (a task made difficult by the many-system physiological effects of individual countermeasures) and allow for the prescription of

  1. Evaluation of Space Food for Commercial Astronauts

    Science.gov (United States)

    Ahlstrom, Britt Karin

    As commercial aerospace companies advance toward manned spaceflight, they must overcome many hurdles - not only technical, but also human. One of the greatest human challenges they face is food. Throughout the history of human spaceflight, astronauts have primarily eaten food developed by government space agencies. Now, with manned commercial flights on the horizon, astronauts will be provided with an entirely new diet - one comprised of commercially available, ready-to-eat food. Yet will this diet keep astronauts nourished, satisfied with their diet, and both psychologically and physically healthy? The purpose of this parallel crossover design study was to evaluate (a) nutrient intake, (b) food satisfaction, (c) psychological health, and (d) physical health in commercial aerospace employees (N = 7) as they ate a diet of commercial, ready-to-eat food for four days, as compared to eating as normal for four days. Findings from this study showed that the ready-to-eat diet did not lead to any significant changes in caloric intake, psychological health, or physical health, aside from weight loss. It is not clear whether this weight loss was due to the loss of body fat, muscle, or water. When eating the ready-to-eat food, participants reported being slightly less satisfied with the variety, reported lower cravings for sweets, and reported the food was slightly less hedonically rewarding. In post-study interviews, participants reported they wanted to see more meats, fruits, vegetables, and desserts added to the ready-to-eat diet, so as to provide more meal-like structure. Overall, these findings show the diet could be used in commercial spaceflight after making simple changes. The diet could also be used by individuals in remote areas on Earth and to provide food assistance to individuals in disaster or emergency situations. Due to the increasing popularity of ready-to-eat food around the world, these findings also provide knowledge about the potential consequences of

  2. [Subjectivity, decision and neurodegenerative diseases: reflexions on the role of the clinical psychologist in medical decision making].

    Science.gov (United States)

    Brocq, H; Liarte, A; Soriani, M-H; Desnuelle, C

    2013-01-01

    Should a patient be forced to accept a treatment, especially when suffering from a neurodegenerative disease? We argue that physicians, nurses and care givers should instead accept his or her choice in accordance with the principle that every patient is an autonomous person able to make a choice, even in case of declined cognition. Beside the legal obligation, we suggest a theoretical approach and focus on the practical impacts of the patient's decision. Our objective is to promote the value of ethical doubt and attentive listening to individual opinions, so as to improve the quality of the medical staff's work and reduce patients' distress when affected by fatal diseases. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  3. Subjective memory and concentration deficits in medication-free, non-elderly Asians with major depressive disorder: prevalence and their correlates.

    Science.gov (United States)

    Srisurapanont, Manit; Bautista, Dianne; Chen, Chia-Hui; Wang, Gang; Udomratn, Pichet; Eurviriyanukul, Kanokkwan

    2015-01-15

    Subjective cognitive impairment (SCI) in major depressive disorder (MDD) is prevalent and correlated with disability. This study aimed to examine the prevalence rates and correlates of subjective memory deficit (SMD) and subjective concentration deficit (SCD) in medication-free, non-elderly Asians with MDD. The SMD and SCD were assessed by using two items of the Symptom Checklist-90-Revised (SCL-90-R). Other measurements of interest included the Montgomery-Asberg Depression Rating Scale (MADRS), the Fatigue Severity Scale (FSS), the Sheehan Disability Scale (SDS), and the Short Form Health Survey (SF-36). Adjusted odds ratios with 95% confidence intervals were calculated. Of 515 participants from China, Korea, Malaysia, Singapore, Taiwan, and Thailand, 347 (67.4%) and 377 (73.2%) had SMD and SCD, respectively. In total, 420 participants (81.6%) had SMD alone, SCD alone, and both deficits. Severe depression and poor mental health were significant correlates of SMD. Severe depression, clinically significant disability, poor physical health, and poor mental health were significantly independent correlates of SCD. Compared with young adults (18-34 years), older adults aged 50-65 years had a significantly lower risk of SCD (OR=.33, 95% CI: .19-.57). Only two SCL-90-R items were used to assess the SMD and SCD. The exclusion of MDD patients treated with psychotropic medications eliminated many patients commonly seen in typical clinic settings. SMD and SCD are prevalent in medication-free, non-elderly Asians with MDD. Both deficits are correlated with depression and mental health status. The independent correlation between SCD and disability underscores the crucial role of SCI in MDD. Copyright © 2014 Elsevier B.V. All rights reserved.

  4. The effect of medical illness related depression on frailty in elderly subjects with heart failure

    Directory of Open Access Journals (Sweden)

    Topcu Y

    2015-08-01

    Full Text Available Yildiray Topcu, Fatih Tufan, Gulistan Bahat, M Akif KaranDepartment of Geriatrics, Istanbul School of Medicine, Istanbul University, Istanbul, TurkeyWe read the recently published and well-designed study of Uchmanowicz et al which suggests that multidimensional assessment of the frailty syndrome (FS in subjects with heart failure (HF is very important.1 The authors investigated the association between the dimensions of FS and self-care ability in elderly chronic HF patients. Their findings indicate that only social components of frailty adversely affect the ability to self-care. Their study is especially important regarding two aspects. Firstly, there are limited studies regarding FS in elderly HF patients. Secondly, most commonly used frailty instruments focus on physical components of frailty and overlook psychological and social components. The Tilburg Frailty Indicator (TFI has the potential to detect psychological and social components of frailty.View original paper by Uchmanowicz and colleagues. 

  5. Astronaut Edwin Aldrin on Lunar Surface

    Science.gov (United States)

    1969-01-01

    Carrying astronauts Neil A. Armstrong and Edwin E. Aldrin, Jr., the Lunar Module (LM) 'Eagle' was the first crewed vehicle to land on the Moon. The LM landed on the moon's surface on July 20, 1969 in the region known as Mare Tranquilitatis (the Sea of Tranquility). Meanwhile, astronaut Michael Collins piloted the command module in a parking orbit around the moon. This photo is of Edwin Aldrin walking on the lunar surface. Neil Armstrong, who took the photograph, can be seen reflected in Aldrin's helmet visor. Armstrong was the first human to ever stand on the lunar surface. As he stepped off the LM, Armstrong proclaimed, 'That's one small step for man, one giant leap for mankind'. He was followed by Edwin (Buzz) Aldrin, describing the lunar surface as magnificent desolation. The Apollo 11 mission launched from the Kennedy Space Center, Florida on July 16, 1969 via a Saturn V launch vehicle, and safely returned to Earth on July 24, 1969. The Saturn V vehicle was developed by the Marshall Space Flight Center (MSFC) under the direction of Dr. Wernher von Braun. The 3-man crew aboard the flight consisted of Neil A. Armstrong, commander; Michael Collins, Command Module pilot; and Edwin E. Aldrin Jr., Lunar Module pilot. During a 2½ hour surface exploration, the crew collected 47 pounds of lunar surface material which was returned to Earth for analysis. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  6. Official Portrait of Astronaut Edwin E. Aldrin

    Science.gov (United States)

    1967-01-01

    This is the official NASA portrait of astronaut Edwin E. (Buzz) Aldrin. Prior to joining NASA, Aldrin flew 66 combat missions in F-86s while on duty in Korea. At Nellis Air Force Base, Nevada, he served as an aerial gunnery instructor. Following his assignment as aide to the dean of faculty at the Air Force Academy, Aldrin flew F-100s as a flight commander at Bitburg, Germany. Aldrin was one of the third group of astronauts named by NASA in October 1963 and has logged 289 hours and 53 minutes in space, of which, 7 hours and 52 minutes were spent in Extra Vehicular Activity (EVA). On November 11, 1966, he launched into space aboard the Gemini 12 spacecraft on a 4-day flight, which brought the Gemini program to a successful close. During that mission, Aldrin established a new record for EVA, spending 5-1/2 hours outside the spacecraft. July 16-24, 1969, Aldrin served as lunar module pilot for Apollo 11, the first manned lunar landing mission. Aldrin followed Neil Armstrong onto the lunar surface on July 20, 1969, completing a 2-hour and 15 minute lunar EVA. Aldrin resigned from NASA in July 1971.

  7. Astronaut Edwin Aldrin Egresses From Lunar Module

    Science.gov (United States)

    1969-01-01

    Carrying astronauts Neil A. Armstrong and Edwin E. Aldrin, Jr., the Lunar Module (LM) 'Eagle' was the first crewed vehicle to land on the Moon. The LM landed on the moon's surface on July 20, 1969 in the region known as Mare Tranquilitatis (the Sea of Tranquility). Shown here is Aldrin Jr. making his exit from the LM to the lunar surface. Armstrong, who was already on the surface, took this photograph. The Apollo 11 mission launched from the Kennedy Space Center, Florida via a Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. The Saturn V vehicle was developed by the Marshall Space Flight Center (MSFC) under the direction of Dr. Wernher von Braun. The 3-man crew aboard the flight consisted of astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. Aldrin Jr., Lunar Module pilot. Armstrong was the first human to ever stand on the lunar surface. As he stepped off the LM, Armstrong proclaimed, 'That's one small step for man, one giant leap for mankind'. He was followed by Edwin (Buzz) Aldrin, describing the lunar surface as magnificent desolation. During a 2½ hour surface exploration the crew collected 47 pounds of lunar surface material which was returned to Earth for analysis. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  8. Identifying the "Right Stuff": An Exploration-Focused Astronaut Job Analysis

    Science.gov (United States)

    Barrett, J. D.; Holland, A. W.; Vessey, W. B.

    2015-01-01

    Industrial and organizational (I/O) psychologists play a key role in NASA astronaut candidate selection through the identification of the competencies necessary to successfully engage in the astronaut job. A set of psychosocial competencies, developed by I/O psychologists during a prior job analysis conducted in 1996 and updated in 2003, were identified as necessary for individuals working and living in the space shuttle and on the International Space Station (ISS). This set of competencies applied to the space shuttle and applies to current ISS missions, but may not apply to longer-duration or long-distance exploration missions. With the 2015 launch of the first 12- month ISS mission and the shift in the 2020s to missions beyond low earth orbit, the type of missions that astronauts will conduct and the environment in which they do their work will change dramatically, leading to new challenges for these crews. To support future astronaut selection, training, and research, I/O psychologists in NASA's Behavioral Health and Performance (BHP) Operations and Research groups engaged in a joint effort to conduct an updated analysis of the astronaut job for current and future operations. This project will result in the identification of behavioral competencies critical to performing the astronaut job, along with relative weights for each of the identified competencies, through the application of job analysis techniques. While this job analysis is being conducted according to job analysis best practices, the project poses a number of novel challenges. These challenges include the need to identify competencies for multiple mission types simultaneously, to evaluate jobs that have no incumbents as they have never before been conducted, and working with a very limited population of subject matter experts. Given these challenges, under the guidance of job analysis experts, we used the following methods to conduct the job analysis and identify the key competencies for current and

  9. Assessment of acceptability and ease of use of atovaquone/proguanil medication in subjects undergoing malaria prophylaxis

    Directory of Open Access Journals (Sweden)

    V Nicosia

    2008-09-01

    Full Text Available V Nicosia1, Giorgio Colombo2, M Consentino1, S Di Matteo2, F Mika1, S De Sanctis1, S Ratti2, Marta Vinci21Saipem Medical Dept. San Donato Milanese, Italy; 2S.A.V.E. Studi Analisi Valutazioni Economiche, Milano, ItalyObjective: International travelers from non-endemic areas are at high risk of contracting malaria due to their lack of immunity. Prevention is therefore of outmost importance and is achieved through effective and safe chemoprophylaxis, which reduces the risk of fatal disease. Among the various antimalarial drugs available, the synergistic combination of atovaquone and proguanil (A/P (Malarone®; Glaxo-SmithKline has proven a valuable option in terms of effective protection against chloroquine and multi-drug resistant falciparum malaria, safety, tolerability, and ease of use, thus favoring compliance. The purpose of the present study was to assess acceptability and ease of use of A/P chemoprophylaxis in a population of employees of the oil industry bound to malarious areas. Particular attention was paid to treatment adherence.Methods: A survey was conducted on a sample of 700 employees on A/P chemoprophylaxis. Demographic data and specific information on A/P treatment were collected by means of a 16-item questionnaire administered immediately before departure. All questionnaires returned were then entered into a database and statistically analyzed.Results: Both habitual and first-time travelers showed good adherence to A/P chemoprophylactic regimen. In general, only few adverse side-effects were reported, none of which were serious. Travelers with previous experience of other antimalarials stated A/P prophylaxis had proven advantageous due to fewer adverse reactions, better condition of administration, and better sense of protection compared with other available treatments.Keywords: atovaquone and proguanil, Malarone, malaria prophylaxis, prevention, compliance

  10. Traditional Cardiovascular Risk Factors as Predictors of Cardiovascular Events in the U.S. Astronaut Corps

    Science.gov (United States)

    Halm, M. K.; Clark, A.; Wear, M. L.; Murray, J. D.; Polk, J. D.; Amirian, E.

    2009-01-01

    Risk prediction equations from the Framingham Heart Study are commonly used to predict the absolute risk of myocardial infarction (MI) and coronary heart disease (CHD) related death. Predicting CHD-related events in the U.S. astronaut corps presents a monumental challenge, both because astronauts tend to live healthier lifestyles and because of the unique cardiovascular stressors associated with being trained for and participating in space flight. Traditional risk factors may not hold enough predictive power to provide a useful indicator of CHD risk in this unique population. It is important to be able to identify individuals who are at higher risk for CHD-related events so that appropriate preventive care can be provided. This is of special importance when planning long duration missions since the ability to provide advanced cardiac care and perform medical evacuation is limited. The medical regimen of the astronauts follows a strict set of clinical practice guidelines in an effort to ensure the best care. The purpose of this study was to evaluate the utility of the Framingham risk score (FRS), low-density lipoprotein (LDL) and high-density lipoprotein levels, blood pressure, and resting pulse as predictors of CHD-related death and MI in the astronaut corps, using Cox regression. Of these factors, only two, LDL and pulse at selection, were predictive of CHD events (HR(95% CI)=1.12 (1.00-1.25) and HR(95% CI)=1.70 (1.05-2.75) for every 5-unit increase in LDL and pulse, respectively). Since traditional CHD risk factors may lack the specificity to predict such outcomes in astronauts, the development of a new predictive model, using additional measures such as electron-beam computed tomography and carotid intima-media thickness ultrasound, is planned for the future.

  11. Compensating for literature annotation bias when predicting novel drug-disease relationships through Medical Subject Heading Over-representation Profile (MeSHOP) similarity.

    Science.gov (United States)

    Cheung, Warren A; Ouellette, B F Francis; Wasserman, Wyeth W

    2013-01-01

    Using annotations to the articles in MEDLINE®/PubMed®, over six thousand chemical compounds with pharmacological actions have been tracked since 1996. Medical Subject Heading Over-representation Profiles (MeSHOPs) quantitatively leverage the literature associated with biological entities such as diseases or drugs, providing the opportunity to reposition known compounds towards novel disease applications. A MeSHOP is constructed by counting the number of times each medical subject term is assigned to an entity-related research publication in the MEDLINE database and calculating the significance of the count by comparing against the count of the term in a background set of publications. Based on the expectation that drugs suitable for treatment of a disease (or disease symptom) will have similar annotation properties to the disease, we successfully predict drug-disease associations by comparing MeSHOPs of diseases and drugs. The MeSHOP comparison approach delivers an 11% improvement over bibliometric baselines. However, novel drug-disease associations are observed to be biased towards drugs and diseases with more publications. To account for the annotation biases, a correction procedure is introduced and evaluated. By explicitly accounting for the annotation bias, unexpectedly similar drug-disease pairs are highlighted as candidates for drug repositioning research. MeSHOPs are shown to provide a literature-supported perspective for discovery of new links between drugs and diseases based on pre-existing knowledge.

  12. Apollo 11 astronaut Buzz Aldrin appears relaxed before launch

    Science.gov (United States)

    1969-01-01

    Apollo 11 astronaut Edwin E. Aldrin Jr. appears to be relaxed during suiting operations in the Manned Spacecraft Operations Building (MSOB) prior to the astronauts' departure to Launch Pad 39A. The three astronauts, Edwin E. Aldrin Jr., Neil A. Armstrong and Michael Collins, will then board the Saturn V launch vehicle, scheduled for a 9:32 a.m. EDT liftoff, for the first manned lunar landing mission.

  13. Improvements to the Ionizing Radiation Risk Assessment Program for NASA Astronauts

    Science.gov (United States)

    Semones, E. J.; Bahadori, A. A.; Picco, C. E.; Shavers, M. R.; Flores-McLaughlin, J.

    2011-01-01

    To perform dosimetry and risk assessment, NASA collects astronaut ionizing radiation exposure data from space flight, medical imaging and therapy, aviation training activities and prior occupational exposure histories. Career risk of exposure induced death (REID) from radiation is limited to 3 percent at a 95 percent confidence level. The Radiation Health Office at Johnson Space Center (JSC) is implementing a program to integrate the gathering, storage, analysis and reporting of astronaut ionizing radiation dose and risk data and records. This work has several motivations, including more efficient analyses and greater flexibility in testing and adopting new methods for evaluating risks. The foundation for these improvements is a set of software tools called the Astronaut Radiation Exposure Analysis System (AREAS). AREAS is a series of MATLAB(Registered TradeMark)-based dose and risk analysis modules that interface with an enterprise level SQL Server database by means of a secure web service. It communicates with other JSC medical and space weather databases to maintain data integrity and consistency across systems. AREAS is part of a larger NASA Space Medicine effort, the Mission Medical Integration Strategy, with the goal of collecting accurate, high-quality and detailed astronaut health data, and then securely, timely and reliably presenting it to medical support personnel. The modular approach to the AREAS design accommodates past, current, and future sources of data from active and passive detectors, space radiation transport algorithms, computational phantoms and cancer risk models. Revisions of the cancer risk model, new radiation detection equipment and improved anthropomorphic computational phantoms can be incorporated. Notable hardware updates include the Radiation Environment Monitor (which uses Medipix technology to report real-time, on-board dosimetry measurements), an updated Tissue-Equivalent Proportional Counter, and the Southwest Research Institute

  14. Effects of sleeve gastrectomy and medical treatment for obesity on glucagon-like peptide 1 levels and glucose homeostasis in non-diabetic subjects.

    Science.gov (United States)

    Valderas, Juan Patricio; Irribarra, Veronica; Rubio, Lorena; Boza, Camilo; Escalona, Manuel; Liberona, Yessica; Matamala, Andrea; Maiz, Alberto

    2011-07-01

    The effects of medical and surgical treatments for obesity on glucose metabolism and glucagon-like peptide 1 (GLP-1) levels independent of weight loss remain unclear. This study aims to assess plasma glucose levels, insulin sensitivity and secretion, and GLP-1 levels before and after sleeve gastrectomy (SG) or medical treatment (MED) for obesity. This study is a prospective, controlled, non-randomised study. Two groups of non-diabetic obese patients with similar BMIs, including a SG group (BMI, 35.5 ± 0.9 kg/m(2); n = 6) and a MED group (BMI, 37.7 ± 1.9 kg/m(2); n = 6) and a group of lean subjects (BMI, 21.7 ± 0.7 kg/m(2); n = 8). Plasma glucose, insulin, and total GLP-1 levels at fasting and after the intake of a standard liquid meal at baseline and at 2 months post-intervention. At baseline, total GLP-1 levels were similar, but obese patients had lower insulin sensitivity and higher insulin secretion than lean subjects. At 2 months post-intervention, SG and MED patients achieved similar weight loss (14.4 ± 0.8%, 15.3 ± 0.9%, respectively). Insulin sensitivity increased in SG and MED patients; however, postprandial insulin secretion decreased after MED, but not after SG. The incremental area under the curve of GLP-1 increased after SG (P = 0.04), but not after MED. Weight loss by medical or surgical treatment improved insulin sensitivity. However, only MED corrected the hyperinsulinemic postprandial state associated to obesity. Postprandial GLP-1 levels increased significantly after SG without duodenal exclusion, which may explain why insulin secretion did not decrease following this surgery.

  15. Did Vertigo Kill America's Forgotten Astronaut?

    Science.gov (United States)

    Bendrick, Gregg A.; Merlin, Peter W.

    2007-01-01

    On November 15, 1967, U.S. Air Force test pilot Major Michael J. Adams was killed while flying the X-15 rocket-propelled research vehicle in a parabolic spaceflight profile. This flight was part of a joint effort with NASA. An electrical short in one of the experiments aboard the vehicle caused electrical transients, resulting in excessive workload by the pilot. At altitude Major Adams inappropriately initiated a flat spin that led to a series of unusual aircraft attitudes upon atmospheric re-entry, ultimately causing structural failure of the airframe. Major Adams was known to experience vertigo (i.e. spatial disorientation) while flying the X-15, but all X-15 pilots most likely experienced vertigo (i.e. somatogravic, or "Pitch-Up", illusion) as a normal physiologic response to the accelerative forces involved. Major Adams probably experienced vertigo to a greater degree than did others, since prior aeromedical testing for astronaut selection at Brooks AFB revealed that he had an unusually high degree of labyrinthine sensitivity. Subsequent analysis reveals that after engine burnout, and through the zenith of the flight profile, he likely experienced the oculoagravic ("Elevator") illusion. Nonetheless, painstaking investigation after the mishap revealed that spatial disorientation (Type II, Recognized) was NOT the cause, but rather, a contributing factor. The cause was in fact the misinterpretation of a dual-use flight instrument (i.e. Loss of Mode Awareness), resulting in confusion between yaw and roll indications, with subsequent flight control input that was inappropriate. Because of the altitude achieved on this flight, Major Adams was awarded Astronaut wings posthumously. Understanding the potential for spatial disorientation, particularly the oculoagravic illusion, associated with parabolic spaceflight profiles, and understanding the importance of maintaining mode awareness in the context of automated cockpit design, are two lessons that have direct

  16. Compiling a Comprehensive EVA Training Dataset for NASA Astronauts

    Science.gov (United States)

    Laughlin, M. S.; Murray, J. D.; Lee, L. R.; Wear, M. L.; Van Baalen, M.

    2016-01-01

    Training for a spacewalk or extravehicular activity (EVA) is considered a hazardous duty for NASA astronauts. This places astronauts at risk for decompression sickness as well as various musculoskeletal disorders from working in the spacesuit. As a result, the operational and research communities over the years have requested access to EVA training data to supplement their studies. The purpose of this paper is to document the comprehensive EVA training data set that was compiled from multiple sources by the Lifetime Surveillance of Astronaut Health (LSAH) epidemiologists to investigate musculoskeletal injuries. The EVA training dataset does not contain any medical data, rather it only documents when EVA training was performed, by whom and other details about the session. The first activities practicing EVA maneuvers in water were performed at the Neutral Buoyancy Simulator (NBS) at the Marshall Spaceflight Center in Huntsville, Alabama. This facility opened in 1967 and was used for EVA training until the early Space Shuttle program days. Although several photographs show astronauts performing EVA training in the NBS, records detailing who performed the training and the frequency of training are unavailable. Paper training records were stored within the NBS after it was designated as a National Historic Landmark in 1985 and closed in 1997, but significant resources would be needed to identify and secure these records, and at this time LSAH has not pursued acquisition of these early training records. Training in the NBS decreased when the Johnson Space Center in Houston, Texas, opened the Weightless Environment Training Facility (WETF) in 1980. Early training records from the WETF consist of 11 hand-written dive logbooks compiled by individual workers that were digitized at the request of LSAH. The WETF was integral in the training for Space Shuttle EVAs until its closure in 1998. The Neutral Buoyancy Laboratory (NBL) at the Sonny Carter Training Facility near JSC

  17. Implementation of palliative care as a mandatory cross-disciplinary subject (QB13 at the Medical Faculty of the Heinrich-Heine-University Düsseldorf, Germany

    Directory of Open Access Journals (Sweden)

    Schulz, Christian

    2015-02-01

    Full Text Available Background: By means of the revision of the Medical Licensure Act for Physicians (ÄAppO in 2009, undergraduate palliative care education (UPCE was incorporated as a mandatory cross sectional examination subject (QB13 in medical education in Germany. Its implementation still constitutes a major challenge for German medical faculties. There is a discrepancy between limited university resources and limited patient availabilities and high numbers of medical students. Apart from teaching theoretical knowledge and skills, palliative care education is faced with the particular challenge of imparting a professional and adequate attitude towards incurably ill and dying patients and their relatives.Project description: Against this background, an evidence-based longitudinal UPCE curriculum was systematically developed following Kern’s Cycle and partly implemented and evaluated by the students participating in the pilot project. Innovative teaching methods (virtual standardised/simulated patient contacts, e-learning courses, interdisciplinary and interprofessional collaborative teaching, and group sessions for reflective self-development aim at teaching palliative care-related core competencies within the clinical context and on an interdisciplinary and interprofessional basis.Results: After almost five years of development and evaluation, the UPCE curriculum comprises 60 teaching units and is being fully implemented and taught for the first time in the winter semester 2014/15. The previous pilot phases were successfully concluded. To date, the pilot phases (n=26, the subproject “E-learning in palliative care” (n=518 and the blended-learning elective course “Communication with dying patients” (n=12 have been successfully evaluated.Conclusion: All conducted development steps and all developed programmes are available for other palliative care educators (Open Access. The integrated teaching formats and methods (video, e-learning module

  18. Implementation of palliative care as a mandatory cross-disciplinary subject (QB13) at the Medical Faculty of the Heinrich-Heine-University Düsseldorf, Germany.

    Science.gov (United States)

    Schulz, Christian; Wenzel-Meyburg, Ursula; Karger, André; Scherg, Alexandra; In der Schmitten, Jürgen; Trapp, Thorsten; Paling, Andreas; Bakus, Simone; Schatte, Gesa; Rudolf, Eva; Decking, Ulrich; Ritz-Timme, Stephanie; Grünewald, Matthias; Schmitz, Andrea

    2015-01-01

    By means of the revision of the Medical Licensure Act for Physicians (ÄAppO) in 2009, undergraduate palliative care education (UPCE) was incorporated as a mandatory cross sectional examination subject (QB13) in medical education in Germany. Its implementation still constitutes a major challenge for German medical faculties. There is a discrepancy between limited university resources and limited patient availabilities and high numbers of medical students. Apart from teaching theoretical knowledge and skills, palliative care education is faced with the particular challenge of imparting a professional and adequate attitude towards incurably ill and dying patients and their relatives. Against this background, an evidence-based longitudinal UPCE curriculum was systematically developed following Kern's Cycle [1] and partly implemented and evaluated by the students participating in the pilot project. Innovative teaching methods (virtual standardised/simulated patient contacts, e-learning courses, interdisciplinary and interprofessional collaborative teaching, and group sessions for reflective self-development) aim at teaching palliative care-related core competencies within the clinical context and on an interdisciplinary and interprofessional basis. After almost five years of development and evaluation, the UPCE curriculum comprises 60 teaching units and is being fully implemented and taught for the first time in the winter semester 2014/15. The previous pilot phases were successfully concluded. To date, the pilot phases (n=26), the subproject "E-learning in palliative care" (n=518) and the blended-learning elective course "Communication with dying patients" (n=12) have been successfully evaluated. All conducted development steps and all developed programmes are available for other palliative care educators (Open Access). The integrated teaching formats and methods (video, e-learning module, interprofessional education, group sessions for reflexive self-development) and

  19. Commercial Crew Medical Ops

    Science.gov (United States)

    Heinbaugh, Randall; Cole, Richard

    2016-01-01

    Provide commercial partners with: center insight into NASA spaceflight medical experience center; information relative to both nominal and emergency care of the astronaut crew at landing site center; a basis for developing and sharing expertise in space medical factors associated with returning crew.

  20. Physiological and psychological stress limits for astronautics Observations during the Skylab I-III missions

    Science.gov (United States)

    Burchard, E. C.

    1975-01-01

    The physiological and psychological factors of manned space flight had a particular significance in the Skylab missions during which astronauts were subjected to a life in a space environment for longer periods of time than on previous space missions. The Skylab missions demonstrated again the great adaptability of human physiology to the environment of man. The results of Skylab have indicated also approaches for enhancing the capability of man to tolerate the physiological and psychological stresses of space flight.

  1. A Prospective Longitudinal Assessment of Medical Records for Diagnostic Substitution among Subjects Diagnosed with a Pervasive Developmental Disorder in the United States

    Directory of Open Access Journals (Sweden)

    David eGeier

    2015-10-01

    Full Text Available Background: Previously, investigators suggested that diagnostic substitution from other diagnoses, e.g., mental retardation (MR and/or cerebral palsy (CP to pervasive developmental disorder (PDD is a driving factor behind increases in PDD. This study evaluated potential diagnostic substitution among subjects diagnosed with PDD vs MR or CP by examining birth characteristic overlap.Methods: SAS® and StatsDirect software examined medical records for subjects within the Vaccine Safety Datalink (VSD database who were Health Maintenance Organization (HMO-enrolled from birth until diagnosed with an International Classification of Disease, 9th revision (ICD-9 outcome of PDD (299.xx, n=84, CP (343.xx, n=300, or MR (317.xx, 318.xx, or 319.xx, n=51.Results: Subjects with PDD had significantly (p<0.01 increased: male/female ratio (PDD=5.5 vs CP=1.5 or MR=1.3, mean age of initial diagnosis in years (PDD=3.13 vs CP=1.09 or MR=1.62, mean gestational age in weeks at birth (PDD=38.73 vs CP=36.20 or MR=34.84, mean birth weight in grams (PDD=3,368 vs CP=2,767 or MR=2,406, and mean Appearance-Pulse-Grimace-Activity-Respiration (APGAR scores at 1 minute (PDD=7.82 vs CP=6.37 or MR=6.76 and 5 minutes (PDD=8.77 vs CP=7.92 or MR=8.04, as compared to subjects diagnosed with CP or MR.Conclusion: This study suggests diagnostic substitution cannot fully explain increased PDD prevalence during the 1990s within the United States.

  2. Citation Analysis using the Medline Database at the Web of Knowledge: Searching "Times Cited" with Medical Subject Headings (MeSH)

    CERN Document Server

    Leydesdorff, Loet

    2012-01-01

    Citation analysis of documents retrieved from the Medline database (at the Web of Knowledge) has been possible only on a case-by-case basis. A technique is here developed for citation analysis in batch mode using both Medical Subject Headings (MeSH) at the Web of Knowledge and the Science Citation Index at the Web of Science. This freeware routine is applied to the case of "Brugada Syndrome," a specific disease and field of research (since 1992). The journals containing these publications are attributed to Web-of-Science Categories other than "Cardiac and Cardiovascular Systems"), perhaps because of the possibility of genetic testing for this syndrome in the clinic. With this routine, all the instruments available for citation analysis can be used on the basis of MeSH terms.

  3. Compiling a Comprehensive EVA Training Dataset for NASA Astronauts

    Science.gov (United States)

    Laughlin, M. S.; Murry, J. D.; Lee, L. R.; Wear, M. L.; Van Baalen, M.

    2016-01-01

    Training for a spacewalk or extravehicular activity (EVA) is considered hazardous duty for NASA astronauts. This activity places astronauts at risk for decompression sickness as well as various musculoskeletal disorders from working in the spacesuit. As a result, the operational and research communities over the years have requested access to EVA training data to supplement their studies.

  4. Astronaut Eugene Cernan and Edwin Aldrin during Apollo 10 debriefing

    Science.gov (United States)

    1969-01-01

    Astronaut Eugene A. Cernan (left), lunar module pilot of the Apollo 10 lunar orbit mission, confers with Astronaut Edwin E. Aldrin Jr. during an Apollo 10 postflight debriefing session. Aldrin is the lunar module pilot of the Apollo 11 lunar landing mission.

  5. Astronaut Edwin Aldrin deploying Solar Wind Composition experiment

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, is photographed during the Apollo 11 extravehicular activity on the Moon. Astronaut Neil A. Armstrong, commander, took this picture with a 70mm lunar surface camera. Aldrin has just deployed the Solar Wind Composition experiment, a component of the Early Apollo Scientific Experiments Package (EASEP).

  6. Astronaut Edwin Aldrin egresses lunar module on lunar surface

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, is photographed egressing the lunar module during the Apollo 11 extravehicular activity on the lunar surface. This picture was taken by Astronaut Neil A. Armstrong, commander, with a 70mm lunar surface camera.

  7. Astronaut Harrison Schmitt retrieving lunar samples during EVA

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison Schmitt, Apollo 17 lunar module pilot, with his adjustable sampling scoop, heads for a selected rock on the lunar surface to retrieve the sample for study. The action was photographed by Apollo 17 crew commander, Astronaut Eugene A. Cernan on the mission's second extravehicular activity (EVA-2), at Station 5 (Camelot Crater) at the Taurus-Littrow landing site.

  8. Astronauts Armstrong and Aldrin study rock samples during field trip

    Science.gov (United States)

    1969-01-01

    Astronaut Neil Armstrong, commander of the Apollo 11 lunar landing mission, and Astronaut Edwin Aldrin, Lunar module pilot for Apollo 11, study rock samples during a geological field trip to the Quitman Mountains area near the Fort Quitman ruins in far west Texas.

  9. Undergraduate Astronautics at the United States Naval Academy.

    Science.gov (United States)

    Bagaria, William J.

    1991-01-01

    The aerospace engineering curriculum at the U.S. Naval Academy which includes an astronautical and an aeronautical track is described. The objective of the program is to give students the necessary astronautical engineering background to perform a preliminary spacecraft design during the last semester of the program. (KR)

  10. Astronauts Cooper and Conrad prepare cameras during visual acuity tests

    Science.gov (United States)

    1965-01-01

    Astronauts L. Gordon Cooper Jr. (left), command pilot, and Charles Conrad Jr., pilot, the prime crew of the Gemini 5 space flight, prepare their cameras while aboard a C-130 aircraft flying near Laredo. The two astronauts are taking part in a series of visual acuity experiments to aid them in learning to identify known terrestrial features under controlled conditions.

  11. Robonaut: a telepresence-based astronaut assistant

    Science.gov (United States)

    Diftler, Myron; Jenks, Kenneth C.; Williams, Lorraine E. P.

    2002-02-01

    Robonaut, NASA's latest anthropomorphic robot, is designed to work in the hazards of the space environment as both an astronaut assistant and, in certain situations, an astronaut surrogate. This highly dexterous robot is now performing complex tasks under telepresence control in the Dexterous Robotics Laboratory at the Johnson Space Center that could previously only be carried out directly by humans. With 43 degrees of freedom (DOF), Robonaut is a state-of-the-art human size telemanipulator system. It has a three-DOF articulated waist and two seven-DOF arms, giving it an impressive work space for interacting with its environment. Its two five-fingered hands allow manipulation of a wide range of common tools. A pan/tilt head with multiple stereo camera systems provides data for both teleoperators and computer vision systems. Telepresence control is the main mode of operation for Robonaut. The teleoperator dons a variety of sensors to map hand, head, arm and body motions to control the robot. A distributed object-oriented network architecture links the various computers used to gather posture and joint angle data from the human operator, to control the robot, to generate video displays for the human operator and to recognize and generate human voice inputs and outputs. Distributed object-oriented software allows the same telepresence gear to be used on different robots and allows interchangable telepresence gear in the laboratory environment. New telepresence gear and new robots only need to implement a standard software interface. The Robonaut implementation is a two-tiered system using Java/Jini for distributed commands and a commercial-off-the-shelf data sharing protocol for high-speed data transmission. Experimental telepresence gear is being developed and evaluated. Force feedback devices and techniques are a focus, and their efforts on teleoperator performance of typical space operations tasks is being measured. Particularly, the augmentation of baseline

  12. [Pilot scheme to gain young professionals in orthopedics and trauma surgery. A new optional subject for students at the medical school in Göttingen (Germany)].

    Science.gov (United States)

    Schüttrumpf, Jan Philipp; Münzberg, Matthias

    2013-06-01

    The Young Forum of the German Society of Orthopedics and Traumatology is an interest group of young orthopedics and trauma surgeons in Germany. Besides dealing with topics of political interest, the group tries to arouse enthusiasm and interest for musculoskeletal surgery by means of new lectures and teaching methods.An example is the newly invented optional subject for students at the Medical School in Göttingen (Germany). The idea for such a new teaching offer was built by the Young Forum itself. The optional subject was on the syllabus for the first time this year and the organization was done by the university Department of Trauma Surgery, Plastic and Reconstructive Surgery. The course is divided in two main parts: a theoretical (16 hours) and a practical (10 hours) one. A good ratio of lectures, skills stations and workshops was on choice. This article explains the course in detail and shows a first evaluation result. Georg Thieme Verlag KG Stuttgart · New York.

  13. Cited references and Medical Subject Headings (MeSH) as two different knowledge representations: clustering and mappings at the paper level.

    Science.gov (United States)

    Leydesdorff, Loet; Comins, Jordan A; Sorensen, Aaron A; Bornmann, Lutz; Hellsten, Iina

    2016-01-01

    For the biomedical sciences, the Medical Subject Headings (MeSH) make available a rich feature which cannot currently be merged properly with widely used citing/cited data. Here, we provide methods and routines that make MeSH terms amenable to broader usage in the study of science indicators: using Web-of-Science (WoS) data, one can generate the matrix of citing versus cited documents; using PubMed/MEDLINE data, a matrix of the citing documents versus MeSH terms can be generated analogously. The two matrices can also be reorganized into a 2-mode matrix of MeSH terms versus cited references. Using the abbreviated journal names in the references, one can, for example, address the question whether MeSH terms can be used as an alternative to WoS Subject Categories for the purpose of normalizing citation data. We explore the applicability of the routines in the case of a research program about the amyloid cascade hypothesis in Alzheimer's disease. One conclusion is that referenced journals provide archival structures, whereas MeSH terms indicate mainly variation (including novelty) at the research front. Furthermore, we explore the option of using the citing/cited matrix for main-path analysis as a by-product of the software.

  14. Overview of Pre-Flight Physical Training, In-Flight Exercise Countermeasures and the Post-Flight Reconditioning Program for International Space Station Astronauts

    Science.gov (United States)

    Kerstman, Eric

    2011-01-01

    International Space Station (ISS) astronauts receive supervised physical training pre-flight, utilize exercise countermeasures in-flight, and participate in a structured reconditioning program post-flight. Despite recent advances in exercise hardware and prescribed exercise countermeasures, ISS crewmembers are still found to have variable levels of deconditioning post-flight. This presentation provides an overview of the astronaut medical certification requirements, pre-flight physical training, in-flight exercise countermeasures, and the post-flight reconditioning program. Astronauts must meet medical certification requirements on selection, annually, and prior to ISS missions. In addition, extensive physical fitness testing and standardized medical assessments are performed on long duration crewmembers pre-flight. Limited physical fitness assessments and medical examinations are performed in-flight to develop exercise countermeasure prescriptions, ensure that the crewmembers are physically capable of performing mission tasks, and monitor astronaut health. Upon mission completion, long duration astronauts must re-adapt to the 1 G environment, and be certified as fit to return to space flight training and active duty. A structured, supervised postflight reconditioning program has been developed to prevent injuries, facilitate re-adaptation to the 1 G environment, and subsequently return astronauts to training and space flight. The NASA reconditioning program is implemented by the Astronaut Strength, Conditioning, and Rehabilitation (ASCR) team and supervised by NASA flight surgeons. This program has evolved over the past 10 years of the International Space Station (ISS) program and has been successful in ensuring that long duration astronauts safely re-adapt to the 1 g environment and return to active duty. Lessons learned from this approach to managing deconditioning can be applied to terrestrial medicine and future exploration space flight missions.

  15. Short-term effect of topical antiglaucoma medication on tear-film stability, tear secretion, and corneal sensitivity in healthy subjects

    Directory of Open Access Journals (Sweden)

    Pillunat LE

    2011-04-01

    Full Text Available Naim Terai, Matthias Müller-Holz, Eberhard Spoerl, Lutz E PillunatDepartment of Ophthalmology, Carl Gustav Carus University Hospital, Dresden, GermanyBackground: The purpose of this study was to investigate the short-term effect of topical antiglaucoma medication on tear-film stability, tear secretion, and corneal sensitivity in healthy subjects.Methods: In this prospective, double-blind crossover trial, break-up time and basal secretion (Jones test were measured 60 minutes before, and 30, 60, and 90 minutes after topical antiglaucoma drop application in 30 healthy subjects. Corneal sensitivity was measured 60 minutes before, and five, 10, and 15 minutes after drop application using a Cochet–Bonnet esthesiometer.Results: Reduction of break-up time in the latanoprost group was -23.8% after 30 minutes (P = 0.21, -26.7% after 60 minutes (P = 0.03 and -51.4% after 90 minutes (P ≤ 0.003, which was statistically significant. Reduction of break-up time in all other treatment groups was not statistically significant. The Jones test revealed a significant reduction of basal secretion after application of brimonidine (-17.8%, P = 0.002; -22.5%, P< 0.001; -30.5%, P < 0.001, followed by apraclonidine (-10%, P = 0.06; -20.1%, P = 0.02; -22.1%, P = 0.002, latanoprost (-2.4%, P = 0.64; -18.6%, P = 0.001; -20.1%, P = 0.001 and dorzolamide (-0.5%, P = 0.9; 14.3%, P = 0.018; -17.3%, P = 0.004 at 30, 60, and 90 minutes after drop application. Reduction of basal secretion in all other treatment groups was not statistically significant.Conclusion: Latanoprost showed the most statistically significant reduction in break-up time, and brimonidine showed the most significant reduction in basal secretion of all the glaucoma medications used in this study. In conclusion, our data may be helpful for treatment decisions in glaucoma patients who also suffer from ocular surface problems.Keywords: tear-film, tear secretion, corneal sensitivity, antiglaucoma medication

  16. Astronaut Preflight Cardiovascular Variables Associated with Vascular Compliance are Highly Correlated with Post-Flight Eye Outcome Measures in the Visual Impairment Intracranial Pressure (VIIP) Syndrome Following Long Duration Spaceflight

    Science.gov (United States)

    Otto, Christian; Ploutz-Snyder, R.

    2015-01-01

    The detection of the first VIIP case occurred in 2005, and adequate eye outcome measures were available for 31 (67.4%) of the 46 long duration US crewmembers who had flown on the ISS since its first crewed mission in 2000. Therefore, this analysis is limited to a subgroup (22 males and 9 females). A "cardiovascular profile" for each astronaut was compiled by examining twelve individual parameters; eleven of these were preflight variables: systolic blood pressure, pulse pressure, body mass index, percentage body fat, LDL, HDL, triglycerides, use of anti-lipid medication, fasting serum glucose, and maximal oxygen uptake in ml/kg. Each of these variables was averaged across three preflight annual physical exams. Astronaut age prior to the long duration mission, and inflight salt intake was also included in the analysis. The group of cardiovascular variables for each crew member was compared with seven VIIP eye outcome variables collected during the immediate post-flight period: anterior-posterior axial length of the globe measured by ultrasound and optical biometry; optic nerve sheath diameter, optic nerve diameter, and optic nerve to sheath ratio- each measured by ultrasound and magnetic resonance imaging (MRI), intraocular pressure (IOP), change in manifest refraction, mean retinal nerve fiber layer (RNFL) on optical coherence tomography (OCT), and RNFL of the inferior and superior retinal quadrants. Since most of the VIIP eye outcome measures were added sequentially beginning in 2005, as knowledge of the syndrome improved, data were unavailable for 22.0% of the outcome measurements. To address the missing data, we employed multivariate multiple imputation techniques with predictive mean matching methods to accumulate 200 separate imputed datasets for analysis. We were able to impute data for the 22.0% of missing VIIP eye outcomes. We then applied Rubin's rules for collapsing the statistical results across our 200 multiply imputed data sets to assess the canonical

  17. Astronaut Bones: Stable Calcium Isotopes in Urine as a Biomarker of Bone Mineral Balance

    Science.gov (United States)

    Skulan, J.; Gordon, G. W.; Romaniello, S. J.; Anbar, A. D.; Smith, S. M.; Zwart, S.

    2016-12-01

    Bone loss is a common health concern, in conditions ranging from osteoporosis to cancer. Bone loss due to unloading is also an important health issue for astronauts. We demonstrate stable calcium isotopes, a tool developed in geochemistry, are capable of detecting real-time quantitative changes in net bone mineral balance (BMB) using serum and urine [1]. We validated this technique by comparing with DEXA and biomarker data in subjects during bed rest, a ground-based analog of space flight effects [2-4]. We now apply this tool to assess changes in astronauts' BMB before, during and after 4-6 month space missions. There is stable isotope fractionation asymmetry between bone formation and resorption. During bone formation there is a mass-dependent preference for "lighter" calcium isotopes to be removed from serum and incorporated into bone mineral. During bone resorption, there is no measurable isotopic discrimination between serum and bone. Hence, when bone formation rates exceed that of resorption, serum and urine become isotopically "heavy" due to the sequestration of "light" calcium in bone. Conversely, when bone resorption exceeds bone formation, serum and urine become isotopically "light" due to the release of the sequestered light calcium from bone. We measured Ca isotopes in urine of thirty International Space Station astronauts. Average Ca isotope values in astronauts' urine shift isotopically lighter during microgravity, consistent with negative net BMB. Within a month of return to Earth, astronauts returned to within error of their δ44Ca value prior to departure. Urine samples from astronauts testing bone loss countermeasures showed bisphosphonates provide a viable pharmacological countermeasure. Some, but not all, individuals appear able to resist bone loss through diet and intensive resistive exercise alone. This is a promising new technique for monitoring BMB in astronauts, and hopefully someday on the way to/from Mars, this also has important clinical

  18. Apollo astronaut supports return to the Moon

    Science.gov (United States)

    Showstack, Randy

    2012-12-01

    Nearly 40 years after the Apollo 17 Moon launch on 7 December 1972, former NASA astronaut Harrison Schmitt said there is "no question" that the Moon is still worth going to, "whether you think about the science of the Moon or the resources of the Moon, or its relationship to accelerating our progress toward Mars." Schmitt, a geologist and the lunar module pilot for that final Apollo mission, was speaking at a 6 December news briefing about lunar science at the AGU Fall Meeting. "By going back to the Moon, you accelerate your ability to go anywhere else," Schmitt said, because of the ability to gain experience on a solar system body just a 3-day journey from Earth; test new hardware and navigation and communication techniques; and utilize lunar resources such as water, hydrogen, methane, and helium-3. He said lunar missions also would be a way "to develop new generations of people who know how to work in deep space. The people who know how to work [there] are my age, if not older, and we need young people to get that kind of experience." Schmitt, 77, said that a particularly interesting single location to explore would be the Aitken Basin at the Moon's south pole, where a crater may have reached into the Moon's upper mantle. He also said a longer duration exploration program might be able to explore multiple sites.

  19. A superconducting shield to protect astronauts

    CERN Multimedia

    Antonella Del Rosso

    2015-01-01

    The CERN Superconductors team in the Technology department is involved in the European Space Radiation Superconducting Shield (SR2S) project, which aims to demonstrate the feasibility of using superconducting magnetic shielding technology to protect astronauts from cosmic radiation in the space environment. The material that will be used in the superconductor coils on which the project is working is magnesium diboride (MgB2), the same type of conductor developed in the form of wire for CERN for the LHC High Luminosity Cold Powering project.   Image: K. Anthony/CERN. Back in April 2014, the CERN Superconductors team announced a world-record current in an electrical transmission line using cables made of the MgB2 superconductor. This result proved that the technology could be used in the form of wire and could be a viable solution for both electrical transmission for accelerator technology and long-distance power transportation. Now, the MgB2 superconductor has found another application: it wi...

  20. Official Portrait of Astronaut Neil Armstrong

    Science.gov (United States)

    1969-01-01

    Neil Armstrong, donned in his space suit, poses for his official Apollo 11 portrait. Armstrong began his flight career as a naval aviator. He flew 78 combat missions during the Korean War. Armstrong joined the NASA predecessor, NACA (National Advisory Committee for Aeronautics), as a research pilot at the Lewis Laboratory in Cleveland and later transferred to the NACA High Speed Flight Station at Edwards AFB, California. He was a project pilot on many pioneering high speed aircraft, including the 4,000 mph X-15. He has flown over 200 different models of aircraft, including jets, rockets, helicopters, and gliders. In 1962, Armstrong was transferred to astronaut status. He served as command pilot for the Gemini 8 mission, launched March 16, 1966, and performed the first successful docking of two vehicles in space. In 1969, Armstrong was commander of Apollo 11, the first manned lunar landing mission, and gained the distinction of being the first man to land a craft on the Moon and the first man to step on its surface. Armstrong subsequently held the position of Deputy Associate Administrator for Aeronautics, NASA Headquarters Office of Advanced Research and Technology, from 1970 to 1971. He resigned from NASA in 1971.

  1. Cancer Risk in Astronauts: A Constellation of Uncommon Consequences

    Science.gov (United States)

    Milder, Caitlin M.; Elgart, S. Robin; Chappell, Lori; Charvat, Jaqueline M.; Van Baalen, Mary; Huff, Janice L.; Semones, Edward J.

    2017-01-01

    Excess cancers resulting from external radiation exposures have been noted since the early 1950s, when a rise in leukemia rates was first reported in young atomic bomb survivors [1]. Further studies in atomic bomb survivors, cancer patients treated with radiotherapy, and nuclear power plant workers have confirmed that radiation exposure increases the risk of not only leukemia, but also a wide array of solid cancers [2,3]. NASA has long been aware of this risk and limits astronauts' risk of exposure-induced death (REID) from cancer by specifying permissible mission durations (PMD) for astronauts on an individual basis. While cancer is present among astronauts, current data does not suggest any excess of known radiation-induced cancers relative to a comparable population of U.S. adults; however, very uncommon cancers have been diagnosed in astronauts including nasopharyngeal cancer, lymphoma of the brain, and acral myxoinflammatory fibroblastic sarcoma. In order to study cancer risk in astronauts, a number of obstacles must be overcome. Firstly, several factors make the astronaut cohort considerably different from the cohorts that have previously been studied for effects resulting from radiation exposure. The high rate of accidents and the much healthier lifestyle of astronauts compared to the U.S. population make finding a suitable comparison population a problematic task. Space radiation differs substantially from terrestrial radiation exposures studied in the past; therefore, analyses of galactic cosmic radiation (GCR) in animal models must be conducted and correctly applied to the human experience. Secondly, a large enough population of exposed astronauts must exist in order to obtain the data necessary to see any potential statistically significant differences between the astronauts and the control population. Thirdly, confounders and effect modifiers, such as smoking, diet, and other space stressors, must be correctly identified and controlled for in those

  2. Digital Astronaut Photography: A Discovery Dataset for Archaeology

    Science.gov (United States)

    Stefanov, William L.

    2010-01-01

    Astronaut photography acquired from the International Space Station (ISS) using commercial off-the-shelf cameras offers a freely-accessible source for high to very high resolution (4-20 m/pixel) visible-wavelength digital data of Earth. Since ISS Expedition 1 in 2000, over 373,000 images of the Earth-Moon system (including land surface, ocean, atmospheric, and lunar images) have been added to the Gateway to Astronaut Photography of Earth online database (http://eol.jsc.nasa.gov ). Handheld astronaut photographs vary in look angle, time of acquisition, solar illumination, and spatial resolution. These attributes of digital astronaut photography result from a unique combination of ISS orbital dynamics, mission operations, camera systems, and the individual skills of the astronaut. The variable nature of astronaut photography makes the dataset uniquely useful for archaeological applications in comparison with more traditional nadir-viewing multispectral datasets acquired from unmanned orbital platforms. For example, surface features such as trenches, walls, ruins, urban patterns, and vegetation clearing and regrowth patterns may be accentuated by low sun angles and oblique viewing conditions (Fig. 1). High spatial resolution digital astronaut photographs can also be used with sophisticated land cover classification and spatial analysis approaches like Object Based Image Analysis, increasing the potential for use in archaeological characterization of landscapes and specific sites.

  3. Visual stability of laser vision correction in an astronaut on a Soyuz mission to the International Space Station.

    Science.gov (United States)

    Gibson, C Robert; Mader, Thomas H; Schallhorn, Steven C; Pesudovs, Konrad; Lipsky, William; Raid, Elias; Jennings, Richard T; Fogarty, Jennifer A; Garriott, Richard A; Garriott, Owen K; Johnston, Smith L

    2012-08-01

    This report documents the effects of photorefractive keratectomy (PRK) in an astronaut during a 12-day Russian Soyuz mission to the International Space Station in 2008. Changing environmental conditions of launch, microgravity exposure, and reentry create an extremely dynamic ocular environment. Although many normal eyes have repeatedly been subject to such stresses, the effect on an eye with a relatively thin cornea as a result of PRK has not been reported. This report suggests that PRK is a safe, effective, and well-tolerated procedure in astronauts during space flight. No author has a financial or proprietary interest in any material or method mentioned. Copyright © 2012 ASCRS and ESCRS. All rights reserved.

  4. Memoirs of an armchair astronaut (retired)

    Science.gov (United States)

    Clarke, Arthur C.

    1993-11-01

    According to my biographer Neil McAleer, who now knows far more about me than I have any wish to, I joined the British Interplanetary Society (BIS) in the summer of 1934, when it was one year old and I was approaching seventeen. Much of the next two years was spent bombarding the Society's patient secretary, Leslie Johnson, with technical queries which he did his best to answer, and which I am sure would make embarrassing reading today. During this period I also made contact with another active BIS member, the science-fiction writer Eric Frank Russell, to whom I owe a great debt of gratitude for early encouragement. I wish I still possessed his amusing and often bawdy letters, written in the most beautiful script I have ever encountered. In 1936, escaping from the uncharted wilds of rural Somerset to the genteel environs of Whitehall (literally - my office was next door to Downing Street) I made contact with the London members of the BIS, as well as the local s.f. fans. There was a 90% overlap between the two groups, and until the outbreak of war rocketry and science fiction dominated my life, with H.M. Civil Service a very poor third. A quarter of a century later, I looked back on those days in an essay which appeared in Holiday Magazine (May, 1963) and which has since been reprinted in Voices from the Sky (1965), Astounding Days (1989) and By Space Possessed (1993). Any attempt to update it would now be both impossible and absurd: it preserves the spirit of the early Space Age like a fly in amber. Here, exactly as originally published, are 'Memoirs of an Armchair Astronaut (Retired)'.

  5. A comparative study of the origin, structure, and indexing language of the Persian and English keywords of articles indexed in the IranMedex database and their compliance with the Persian medical thesaurus and Medical Subject Headings.

    Science.gov (United States)

    Parsaei-Mohammadi, Parastoo; Ghasemi, Ali Hossein; Hassanzadeh-Beheshtabad, Raziyeh

    2017-01-01

    In the present era, thesauri as tools in indexing play an effective role in integrating retrieval preventing fragmentation as well as a multiplicity of terminologies and also in providing information content of documents. This study aimed to investigate the keywords of articles indexed in IranMedex in terms of origin, structure and indexing situation and their Compliance with the Persian Medical Thesaurus and Medical Subject Headings (MeSH). This study is an applied research, and a survey has been conducted. Statistical population includes 32,850 Persian articles which are indexed in the IranMedex during the years 1385-1391. 379 cases were selected as sample of the study. Data collection was done using a checklist. In analyzing the findings, the SPSS Software were used. Although there was no significant difference in terms of indexing origin between the proportion of different types of the Persian and English keywords of articles indexed in the IranMedex, the compliance rates of the Persian and English keywords with the Persian medical thesaurus and MeSH were different in different years. In the meantime, the structure of keywords is leaning more towards phrase structure, and a single word structure and the majority of keywords are selected from the titles and abstracts. The authors' familiarity with the thesauri and controlled tools causes homogeneity in assigning keywords and also provides more precise, faster, and easier retrieval of the keywords. It's suggested that a mixture of natural and control languages to be used in this database in order to reach more comprehensive results.

  6. Exercise capacity and physical activity in patients with COPD and healthy subjects classified as Medical Research Council dyspnea scale grade 2.

    Science.gov (United States)

    Johnson-Warrington, Vicki; Harrison, Samantha; Mitchell, Katy; Steiner, Mick; Morgan, Mike; Singh, Sally

    2014-01-01

    Patients with chronic obstructive pulmonary disease (COPD) are often classified by Medical Research Council (MRC) dyspnea grade and comparisons thus made to healthy individuals. The MRC grade of a healthy population is assumed to be grade 1, although this may be inaccurate. Physical activity and exercise capacity are not well-defined for those with MRC grade 2. This study was undertaken to establish whether there are differences in physical activity and exercise capacity between individuals with COPD and healthy controls, who have all assessed themselves as MRC grade 2. Patients with COPD (n = 83) and 19 healthy controls, with a self-selected MRC grade of 2, completed the Incremental Shuttle Walk Test (ISWT) and wore a SenseWear (BodyMedia, Pittsburgh, PA) activity monitor for 12 hours for 2 weekdays. Adjusting for age, step count and ISWT were significantly reduced for those with COPD, compared with healthy controls (P < .05). Patients with COPD achieved mean (SD) 425.5 (131.3) m on ISWT and took 6022 (3276) steps per day compared with 647.8 (146.3) m and 9462 (4141) steps per day for healthy controls. For subjects achieving 10 000 steps per day, 8 (42.11%) healthy controls achieved this level compared with 7 (8.43%) patients with COPD (P < .01). Healthy individuals may report functional limitations and categorize themselves as MRC grade 2. However, despite both groups subjectively considering themselves similarly functionally limited, exercise capacity and physical activity were significantly reduced in patients with COPD compared with healthy participants. This highlights the importance of early interventions to increase physical performance and prevent functional decline for patients with COPD.

  7. Efficient Wearable Antennas for Astronaut EVA Communications Project

    Data.gov (United States)

    National Aeronautics and Space Administration — In response to NASA SBIR Subtopic O1.02 (Antenna Technology), Pharad proposes to create a new class of highly efficient body wearable antennas suitable for astronaut...

  8. Apollo 11 astronaut Buzz Aldrin takes photos during training

    Science.gov (United States)

    1969-01-01

    Flying in a KC-135 aircraft, Apollo 11 Lunar Module Pilot Edwin E. Aldrin Jr. takes pictures during training for the upcoming first manned lunar landing with astronauts Neil A. Armstrong Jr. and Michael Collins.

  9. STS-61 art concept of astronauts during HST servicing

    Science.gov (United States)

    1993-01-01

    This artist's rendition of the 1993 Hubble Space Telescope (HST) servicing mission shows astronauts installing the new Wide Field/Planetary Camera (WF/PC2). The artwork was done for JPL by Paul Hudson.

  10. Astronaut Neil Armstrong studies rock samples during geological field trip

    Science.gov (United States)

    1969-01-01

    Astronaut Neil Armstrong, commander of the Apollo 11 lunar landing mission, studies rock samples during a geological field trip to the Quitman Mountains area near the Fort Quitman ruins in far west Texas.

  11. Astronauts Armstrong and Scott during photo session outside KSC

    Science.gov (United States)

    1966-01-01

    Astronauts Neil A. Armstrong (left), command pilot, and David R. Scott, pilot, the Gemini 8 prime crew, during a photo session outside the Kennedy Space Center (KSC) Mission Control Center. They are standing in front of a radar dish.

  12. Astronaut Neil Armstrong participates in simulation of moon's surface

    Science.gov (United States)

    1969-01-01

    Astronaut Neil A. Armstrong, wearing an Extravehicular Mobility Unit, deploys a lunar surface television camera during lunar surface simulation training in bldg 9, Manned Spacecraft Center. Armstrong is the prime crew commander of the Apollo 11 lunar landing mission.

  13. Astronaut Neil A. Armstrong during water egress training

    Science.gov (United States)

    1965-01-01

    Astronaut Neil A. Armstrong, Gemini 5 backup crew command pilot, sits in the Gemini Static Article 5 spacecraft and prepares to be lowered from the deck of the NASA Motor Vessel Retriever for water egress training in the Gulf.

  14. Astronautics and Aeronautics, 1979-1984: A chronology

    Science.gov (United States)

    Janson, Bette R.; Ritchie, Eleanor H.

    1989-01-01

    This volume of the Astronautics and Aeronautics series covers 1979 through 1984. The series provides a chronological presentation of all significant events and developments in space exploration and the administration of the space program during the period covered.

  15. Christer Fuglesang, a former CERN physicist-turned-astronaut

    CERN Multimedia

    NASA

    2006-01-01

    European Space Agency (ESA) astronaut Christer Fuglesang, STS-116 mission specialist, participates in the mission's second extravehicular activity (EVA) as construction resumes on the International Space Station. Image: NASA.

  16. Low urinary albumin excretion in astronauts during space missions

    DEFF Research Database (Denmark)

    Cirillo, Massimo; De Santo, Natale G; Heer, Martina

    2003-01-01

    BACKGROUND: Physiological changes occur in man during space missions also at the renal level. Proteinuria was hypothesized for space missions but research data are missing. METHODS: Urinary albumin, as an index of proteinuria, and other variables were analyzed in 4 astronauts during space missions...... and on the ground. CONCLUSIONS: Urinary albumin excretion is low during space mission compared to data on the ground before or after mission. Low urinary albumin excretion could be another effect of exposure to weightlessness (microgravity)....... onboard the MIR station and on the ground (control). Mission duration before first urine collection in the four astronauts was 4, 26, 26, and 106 days, respectively. On the ground, data were collected 2 months before mission in two astronauts, 6 months after in the other astronauts. A total of twenty...

  17. CERN News - Esa astronaut brings neutralino back from space

    CERN Multimedia

    CERN Visual Media Office

    2012-01-01

    ESA astronaut and former physicist at CERN Christer Fuglesang returns a symbolic neutralino particle to CERN after flying it to the International Space Station on the occasion of his STS128 mission in 2009.

  18. Astronauts Sega and Krikalev work on metabolic experiment on middeck

    Science.gov (United States)

    1994-01-01

    Astronaut Ronald M. Sega (left) and Russian cosmonaut Sergei K. Krikalev work on a joint U.S./Russian metabolic experiment (DSO 202) on the Space Shuttle Discovery's middeck. Note the electrodes on Krikalev's face.

  19. Official portrait of Astronaut Ronald E. McNair

    Science.gov (United States)

    1985-01-01

    Official portrait of Astronaut Ronald E. McNair. McNair is in the blue shuttle flight suit, standing in front of a table which holds a model of the Space Shuttle. An American flag is visible behind him.

  20. Astronaut Gerald Carr floats in forward dome area

    Science.gov (United States)

    1974-01-01

    Astronaut Gerald P. Carr, commander for the Skylab 4 mission, demonstrates the effects of zero-gravity as he floats in the forward dome area of the Orbital Workshop of the Skylab space station while in Earth orbit.

  1. Astronaut Gerald Carr sits on the bicycle ergometer during prelaunch

    Science.gov (United States)

    1973-01-01

    Astronaut Gerald P. Carr, Skylab 4 mission commander, sits on the bicycle ergometer as he takes part in the body mass measurement experiment during a prelaunch physical examination for the crew of the third manned mission.

  2. Astronaut Gerald Carr trains with Earth Resources Experiments Package

    Science.gov (United States)

    1973-01-01

    Astronaut Gerald P. Carr, Skylab 4 commander, changes a dial on the control and display panel for the Earth Resources Experiments package (EREP) during a training exercise in the Multiple Docking Adapter (MDA) one-G trainer at JSC.

  3. Astronauts Culbertson and Bursch brush their teeth on Discovery's middeck

    Science.gov (United States)

    1993-01-01

    Astronauts Frank L. Culbertson (right), mission commander, and Daniel W. Bursch, mission specialist, brush their teeth on Discovery's middeck. Two sleep restraints form part of the backdrop for the photograph.

  4. Soluble FcγRIIIaMφ Levels in Plasma Correlate with Carotid Maximum Intima-Media Thickness (IMT) in Subjects Undergoing an Annual Medical Checkup

    Science.gov (United States)

    Masuda, Midori; Amano, Katsuya; Hong, Shi Yan; Nishimura, Noriko; Fukui, Masayoshi; Yoshika, Masamichi; Komiyama, Yutaka; Masaki, Hiroya; Iwasaka, Toshiji; Takahashi, Hakuo

    2008-01-01

    Macrophages play a major role in the development of vascular lesions in atherogenesis. The cells express FcγRIIIa (CD16) identical to that in NK cells, but with a cell type-specific glycosylation, and these soluble forms (sFcγRIIIa) are present in plasma. We measured sFcγRIIIaMφ derived from macrophages in plasma from subjects undergoing an annual medical checkup. The levels of sFcγRIIIaMφ increased with age, and correlated positively with body mass index, blood pressure, LDL cholesterol to HDL cholesterol ratio, triglycerides, hemoglobin A1c, and creatinine, but negatively with HDL-cholesterol levels. The sFcγRIIIaMφ levels were related to the number of risk factors for atherosclerosis: such as aging, current smoking, diabetes, hypertension, hyper-LDL-cholesterolemia, hypo-HDL-cholesterolemia, and family history of atherosclerotic diseases. In addition, the sFcγRIIIaMφ levels were correlated with carotid maximum intima-media thickness (IMT). These findings indicate the macrophages are activated during the incipient stage of atherosclerosis, and suggest sFcγRIIIaMφ may be used as a predictive marker for atherosclerosis. PMID:18475309

  5. Soluble FcgammaRIIIa(Mphi) levels in plasma correlate with carotid maximum intima-media thickness (IMT) in subjects undergoing an annual medical checkup.

    Science.gov (United States)

    Masuda, Midori; Amano, Katsuya; Hong, Shi Yan; Nishimura, Noriko; Fukui, Masayoshi; Yoshika, Masamichi; Komiyama, Yutaka; Masaki, Hiroya; Iwasaka, Toshiji; Takahashi, Hakuo

    2008-01-01

    Macrophages play a major role in the development of vascular lesions in atherogenesis. The cells express FcgammaRIIIa (CD16) identical to that in NK cells, but with a cell type-specific glycosylation, and these soluble forms (sFcgammaRIIIa) are present in plasma. We measured sFcgammaRIIIa(Mphi) derived from macrophages in plasma from subjects undergoing an annual medical checkup. The levels of sFcgammaRIIIa(Mphi) increased with age, and correlated positively with body mass index, blood pressure, LDL cholesterol to HDL cholesterol ratio, triglycerides, hemoglobin A1c, and creatinine, but negatively with HDL-cholesterol levels. The sFcgammaRIIIa(Mphi) levels were related to the number of risk factors for atherosclerosis: such as aging, current smoking, diabetes, hypertension, hyper-LDL-cholesterolemia, hypo-HDL-cholesterolemia, and family history of atherosclerotic diseases. In addition, the sFcgammaRIIIa(Mphi) levels were correlated with carotid maximum intima-media thickness (IMT). These findings indicate the macrophages are activated during the incipient stage of atherosclerosis, and suggest sFcgammaRIIIa(Mphi) may be used as a predictive marker for atherosclerosis.

  6. Apollo 11 astronaut Neil Armstrong suits up before launch

    Science.gov (United States)

    1969-01-01

    Apollo 11 Commander Neil Armstrong prepares to put on his helmet with the assistance of a spacesuit technician during suiting operations in the Manned Spacecraft Operations Building (MSOB) prior to the astronauts' departure to Launch Pad 39A. The three astronauts, Edwin E. Aldrin Jr., Neil A Armstrong and Michael Collins, will then board the Saturn V launch vehicle, scheduled for a 9:32 a.m. EDT liftoff, for the first manned lunar landing mission.

  7. Apollo 11 astronaut Neil Armstrong looks over flight plans

    Science.gov (United States)

    1969-01-01

    Apollo 11 Commander Neil Armstrong is looking over flight plans while being assisted by a spacesuit technician during suiting operations in the Manned Spacecraft Operations Building (MSOB) prior to the astronauts' departure to Launch Pad 39A. The three astronauts, Edwin E. Aldrin Jr., Neil A. Armstrong and Michael Collins will then board the Saturn V launch vehicle, scheduled for a 9:32 a.m. EDT liftoff, for the first manned lunar landing mission.

  8. Moon bound choosing and preparing NASA's lunar astronauts

    CERN Document Server

    Burgess, Colin

    2013-01-01

    Often lost in the shadow of the first group of astronauts for the Mercury missions, the second and third groups included the leading figures for NASA's activities for the following two decades. “Moon Bound” complements the author’s recently published work, “Selecting the Mercury Seven” (2011), extending the story of the men who helped to launch human spaceflight and broaden the American space program. Although the initial 1959 group became known as the legendary pioneering Mercury astronauts, the astronauts of Groups 2 and 3 gave us many household names. Sixteen astronauts from both groups traveled to the Moon in Project Apollo, with several actually walking on the Moon, one of them being Neil Armstrong. This book draws on interviews to tell the astronauts' personal stories and recreate the drama of that time. It describes the process by which they were selected as astronauts and explains how the criteria had changed since the first group. “Moon Bound” is divided into two parts, recounting the b...

  9. Alterations in the heart rate and activity rhythms of three orbital astronauts on a space mission.

    Science.gov (United States)

    Liu, Zhizhen; Wan, Yufeng; Zhang, Lin; Tian, Yu; Lv, Ke; Li, Yinghui; Wang, Chunhui; Chen, Xiaoping; Chen, Shanguang; Guo, Jinhu

    2015-01-01

    Environmental factors in space are dramatically different from those on Earth. The spaceflight environment has been known to influence human physiology and behavior on orbital missions. In this study, we investigated alterations in the diurnal rhythms of activity and heart rate of three Chinese astronauts on a space mission. An analysis of the heart rate data showed a significant decrease in heart rate amplitudes during flight in all three subjects. The heart rate amplitudes of all the three astronauts were significantly dampened during flight, and the minimum as well as the maximum value of heart rate increased after flight. A phase shift in heart rate was observed in one of the three astronauts after flight. These results demonstrate the influence of spaceflight on heart physiology and function. In addition, a significant decrease in body trunk activity and rhythmicity occurred during flight, demonstrating that the spaceflight environment disturbs motion adaptation and diurnal activity rhythms. Copyright © 2015 The Committee on Space Research (COSPAR). Published by Elsevier Ltd. All rights reserved.

  10. Assessment of Evidence Base from Medical Debriefs Data on Space Motion Sickness Incidence and Treatment

    Science.gov (United States)

    Younker, D.R.; Daniels, V.R.; Boyd, J.L.; Putcha, L.

    2008-01-01

    An objective of this data compilation and analysis project is to examine incidence and treatment efficacy of common patho-physiological disturbances during spaceflight. Analysis of medical debriefs data indicated that astronauts used medications to alleviate symptoms of four major ailments for which astronauts received treatment for sleep disturbances, space motion sickness (SMS), pain (headache, back pain) and sinus congestion. In the present data compilation and analysis project on SMS treatment during space missions, subject demographics (gender, age, first-time or repeat flyer), incidence and severity of SMS symptoms and subjective treatment efficacy from 317 crewmember debrief records were examined from STS-1 through STS-89. Preliminary analysis of data revealed that 50% of crew members reported SMS symptoms on at least one flight and 22% never experienced it. In addition, there were 387 medication dosing episodes reported, and promethazine was the most commonly used medication. Results of analysis of symptom check lists, medication use/efficacy and gender and flight record differences in incidence and treatment efficacy will be presented. Evidence gaps for treatment efficacy along with medication use trend analysis will be identified.

  11. The subjectively perceived quality of postgraduate medical training in integrative medicine within the public healthcare systems of Germany and Switzerland: the example of anthroposophic hospitals

    Science.gov (United States)

    2014-01-01

    Background Integrative medicine (IM) integrates evidence-based Complementary and Alternative Medicine (CAM) with conventional medicine (CON). Medical schools offer basic CAM electives but in postgraduate medical training (PGMT) little has been done for the integration of CAM. An exception to this is anthroposophic medicine (AM), a western form of CAM based on CON, offering an individualized holistic IM approach. AM hospitals are part of the public healthcare systems in Germany and Switzerland and train AM in PGMT. We performed the first quality evaluation of the subjectively perceived quality of this PGMT. Methods An anonymous full survey of all 214 trainers (TR) and 240 trainees (TE) in all 15 AM hospitals in Germany and Switzerland, using the ETHZ questionnaire for annual national PGMT assessments in Switzerland (CH) and Germany (D), complemented by a module for AM. Data analysis included Cronbach’s alpha to assess internal consistency questionnaire scales, 2-tailed Pearson correlation of specific quality dimensions of PGMT and department size, 2-tailed Wilcoxon Matched-Pair test for dependent variables and 2-tailed Mann–Whitney U-test for independent variables to calculate group differences. The level of significance was set at p 0.8 or >0.9, and >0.7 to >0.5 for TR scales. Swiss hospitals surpassed German ones significantly in Global Satisfaction with AM (TR and TE); Clinical Competency training in CON (TE) and AM (TE, TR), Error Management, Culture of Decision Making, Evidence-based Medicine, and Clinical Competency in internal medicine CON and AM (TE). When the comparison was restricted to departments of comparable size, differences remained significant for Clinical Competencies in AM (TE, TR), and Culture of Decision Making (TE). CON received better grades than AM in Global Satisfaction and Clinical Competency. Quality of PGMT depended on department size, working conditions and structural training features. Conclusion The lower quality of PGMT in

  12. The subjectively perceived quality of postgraduate medical training in integrative medicine within the public healthcare systems of Germany and Switzerland: the example of anthroposophic hospitals.

    Science.gov (United States)

    Heusser, Peter; Eberhard, Sabine; Berger, Bettina; Weinzirl, Johannes; Orlow, Pascale

    2014-06-16

    Integrative medicine (IM) integrates evidence-based Complementary and Alternative Medicine (CAM) with conventional medicine (CON). Medical schools offer basic CAM electives but in postgraduate medical training (PGMT) little has been done for the integration of CAM. An exception to this is anthroposophic medicine (AM), a western form of CAM based on CON, offering an individualized holistic IM approach. AM hospitals are part of the public healthcare systems in Germany and Switzerland and train AM in PGMT. We performed the first quality evaluation of the subjectively perceived quality of this PGMT. An anonymous full survey of all 214 trainers (TR) and 240 trainees (TE) in all 15 AM hospitals in Germany and Switzerland, using the ETHZ questionnaire for annual national PGMT assessments in Switzerland (CH) and Germany (D), complemented by a module for AM. Data analysis included Cronbach's alpha to assess internal consistency questionnaire scales, 2-tailed Pearson correlation of specific quality dimensions of PGMT and department size, 2-tailed Wilcoxon Matched-Pair test for dependent variables and 2-tailed Mann-Whitney U-test for independent variables to calculate group differences. The level of significance was set at p 0.8 or >0.9, and >0.7 to >0.5 for TR scales. Swiss hospitals surpassed German ones significantly in Global Satisfaction with AM (TR and TE); Clinical Competency training in CON (TE) and AM (TE, TR), Error Management, Culture of Decision Making, Evidence-based Medicine, and Clinical Competency in internal medicine CON and AM (TE). When the comparison was restricted to departments of comparable size, differences remained significant for Clinical Competencies in AM (TE, TR), and Culture of Decision Making (TE). CON received better grades than AM in Global Satisfaction and Clinical Competency. Quality of PGMT depended on department size, working conditions and structural training features. The lower quality of PGMT in German hospitals can be attributed to

  13. A data mining approach to selecting herbs with similar efficacy: Targeted selection methods based on medical subject headings (MeSH).

    Science.gov (United States)

    Yea, Sang-Jun; Seong, BoSeok; Jang, Yunji; Kim, Chul

    2016-04-22

    Natural products have long been the most important source of ingredients in the discovery of new drugs. Moreover, since the Nagoya Protocol, finding alternative herbs with similar efficacy in traditional medicine has become a very important issue. Although random selection is a common method of finding ethno-medicinal herbs of similar efficacy, it proved to be less effective; therefore, this paper proposes a novel targeted selection method using data mining approaches in the MEDLINE database in order to identify and select herbs with a similar degree of efficacy. From among sixteen categories of medical subject headings (MeSH) descriptors, three categories containing terms related to herbal compounds, efficacy, toxicity, and the metabolic process were selected. In order to select herbs of similar efficacy in a targeted way, we adopted the similarity measurement method based on MeSH. In order to evaluate the proposed algorithm, we built up three different validation datasets which contain lists of original herbs and corresponding medicinal herbs of similar efficacy. The average area under curve (AUC) of the proposed algorithm was found to be about 500% larger than the random selection method. We found that the proposed algorithm puts more hits at the front of the top-10 list than the random selection method, and precisely discerns the efficacy of the herbs. It was also found that the AUC of the experiments either remained the same or increased slightly in all three validation datasets as the search range was increased. This study reveals and proves that the proposed algorithm is significantly more accurate and efficient in finding alternative herbs of similar efficacy than the random selection method. As such, it is hoped that this approach will be used in diverse applications in the ethno-pharmacology field. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  14. Prediabetes Exhibits Decreased Disposition Index Correlated with Deterioration of Glycemic Parameters in Nonobese Japanese Subjects: A Cross-Sectional Study from Medical Examination.

    Science.gov (United States)

    Takeda, Yasutaka; Fujita, Yukihiro; Yanagimachi, Tsuyoshi; Honjo, Jun; Abiko, Atsuko; Asai, Mahito; Haneda, Masakazu

    2017-08-01

    Prediabetes, defined as impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), likely develops to type 2 diabetes mellitus (DM) and independently increases cardiovascular risk. We employed disposition index (DI), a new metabolic parameter indicating the pancreatic beta cell function adjusted for insulin resistance, and investigated whether it could be altered in Japanese population with prediabetes and associated with early glucose intolerance. A total of 102 adults who underwent an oral glucose tolerance test at the medical screening were designated to normal glucose tolerance (NGT), IFG, IGT, and DM. We calculated insulinogenic index (IGI) and homeostasis model assessment (HOMA) of β cell function (HOMA-β) as insulin secretory function, HOMA-insulin resistance (HOMA-IR), and quantitative insulin sensitivity check index (QUICKI) as insulin resistance and DI, and assessed correlations between these indices and glycemic parameters. We observed graded increase of glycemic parameters in the order of NGT, IFG, IGT, and DM. HOMA-IR was significantly higher only in DM compared with NGT, although HOMA-β, IGI, and QUICKI showed no significant differences among the groups. In contrast, DI was significantly lower in IFG, IGT, and DM compared with NGT. In correlation analysis, glycemic parameters related positively to HOMA-IR, but inversely to DI. Only two parameters, IGI and particularly DI, were significantly decreased in the subjects with 1-hr postload glucose >8.6 mmol/L previously proposed as a predictor of type 2 diabetes. Our results suggest that reduction of DI promptly reflects the alteration of early glucose intolerance in Japanese population presenting with prediabetes.

  15. Using MeSH (medical subject headings) to enhance PubMed search strategies for evidence-based practice in physical therapy.

    Science.gov (United States)

    Richter, Randy R; Austin, Tricia M

    2012-01-01

    Evidence-based practice (EBP) is an important paradigm in health care. Physical therapists report lack of knowledge and time constraints as barriers to EBP. The purpose of this technical report is to illustrate how Medical Subject Headings (MeSH), a controlled vocabulary thesaurus of indexing terms, is used to efficiently search MEDLINE, the largest component of PubMed. Using clinical questions, this report illustrates how search terms common to physical therapist practice do or do not map to appropriate MeSH terms. A PubMed search strategy that takes advantage of text words and MeSH terms is provided. A search of 139 terms and 13 acronyms was conducted to determine whether they appropriately mapped to a MeSH term. The search results were categorized into 1 of 5 outcomes. Nearly half (66/139) of the search terms mapped to an appropriate MeSH term (outcome 1). When a search term did not appropriately map to a MeSH term, it was entered into the MeSH database to search for an appropriate MeSH term. Twenty-one appropriate MeSH terms were found (outcomes 2 and 4), and there were 52 search terms for which an appropriate MeSH term was not found (outcomes 3 and 5). Nearly half of the acronyms did not map to an appropriate MeSH term, and an appropriate MeSH term was not found in the database. The results are based on a limited number of search terms and acronyms. Understanding how search terms map to MeSH terms and using the PubMed search strategy can enable physical therapists to take full advantage of available MeSH terms and should result in more-efficient and better-informed searches.

  16. Aerospace Medical Support in Russia

    Science.gov (United States)

    Castleberry, Tara; Chamberlin, Blake; Cole, Richard; Dowell, Gene; Savage, Scott

    2011-01-01

    This slide presentation reviews the role of the flight surgeon in support of aerospace medical support operations at the Gagarin Cosmonaut Training Center (GCTC), also known as Star City, in Russia. The flight surgeon in this role is the medical advocate for non-russian astronauts, and also provides medical care for illness and injury for astronauts, family members, and guests as well as civil servants and contractors. The flight surgeon also provides support for hazardous training. There are various photos of the area, and the office, and some of the equipment that is used.

  17. Psychometric Personality Differences Between Candidates in Astronaut Selection.

    Science.gov (United States)

    Mittelstädt, Justin M; Pecena, Yvonne; Oubaid, Viktor; Maschke, Peter

    This paper investigates personality traits as potential factors for success in an astronaut selection by comparing personality profiles of unsuccessful and successful astronaut candidates in different phases of the ESA selection procedure. It is further addressed whether personality traits could predict an overall assessment rating at the end of the selection. In 2008/2009, ESA performed an astronaut selection with 902 candidates who were either psychologically recommended for mission training (N = 46) or failed in basic aptitude (N = 710) or Assessment Center and interview testing (N = 146). Candidates completed the Temperament Structure Scales (TSS) and the NEO Personality Inventory Revised (NEO-PI-R). Those candidates who failed in basic aptitude testing showed higher levels of Neuroticism (M = 49.8) than the candidates who passed that phase (M = 45.4 and M = 41.6). Additionally, candidates who failed in basic testing had lower levels of Agreeableness (M = 132.9) than recommended candidates (M = 138.1). TSS scales for Achievement (r = 0.19) and Vitality (r = 0.18) showed a significant correlation with the overall assessment rating given by a panel board after a final interview. Results indicate that a personality profile similar to Helmreich's "Right Stuff" is beneficial in astronaut selection. Influences of test anxiety on performance are discussed. Mittelstädt JM, Pecena Y, Oubaid V, Maschke P. Psychometric personality differences between candidates in astronaut selection. Aerosp Med Hum Perform. 2016; 87(11):933-939.

  18. Latent Virus Reactivation in Astronauts and Shingles Patients

    Science.gov (United States)

    Mehta, Satish K.; Cohrs, Randall J.; Gilden, Donald H.; Tyring, Stephen K.; Castro, Victoria A.; Ott, C. Mark; Pierson, Duane L.

    2010-01-01

    Spaceflight is a uniquely stressful environment with astronauts experiencing a variety of stressors including: isolation and confinement, psychosocial, noise, sleep deprivation, anxiety, variable gravitational forces, and increased radiation. These stressors are manifested through the HPA and SAM axes resulting in increased stress hormones. Diminished T-lymphocyte functions lead to reactivation of latent herpesviruses in astronauts during spaceflight. Herpes simplex virus reactivated with symptoms during spaceflight whereas Epstein-Barr virus (EBV), cytomegalovirus (CMV), and varicella zoster virus (VZV) reactivate and are shed without symptoms. EBV and VZV are shed in saliva and CMV in the urine. The levels of EBV shed in astronauts increased 10-fold during the flight; CMV and VZV are not typically shed in low stressed individuals, but both were shed in astronauts during spaceflight. All herpes viruses were detected by polymerase chain reaction (PCR) assay. Culturing revealed that VZV shed in saliva was infectious virus. The PCR technology was extended to test saliva of 54 shingles patients. All shingles patients shed VZV in their saliva, and the levels followed the course of the disease. Viremia was also found to be common during shingles. The technology may be used before zoster lesions appear allowing for prevention of disease. The technology may be used for rapid detection of VZV in doctors offices. These studies demonstrated the value of applying technologies designed for astronauts to people on Earth.

  19. Statistical Evaluation of Causal Factors Associated with Astronaut Shoulder Injury in Space Suits.

    Science.gov (United States)

    Anderson, Allison P; Newman, Dava J; Welsch, Roy E

    2015-07-01

    Shoulder injuries due to working inside the space suit are some of the most serious and debilitating injuries astronauts encounter. Space suit injuries occur primarily in the Neutral Buoyancy Laboratory (NBL) underwater training facility due to accumulated musculoskeletal stress. We quantitatively explored the underlying causal mechanisms of injury. Logistic regression was used to identify relevant space suit components, training environment variables, and anthropometric dimensions related to an increased propensity for space-suited injury. Two groups of subjects were analyzed: those whose reported shoulder incident is attributable to the NBL or working in the space suit, and those whose shoulder incidence began in active duty, meaning working in the suit could be a contributing factor. For both groups, percent of training performed in the space suit planar hard upper torso (HUT) was the most important predictor variable for injury. Frequency of training and recovery between training were also significant metrics. The most relevant anthropometric dimensions were bideltoid breadth, expanded chest depth, and shoulder circumference. Finally, record of previous injury was found to be a relevant predictor for subsequent injury. The first statistical model correctly identifies 39% of injured subjects, while the second model correctly identifies 68% of injured subjects. A review of the literature suggests this is the first work to quantitatively evaluate the hypothesized causal mechanisms of all space-suited shoulder injuries. Although limited in predictive capability, each of the identified variables can be monitored and modified operationally to reduce future impacts on an astronaut's health.

  20. Mapping by VESGEN of Blood Vessels in the Retinas of Astronauts Pre- and Post-Flight to the ISS

    Science.gov (United States)

    Parsons-Wingerter, P.; Vyas, R. J.; Murray, M. C.; Predovic, M.; Lim, S.; Vizzeri, G.; Taibbi, G.; Mason, S. S.; Zanello, S. B.; Young, M.

    2017-01-01

    Research by NASA [1] established that significant risks for visual and ocular impairments associated with increased intracranial pressure (VIIP) are incurred by microgravity spaceflight, especially long-duration missions. It is well established in physiology and pathology that a fundamental role of the microvasculature is to mediate fluid transfers and remodel actively in response to environmental, immune and other stresses. We therefore hypothesize that remodeling of retinal blood vessels necessarily occurs during accommodation of microgravity-induced fluid shifts prior to subsequent development of visual and ocular impairments. Potential contributions of retinal vascular remodeling to VIIP etiology are therefore being investigated by NASA's innovative VESsel GENeration Analysis (VESGEN) software for two studies: (1) U.S. crew members before and after ISS missions, and (2) head-down tilt in human subjects before and after 70 days of bed rest. We anticipate that results of the two studies will be complete by the Investigators Workshop (January 22, 2017). METHODS: For the 2013 NASA NRA award, we are concluding the analysis of 30 degree infrared (IR) Heidelberg Spectralis images of retinal blood vessels by VESGEN (patents pending), a mature, automated software developed as a translational and basic vascular research discovery tool, particularly for retinal vascular disease. Subjects of our retrospective study include eight ISS crew members monitored for routine occupational surveillance pre- and post-flight, who provided their study consents to NASAs Lifetime Surveillance of Astronaut Health (LSAH) in coordination with approval of the VESGEN retrospective study protocol by NASAs Institutional Review Board (IRB). The ophthalmic retinal images (average image resolution, approximately 5.6 microns per pixel) are blinded as to pre and post ISS status until the second portion of our study, when VESGEN results will be correlated with other ophthalmic and medical findings

  1. An Interactive Astronaut-Robot System with Gesture Control

    Directory of Open Access Journals (Sweden)

    Jinguo Liu

    2016-01-01

    Full Text Available Human-robot interaction (HRI plays an important role in future planetary exploration mission, where astronauts with extravehicular activities (EVA have to communicate with robot assistants by speech-type or gesture-type user interfaces embedded in their space suits. This paper presents an interactive astronaut-robot system integrating a data-glove with a space suit for the astronaut to use hand gestures to control a snake-like robot. Support vector machine (SVM is employed to recognize hand gestures and particle swarm optimization (PSO algorithm is used to optimize the parameters of SVM to further improve its recognition accuracy. Various hand gestures from American Sign Language (ASL have been selected and used to test and validate the performance of the proposed system.

  2. Astronauts and Cosmonauts sightseeing at Red Square in Moscow

    Science.gov (United States)

    1974-01-01

    A group of Astronauts and their Cosmonaut hosts are photographed sightseeing on Red Square in the heart of Moscow during a tour of the Soviet capital. The Americans were in the USSR to participate in Apollo Soyuz Test Project (ASTP) familiarization training on the Soyuz systems at the Cosmonaut Training Center (Star City) near Moscow. Astronaut Thomas P. Stafford (light coat, black cap), commander of the American ASTP crew, was head of the U.S. delegation to Star City. Astronaut Eugene A. Cernan (on Stafford's left, light coat) is the Special Assistant to the American Technical Director of ASTP. The sightseeing group is walking in the direction of Lenin's Mausoleum. The structure in the background is the Cathedral of the Intercession (St. Basil's) Museum. The historic Kremlin complex is to the right.

  3. Changes in medical treatment six months after risk stratification with HeartScore and coronary artery calcification scanning of healthy middle-aged subjects

    DEFF Research Database (Denmark)

    Sørensen, Mette Hjortdal; Gerke, Oke; Lambrechtsen, Jess

    2012-01-01

    Objectives: The aim was to examine and compare the impact of HeartScore and coronary artery calcification (CAC) score on subsequent changes in the use of medication. Methods: A total of 1156 healthy men and women, aged 50 or 60, had a baseline medical examination and a coronary artery CT-scan as ...

  4. Logistical Consideration in Computer-Based Screening of Astronaut Applicants

    Science.gov (United States)

    Galarza, Laura

    2000-01-01

    This presentation reviews the logistical, ergonomic, and psychometric issues and data related to the development and operational use of a computer-based system for the psychological screening of astronaut applicants. The Behavioral Health and Performance Group (BHPG) at the Johnson Space Center upgraded its astronaut psychological screening and selection procedures for the 1999 astronaut applicants and subsequent astronaut selection cycles. The questionnaires, tests, and inventories were upgraded from a paper-and-pencil system to a computer-based system. Members of the BHPG and a computer programmer designed and developed needed interfaces (screens, buttons, etc.) and programs for the astronaut psychological assessment system. This intranet-based system included the user-friendly computer-based administration of tests, test scoring, generation of reports, the integration of test administration and test output to a single system, and a complete database for past, present, and future selection data. Upon completion of the system development phase, four beta and usability tests were conducted with the newly developed system. The first three tests included 1 to 3 participants each. The final system test was conducted with 23 participants tested simultaneously. Usability and ergonomic data were collected from the system (beta) test participants and from 1999 astronaut applicants who volunteered the information in exchange for anonymity. Beta and usability test data were analyzed to examine operational, ergonomic, programming, test administration and scoring issues related to computer-based testing. Results showed a preference for computer-based testing over paper-and -pencil procedures. The data also reflected specific ergonomic, usability, psychometric, and logistical concerns that should be taken into account in future selection cycles. Conclusion. Psychological, psychometric, human and logistical factors must be examined and considered carefully when developing and

  5. Data Mining Activity for Bone Discipline: Calculating a Factor of Risk for Hip Fracture in Long-Duration Astronauts

    Science.gov (United States)

    Ellman, R.; Sibonga, J. D.; Bouxsein, M. L.

    2010-01-01

    The factor-of-risk (Phi), defined as the ratio of applied load to bone strength, is a biomechanical approach to hip fracture risk assessment that may be used to identify subjects who are at increased risk for fracture. The purpose of this project was to calculate the factor of risk in long duration astronauts after return from a mission on the International Space Station (ISS), which is typically 6 months in duration. The load applied to the hip was calculated for a sideways fall from standing height based on the individual height and weight of the astronauts. The soft tissue thickness overlying the greater trochanter was measured from the DXA whole body scans and used to estimate attenuation of the impact force provided by soft tissues overlying the hip. Femoral strength was estimated from femoral areal bone mineral density (aBMD) measurements by dual-energy x-ray absorptiometry (DXA), which were performed between 5-32 days of landing. All long-duration NASA astronauts from Expedition 1 to 18 were included in this study, where repeat flyers were treated as separate subjects. Male astronauts (n=20) had a significantly higher factor of risk for hip fracture Phi than females (n=5), with preflight values of 0.83+/-0.11 and 0.36+/-0.07, respectively, but there was no significant difference between preflight and postflight Phi (Figure 1). Femoral aBMD measurements were not found to be significantly different between men and women. Three men and no women exceeded the theoretical fracture threshold of Phi=1 immediately postflight, indicating that they would likely suffer a hip fracture if they were to experience a sideways fall with impact to the greater trochanter. These data suggest that male astronauts may be at greater risk for hip fracture than women following spaceflight, primarily due to relatively less soft tissue thickness and subsequently greater impact force.

  6. The Space Medicine Exploration Medical Condition List

    Science.gov (United States)

    Watkins, Sharmi; Barr, Yael; Kerstman, Eric

    2011-01-01

    Exploration Medical Capability (ExMC) is an element of NASA s Human Research Program (HRP). ExMC's goal is to address the risk of the "Inability to Adequately Recognize or Treat an Ill or Injured Crewmember." This poster highlights the approach ExMC has taken to address this risk. The Space Medicine Exploration Medical Condition List (SMEMCL) was created to define the set of medical conditions that are most likely to occur during exploration space flight missions. The list was derived from the International Space Station Medical Checklist, the Shuttle Medical Checklist, in-flight occurrence data from the Lifetime Surveillance of Astronaut Health, and NASA subject matter experts. The list of conditions was further prioritized for eight specific design reference missions with the assistance of the ExMC Advisory Group. The purpose of the SMEMCL is to serve as an evidence-based foundation for the conditions that could affect a crewmember during flight. This information is used to ensure that the appropriate medical capabilities are available for exploration missions.

  7. Virtual Glovebox (VGX) Aids Astronauts in Pre-Flight Training

    Science.gov (United States)

    2003-01-01

    NASA's Virtual Glovebox (VGX) was developed to allow astronauts on Earth to train for complex biology research tasks in space. The astronauts may reach into the virtual environment, naturally manipulating specimens, tools, equipment, and accessories in a simulated microgravity environment as they would do in space. Such virtual reality technology also provides engineers and space operations staff with rapid prototyping, planning, and human performance modeling capabilities. Other Earth based applications being explored for this technology include biomedical procedural training and training for disarming bio-terrorism weapons.

  8. Astronaut Edwin Aldrin deploying the EASEP on surface of moon

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, is photographed deploying the Early Apollo Scientific Experiments Package (EASEP) during the Apollo 11 extravehicular activity on the Moon. Here, he is deploying the Passive Seismic Experiments Package (PSEP). Already deployed is the Laser Ranging Retro-Reflector (LR-3), which can be seen to the left and further in the background. In the center background is the Lunar Module (LM). A flag of the United States is deployed near the LM. In the far left background is the deployed black and white lunar surface television camera. Astronaut Neil A. Armstrong, commander, took this picture with the 70mm lunar surface camera.

  9. Telecast of Astronauts Armstrong and Aldrin by the Lunar Module

    Science.gov (United States)

    1969-01-01

    Astronauts Neil A. Armstrong (in center) commander; and Edwin E. Aldrin Jr. (on right), lunar module pilot, are seen standing near their Lunar Module in this black and white reproduction taken from a telecast by the Apollo 11 lunar surface television camera during the Apollo 11 extravehicular activity. This picture was made from a televised image received at the Deep Space Network tracking station at Goldstone, California. President Richard M. Nixon had just spoken to the two astronauts by radio and Aldrin, a colonel in the U.S. Air Force, is saluting the president.

  10. Conceptual design of an astronaut hand anthropometry device

    Science.gov (United States)

    Mcmahan, Robert

    1993-01-01

    In a microgravity environment, fluid equalizes throughout the body, causing the upper body to swell. This causes the hands to swell which can cause problems for astronauts trying to do work in pressurized EVA (extravehicular activity) gloves. To better design these gloves, accurate measurements of the astronauts swollen hands are needed. Five concepts were developed in this report from an original field of 972 possible concepts. These five concepts were based on mold impression, ultrasound, laser topography, white light photography, and video imaging. From a decision matrix based on nine weighted criteria, the video imaging technique was found to be the best design to pursue.

  11. Astronautics and Aeronautics: A Chronology, 2001-2005

    Science.gov (United States)

    Ivey, William Noel; Lewis, Marieke

    2010-01-01

    This report is a chronological compilation of narrative summaries of news reports and government documents highlighting significant events and developments in U.S. and foreign aeronautics and astronautics. It covers the years 2001 through 2005. These summaries provide a day-by-day recounting of major activities, such as administrative developments, awards, launches, scientific discoveries, corporate and government research results, and other events in countries with aeronautics and astronautics programs. Researchers used the archives and files housed in the NASA History Division, as well as reports and databases on the NASA Web site.

  12. Astronautics and Aeronautics: A Chronology, 1996-2000

    Science.gov (United States)

    Lewis, Marieke; Swanson, Ryan

    2009-01-01

    This report is a chronological compilation of narrative summaries of news reports and government documents highlighting significant events and developments in United States and foreign aeronautics and astronautics. It covers the years 1996 through 2000. These summaries provide a day-by-day recounting of major activities, such as administrative developments, awards, launches, scientific discoveries, corporate and government research results, and other events in countries with aeronautics and astronautics programs. Researchers used the archives and files housed in the NASA History Division, as well as reports and databases on the NASA Web site.

  13. Access to Archived Astronaut Data for Human Research Program Researchers: Update on Progress and Process Improvements

    Science.gov (United States)

    Lee, L. R.; Montague, K. A.; Charvat, J. M.; Wear, M. L.; Thomas, D. M.; Van Baalen, M.

    2016-01-01

    Since the 2010 NASA directive to make the Life Sciences Data Archive (LSDA) and Lifetime Surveillance of Astronaut Health (LSAH) data archives more accessible by the research and operational communities, demand for astronaut medical data has increased greatly. LSAH and LSDA personnel are working with Human Research Program on many fronts to improve data access and decrease lead time for release of data. Some examples include the following: Feasibility reviews for NASA Research Announcement (NRA) data mining proposals; Improved communication, support for researchers, and process improvements for retrospective Institutional Review Board (IRB) protocols; Supplemental data sharing for flight investigators versus purely retrospective studies; Work with the Multilateral Human Research Panel for Exploration (MHRPE) to develop acceptable data sharing and crew consent processes and to organize inter-agency data coordinators to facilitate requests for international crewmember data. Current metrics on data requests crew consenting will be presented, along with limitations on contacting crew to obtain consent. Categories of medical monitoring data available for request will be presented as well as flow diagrams detailing data request processing and approval steps.

  14. Evaluation of a teaching strategy based on integration of clinical subjects, virtual autopsy, pathology museum, and digital microscopy for medical students**

    OpenAIRE

    Diaz-Perez,Julio A.; Sharat Raju; Echeverri, Jorge H.

    2014-01-01

    Background: Learning pathology is fundamental for a successful medical practice. In recent years, medical education has undergone a profound transformation toward the development of an integrated curriculum incorporating both basic science and clinical material. Simultaneously, there has been a shift from a magisterial teaching approach to one centered around problem-based learning. Now-a-days, informatics tools are expected to help better implement these strategies. Aim: We applied and evalu...

  15. Astronaut Linda Godwin uses Shuttle Amateur Radio Experiment

    Science.gov (United States)

    1994-01-01

    Onboard the Space Shuttle Endeavour, Astronaut Linda M. Godwin uses the Shuttle Amateur Radio Experiment (SAREX). The payload commander, as well as several other STS-59 crew members, spent some off-duty time using the amateur radio experiment to communicate with 'Hams' and students on Earth.

  16. Astronaut Linda Godwin during contingency EVA training in WETF

    Science.gov (United States)

    1993-01-01

    Astronaut Linda M. Godwin, payload commander, prepares to donn her helmet before being submerged in a 25-feet deep pool at JSC's Weightless Environment Training Facility (WETF). STS-59 crewmembers are using the WETF to train for contingency space walks for the shuttle Endeavour mission. Godwin is wearing the extravehicular mobility unit (EMU), communication carrier assembly (CCA) but no helmet.

  17. Astronaut Linda Godwin poses with spacesuit she wore for launch

    Science.gov (United States)

    1994-01-01

    Astronaut Linda M. Godwin, STS-59 payload commander, poses with the spacesuit she wore for launch. She will eventually wear the partial pressure suit for the entry phase of the Space Shuttle Endeavour's week and a half mission in Earth orbit.

  18. Astronaut Charles Conrad during visual acuity experiments over Laredo

    Science.gov (United States)

    1965-01-01

    Astronaut Charles Conrad Jr., pilot for the prime crew on the Gemini 5 space flight, takes pictures of predetermined land areas during visual acuity experiments over Laredo, Texas. The experiments will aid in learning to identify known terrestrial features under controlled conditions.

  19. Astronaut Harrison Schmitt participates in simulation aboard KC-135

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison H. Schmitt, lunar module pilot of the Apollo 17 lunar landing mission, simulates preparing to deploy the Surface Electrical Properties Experiment during lunar surface extravehicular activity (EVA) simulation training under one-sixth gravity conditions aboard a U.S. Air Force KC-135 aircraft.

  20. President Nixon at Hickam AFB congratulates Astronaut James Lovell

    Science.gov (United States)

    1970-01-01

    President Richard M. Nixon and Astronaut James A. Lovell Jr., Apollo 13 commander, shake hands at special ceremonies at Hickam Air Force Base, Hawaii. President Nixon was in Hawaii to present the Apollo 13 crew with the Presidential Medal of Freedom, the nation's highest civilian honor.

  1. Fitness variables and the lipid profile in United States astronauts

    Science.gov (United States)

    Berry, M. A.; Squires, W. G.; Jackson, A. S.

    1980-01-01

    The study examines the relationship between several measures of fitness and the lipid profile in United States astronauts. Data were collected on 89 astronauts, previously selected (PSA) and newly selected (NSA), during their annual physical examinations. Several similarities were seen in the two groups. The PSA (mean age of 46.1) had a lower maximum oxygen capacity (41.7 ml kg/min vs. 47.5 ml kg/min); when adjusted for age, it was no different from the NSA (mean age 33.5). The PSA had similar body composition with 15.7% - lower than expected for age. The lipid profiles of the two groups were basically the same with the differences being a function of age. Compared to a normative population, the astronauts had similar cholesterols, lower triglycerides, and higher HDLs. The astronaut profiles were generally more favorable than the age-matched controls, which is felt to be a result of the self-supervised conditioning program and annual preventive medicine consultation and education.

  2. Astronaut Donald Slayton in hatchway between Apollo and Soyuz spacecraft

    Science.gov (United States)

    1975-01-01

    Astronaut Donald K. Slayton, docking module pilot of the American Apollos Soyuz Test Project (ASTP) crew, is seen in the hatchway leading between the Apollo Docking Module (DM) and the Soyuz Orbital Module during the joint U.S.-USSR ASTP docking in Earth orbit mission. The 35mm camera is looking from the the Soyuz into the Docking Module.

  3. Astronaut Donald Slayton participates in ASTP crew training at JSC

    Science.gov (United States)

    1975-01-01

    Astronaut Donald K. Slayton, docking module pilot on the American Apollo Soyuz Test Project (ASTP) prime crew, participates in ASTP joint crew training in bldg 35 at JSC. He is in the Docking Module mock-up. The training simulated activities on the first day in Earth orbit.

  4. Astronaut Neil Armstrong participates in lunar surface siumlation training

    Science.gov (United States)

    1969-01-01

    Astronaut Neil Armstrong, wearing an Extravehicular Mobility Unit (EMU), participates in lunar surface siumlation training on April 18, 1969 in bldg 9, Manned Spacecraft Center (MSC). Armstrong is prime crew commander of the Apollo 11 lunar landing mission. Here, he is opening a sample return container. At the right is the Modular Equipment Stowage Assembly (MESA) and the Lunar Module Mockup.

  5. Astronauts Scott and Armstrong undergoe water egress training

    Science.gov (United States)

    1966-01-01

    Astronauts Neil A. Armstrong (on left), command pilot, and David R. Scott, pilot of the Gemini 8 prime crew, use a boilerplate model of a Gemini spacecraft during water egress training in the Gulf of Mexico. Three Manned Spacecraft Center swimmers assist in the training exercise.

  6. Astronaut Neil Armstrong participates in lunar surface simulation training

    Science.gov (United States)

    1969-01-01

    Astronaut Neil A. Armstrong, wearing an Extravehicular Mobility Unit (EMU), participates in lunar surface simulation training on April 18, 1969 in bldg 9, Manned Spacecraft Center. Armstrong is the prime crew commander of the Apollo 11 lunar landing mission. Here, he is standing on Lunar Module mockup foot pad preparing to ascend steps.

  7. A survey of Rocketry and astronautics in Spain

    Science.gov (United States)

    Maluquer, J. J.

    1977-01-01

    The entire field of rocketry and astronautics in Spain was studied. Congreve war rockets in military actions were emphasized in the African war, the Cuban campaign and the Spanish Civil War. Rockets in space travel were also summarized along with space science fiction.

  8. Astronautics and aeronautics, 1972. [a chronology of events

    Science.gov (United States)

    1974-01-01

    Important events of the U. S. space program during 1972 are recorded in a chronology which encompasses all NASA, NASA related, and international cooperative efforts in aeronautics and astronautics. Personnel and budget concerns are documented, along with the major developments in aircraft research, manned space flight, and interplanetary exploration.

  9. Advanced degrees in astronautical engineering for the space industry

    Science.gov (United States)

    Gruntman, Mike

    2014-10-01

    Ten years ago in the summer of 2004, the University of Southern California established a new unique academic unit focused on space engineering. Initially known as the Astronautics and Space Technology Division, the unit operated from day one as an independent academic department, successfully introduced the full set of degrees in Astronautical Engineering, and was formally renamed the Department of Astronautical Engineering in 2010. The largest component of Department's educational programs has been and continues to be its flagship Master of Science program, specifically focused on meeting engineering workforce development needs of the space industry and government space research and development centers. The program successfully grew from a specialization in astronautics developed in mid-1990s and expanded into a large nationally-visible program. In addition to on-campus full-time students, it reaches many working students on-line through distance education. This article reviews the origins of the Master's degree program and its current status and accomplishments; outlines the program structure, academic focus, student composition, and enrollment dynamics; and discusses lessons learned and future challenges.

  10. Astronauts McNair and Stewart prepare for reentry

    Science.gov (United States)

    1984-01-01

    Astronauts Ronald E. McNair and Robert L. Stewart prepare for the re-entry phase of the shuttle Challenger near the end of the 41-B mission. The are stationed behind the crew commander and pilot. Stewart is already wearing his helmet. McNair is stowing some of his gear.

  11. Astronaut James Lovell undergoes weight and balance tests

    Science.gov (United States)

    1965-01-01

    Astronaut James A. Lovell Jr., pilot of the Gemini 7 space flight, undergoes weight and balance tests in the Pyrotechnic installation Building, Merritt Island. Talking with Lovell are (left to right) Charlie Beaty, McDonnell Aircraft Corporation; Karl Stoien, McDonnell Aircraft; NASA suit technician Al Rochford; and Norm Batterson, Weber Aircraft Corporation.

  12. The selection of commercial astronauts for suborbital spaceflight

    Science.gov (United States)

    Kozak, Brian J.

    With the launch of Dennis Tito aboard a Russian Soyuz rocket in 2001 and SpaceShipOne winning the Ansari X-Prize in 2004, the commercial space tourism industry is on the verge of lifting off. In 2007 Burt Rutan spoke about the future of space tourism, "We think that 100,000 people will fly by 2020" (Rutan, 2007). With such a high frequency of suborbital spaceflights, there is a need for qualified crews to operate the spacecraft. The purpose of this qualitative, exploratory study was to investigate the possible selection criteria for suborbital commercial astronauts within the space tourism industry. Data was collected in the form of telephone and email interviews with 4 of the 5 U.S.-based suborbital space tourism companies participating. Purdue University's extensive astronaut alumni network was used to augment data gathered with five astronauts who have flown in space. In addition, Brian Binnie, the pilot who flew SpaceShipOne on its award winning Ansari X-Prize flight, participated. Grounded Theory and Truth and Reality Testing were used as the theoretical framework for data analysis. The data gathered suggests that the commercial astronaut should have at least a Bachelor's degree in engineering, have a test pilot background with thousands of hours of pilot-in-command time in high performance jet aircraft, be confident yet humble in personality, and have a fundamental understanding of their spacecraft, including spacecraft trajectories, and emergency procedures.

  13. Who is an astronaut? The inadequacy of current international law

    Science.gov (United States)

    Lyall, F.

    2010-06-01

    The concept of 'astronaut' as found in law in the 'space treaties' and elsewhere does not fit well with the modern proposals for commercial space tourism. Will the 'rescue and return' provisions apply to commercial flights? Many national laws will apply to space tourism but for the future the international legal regime should be reconsidered. Finally what may happen in a crisis in space?

  14. Projective drawings for assessing stress among subjects with medical symptoms compatible with sick building syndrome, and validation of a modified version of the Stress Load Index from the Drawing Personality Profile: a pilot study.

    Science.gov (United States)

    Runeson, Roma; Wahlstedt, Kurt; Norbäck, Dan

    2007-02-01

    It was hypothesized that subjects with medical symptoms would show more signs of stress in projective drawings. A Stress Load Index, including five signs of stress in drawings, was evaluated. A questionnaire with an instruction to draw "a person in the rain" was sent to a cohort of 195 subjects, and the drawings were analysed blindly for eight stress items. Men had a higher index than women (p sick building syndrome symptoms (p < .05). In conclusion, a nonverbal projective drawing test detected sex differences which represent directions opposite to those with verbal methods. These need empirical assessment.

  15. Evaluation of a teaching strategy based on integration of clinical subjects, virtual autopsy, pathology museum, and digital microscopy for medical students.

    Science.gov (United States)

    Diaz-Perez, Julio A; Raju, Sharat; Echeverri, Jorge H

    2014-01-01

    Learning pathology is fundamental for a successful medical practice. In recent years, medical education has undergone a profound transformation toward the development of an integrated curriculum incorporating both basic science and clinical material. Simultaneously, there has been a shift from a magisterial teaching approach to one centered around problem-based learning. Now-a-days, informatics tools are expected to help better implement these strategies. We applied and evaluated a new teaching method based on an active combination of clinical problems, gross pathology, histopathology, and autopsy pathology, all given through informatics tools, to teach a group of medical students at the Universidad de Santander, Colombia. Ninety-four medical students were followed in two consecutive semesters. Students were randomized to receive teaching either through traditional methodology or through the new integrated approach. There was no significant difference between the intervention group and the control group at baseline. At the end of the study, the scores in the intervention group were significantly higher compared to the control group (3.91/5.0 vs. 3.33/5.0, P = 0.0008). Students and tutors endorsed the benefits of the integrated approach. Participants were very satisfied with this training approach and rated the program an 8.7 out of 10, on average. This study confirms that an integrated curriculum utilizing informatics systems provides an excellent opportunity to associate pathology with clinical medicine early in training of medical students. This can be possible with the use of virtual microscopy and digital imaging.

  16. Magnetic Resonance Imaging (MRI) of skeletal muscles in astronauts after 9 days of space flight

    Science.gov (United States)

    Jaweed, M.; Narayana, P.; Slopis, J.; Butler, I.; Schneider, V.; Leblanc, A.; Fotedar, L.; Bacon, D.

    1992-01-01

    Skylab data indicated that prolonged exposure of human subjects to microgravity environment causes significant muscle atrophy accompanied by reduced muscle strength and fatigue resistance. The objective of this study was to determine decrements in muscle size, if any, in the soleus and gastrocnemius muscles of male and female astronauts after 9 days of space flight. Methods: Eight astronauts, one female and seven male, between the ages of 31 and 59 years 59-84 kg in body weight were examined by MRI 2-3 times preflight within 16 days before launch, and 2 days, (n=6) and seven days (n=3) after landing. The right leg muscles (gastroc-soleus) were imaged with a lower extremity coil in magnets operating at 1.0 or 1.5 Tsela. The imaging protocol consisted of spin echo with a Tr of 0.70 - 1.5 sec. Thirty to forty 3-5 mm thick slices were acquired in 256 x 128 or 256 x 256 matrices. Acquisition time lasted 20-40 minutes. Multiple slices were measured by computerized planimetry. Results: Compared to the preflight, the cross-sectoral areas (CSA) of the soleus, gastrocnemius, and the leg, at 2 days after landing were reduced (at least p less than 0.05) 8.9 percent, 13.2 percent, and 9.5 percent respectively. The soleus and the leg of three astronauts evaluated at 7 days postflight did not show full recovery compared to the preflight values. Conclusions: It is concluded that l9-days of space flight may cause significant decreases in CSA of the leg muscles. The factors responsible for this loss need further determination.

  17. A Cross-Lingual Mobile Medical Communication System Prototype for Foreigners and Subjects with Speech, Hearing, and Mental Disabilities Based on Pictograms

    Directory of Open Access Journals (Sweden)

    Krzysztof Wołk

    2017-01-01

    Full Text Available People with speech, hearing, or mental impairment require special communication assistance, especially for medical purposes. Automatic solutions for speech recognition and voice synthesis from text are poor fits for communication in the medical domain because they are dependent on error-prone statistical models. Systems dependent on manual text input are insufficient. Recently introduced systems for automatic sign language recognition are dependent on statistical models as well as on image and gesture quality. Such systems remain in early development and are based mostly on minimal hand gestures unsuitable for medical purposes. Furthermore, solutions that rely on the Internet cannot be used after disasters that require humanitarian aid. We propose a high-speed, intuitive, Internet-free, voice-free, and text-free tool suited for emergency medical communication. Our solution is a pictogram-based application that provides easy communication for individuals who have speech or hearing impairment or mental health issues that impair communication, as well as foreigners who do not speak the local language. It provides support and clarification in communication by using intuitive icons and interactive symbols that are easy to use on a mobile device. Such pictogram-based communication can be quite effective and ultimately make people’s lives happier, easier, and safer.

  18. Evaluation of a teaching strategy based on integration of clinical subjects, virtual autopsy, pathology museum, and digital microscopy for medical students**

    Science.gov (United States)

    Diaz-Perez, Julio A.; Raju, Sharat; Echeverri, Jorge H.

    2014-01-01

    Background: Learning pathology is fundamental for a successful medical practice. In recent years, medical education has undergone a profound transformation toward the development of an integrated curriculum incorporating both basic science and clinical material. Simultaneously, there has been a shift from a magisterial teaching approach to one centered around problem-based learning. Now-a-days, informatics tools are expected to help better implement these strategies. Aim: We applied and evaluated a new teaching method based on an active combination of clinical problems, gross pathology, histopathology, and autopsy pathology, all given through informatics tools, to teach a group of medical students at the Universidad de Santander, Colombia. Design: Ninety-four medical students were followed in two consecutive semesters. Students were randomized to receive teaching either through traditional methodology or through the new integrated approach. Results: There was no significant difference between the intervention group and the control group at baseline. At the end of the study, the scores in the intervention group were significantly higher compared to the control group (3.91/5.0 vs. 3.33/5.0, P = 0.0008). Students and tutors endorsed the benefits of the integrated approach. Participants were very satisfied with this training approach and rated the program an 8.7 out of 10, on average. Conclusion: This study confirms that an integrated curriculum utilizing informatics systems provides an excellent opportunity to associate pathology with clinical medicine early in training of medical students. This can be possible with the use of virtual microscopy and digital imaging. PMID:25191624

  19. Evaluation of a teaching strategy based on integration of clinical subjects, virtual autopsy, pathology museum, and digital microscopy for medical students

    Directory of Open Access Journals (Sweden)

    Julio A Diaz-Perez

    2014-01-01

    Full Text Available Background: Learning pathology is fundamental for a successful medical practice. In recent years, medical education has undergone a profound transformation toward the development of an integrated curriculum incorporating both basic science and clinical material. Simultaneously, there has been a shift from a magisterial teaching approach to one centered around problem-based learning. Now-a-days, informatics tools are expected to help better implement these strategies. Aim: We applied and evaluated a new teaching method based on an active combination of clinical problems, gross pathology, histopathology, and autopsy pathology, all given through informatics tools, to teach a group of medical students at the Universidad de Santander, Colombia. Design: Ninety-four medical students were followed in two consecutive semesters. Students were randomized to receive teaching either through traditional methodology or through the new integrated approach. Results: There was no significant difference between the intervention group and the control group at baseline. At the end of the study, the scores in the intervention group were significantly higher compared to the control group (3.91/5.0 vs. 3.33/5.0, P = 0.0008. Students and tutors endorsed the benefits of the integrated approach. Participants were very satisfied with this training approach and rated the program an 8.7 out of 10, on average. Conclusion: This study confirms that an integrated curriculum utilizing informatics systems provides an excellent opportunity to associate pathology with clinical medicine early in training of medical students. This can be possible with the use of virtual microscopy and digital imaging.

  20. General practitioners' beliefs about people with schizophrenia and whether they should be subject to discriminatory treatment when in medical hospital: The mediating role of dangerousness perception.

    Science.gov (United States)

    Magliano, Lorenza; Punzo, Rosanna; Strino, Antonella; Acone, Roberta; Affuso, Gaetana; Read, John

    2017-01-01

    This study explored the relationships between General Practitioners' (GPs) beliefs about People With Schizophrenia (PWS) and GPs' recommendations regarding restrictions for such people when in medical (nonpsychiatric) hospital, and whether these relationships were mediated by dangerousness perception. There were 322 randomly selected Italian GPs who completed a questionnaire measuring beliefs about PWS. Structural Equation Model (SEM) was used to explore the effects of these beliefs on the GPs' views about the need for restrictive rules in hospital. Thirty-1 percent of GPs firmly believed that, in medical wards, PWS should be supervised and 18% that they should be separated from other patients. SEM revealed that belief in such differential treatment was positively related to a belief that PWS need medication for the rest of their lives, and to perceptions of others' need for social distance, and of dangerousness. Dangerousness was, in turn, positively related to the belief that PWS need medication for their lives, and to a perception of the need for social distance, but negatively related to perceived capacity to report health problems. Analyses of indirect effects showed that the relationships of belief in discriminatory treatment with belief in medication for life and with perceived social distance were mediated by perceived dangerousness. GPs' attitudes about PWS appear closely with their beliefs on discriminatory behaviors in hospital, and the mediating role of dangerousness perceptions. Providing GPs with education about schizophrenia treatments and prognosis, and countering stereotypes about dangerousness, could be helpful to reduce GPs' beliefs in the need for discriminatory treatment of PWS. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  1. Cerebrovascular Accident Incidence in the NASA Astronaut Population

    Science.gov (United States)

    LaPelusa, Michael B.; Charvat, Jacqueline M.; Lee, Lesley R.; Wear, Mary L.; Van Baalen, Mary

    2016-01-01

    The development of atherosclerosis is strongly associated with an increased risk for cerebrovascular accidents (CVA), including stroke and transient ischemic attacks (TIA). Certain unique occupational exposures that individuals in the NASA astronaut corps face, specifically high-performance aircraft training, SCUBA training, and spaceflight, are hypothesized to cause changes to the cardiovascular system. These changes, which include (but are not limited to) oxidative damage as a result of radiation exposure and circadian rhythm disturbance, increased arterial stiffness, and increased carotid-intima-media thickness (CIMT), may contribute to the development of atherosclerosis and subsequent CVA. The purpose of this study was to review cases of CVA in the NASA astronaut corps and describe the comorbidities and occupational exposures associated with CVA.

  2. Philosophy on astronaut protection: A physician`s perspective

    Energy Technology Data Exchange (ETDEWEB)

    Holloway, H.

    1997-04-30

    The National Aeronautics and Space Administration has a responsibility to assure that proper ethical standards are applied in establishing and applying limits for the control of radiation doses to the astronauts. Such a responsibility obviously includes assuring that the astronauts are properly informed of the hazards associated with individuals missions and that they agree to accept the associated risks. The responsibility, however, does not end there. It includes a need to discuss how to initiate a discourse for developing the related ethical standards and how to determine who should be involved in their establishment. To assure that such proper communications on matters that encompass the realms of policy, science, politics, and ethics. There is also a need to mesh public perceptions with those of the scientific and technical community. This will be a monumental undertaking.

  3. Melatonin and cortisol assessment of circadian shifts in astronauts before flight

    Science.gov (United States)

    Whitson, P. A.; Putcha, L.; Chen, Y. M.; Baker, E.

    1995-01-01

    Melatonin and cortisol were measured in saliva and urine samples to assess the effectiveness of a 7-day protocol combining bright-light exposure with sleep shifting in eliciting a 12-hr phase-shift delay in eight U.S. Space Shuttle astronauts before launch. Baseline acrophases for 15 control subjects with normal sleep-wake cycles were as follows: cortisol (saliva) at 0700 (0730 in urine); melatonin (saliva) at 0130 (6-hydroxymelatonin sulfate at 0230 in urine). Acrophases of the astronaut group fell within 2.5 hr of these values before the treatment protocols were begun. During the bright-light and sleep-shifting treatments, both absolute melatonin production and melatonin rhythmicity were diminished during the first 3 treatment days; total daily cortisol levels remained constant throughout the treatment. By the fourth to sixth day of the 7-day protocol, seven of the eight crew members showed phase delays in all four measures that fell within 2 hr of the expected 11- to 12-hr shift. Although cortisol and melatonin rhythms each corresponded with the phase shift, the rhythms in these two hormones did not correspond with each other during the transition.

  4. Dysfunctional vestibular system causes a blood pressure drop in astronauts returning from space.

    Science.gov (United States)

    Hallgren, Emma; Migeotte, Pierre-François; Kornilova, Ludmila; Delière, Quentin; Fransen, Erik; Glukhikh, Dmitrii; Moore, Steven T; Clément, Gilles; Diedrich, André; MacDougall, Hamish; Wuyts, Floris L

    2015-12-16

    It is a challenge for the human body to maintain stable blood pressure while standing. The body's failure to do so can lead to dizziness or even fainting. For decades it has been postulated that the vestibular organ can prevent a drop in pressure during a position change--supposedly mediated by reflexes to the cardiovascular system. We show--for the first time--a significant correlation between decreased functionality of the vestibular otolith system and a decrease in the mean arterial pressure when a person stands up. Until now, no experiments on Earth could selectively suppress both otolith systems; astronauts returning from space are a unique group of subjects in this regard. Their otolith systems are being temporarily disturbed and at the same time they often suffer from blood pressure instability. In our study, we observed the functioning of both the otolith and the cardiovascular system of the astronauts before and after spaceflight. Our finding indicates that an intact otolith system plays an important role in preventing blood pressure instability during orthostatic challenges. Our finding not only has important implications for human space exploration; they may also improve the treatment of unstable blood pressure here on Earth.

  5. Astronaut Edwin Aldrin makes sandwich in zero gravity conditions

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., Apollo 11 lunar module pilot, makes a sandwich in zero gravity conditions in this color reproduction taken from at TV transmission from the Apollo 11 spacecraft during its transearth journey home from the moon. When this picture was made, Apollo 11 was approximately 157,000 nautical miles from earth, traveling at a speed of about 4,300 feet per second.

  6. Astronaut Harrison Schmitt standing next to boulder during third EVA

    Science.gov (United States)

    1973-01-01

    Scientist-Astronaut Harrison H. Schmitt is photographed standing next to a huge, split boulder during the third Apollo 17 extravehicular activity (EVA-3) at the Taurus-Littrow landing site on the Moon. The lunar rover, which transported Schmitt and Eugene A. Cernan, mission commander, to this extravehicular station from their Lunar Module, is seen in the background. Schmitt is the Apollo 17 lunar module pilot. The mosaic is made from two frames from Apollo 17 Hasselblad magaine 140.

  7. Astronaut William Gregory practices with PILOT laptop computer

    Science.gov (United States)

    1995-01-01

    Astronaut William G. Gregory, pilot for STS-67 mission, moves a control stick with his hands and monitors a landing scenario on his computer screen aboard the Earth orbiting Space Shuttle Endeavour. This activity measures the effects of space flight on pilot proficiency and is supported by the Portable Inflight Landing Operations Trainer (PILOT). The control stick is positioned near the primary stick which controls the Orbiter's maneuvers.

  8. Probabilistic Risk Assessment for Astronaut Post Flight Bone Fracture

    Science.gov (United States)

    Lewandowski, Beth; Myers, Jerry; Licata, Angelo

    2015-01-01

    Introduction: Space flight potentially reduces the loading that bone can resist before fracture. This reduction in bone integrity may result from a combination of factors, the most common reported as reduction in astronaut BMD. Although evaluating the condition of bones continues to be a critical aspect of understanding space flight fracture risk, defining the loading regime, whether on earth, in microgravity, or in reduced gravity on a planetary surface, remains a significant component of estimating the fracture risks to astronauts. This presentation summarizes the concepts, development, and application of NASA's Bone Fracture Risk Module (BFxRM) to understanding pre-, post, and in mission astronaut bone fracture risk. The overview includes an assessment of contributing factors utilized in the BFxRM and illustrates how new information, such as biomechanics of space suit design or better understanding of post flight activities may influence astronaut fracture risk. Opportunities for the bone mineral research community to contribute to future model development are also discussed. Methods: To investigate the conditions in which spaceflight induced changes to bone plays a critical role in post-flight fracture probability, we implement a modified version of the NASA Bone Fracture Risk Model (BFxRM). Modifications included incorporation of variations in physiological characteristics, post-flight recovery rate, and variations in lateral fall conditions within the probabilistic simulation parameter space. The modeled fracture probability estimates for different loading scenarios at preflight and at 0 and 365 days post-flight time periods are compared. Results: For simple lateral side falls, mean post-flight fracture probability is elevated over mean preflight fracture probability due to spaceflight induced BMD loss and is not fully recovered at 365 days post-flight. In the case of more energetic falls, such as from elevated heights or with the addition of lateral movement

  9. Astronaut Edwin Aldrin walks on lunar surface near leg of Lunar Module

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, walks on the Moon near a leg of the Lunar Module during Apollo 11 extravehicular activity. Astronaut Neil A. Armstrong, Apollo 11 commander, took this photograph with a 70mm lunar surface camera. The astronauts footprints are clearly visible in the foreground.

  10. Game-based evaluation of personalized support for astronauts in long duration missions

    NARCIS (Netherlands)

    Smets, N.J.J.M.; Abbing, M.S.; Neerincx, M.A.; Lindenberg, J.; Oostendorp, H. van

    2008-01-01

    Long duration missions set high requirements for personalized astronaut support that takes into account the social, cognitive and affective state of the astronaut. Such support should be tested as thoroughly as possible before deployment into space. The in-orbit influences of the astronaut's state

  11. Families learn what it's like to be a geoscientist astronaut

    Science.gov (United States)

    Adamec, Bethany Holm

    2012-02-01

    Astronaut and AGU member Andrew Feustel delivered the 2011 Public Lecture on Sunday, 4 December. Feustel gave a fun and engaging talk full of amazing photos about his two space missions: STS-125, during which he and his fellow crew members extended the life of the Hubble Space Telescope, and STS-134, the space shuttle Endeavour's final mission, which delivered the Alpha Magnetic Spectrometer (AMS) to the International Space Station (ISS). AMS is a state-of- the-art instrument designed to study matter and the origin and structure of the universe. Regular Eos readers will remember a July 2011 article about Eos in space, complete with a photo of an issue of Eos floating in front of the ISS window (Eos, 92(28), 236, doi:10.1029/2011EO2800 08). As the enthusiastic AGU member who took that issue into space, Feustel spoke from the unique perspective of someone who was trained in the geosciences before becoming an astronaut. Thus, he discussed the role of astronauts as explorers of Earth from space as well as the importance of geological observations on the Moon and the exploration of the cosmos. To thank him for his dedication, AGU president Mike McPhaden joined more than 160 other attendees at the Public Lecture and presented Feustel with a framed picture of the article featuring Eos in space.

  12. Apollo 11 Astronaut Edwin Aldrin Prepares for Weightless Conditions

    Science.gov (United States)

    1969-01-01

    In preparation of the nation's first lunar landing mission, Apollo 11 crew members underwent training to practice activities they would be performing during the mission. In this photograph, astronaut Edwin E. Aldrin, donned in his space suit, gets in more time under weightless conditions aboard a KC-135 aircraft from the Wright-Patterson Air Force Base. The Apollo 11 mission launched from the Kennedy Space Center (KSC) in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, 'Columbia', piloted by Collins, remained in a parking orbit around the Moon while the LM, 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  13. Apollo 11 Astronaut Aldrin Next to Lunar Module (LM)

    Science.gov (United States)

    1969-01-01

    The first manned lunar landing mission, Apollo 11, launched from the Kennedy Space Center (KSC) in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, piloted by Michael Collins, remained in a parking orbit around the Moon while the LM, named 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon in the Sea of Tranquility. The LM was a two part spacecraft. Its lower or descent stage had the landing gear, engines, and fuel needed for the landing. When the LM blasted off the Moon, the descent stage served as the launching pad for its companion ascent stage, which was also home for the two astronauts on the surface of the Moon. The LM was full of gear with which to communicate, navigate, and rendezvous. It also had its own propulsion system, and an engine to lift it off the Moon and send it on a course toward the orbiting CM. Aldrin is pictured here next to the LM on the lunar surface.

  14. Apollo 11 Astronaut Neil Armstrong During Lunar Rock Collection Training

    Science.gov (United States)

    1969-01-01

    In this photograph, Apollo 11 astronaut Neil A. Armstrong uses a geologist's hammer in selecting rock specimens during a geological field trip to the Quitman Mountains area near the Fort Quitman ruins in far west Texas. Armstrong, alongside astronaut Edwin (Buzz) Aldrin, practiced gathering rock specimens using special lunar geological tools in preparation for the first Lunar landing. Mission was accomplished in July of the same year. Aboard the Marshall Space Fight center (MSFC) developed Saturn V launch vehicle, the Apollo 11 mission launched from The Kennedy Space Center, Florida on July 16, 1969 and safely returned to Earth on July 24, 1969. The 3-man crew aboard the flight consisted of Armstrong, commander; Aldrin, Lunar Module pilot; and a third astronaut Michael Collins, Command Module pilot. Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin, while Collins remained in lunar orbit. The crew collected 47 pounds of lunar surface material which was returned to Earth for analysis. The lunar surface exploration was concluded in 2½ hours.

  15. Reporters Interview Family of Apollo 11 Astronaut Neil Armstrong

    Science.gov (United States)

    1969-01-01

    Newsmen talked with the wife and sons of Apollo 11 astronaut Neil A. Armstrong after the successful launch of Apollo 11 on its trajectory to the moon. The Apollo 11 mission, the first lunar landing mission, launched from the Kennedy Space Center (KSC) in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, 'Columbia', piloted by Collins, remained in a parking orbit around the Moon while the LM, 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  16. Psychological Selection of NASA Astronauts for International Space Station Missions

    Science.gov (United States)

    Galarza, Laura

    1999-01-01

    During the upcoming manned International Space Station (ISS) missions, astronauts will encounter the unique conditions of living and working with a multicultural crew in a confined and isolated space environment. The environmental, social, and mission-related challenges of these missions will require crewmembers to emphasize effective teamwork, leadership, group living and self-management to maintain the morale and productivity of the crew. The need for crew members to possess and display skills and behaviors needed for successful adaptability to ISS missions led us to upgrade the tools and procedures we use for astronaut selection. The upgraded tools include personality and biographical data measures. Content and construct-related validation techniques were used to link upgraded selection tools to critical skills needed for ISS missions. The results of these validation efforts showed that various personality and biographical data variables are related to expert and interview ratings of critical ISS skills. Upgraded and planned selection tools better address the critical skills, demands, and working conditions of ISS missions and facilitate the selection of astronauts who will more easily cope and adapt to ISS flights.

  17. Clerkship directors' practices with respect to preparing students for and using the National Board of Medical Examiners Subject Exam in medicine: results of a United States and Canadian Survey.

    Science.gov (United States)

    Torre, Dario; Papp, Klara; Elnicki, Michael; Durning, Steven

    2009-07-01

    Clerkship directors' practices regarding the National Board of Medical Examiners (NBME) subject exam in medicine are important in enhancing educational evaluation policy. The study's purpose was to determine clerkship directors' use of the subject exam in medicine and related learning activities in the context of curricula and outcomes of the directors' internal medicine clerkships. The authors conducted a survey of directors of internal medicine clerkships in 2007. They performed descriptive statistical and multivariate analyses on all responses. Of 110 clerkship directors, 82 responded to the survey, for an overall response rate of 75%. Eighty-eight percent of the clerkship directors required the NBME subject examination in medicine. The mean minimum passing score was 62 (SD = 4.2); this score was not adjusted throughout the academic year, and it contributed 20% to 25% of the final grade. Most (89%) clerkships allowed students a retake after a failed first attempt. Most clerkship directors prepared students for the NBME subject exam in their programs through some combination of lectures, independent self-study, and review sessions with exam-preparation review books. However, 42% of clerkship directors lacked a specific strategy for a retake after a failure. Clerkship directors' use of the NBME subject exam in medicine is high. Most allow a retake after a first failure, and a combination of strategies is currently provided to help students prepare. A need exists to develop remediation plans for students who fail the exam. This report may serve as a reference for curricular and programmatic clerkship decisions.

  18. Expanding subjectivities

    DEFF Research Database (Denmark)

    Lundgaard Andersen, Linda; Soldz, Stephen

    2012-01-01

    A major theme in recent psychoanalytic thinking concerns the use of therapist subjectivity, especially “countertransference,” in understanding patients. This thinking converges with and expands developments in qualitative research regarding the use of researcher subjectivity as a tool to understa...

  19. European astronaut selected for the third Hubble Space Telescope

    Science.gov (United States)

    1998-08-01

    The STS-104 crew will rendezvous with the orbiting Hubble Space Telescope, which is the size of a city bus, capture it using the Shuttle's Canadian robot arm and secure it in Columbia's payload bay. Then, working in teams of two, the four astronauts will leave the Shuttle's pressurised cabin and venture into the payload bay, performing a variety of tasks that will improve the productivity and reliability of the telescope. The four astronauts will perform a series of six "extravehicular" activities in the open space environment. Such activities are commonly called spacewalks, but this term does little justice to the considerable physical and mental efforts that astronauts need to make in doing the very demanding work involved. The Shuttle commander and pilot for this flight have not yet been appointed, but the four designated mission specialists begin training for the STS-104 mission immediately. "The ambitious nature of this mission, with its six spacewalks, made it important for the payload crew to begin training as early as possible," said David C. Leestma, NASA Director of Flight Crew Operations at the Johnson Space Center in Houston, to which Claude Nicollier is on resident assignment from ESA's European Astronaut Centre in Cologne, Germany, the home base of the European astronaut corps. The Hubble Space Telescope was launched into orbit in April 1990. It is one of the most capable optical telescopes available to astronomers today, producing images and spectral observations at the forefront of astronomy. The European Space Agency contributed a 15 share to the development of Hubble. One of the five scientific instruments on board, the Faint Object Camera, was built by a European industrial consortium made up of British Aerospace, Dornier and Matra under a contract with the European Space Agency. The solar arrays which provide Hubble with electrical power were manufactured by British Aerospace and Dornier. In its eight years of operation, the telescope has not

  20. SEMG analysis of astronaut upper arm during isotonic muscle actions with normal standing posture

    Science.gov (United States)

    Qianxiang, Zhou; Chao, Ma; Xiaohui, Zheng

    sEMG analysis of astronaut upper arm during isotonic muscle actions with normal standing posture*1 Introduction Now the research on the isotonic muscle actions by using Surface Electromyography (sEMG) is becoming a pop topic in fields of astronaut life support training and rehabilitations. And researchers paid more attention on the sEMG signal processes for reducing the influence of noise which is produced during monitoring process and the fatigue estimation of isotonic muscle actions with different force levels by using the parameters which are obtained from sEMG signals such as Condition Velocity(CV), Median Frequency(MDF), Mean Frequency(MNF) and so on. As the lucubrated research is done, more and more research on muscle fatigue issue of isotonic muscle actions are carried out with sEMG analysis and subjective estimate system of Borg scales at the same time. In this paper, the relationship between the variable for fatigue based on sEMG and the Borg scale during the course of isotonic muscle actions of the upper arm with different contraction levels are going to be investigated. Methods 13 young male subjects(23.4±2.45years, 64.7±5.43Kg, 171.7±5.41cm) with normal standing postures were introduced to do isotonic actions of the upper arm with different force levels(10% MVC, 30%MVC and 50%MVC). And the MVC which means maximal voluntary contraction was obtained firstly in the experiment. Also the sEMG would be recorded during the experiments; the Borg scales would be recorded for each contraction level. By using one-third band octave method, the fatigue variable (p) based on sEMG were set up and it was expressed as p = i g(fi ) · F (fi ). And g(fi ) is defined as the frequent factor which was 0.42+0.5 cos(π fi /f0 )+0.08 cos(2π fi /f0 ), 0 f0 . According to the equations, the p could be computed and the relationship between variable p and the Borg scale would be investigated. Results In the research, three kinds of fitted curves between variable p and Borg

  1. Effect of STS space suit on astronaut dominant upper limb EVA work performance

    Science.gov (United States)

    Greenisen, Michael C.

    1987-01-01

    The STS Space Suited and unsuited dominant upper limb performance was evaluated in order to quantify future EVA astronaut skeletal muscle upper limb performance expectations. Testing was performed with subjects standing in EVA STS foot restraints. Data was collected with a CYBEX Dynamometer enclosed in a waterproof container. Control data was taken in one g. During one g testing, weight of the Space Suit was relieved from the subject via an overhead crane with a special connection to the PLSS of the suit. Experimental data was acquired during simulated zero g, accomplished by neutral buoyancy in the Weightless Environment Training Facility. Unsuited subjects became neutrally buoyant via SCUBA BC vests. Actual zero g experimental data was collected during parabolic arc flights on board NASA's modified KC-135 aircraft. During all test conditions, subjects performed five EVA work tasks requiring dominant upper limb performance and ten individual joint articulation movements. Dynamometer velocities for each tested movement were 0 deg/sec, 30 or 60 deg/sec and 120 or 180 deg/sec, depending on the test, with three repetitions per test. Performance was measured in foot pounds of torque.

  2. Mission X: Train Like an Astronaut Pilot Study

    Science.gov (United States)

    Lloyd, Charles W.; Olivotto, C.; Boese, A.; Spiero, F.; Galoforo, G.; Niihori, M.

    2011-01-01

    Mission X: Train Like an Astronaut is an international educational challenge focusing on fitness and nutrition as we encourage students to "train like an astronaut." Teams of students (aged 8-12) learn principles of healthy eating and exercise, compete for points by finishing training modules, and get excited about their future as "fit explorers." The 18 core exercises (targeting strength, endurance, coordination, balance, spatial awareness, and more) involve the same types of skills that astronauts learn in their training and use in spaceflight. This first-of-its-kind cooperative outreach program has allowed 14 space agencies and various partner institutions to work together to address quality health/fitness education, challenge students to be more physically active, increase awareness of the importance of lifelong health and fitness, teach students how fitness plays a vital role in human performance for exploration, and inspire and motivate students to pursue careers in STEM fields. The project was initiated in 2009 in response to a request by the International Space Life Sciences Working Group. USA, Netherlands, Italy, France, Germany, Austria, Colombia, Spain, and United Kingdom hosted teams for the pilot this past spring, and Japan held a modified version of the challenge. Several more agencies provided input into the preparations. Competing on 131 teams, more than 3700 students from 40 cities worldwide participated in the first round of Mission X. OUTCOMES AND BEST PRACTICES Members of the Mission X core team will highlight the outcomes of this international educational outreach pilot project, show video highlights of the challenge, provide the working group s initial assessment of the project and discuss the future potential of the effort. The team will also discuss ideas and best practices for international partnership in education outreach efforts from various agency perspectives and experiences

  3. Atrial Arrhythmias in Astronauts - Summary of a NASA Summit

    Science.gov (United States)

    Barr, Yael R.; Watkins, Sharmila D.; Polk, J. D.

    2010-01-01

    Background and Problem Definition: To evaluate NASA s current standards and practices related to atrial arrhythmias in astronauts, Space Medicine s Advanced Projects Section at the Johnson Space Center was tasked with organizing a summit to discuss the approach to atrial arrhythmias in the astronaut cohort. Since 1959, 11 cases of atrial fibrillation, atrial flutter, or supraventricular tachycardia have been recorded among active corps crewmembers. Most of the cases were paroxysmal, although a few were sustained. While most of the affected crewmembers were asymptomatic, those slated for long-duration space flight underwent radiofrequency ablation treatment to prevent further episodes of the arrhythmia. The summit was convened to solicit expert opinion on screening, diagnosis, and treatment options, to identify gaps in knowledge, and to propose relevant research initiatives. Summit Meeting Objectives: The Atrial Arrhythmia Summit brought together a panel of six cardiologists, including nationally and internationally renowned leaders in cardiac electrophysiology, exercise physiology, and space flight cardiovascular physiology. The primary objectives of the summit discussions were to evaluate cases of atrial arrhythmia in the astronaut population, to understand the factors that may predispose an individual to this condition, to understand NASA s current capabilities for screening, diagnosis, and treatment, to discuss the risks associated with treatment of crewmembers assigned to long-duration missions or extravehicular activities, and to discuss recommendations for prevention or management of future cases. Summary of Recommendations: The summit panel s recommendations were grouped into seven categories: Epidemiology, Screening, Standards and Selection, Treatment of Atrial Fibrillation Manifesting Preflight, Atrial Fibrillation during Flight, Prevention of Atrial Fibrillation, and Future Research

  4. Radiation health consequences for astronauts: mechanisms, monitoring and prevention

    Science.gov (United States)

    Neyfakh, E.

    During space flights crews are exposed chronically to uneven irradiation of enhanced bioefficiency following with significant elevation for chromosomal aberrations as minimum. To protect in space rationally monitoring and preventing of health radiogenic individual primary consequences for astronauts are of high importance. Majority of Chernobyl-touched population has some common etiologic radiogenic mechanisms and radioloads with astronauts ones during long-term missions and former is able to be used well as the close ground-level model. Primary radiogenic deviations. Two radiogenic pathologies as lipoperoxic ( LP ) stress with coupled deficits for essential bioantioxidants ( BAO ) were typical for chronic low-dose Chernobyl-touched contingents. When BAO expenditure had led to their subnormal levels, radiogenic free radical chain -b ranched LP processes occurred in vivo hyperbolically. Catabolites and their free radicals of the abnormal LP cascade are known to be toxic, mutagenic / carcinogenic and teratogenic factors as such, as they are for retinol and tocopherol deficiencies. Both coupled pathogenic factors interrelated synergistically. Simultaneous dysbalances for LP and / or BAO systems were evaluated as the cause and markers for metabolic disregulations. Human LP stress was proved to be the most radiosensible known marker to mo nitor least invasively of blood microsamples in a ground lab via the developed PC Program. But for capsule conditions the best approach is assumed to be LP monitoring via skin ultraweak green-blue chemiluminescence ( CL ) caused by recombination of peroxyl radicals. CL from surfaces of organs was embedded first ( E. Neyfakh, 1964 - 71 ) to reflect their internal LP velocities in vivo and it is the non-invasive on-line simple method of the highest sensitivity, supplying with data transmissible to the ground directly. Related deviations. a) Radiogenic hypermutagenesis: LP catabolites and their free radicals are responsible for direct DNA

  5. Astronaut Harrison Schmitt collects lunar rake samples during EVA

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison H. Schmitt collects lunar rake samples at Station 1 during the first Apollo 17 extravehicular activity (EVA-1) at the Taurus-Littrow landing site. This picture was taken by Astronatu Eugene Cernan, Apollo 17 commander. Schmitt is the lunar module pilot. The lunar rake, An Apollo lunar geology hand tool, is used to collect discrete samples of rocks and rock chips ranging in size from one-half inch (1.3 cm) to one inch (2.5 cm).

  6. Astronautics and Aeronautics, 1986-1990: A Chronology

    Science.gov (United States)

    Gawdiak, Ihor Y.; Miro, Ramon J.; Stueland, Sam

    1997-01-01

    This chronology of events in aeronautics, aviation, space science, and space exploration was prepared by the Federal Research Division of the LibrarY of Congress for the History Division of the National Aeronautics and Space Administration (NASA). It covers the years 1996-1990 and continues the series of annual chronologies published by NASA. The present volume returns to the format used in the Astronautics and Aeronautics, 1979-1984: A Chronology volume. It also integrates in a single table the information presented in two or three previous publications.

  7. Astronautics and Aeronautics, 1991-1995: A Chronology

    Science.gov (United States)

    Gawdiak, Ihor Y. (Compiler); Shetland, Charles (Compiler)

    2000-01-01

    This chronology of events in aeronautics, aviation, space science, and space exploration was prepared by the Federal Research Division of the Library of Congress and RSIS for the History Division of the National Aeronautics and Space Administration (NASA). It covers the years 1991-1995 and continues the series of annual chronologies published by NASA. The present volume uses the format of the previous edition of this series, Astronautics and Aeronautics, 1986-1990: A Chronology. It also integrates, in the appendices, information presented in previous publication

  8. Demonstrating Change with Astronaut Photography Using Object Based Image Analysis

    Science.gov (United States)

    Hollier, Andi; Jagge, Amy

    2017-01-01

    Every day, hundreds of images of Earth flood the Crew Earth Observations database as astronauts use hand held digital cameras to capture spectacular frames from the International Space Station. The variety of resolutions and perspectives provide a template for assessing land cover change over decades. We will focus on urban growth in the second fastest growing city in the nation, Houston, TX, using Object-Based Image Analysis. This research will contribute to the land change science community, integrated resource planning, and monitoring of the rapid rate of urban sprawl.

  9. Sex differences in subjective and objective responses to a stimulant medication (methylphenidate): Comparisons between overweight/obese adults with and without binge-eating disorder.

    Science.gov (United States)

    Davis, Caroline; Levitan, Robert D; Kaplan, Allan S; Carter-Major, Jacqueline C; Kennedy, James L

    2016-05-01

    The purpose of this study was to examine sex differences in response to a single dose of a psychomotor-stimulant medication (methylphenidate: MP) and to assess whether expected differences were moderated by binge-eating disorder (BED) status. It is anticipated that findings will shed light on factors that contribute to response variation in the use of stimulant pharmacotherapy to treat BED. The study employed a double-blind, drug-placebo, cross-over design in overweight/obese adults with BED (n = 90) and without BED (n = 108). Emotional/mood ratings were assessed every 15 minutes after oral administration of the drug/placebo, and appetite, cravings, and consumption were assessed during a laboratory-based snack-food challenge. Women reported earlier and more sustained "overall" effects of the drug-including "feeling high"-than the men. There was also a significantly greater suppression in appetite ratings, food cravings, and food consumption from the placebo to the drug condition among the women. Indeed, among men there were no significant differences between the two conditions on any of the food-related variables. BED status also did not moderate any of the drug-placebo differences. These findings are relevant to the use of stimulant pharmacotherapy for BED, and raise the possibility that overweight/obese men may be relatively less responsive to this form of treatment. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:473-481). © 2015 Wiley Periodicals, Inc.

  10. Fatigue in U.S. Astronauts Onboard the International Space Station: Environmental Factors, Operational Impacts, and Implementation of Countermeasures

    Science.gov (United States)

    Scheuring, R. A.; Moomaw, R. C.; Johnston, S. L.

    2014-01-01

    Since 2000, US astronauts have been supporting missions up to a six month duration on the International Space Station (ISS). Crewmembers have experienced fatigue for reasons similar to military deployments. Astronauts experience psychological stressors such as heavy workloads, extended duty periods, circadian misalignment, inadequate/ineffective sleep, and loss of the environmental cues of a gravity environment. Complicating the psychological stressors are environmental factors; distracting background noise, unexpected and variable mission schedules, unfavorable thermal control, elevated CO2 levels, and an unusual sleep environment with schedules that impinge on pre-sleep periods. Physiological contributors to poor sleep and fatigue include a cephalad fluid shift and back pain. Restful sleep is further challenged due to a lack of gravity-related proprioceptive cues and need for restraints. The term "space fog" has been used by astronauts to describe a phenomenon of forgetfulness, slowed reaction time and transient confusion while trying to complete tasks. There is a distinct temporal correlation with arrival on the Space Station and the onset of slowed cognitive skills and a spontaneous resolution that may take up to 6 weeks. The Genesis of this phenomenon may be chronic fatigue secondary to transitioning from a planar environment to a 360deg microgravity perspective. Recently, countermeasures to improve sleep duration and quality in astronauts on the ISS have been instituted with moderate degrees of success as measured by self-reaction time (psychomotor vigilance task testing), actigraphy, and subjective reports. Judicious use of stimulants and hypnotics, light therapy, controlled sleep periods and sleep shifting and reducing ambient CO2 levels are a few of the most promising countermeasures being used in space to improve sleep and reduce fatigue.

  11. Interaction profile of armodafinil with medications metabolized by cytochrome P450 enzymes 1A2, 3A4 and 2C19 in healthy subjects.

    Science.gov (United States)

    Darwish, Mona; Kirby, Mary; Robertson, Philmore; Hellriegel, Edward T

    2008-01-01

    Armodafinil, a wakefulness-promoting agent, is the pure R-enantiomer of racemic modafinil. The objective of this article is to summarize the results of three clinical drug-interaction studies assessing the potential for drug interactions of armodafinil with agents metabolized by cytochrome P450 (CYP) enzymes 1A2, 3A4 and 2C19. Study 1 evaluated the potential for armodafinil to induce the activity of CYP1A2 using oral caffeine as the probe substrate. Study 2 evaluated the potential for armodafinil to induce gastrointestinal and hepatic CYP3A4 activity using intravenous and oral midazolam as the probe substrate. Study 3 evaluated the potential for armodafinil to inhibit the activity of CYP2C19 using oral omeprazole as the probe substrate. Healthy men and nonpregnant women aged 18-45 years with a body mass index of subjects participated in the three studies (study 1, n = 29; study 2, n = 24; study 3, n = 24). Prolonged armodafinil administration had no effect on the C(max) or the AUC of oral caffeine compared with administration of caffeine

  12. Adherence to Mediterranean Diet Pattern among Spanish Adults Attending a Medical Centre: Nondiabetic Subjects and Type 1 and 2 Diabetic Patients

    Directory of Open Access Journals (Sweden)

    Concepción Vidal-Peracho

    2017-01-01

    Full Text Available Objective. To identify adherence to Mediterranean diet among two groups of Spanish adults: diabetic patients and nondiabetic subjects. Methods. Adherence to Mediterranean diet was measured by a 14-item screener (scale: 0–14; ≤5: low, 6–9: moderate, and ≥10: high in 351 volunteers. Results. Mean age was 50.97 ± 12.58 in nondiabetics (n=154 and 59.50 ± 13.34 in diabetics (n=197. The whole sample scored 8.77 ± 1.82. Score was 9.19 ± 1.84 in nondiabetic females (n=58 and 8.15 ± 1.79 in diabetic females (n=85 (p=0.003, due to lower consumption of olive oil (p=0.005 and nuts (p=0.000. Type 2 diabetic males (n=79; 8.76 ± 1.88 consumed less olive oil than healthy males (n=28; 9.36 ± 1.59 (p=0.046. Up to 30-year-old nondiabetics scored lower than more than 60-year-old nondiabetics (8.40 ± 1.5 versus 9.74 ± 2.03; p=0.047. The youngest ate less olive oil (p=0.002 and more pastries (p=0.007. Conclusions. The sample presented moderate adherence to Mediterranean diet in all subgroups. Scientific evidence about the benefits of Mediterranean diet, olive oil, and nuts supports the recommendation to increase consumption of olive oil and nuts in diabetic women and of daily olive oil in type 2 diabetic men, reducing consumption of red meat, butter, and pastries, and to promote Mediterranean diet among the youngest of the sample studied.

  13. Cytogenetic Biodosimetry Using the Blood Lymphocytes of Astronauts

    Science.gov (United States)

    George, Kerry; Rhone, J.; Chappell, L. J.; Cucinotta, F. A.

    2010-01-01

    Cytogenetic analysis of blood lymphocytes remains the most sensitive and reliable method available for in vivo assessment of the biological effects of exposure to radiation and provides the most informative measurement of radiation induced health risks. To date chromosome damage has been assessed in lymphocytes from more than 30 astronauts before and after they participated in long-duration space missions of three months or more on board the International Space Station. For all individuals, the frequency of chromosome damage measured within a month of return from space was higher than their prefight yield and biodosimetry estimates lie within the range expected from physical dosimetry. Biodosimetry data provides a direct measurement of space radiation damage, which takes into account individual radiosensitivity in the presence of confounding factors such as microgravity and other stress conditions. In contrast to physical measurements, which are external to body and require multiple devices to detect all radiation types all of which have poor sensitivity to neutrons, biodosimetry is internal and includes the effects of shielding provided by the body itself plus chromosome damage shows excellent sensitivity to protons, heavy ions, and neutrons. In addition, chromosome damage is reflective of cancer risk and biodosimetry values can therefore be used to validate and develop risk assessment models that can be used to characterize excess health risk incurred by crewmembers. A review of astronaut biodosimetry data will be presented along with recent findings on the persistence of space radiation induced chromosome damage and the cytogenetic effects of repeat long duration missions

  14. Apollo 11 Astronaut Aldrin Arrives For Launch Activities

    Science.gov (United States)

    1969-01-01

    The Apollo 11 mission, the first manned lunar mission, launched from the Kennedy Space Center, Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. Aldrin Jr., Lunar Module (LM) pilot. The CM, piloted by Michael Collins remained in a parking orbit around the Moon while the LM, named 'Eagle'', carrying astronauts Neil Armstrong and Edwin Aldrin, landed on the Moon. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished. This photograph of Edwin (Buzz) Aldrin was taken upon his arrival at the Flight Crew Training building at the NASA Kennedy Space Center (KSC) a few days prior to launch.

  15. Quarantined Apollo 11 Astronaut Aldrin Speaks With Wife Joan

    Science.gov (United States)

    1969-01-01

    The Apollo 11 mission, the first manned lunar mission, launched from the Kennedy Space Center, Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, piloted by Michael Collins remained in a parking orbit around the Moon while the LM, named 'Eagle'', carrying astronauts Neil Armstrong and Edwin Aldrin, landed on the Moon. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. The recovery operation took place in the Pacific Ocean where Navy para-rescue men recovered the capsule housing the 3-man Apollo 11 crew. The crew was airlifted to safety aboard the U.S.S. Hornet, where they were quartered in a Mobile Quarantine Facility (MQF) which served as their home until they reached the NASA Manned Spacecraft Center (MSC) Lunar Receiving Laboratory in Houston, Texas. On arrival at Ellington Air Force base near the MSC, the crew, still under a 21 day quarantine in the MQF, were greeted by their wives. Pictured here is Joan Aldrin, wife of Buzz Aldrin, speaking with her husband via telephone patch.

  16. Astronaut Edwin E. Aldrin Undergoes Communications Systems Final Check

    Science.gov (United States)

    1969-01-01

    Dunned in his space suit, Lunar Module pilot Edwin E. Aldrin, Jr. does a final check of his communications system before the boarding of the Apollo 11 mission. Launched via a Saturn V launch vehicle, the first manned lunar mission launched from the Kennedy Space Center, Florida on July 16, 1969 and safely returned to Earth on July 24, 1969. The Saturn V vehicle was developed by the Marshall Space Flight Center (MSFC) under the direction of Dr. Wernher von Braun. The 3-man crew aboard the flight consisted of astronauts Aldrin; Michael Collins, Command Module (CM) pilot; and Neil Armstrong, mission commander. Armstrong was the first human to ever stand on the lunar surface, followed by Edwin (Buzz) Aldrin. Meanwhile, astronaut Collins piloted the CM in a parking orbit around the Moon. During a 2½ hour surface exploration, the crew collected 47 pounds of lunar surface material which was returned to Earth for analysis. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  17. Astronaut Edwin Aldrin on Lunar Surface With Core Sampler

    Science.gov (United States)

    1969-01-01

    The Apollo 11 manned lunar mission launched from the Kennedy Space Center, Florida on July 16, 1969 via a Saturn V launch vehicle, and safely returned to Earth on July 24, 1969. The Saturn V vehicle was developed by the Marshall Space Flight Center (MSFC) under the direction of Dr. Wernher von Braun. The 3-man crew aboard the flight consisted of Neil A. Armstrong, commander; Michael Collins, Command Module pilot; and Edwin E. Aldrin Jr., Lunar Module pilot. Carrying astronauts Neil A. Armstrong and Edwin E. Aldrin, Jr., the Lunar Module (LM) 'Eagle' was the first crewed vehicle to land on the Moon. The LM landed on the moon's surface on July 20, 1969 in the region known as Mare Tranquilitatis (the Sea of Tranquility). Armstrong was the first human to ever stand on the lunar surface. As he stepped off the LM, Armstrong proclaimed, 'That's one small step for man, one giant leap for mankind'. He was followed by Edwin Aldrin, describing the lunar surface as magnificent desolation. This photo is of Edwin Aldrin on the lunar surface using the core sampler, one of the many tools used by the astronauts to collect samples. The crew collected 47 pounds of lunar surface material which was returned to Earth for analysis. The surface exploration was concluded in 2½ hours. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  18. Apollo 11 Astronaut Aldrin Carries Equipment on Lunar Surface

    Science.gov (United States)

    1969-01-01

    The first manned lunar landing mission, Apollo 11, launched from the Kennedy Space Center (KSC) in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, piloted by Michael Collins, remained in a parking orbit around the Moon, while the LM, named 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon in the Sea of Tranquility. During 2½ hours of surface exploration, the crew set up experiments, collected 47 pounds of lunar surface material for analysis back on Earth, planted the U.S Flag, and left a message for all mankind. In this photograph, Aldrin walks past some rocks, easily carrying scientific equipment which would have been too heavy to carry on Earth. The two packages made up the Early Apollo Scientific Experiment Package (EASEP) on Apollo 11. On the left is the Passive Seismic Experiment Package (PSEP) and on the right is the Laser Ranging Retroreflector (LRR).

  19. Apollo 17 Astronaut Harrison Schmitt Collects Lunar Rock Samples

    Science.gov (United States)

    1972-01-01

    In this Apollo 17 onboard photo, Lunar Module pilot Harrison H. Schmitt collects rock samples from a huge boulder near the Valley of Tourus-Littrow on the lunar surface. The seventh and last manned lunar landing and return to Earth mission, the Apollo 17, carrying a crew of three astronauts: Schmitt; Mission Commander Eugene A. Cernan; and Command Module pilot Ronald E. Evans, lifted off on December 7, 1972 from the Kennedy Space Flight Center (KSC). Scientific objectives of the Apollo 17 mission included geological surveying and sampling of materials and surface features in a preselected area of the Taurus-Littrow region, deploying and activating surface experiments, and conducting in-flight experiments and photographic tasks during lunar orbit and transearth coast (TEC). These objectives included: Deployed experiments such as the Apollo lunar surface experiment package (ALSEP) with a Heat Flow experiment, Lunar seismic profiling (LSP), Lunar surface gravimeter (LSG), Lunar atmospheric composition experiment (LACE) and Lunar ejecta and meteorites (LEAM). The mission also included Lunar Sampling and Lunar orbital experiments. Biomedical experiments included the Biostack II Experiment and the BIOCORE experiment. The mission marked the longest Apollo mission, 504 hours, and the longest lunar surface stay time, 75 hours, which allowed the astronauts to conduct an extensive geological investigation. They collected 257 pounds (117 kilograms) of lunar samples with the use of the Marshall Space Flight Center designed Lunar Roving Vehicle (LRV). The mission ended on December 19, 1972

  20. Apollo 11 Astronaut Neil Armstrong Performs Ladder Practice

    Science.gov (United States)

    1969-01-01

    In preparation of the nation's first Lunar landing mission, Apollo 11 crew members underwent training activities to practice activities they would be performing during the mission. In this photograph, Neil Armstrong, donned in his space suit, practices getting back to the first rung of the ladder on the Lunar Module (LM). The Apollo 11 mission launched from the Kennedy Space Center (KSC) in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, 'Columbia', piloted by Collins, remained in a parking orbit around the Moon while the LM, 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  1. Apollo 11 Astronaut Neil Armstrong Approaches Practice Helicopter

    Science.gov (United States)

    1969-01-01

    In preparation of the nation's first lunar landing mission, Apollo 11, crew members underwent training to practice activities they would be performing during the mission. In this photograph Neil Armstrong approaches the helicopter he flew to practice landing the Lunar Module (LM) on the Moon. The Apollo 11 mission launched from the Kennedy Space Center (KSC) in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, 'Columbia', piloted by Collins, remained in a parking orbit around the Moon while the LM, 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished

  2. Astronaut Neil A. Armstrong Undergoes Communications Systems Final Check

    Science.gov (United States)

    1969-01-01

    Dunned in his space suit, mission commander Neil A. Armstrong does a final check of his communications system before before the boarding of the Apollo 11 mission. Launched via a Saturn V launch vehicle, the first manned lunar mission launched from the Kennedy Space Center, Florida on July 16, 1969 and safely returned to Earth on July 24, 1969. The Saturn V vehicle was developed by the Marshall Space Flight Center (MSFC) under the direction of Dr. Wernher von Braun. The 3-man crew aboard the flight consisted of astronauts Armstrong; Michael Collins, Command Module (CM) pilot; and Edwin E. Aldrin, Jr., Lunar Module (LM) Pilot. Armstrong was the first human to ever stand on the lunar surface, followed by Edwin (Buzz) Aldrin. Meanwhile, astronaut Collins piloted the CM in a parking orbit around the Moon. During a 2½ hour surface exploration, the crew collected 47 pounds of lunar surface material which was returned to Earth for analysis. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  3. Probabilistic Assessment of Radiation Risk for Astronauts in Space Missions

    Science.gov (United States)

    Kim, Myung-Hee; DeAngelis, Giovanni; Cucinotta, Francis A.

    2009-01-01

    Accurate predictions of the health risks to astronauts from space radiation exposure are necessary for enabling future lunar and Mars missions. Space radiation consists of solar particle events (SPEs), comprised largely of medium energy protons, (less than 100 MeV); and galactic cosmic rays (GCR), which include protons and heavy ions of higher energies. While the expected frequency of SPEs is strongly influenced by the solar activity cycle, SPE occurrences themselves are random in nature. A solar modulation model has been developed for the temporal characterization of the GCR environment, which is represented by the deceleration potential, phi. The risk of radiation exposure from SPEs during extra-vehicular activities (EVAs) or in lightly shielded vehicles is a major concern for radiation protection, including determining the shielding and operational requirements for astronauts and hardware. To support the probabilistic risk assessment for EVAs, which would be up to 15% of crew time on lunar missions, we estimated the probability of SPE occurrence as a function of time within a solar cycle using a nonhomogeneous Poisson model to fit the historical database of measurements of protons with energy > 30 MeV, (phi)30. The resultant organ doses and dose equivalents, as well as effective whole body doses for acute and cancer risk estimations are analyzed for a conceptual habitat module and a lunar rover during defined space mission periods. This probabilistic approach to radiation risk assessment from SPE and GCR is in support of mission design and operational planning to manage radiation risks for space exploration.

  4. Increased EBV Shedding in Astronaut Saliva During Spaceflight

    Science.gov (United States)

    Pierson, D. L.; Stowe, R. P.; Phillips, T.; Lugg, D. J.; Mehta, S. K.

    2003-01-01

    Shedding of Epstein-Barr virus (EBV) by astronauts before, during, and after space shuttle missions was quantified. Of 1398 saliva specimens from 32 astronauts, 314 (23%) were positive for EBV DNA by PCR analysis. Of the saliva specimens collected before flight, 29% were positive for EBV DNA and of those collected during or after flight, 16% were EBV-positive. The number of EBV DNA copies from samples taken during the flight was 417+/-31, significantly higher (P EBV DNA with a frequency of 3.7% and a copy number of 40+/-2 per ml saliva. Ten days before flight and on landing day, antibody titers to EBV viral capsid antigen (VCA) were significantly (P < 0.05) higher than baseline levels. On landing day, urinary level of cortiso1 and catecholamines, and plasma levels of substance P and other neuropeptides, were increased over their preflight value. Results suggested that stress associated with spaceflight decreases cellular immunity and thereby leads to increased viral reactivation.

  5. Might astronauts one day be treated like return samples?

    Science.gov (United States)

    Arnould, Jacques; Debus, André

    2008-09-01

    The next time humans set foot on the Moon or another planet, will we treat the crew like we would a sample return mission when they come back to Earth? This may seem a surprising or even provocative question, but it is one we need to address. The hurdles and hazards of sending humans to Mars for example, the technology constraints and physiological and psychological challenges are many; but let us not forget the need to protect populations and environments from the risk of contamination [United Nations, treaty on principles governing the activities of states in the exploration and use of outer space, including the Moon and other celestial bodies (the “Outer Space Treaty”) referenced 610 UNTS 205 - resolution 2222(XXI) of December 1966]. The first hurdle is the size of crew modules. It is hard to envisage being able to decontaminate a crew module as thoroughly as we can interplanetary probes at launch. And once a crew arrives on Mars, it will not be easy either to break the chain of contact between their habitat and the Martian environment. How will astronauts avoid coming into direct contact with Mars dust when they remove their spacesuits in the airlock? How will they avoid bringing it into the crew module, and then back to Earth? At this stage, it would seem vital to do preliminary research on unmanned exobiology missions to identify zones that do not, a priori, pose a contamination hazard for astronauts. However, this precaution will not dispense with the need to perfect methods to chemically sterilize Mars dust inside airlocks, and quarantine procedures for the return to Earth. While the technology challenges of protecting astronauts and their habitat are considerable, the ethical issues are not to be underestimated either. They must be addressed alongside all the other issues bound up with human spaceflight, chief among them astronauts’ acceptance of the risk of a launch failure and other accidents, exposure to cosmic radiation and so on. For missions to

  6. SUBJECT INDEX

    Indian Academy of Sciences (India)

    Subject Index. Variation of surface electric field during geomagnetic disturbed period at Maitri, Antarctica. 1721. Geomorphology. A simple depression-filling method for raster and irregular elevation datasets. 1653. Decision Support System integrated with Geographic. Information System to target restoration actions in water-.

  7. Monitoring Astronaut Health at the Nanoscale Cellular Level Through the Eye

    Science.gov (United States)

    Ansari, Rafat R.; Singh, Bhim S.; Rovati, Luigi; Docchio, Franco; Sebag, Jerry

    2000-01-01

    A user friendly goggles-like head-mounted device equipped with a suite of instruments for several non-invasive and quantitative medical evaluation of the eye, skin, and brain is desired for monitoring the health of astronauts during space travel and exploration of neighboring and distant planets. Real-time non-invasive evaluation of the different structures within the above organs can provide indices of the health of not just these organs, but the entire body. The techniques such as dynamic light scattering (for the early detection of uveitis, cholesterol levels, cataract, changes in the vitreous and possibly Alzheimer's disease), corneal autofluorescence (to assess extracellular matrix biology e.g., in diabetes), optical activity measurements (of anterior ocular fluid to evaluate blood-glucose levels), laser Doppler velocimetry (to assess retinal, optic nerve, and choroidal blood flow), reflectometry/oximetry (for assessing ocular and central nervous system oxygen metabolism), optical coherence tomography (to determine retinal tissue microstructure) and possibly scanning laser technology (for intraocular tissue imaging and scanning) will he integrated into this compact device. Skin sensors will also be mounted on the portion of the device in contact with the periocular region. This will enable monitoring of body temperature, EEG, and electrolyte status. This device will monitor astronaut health during long-duration space travel by detecting aberrations from pre-established "nonns", enabling prompt diagnosis and possibly the initiation of early preventative/curative therapy. The non-invasive nature of the device technologies permits frequent repetition of tests, enabling real-time complete crew health monitoring. This device may ultimately be useful in tele-medicine to bring modern healthcare to under-served areas on Earth as well as in so-called "advanced" care settings (e.g. diabetes in the USA).

  8. Improving Bone-Health Monitoring in Astronauts: Recommended Use of Quantitative Computed Tomography [QCT] for Clinical and Operational Decisions by NASA

    Science.gov (United States)

    Sibonga, J. D.; Truszkowski, P.

    2010-01-01

    DXA measurement of areal bone mineral density [aBMD,g/cm2] is required by NASA for assessing skeletal integrity in astronauts. Due to the abundance of population-based data that correlate hip and spine BMDs to fragility fractures, BMD is widely applied as a predictor of fractures in the general aging population. In contrast, QCT is primarily a research technology that measures three-dimensional , volumetric BMD (vBMD,mg/cm3) of bone and is therefore capable of differentiating between cortical and trabecular components. Additionally, when combined with Finite Element Modeling [FEM], a computational tool, QCT data can be used to estimate the whole bone strength of the hip [FE strength] for a specific load vector. A recent report demonstrated that aBMD failed to correlate with incurred changes in FE strength (for fall and stance loading) by astronauts over typical 180-day ISS (International Space Station) missions. While there are no current guidelines for using QCT data in clinical practice, QCT increases the understanding of how bone structure and mineral content are affected by spaceflight and recovery on Earth. In order to understand/promote/consider the use of QCT, NASA convened a panel of clinicians specializing in osteoporosis. After reviewing the available, albeit limited, medical and research information from long-duration astronauts (e.g., data from DXA, QCT, FEM, biochemistry analyses, medical records and in-flight exercise performance) the panelists were charged with recommending how current and future research data and analyses could inform clinical and operational decisions. The Panel recommended that clinical bone tests on astronauts should include QCT (hip and lumbar spine) for occupational risk surveillance and for the estimation of whole hip bone strength as derived by FEM. FE strength will provide an improved index that NASA could use to select astronauts of optimal bone health for extended duration missions, for repeat missions or for specific

  9. Astronaut Edwin Aldrin poses for photograph beside deployed U.S. flag

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, poses for a photograph beside the deployed United States flag during Apollo 11 extravehicular activity on the lunar surface. The Lunar Module 'Eagle' is on the left. The footprints of the astronauts are clearly visible in the soil of the moon. This picture was taken by Astronaut Neil A. Armstrong, commander, with a 70mm lunar surface camera.

  10. Expanding the Description of Spaceflight Effects beyond Bone Mineral Density [BMD]: Trabecular Bone Score [TBS] in ISS Astronauts

    Science.gov (United States)

    Sibonga, J. D.; Spector, E. R.; King, L. J.; Evans, H. J.; Smith, S. A.

    2014-01-01

    Dual-energy x-ray absorptiometry [DXA] is the widely-applied bone densitometry method used to diagnose osteoporosis in a terrestrial population known to be at risk for age-related bone loss. This medical test, which measures areal bone mineral density [aBMD] of clinically-relevant skeletal sites (e.g., hip and spine), helps the clinician to identify which persons, among postmenopausal women and men older than 50 years, are at high risk for low trauma or fragility fractures and might require an intervention. The most recognized osteoporotic fragility fracture is the vertebral compression fracture which can lead to kyphosis or hunched backs typically seen in the elderly. DXA measurement of BMD however is recognized to be insufficient as a sole index for assessing fracture risk. DXA's limitation may be related to its inability to monitor changes in structural parameters, such as trabecular vs. cortical bone volumes, bone geometry or trabecular microarchitecture. Hence, in order to understand risks to human health and performance due to space exposure, NASA needs to expand its measurements of bone to include other contributors to skeletal integrity. To this aim, the Bone and Mineral Lab conducted a pilot study for a novel measurement of bone microarchitecture that can be obtained by retrospective analysis of DXA scans. Trabecular Bone Score (TBS) assesses changes to trabecular microarchitecture by measuring the grey color "texture" information extracted from DXA images of the lumbar spine. An analysis of TBS in 51 ISS astronauts was conducted to assess if TBS could detect 1) an effect of spaceflight and 2) a response to countermeasures independent of DXA BMD. In addition, changes in trunk body lean tissue mass and in trunk body fat tissue mass were also evaluated to explore an association between body composition, as impacted by ARED exercise, and bone microarchitecture. The pilot analysis of 51 astronaut scans of the lumbar spine suggests that, following an ISS

  11. Former Dryden pilot and NASA astronaut Neil Armstrong

    Science.gov (United States)

    1991-01-01

    Famed astronaut Neil A. Armstrong, the first man to set foot on the moon during the historic Apollo 11 space mission in July 1969, served for seven years as a research pilot at the NACA-NASA High-Speed Flight Station, now the Dryden Flight Research Center, at Edwards, California, before he entered the space program. Armstrong joined the National Advisory Committee for Aeronautics (NACA) at the Lewis Flight Propulsion Laboratory (later NASA's Lewis Research Center, Cleveland, Ohio, and today the Glenn Research Center) in 1955. Later that year, he transferred to the High-Speed Flight Station at Edwards as an aeronautical research scientist and then as a pilot, a position he held until becoming an astronaut in 1962. He was one of nine NASA astronauts in the second class to be chosen. As a research pilot Armstrong served as project pilot on the F-100A and F-100C aircraft, F-101, and the F-104A. He also flew the X-1B, X-5, F-105, F-106, B-47, KC-135, and Paresev. He left Dryden with a total of over 2450 flying hours. He was a member of the USAF-NASA Dyna-Soar Pilot Consultant Group before the Dyna-Soar project was cancelled, and studied X-20 Dyna-Soar approaches and abort maneuvers through use of the F-102A and F5D jet aircraft. Armstrong was actively engaged in both piloting and engineering aspects of the X-15 program from its inception. He completed the first flight in the aircraft equipped with a new flow-direction sensor (ball nose) and the initial flight in an X-15 equipped with a self-adaptive flight control system. He worked closely with designers and engineers in development of the adaptive system, and made seven flights in the rocket plane from December 1960 until July 1962. During those fights he reached a peak altitude of 207,500 feet in the X-15-3, and a speed of 3,989 mph (Mach 5.74) in the X-15-1. Armstrong has a total of 8 days and 14 hours in space, including 2 hours and 48 minutes walking on the Moon. In March 1966 he was commander of the Gemini 8

  12. The assessment and analysis of astronaut mental fatigue in long-duration spaceflight

    Science.gov (United States)

    Li, Yun; Zhou, Qianxiang; Zu, Xiaoqi

    2012-07-01

    In the field of aerospace, mental work has become the main form of most operations, and the other operations are mixed works which are mental work dominated. Confined spaces, silent space environment, specified mode of communication, limited contract with the ground and discomfort of weightlessness also can lead to the aggravation and acceleration of mental fatigue. In aerospace activities, due to the instantaneous distraction of operator, slow response or lack of coordination could lead to serious accident, the study of mental fatigue is particularly important. In order to study the impact of continuous mental task and rest, we conducted an experiment which combined subjective evaluation with physiology index evaluation. Five subjects were selected in the experiment, and they were asked to perform continuous operation task in a simulator to imitate astronaut schedule. In the course of the experiment, subjective fatigue score (used Samn-Perelli and SWAT) and EEG power spectra were measured at the following hours: 8:00(starting time), 11:30, 15:00, 19:00, 23:00(before sleep), 6:00(after sleep), and 8:00(end time). The experiment showed that a short rest is not enough to make the subjects restored to the original state. The reduction of high frequency components and increase of low frequency in EEG also became more obvious with the increased mental fatigue. Gravity frequency of EEG had a shift to low frequency and is strongly correlated with mental fatigue level. These phenomena were similar with the results of subjective test. The SWAT also could tell us the main causes of metal fatigue during this process.

  13. Medical criminalistics.

    Science.gov (United States)

    Pollak, S

    2007-01-17

    Medical criminalistics is an essential part of legal/forensic medicine. It includes the clinical examination of surviving victims and suspects, the inspection of the scene in suspicious deaths with subsequent performance of medico-legal autopsies, the assessment of (biological) traces and the reconstruction of criminal events under medical aspects. Just as the circumstances of life and the manifestations of crime are changing with time, there is a permanent alteration regarding the issues of medical criminalistics. Legal/forensic medicine is a university subject in most countries and therefore, research work is one of the main tasks also in medical criminalistics. In contrast to clinical medicine and basic research, some common study designs are not suitable for the special needs of medical criminalistics, whereas other types are more appropriate like epidemiological evaluations, cross-sectional studies and (retrospective) observation studies. Moreover, experimental model tests and case reports also rate high in medical criminalistics.

  14. Characterizing Fractures Across the Astronaut Corps: Preliminary Findings from Population-Level Analysis

    Science.gov (United States)

    Rossi, Meredith M.; Charvat, Jacqueline; Sibonga, Jean; Sieker, Jeremy

    2017-01-01

    Despite evidence of bone loss during spaceflight and operational countermeasures to mitigate this loss, the subsequent risk of fracture among astronauts is not known. The physiologic process of diminished bone density and bone recovery during or following spaceflight is multifactorial. Such factors as age, sex, fracture history, and others may combine to increase fracture risk among astronauts. As part of the 2016 Bone Research and Clinical Advisory Panel (RCAP), the authors analyzed data collected on 338 NASA astronauts to describe the demographics, bone-relevant characteristics, and fracture history of the astronaut population. The majority of the population are male (n=286, 84.6%), have flown at least one mission (n=306, 90.5%), and were between the ages of 30 and 49 at first mission (n=296, 96.7% of those with at least one mission). Of the 338 astronauts, 241 (71.3%) experienced a fracture over the course of their lifetime. One hundred and five (43.5%) of these 241 astronauts only experienced a fracture prior to being selected into the Astronaut Corps, whereas 53 (22.0%) only experienced a fracture after selection as an astronaut. An additional 80 astronauts (33.2%) had both pre- and post-selection fractures. The remaining 3 astronauts had a fracture of unknown date, which could not be categorized as pre- or post-selection. Among the 133 astronauts with at least one post-selection fracture, males comprised 90.2% (n=120) compared to 84.5% of the entire Corps, and females accounted for 9.8% (n=13) compared to 15.4% of the Corps. Ninety-seven of the 133 astronauts with post-selection fractures (72.9%) had one fracture event, 22 (16.5%) had two fractures, and 14 (10.5%) had three or more fractures. Some astronauts with multiple fractures suffered these in a single event, such as an automobile accident. The 133 astronauts with a post-selection fracture accounted for a total of 188 fracture events. One hundred and four (78.2%) of astronauts with post

  15. Monitoring Bone Health after Spaceflight: Data Mining to Support an Epidemiological Analysis of Age-related Bone Loss in Astronauts

    Science.gov (United States)

    Baker, K. S,; Amin, S.; Sibonga, Jean D.

    2009-01-01

    Through the epidemiological analysis of bone data, HRP is seeking evidence as to whether the prolonged exposure to microgravity of low earth orbit predisposes crewmembers to an earlier onset of osteoporosis. While this collaborative Epidemiological Project may be currently limited by the number of ISS persons providing relevant spaceflight medical data, a positive note is that it compares medical data of astronauts to data of an age-matched (not elderly) population that is followed longitudinally with similar technologies. The inclusion of data from non-ISS and non-NASA crewmembers is also being pursued. The ultimate goal of this study is to provide critical information for NASA to understand the impact of low physical or minimal weight-bearing activity on the aging process as well as to direct its development of countermeasures and rehabilitation programs to influence skeletal recovery. However, in order to optimize these results NASA needs to better define the requirements for long term monitoring and encourage both active and retired astronauts to contribute to a legacy of data that will define human health risks in space.

  16. Donald W. Shellack Greeted by Astronauts and MSFC Personnel

    Science.gov (United States)

    1972-01-01

    Downey, California high school student, Donald W. Shellack, is greeted by (left to right): Astronauts Russell L. Schweickart, and Owen K. Garriott; Marshall Space Flight Center (MSFC) Skylab Program Manager, Leland Belew; and MSFC Director of Administration and Technical Services, David Newby, during a tour of MSFC. Shellack was among 25 winners of a contest in which some 3,500 high school students proposed experiments for the following year's Skylab mission. The nationwide scientific competition was sponsored by the National Science Teachers Association and the National Aeronautics and Space Administration (NASA). The winning students, along with their parents and sponsor teachers, visited MSFC where they met with scientists and engineers, participated in design reviews for their experiments, and toured MSFC facilities. Of the 25 students, 6 did not see their experiments conducted on Skylab because the experiments were not compatible with Skylab hardware and timelines. Of the 19 remaining, 11 experiments required the manufacture of additional equipment.

  17. Current and future translation trends in aeronautics and astronautics

    Science.gov (United States)

    Rowe, Timothy

    1986-01-01

    The pattern of translation activity in aeronautics and astronautics is reviewed. It is argued that the international nature of the aerospace industry and the commercialization of space have increased the need for the translation of scientific literature in the aerospace field. Various factors which can affect the quality of translations are examined. The need to translate the activities of the Soviets, Germans, and French in materials science in microgravity, of the Japanese, Germans, and French in the development of industrial ceramics, and of the Chinese in launching and communications satellites is discussed. It is noted that due to increases in multilateral and bilateral relationships in the aerospace industry, the amount of translation from non-English source material into non-English text will increase and the most important languages will be French and German, with an increasing demand for Japanese, Chinese, Spanish, and Italian translations.

  18. Astronaut Parazynski greets First Lady Hillary Clinton and Chelsea Clinton

    Science.gov (United States)

    1999-01-01

    First Lady Hillary Rodham Clinton (right) and her daughter, Chelsea, are greeted by NASA Astronaut Scott E. Parazynski (left) upon their arrival at the Skid Strip at Cape Canaveral Air Station to view the launch of Space Shuttle mission STS-93. Liftoff is scheduled for 12:36 a.m. EDT July 20. Much attention has been generated over the launch due to Commander Eileen M. Collins, the first woman to serve as commander of a Shuttle mission. The primary payload of the five-day mission is the Chandra X-ray Observatory, which will allow scientists from around the world to study some of the most distant, powerful and dynamic objects in the universe. The new telescope is 20 to 50 times more sensitive than any previous X-ray telescope and is expected to unlock the secrets of supernovae, quasars and black holes.

  19. Neal W. Shannon Greeted by Astronauts and MSFC Personnel

    Science.gov (United States)

    1972-01-01

    Atlanta, Georgia high school student, Neal W. Shannon, is greeted by (left to right): Astronauts Russell L. Schweickart, and Owen K. Garriott; Marshall Space Flight Center (MSFC) Skylab Program Manager, Leland Belew; and MSFC Director of Administration and Technical Services, David Newby, during a tour of MSFC. Shannon was among 25 winners of a contest in which some 3,500 high school students proposed experiments for the following year's Skylab mission. The nationwide scientific competition was sponsored by the National Science Teachers Association and the National Aeronautics and Space Administration (NASA). The winning students, along with their parents and sponsor teachers, visited MSFC where they met with scientists and engineers, participated in design reviews for their experiments, and toured MSFC facilities. Of the 25 students, 6 did not see their experiments conducted on Skylab because the experiments were not compatible with Skylab hardware and timelines. Of the 19 remaining, 11 experiments required the manufacture of additional equipment.

  20. The Astronaut-Athlete: Optimizing Human Performance in Space.

    Science.gov (United States)

    Hackney, Kyle J; Scott, Jessica M; Hanson, Andrea M; English, Kirk L; Downs, Meghan E; Ploutz-Snyder, Lori L

    2015-12-01

    It is well known that long-duration spaceflight results in deconditioning of neuromuscular and cardiovascular systems, leading to a decline in physical fitness. On reloading in gravitational environments, reduced fitness (e.g., aerobic capacity, muscular strength, and endurance) could impair human performance, mission success, and crew safety. The level of fitness necessary for the performance of routine and off-nominal terrestrial mission tasks remains an unanswered and pressing question for scientists and flight physicians. To mitigate fitness loss during spaceflight, resistance and aerobic exercise are the most effective countermeasure available to astronauts. Currently, 2.5 h·d, 6-7 d·wk is allotted in crew schedules for exercise to be performed on highly specialized hardware on the International Space Station (ISS). Exercise hardware provides up to 273 kg of loading capability for resistance exercise, treadmill speeds between 0.44 and 5.5 m·s, and cycle workloads from 0 and 350 W. Compared to ISS missions, future missions beyond low earth orbit will likely be accomplished with less vehicle volume and power allocated for exercise hardware. Concomitant factors, such as diet and age, will also affect the physiologic responses to exercise training (e.g., anabolic resistance) in the space environment. Research into the potential optimization of exercise countermeasures through use of dietary supplementation, and pharmaceuticals may assist in reducing physiological deconditioning during long-duration spaceflight and have the potential to enhance performance of occupationally related astronaut tasks (e.g., extravehicular activity, habitat construction, equipment repairs, planetary exploration, and emergency response).

  1. Prevalence of sleep deficiency and use of hypnotic drugs in astronauts before, during, and after spaceflight: an observational study.

    Science.gov (United States)

    Barger, Laura K; Flynn-Evans, Erin E; Kubey, Alan; Walsh, Lorcan; Ronda, Joseph M; Wang, Wei; Wright, Kenneth P; Czeisler, Charles A

    2014-09-01

    Sleep deprivation and fatigue are common subjective complaints among astronauts. Previous studies of sleep and hypnotic drug use in space have been limited to post-flight subjective survey data or in-flight objective data collection from a small number of crew members. We aimed to characterise representative sleep patterns of astronauts on both short-duration and long-duration spaceflight missions. For this observational study, we recruited crew members assigned to Space Transportation System shuttle flights with in-flight experiments between July 12, 2001, and July 21, 2011, or assigned to International Space Station (ISS) expeditions between Sept 18, 2006, and March 16, 2011. We assessed sleep-wake timing objectively via wrist actigraphy, and subjective sleep characteristics and hypnotic drug use via daily logs, in-flight and during Earth-based data-collection intervals: for 2 weeks scheduled about 3 months before launch, 11 days before launch until launch day, and for 7 days upon return to Earth. We collected data from 64 astronauts on 80 space shuttle missions (26 flights, 1063 in-flight days) and 21 astronauts on 13 ISS missions (3248 in-flight days), with ground-based data from all astronauts (4014 days). Crew members attempted and obtained significantly less sleep per night as estimated by actigraphy during space shuttle missions (7·35 h [SD 0·47] attempted, 5·96 h [0·56] obtained), in the 11 days before spaceflight (7·35 h [0·51], 6·04 h [0·72]), and about 3 months before spaceflight (7·40 h [0·59], 6·29 h [0·67]) compared with the first week post-mission (8·01 h [0·78], 6·74 h [0·91]; psleep during spaceflight (6·09 h [0·67]), in the 11 days before spaceflight (5·86 h [0·94]), and during the 2-week interval scheduled about 3 months before spaceflight (6·41 h [SD 0·65]) compared with in the first week post-mission (6·95 h [1·04]; psleep-promoting drug on 500 (52%) of 963 nights; 12 (75%) of 16 ISS crew members reported using sleep

  2. Group 13, 1990 Astronaut Class candidate Sherlock examines T-38 landing gear

    Science.gov (United States)

    1990-01-01

    Astronaut candidate (ASCAN) Nancy J. Sherlock examines T-38A landing gear along with a NASA Staff Pilot during T-38A flight training at Ellington Field located near JSC. Sherlock, along with classmates from the Group 13 1990 Astronaut class, participated in the familiarization session prior to flying aboard the T-38A aircraft.

  3. Astronaut Edwin Aldrin descends steps of Lunar Module ladder to walk on moon

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, descends the steps of the Lunar Module (LM) ladder as he prepares to walk on the Moon. He had just egressed the LM. This picture was taken by Astronaut Neil A. Armstrong, commander, with a 70mm lunar surface camera.

  4. Astronaut Harrison Schmitt seated in Lunar Roving Vehicle during EVA-3

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison H. Schmitt is photographed seated in the Lunar Roving Vehicle (LRV) at Station 9 (Van Serg Crater) during the third Apollo 17 extrvehicular activity (EVA-3) at the Taurus-Littrow landing site. This photograph was taken by Astronaut Eugene A. Cernan, crew commander.

  5. Astronaut Donald H. Peterson talks with others during training session STS-6

    Science.gov (United States)

    1982-01-01

    Astronaut Donald H. Peterson talks with Astronaut James P. Bagian (almost out of frame at right edge) during a training session for STS-6 crew members in the Shuttle mockup and integration laboratory. Petterson is wearing the shuttle flight suit and holding his helmet.

  6. A Program of Research and Education in Astronautics at the NASA Langley Research Center

    Science.gov (United States)

    Tolson, Robert H.

    2000-01-01

    The objectives of the Program were to conduct research at the NASA Langley Research Center in the area of astronautics and to provide a comprehensive education program at the Center leading to advanced degrees in Astronautics. We believe that the program has successfully met the objectives and has been of significant benefit to NASA LaRC, the GWU and the nation.

  7. Supporting complex astronaut tasks: the right advice at the right time

    NARCIS (Netherlands)

    Bos, A.; Breebaart, L.; Grant, T.; Neerincx, M.; Wolff, M.; Brauer, U.; Soler, A.O.

    2006-01-01

    A challenge for future human planetary exploration missions will be to empower the astronauts with sufficient cognitive support so that they can make decisions in much more autonomous fashion than in current missions. Future astronauts will be told the goal they need to realize; they have to work

  8. A multi-purpose tactile vest for astronauts in the international space station

    NARCIS (Netherlands)

    Erp, J.B.F. van; Veen, H.A.H.C. van

    2003-01-01

    During a 10 day taxiflight to the International Space Station (ISS) in 2004, Dutch astronaut André Kuipers is scheduled to test a multi-purpose vibrotactile vest. The main application of the vest is supporting the astronaut's orientation awareness. To this end, we employ an artificial gravity vector

  9. Changes in mitochondrial homeostasis and redox status in astronauts following long stays in space

    DEFF Research Database (Denmark)

    Indo, Hiroko P; Majima, Hideyuki J; Terada, Masahiro

    2016-01-01

    The effects of long-term exposure to extreme space conditions on astronauts were investigated by analyzing hair samples from ten astronauts who had spent six months on the International Space Station (ISS). Two samples were collected before, during and after their stays in the ISS; hereafter, ref...

  10. Gastrointestinal Physiology During Head Down Tilt Bedrest in Human Subjects

    Science.gov (United States)

    Vaksman, Z.; Guthienz, J.; Putcha, L.

    2008-01-01

    Introduction: Gastrointestinal (GI) motility plays a key role in the physiology and function of the GI tract. It directly affects absorption of medications and nutrients taken by mouth, in addition to indirectly altering GI physiology by way of changes in the microfloral composition and biochemistry of the GI tract. Astronauts have reported nausea, loss of appetite and constipation during space flight all of which indicate a reduction in GI motility and function similar to the one seen in chronic bed rest patients. The purpose of this study is to determine GI motility and bacterial proliferation during -6 degree head down tilt bed rest (HTD). Methods: Healthy male and female subjects between the ages of 25-40 participated in a 60 day HTD study protocol. GI transit time (GITT) was determined using lactulose breath hydrogen test and bacterial overgrowth was measured using glucose breath hydrogen test. H. Pylori colonization was determined using C13-urea breath test (UBIT#). All three tests were conducted on 9 days before HDT, and repeated on HDT days 2, 28, 58, and again on day 7 after HDT. Results: GITT increased during HTD compared to the respective ambulatory control values; GITT was significantly lower on day 7 after HTD. A concomitant increase in bacterial colonization was also noticed during HDT starting after approximately 28 days of HDT. However, H. Pylori proliferation was not recorded during HDT as indicated by UBIT#. Conclusion: GITT significantly decreased during HDT with a concomitant increase in the proliferation of GI bacterial flora but not H. pylori.

  11. Carotid Intima Media Thickness in the Astronaut Corps: Association to Spacecraft

    Science.gov (United States)

    Suffredini, John; Locke, James; Johnston, Smith; Charvat, Jacqueline; Young, Millennia; Garcia, Kathleen; Sargsyan, Ashot E.; Tarver, William

    2017-01-01

    Background: Carotid Intima Media Thickness (CIMT) has been demonstrated to be predictive of future cardiovascular events. Within various populations, radiation exposure, stress, and physical confinement have all been linked to an increased CIMT. Recent research discovered CIMT was significantly increased in ten long duration astronauts from pre-flight to four days post flight. The relationship between spaceflight and CIMT is not understood and trends in CIMT within the larger astronaut population are unknown. Methods: In 2010, CIMT was offered as part of the astronaut annual exam at the JSC Flight Medicine Clinic using a standardized CIMT screening protocol and professional sonographers. Between 2010 and 2016, CIMT measurements were collected on 213 NASA astronauts and payload specialists. The values used in this retrospective chart review are the mean of the CIMT from the right and left. Spaceflight exposure was categorized based on the total number of days spent in space at the time of the ground-based ultrasound (0, 1-29, 30-100, 101-200, =200). Linear regression with generalized estimating equations were used to estimate the association between spaceflight exposures and CIMT. Results: 530 studies were completed among 213 astronauts with a mean of 2.5 studies (range 1-6) per astronaut over the six year period. As in other populations, CIMT was significantly associated with age; however, gender was not. While there was no significant direct correlation between total spaceflight exposure and CIMT found, astronauts with 30-100 spaceflight days and astronauts with greater than 100 spaceflight days had significantly increased CIMT over astronauts who had never flown (p=0.002 and p=work is needed to fully understand CIMT and its association to spaceflight. Current occupational surveillance activities are under way to study CIMT values in conjunction with other cardiovascular risk factors among astronauts as compared to the general population.

  12. Incidence Rate of Cardiovascular Disease End Points in the National Aeronautics and Space Administration Astronaut Corps.

    Science.gov (United States)

    Ade, Carl J; Broxterman, Ryan M; Charvat, Jacqueline M; Barstow, Thomas J

    2017-08-07

    It is unknown whether the astronaut occupation or exposure to microgravity influences the risk of long-term cardiovascular disease (CVD). This study explored the effects of being a career National Aeronautics and Space Administration (NASA) astronaut on the risk for clinical CVD end points. During the Longitudinal Study of Astronaut Health, data were collected on 310 NASA astronauts and 981 nonastronaut NASA employees. The nonastronauts were matched to the astronauts on age, sex, and body mass index, to evaluate acute and chronic morbidity and mortality. The primary outcomes were composites of clinical CVD end points (myocardial infarction, congestive heart failure, stroke, and coronary artery bypass surgery) or coronary artery disease (CAD) end points (myocardial infarction and coronary artery bypass surgery). Of the astronauts, 5.2% had a clinical CVD end point and 2.9% had a CAD end point compared with the nonastronaut comparisons with 4.7% and 3.1% having CVD and CAD end points, respectively. In the multivariate models adjusted for traditional risk factors, astronauts had a similar risk of CVD compared with nonastronauts (adjusted hazard ratio, 1.08; 95% CI, 0.60-1.93; P=0.80). Risk of a CAD end point was similar between groups (hazard ratio, 0.97; CI, 0.45-2.08; P=0.93). In astronauts with early spaceflight experience, the risk of CVD (hazard ratio, 0.80; CI, 0.25-2.56; P=0.71) and CAD (hazard ratio, 1.23; CI: 0.27-5.61; P=0.79) compared with astronauts with no experience were not different. These findings suggest that being an astronaut is not associated with increased long-term risk of CVD development. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  13. The Neurovestibular Challenges of Astronauts and Balance Patients: Some Past Countermeasures and Two Alternative Approaches to Elicitation, Assessment and Mitigation.

    Science.gov (United States)

    Lawson, Ben D; Rupert, Angus H; McGrath, Braden J

    2016-01-01

    Astronauts and vestibular patients face analogous challenges to orientation function due to adaptive exogenous (weightlessness-induced) or endogenous (pathology-induced) alterations in the processing of acceleration stimuli. Given some neurovestibular similarities between these challenges, both affected groups may benefit from shared research approaches and adaptation measurement/improvement strategies. This article reviews various past strategies and introduces two plausible ground-based approaches, the first of which is a method for eliciting and assessing vestibular adaptation-induced imbalance. Second, we review a strategy for mitigating imbalance associated with vestibular pathology and fostering readaptation. In discussing the first strategy (for imbalance assessment), we review a pilot study wherein imbalance was elicited (among healthy subjects) via an adaptive challenge that caused a temporary/reversible disruption. The surrogate vestibular deficit was caused by a brief period of movement-induced adaptation to an altered (rotating) gravitoinertial frame of reference. This elicited adaptation and caused imbalance when head movements were made after reentry into the normal (non-rotating) frame of reference. We also review a strategy for fall mitigation, viz., a prototype tactile sway feedback device for aiding balance/recovery after disruptions caused by vestibular pathology. We introduce the device and review a preliminary exploration of its effectiveness in aiding clinical balance rehabilitation (discussing the implications for healthy astronauts). Both strategies reviewed in this article represent cross-disciplinary research spin-offs: the ground-based vestibular challenge and tactile cueing display were derived from aeromedical research to benefit military aviators suffering from flight simulator-relevant aftereffects or inflight spatial disorientation, respectively. These strategies merit further evaluation using clinical and astronaut populations.

  14. The neurovestibular challenges of astronauts and balance patients: some past countermeasures and two alternative approaches to elicitation, assessment and mitigation

    Directory of Open Access Journals (Sweden)

    Ben Lawson

    2016-11-01

    Full Text Available Astronauts and vestibular patients face analogous challenges to orientation function due to adaptive exogenous (weightlessness-induced or endogenous (pathology-induced alterations in the processing of acceleration stimuli. Given some neurovestibular similarities between these challenges, both affected groups may benefit from shared research approaches and adaptation measurement/improvement strategies. This paper reviews various past strategies and introduces two plausible ground-based approaches, the first of which is a method for eliciting and assessing vestibular adaptation-induced imbalance. Second, we review a strategy for mitigating imbalance associated with vestibular pathology and fostering readaptation. In discussing the first strategy (for imbalance assessment, we review a pilot study wherein imbalance was elicited (among healthy subjects via an adaptive challenge that caused a temporary/reversible disruption. The surrogate vestibular deficit was caused by a brief period of movement-induced adaptation to an altered (rotating gravitoinertial frame of reference. This elicited adaptation and caused imbalance when head movements were made after reentry into the normal (non-rotating frame of reference. We also review a strategy for fall mitigation, viz., a prototype tactile sway feedback device for aiding balance/recovery after disruptions caused by vestibular pathology. We introduce the device and review a preliminary exploration of its effectiveness in aiding clinical balance rehabilitation (discussing the implications for healthy astronauts. Both strategies reviewed in this paper represent cross-disciplinary research spin-offs: the ground-based vestibular challenge and tactile cueing display were derived from aeromedical research to benefit military aviators suffering from flight simulator-relevant aftereffects or inflight spatial disorientation, respectively. These strategies merit further evaluation using clinical and astronaut

  15. Probabilistic Assessment of Cancer Risk for Astronauts on Lunar Missions

    Science.gov (United States)

    Kim, Myung-Hee Y.; Cucinotta, Francis A.

    2009-01-01

    During future lunar missions, exposure to solar particle events (SPEs) is a major safety concern for crew members during extra-vehicular activities (EVAs) on the lunar surface or Earth-to-moon transit. NASA s new lunar program anticipates that up to 15% of crew time may be on EVA, with minimal radiation shielding. For the operational challenge to respond to events of unknown size and duration, a probabilistic risk assessment approach is essential for mission planning and design. Using the historical database of proton measurements during the past 5 solar cycles, a typical hazard function for SPE occurrence was defined using a non-homogeneous Poisson model as a function of time within a non-specific future solar cycle of 4000 days duration. Distributions ranging from the 5th to 95th percentile of particle fluences for a specified mission period were simulated. Organ doses corresponding to particle fluences at the median and at the 95th percentile for a specified mission period were assessed using NASA s baryon transport model, BRYNTRN. The cancer fatality risk for astronauts as functions of age, gender, and solar cycle activity were then analyzed. The probability of exceeding the NASA 30- day limit of blood forming organ (BFO) dose inside a typical spacecraft was calculated. Future work will involve using this probabilistic risk assessment approach to SPE forecasting, combined with a probabilistic approach to the radiobiological factors that contribute to the uncertainties in projecting cancer risks.

  16. STS-104 Onboard Photograph-Astronaut in the ISS Airlock

    Science.gov (United States)

    2001-01-01

    Astronaut James F. Reilly participated in the first ever space walk to egress from the International Space Station (ISS) by utilizing the newly-installed Joint Airlock Quest. The Joint Airlock is a pressurized flight element consisting of two cylindrical chambers attached end-to-end by a cornecting bulkhead and hatch. Once installed and activated, the ISS Airlock becomes the primary path for ISS space walk entry and departure for U.S. spacesuits, which are known as Extravehicular Mobility Units (EMUs). In addition, it is designed to support the Russian Orlan spacesuit for extravehicular activity (EVA). The Joint Airlock is 20-feet long, 13- feet in diameter and weighs 6.5 tons. It was built at the Marshall Space Flight Center (MSFC) by the Space Station prime contractor Boeing. The ISS Airlock has two main components: a crew airlock and an equipment airlock for storing EVA and EVA preflight preps. The Airlock was launched on July 21, 2001 aboard the Space Shuttle Orbiter Atlantis for the STS-104 mission.

  17. NASA Astronauts on Soyuz: Experience and Lessons for the Future

    Science.gov (United States)

    2010-01-01

    The U. S., Russia, and, China have each addressed the question of human-rating spacecraft. NASA's operational experience with human-rating primarily resides with Mercury, Gemini, Apollo, Space Shuttle, and International Space Station. NASA s latest developmental experience includes Constellation, X38, X33, and the Orbital Space Plane. If domestic commercial crew vehicles are used to transport astronauts to and from space, Soyuz is another example of methods that could be used to human-rate a spacecraft and to work with commercial spacecraft providers. For Soyuz, NASA's normal assurance practices were adapted. Building on NASA's Soyuz experience, this report contends all past, present, and future vehicles rely on a range of methods and techniques for human-rating assurance, the components of which include: requirements, conceptual development, prototype evaluations, configuration management, formal development reviews (safety, design, operations), component/system ground-testing, integrated flight tests, independent assessments, and launch readiness reviews. When constraints (cost, schedule, international) limit the depth/breadth of one or more preferred assurance means, ways are found to bolster the remaining areas. This report provides information exemplifying the above safety assurance model for consideration with commercial or foreign-government-designed spacecraft. Topics addressed include: U.S./Soviet-Russian government/agency agreements and engineering/safety assessments performed with lessons learned in historic U.S./Russian joint space ventures

  18. A direct-interface fusible heat sink for astronaut cooling

    Science.gov (United States)

    Lomax, Curtis; Webbon, B. W.

    1990-01-01

    Astronaut cooling during extravehicular activity is a critical design issue in developing a portable life support system that meets the requirements of a space station mission. Some the requirements are that the cooling device can be easily regenerable and nonventing during operation. In response to this, a direct-interface, fusible heat sink prototpye with freezable quick-disconnects was developed. A proof-of-concept prototype was constructed and tested that consists of an elastic container filled with normal tap water and having two quick-disconnects embedded in a wall. These quick-disconnects are designed so that they may be frozen with the ice and yet still be joined to the cooling system, allowing an immediate flow path. The inherent difficulties in a direct-interface heat sink have been overcome, i.e., (1) establishing an initial flow path; (2) avoiding low-flow freeze-up; and (3) achieving adequate heat-transfer rates at the end of the melting process. The requirements, design, fabrication, and testing are discussed.

  19. Effects of Spaceflight on Astronaut Brain Structure as Indicated on MRI.

    Science.gov (United States)

    Roberts, Donna R; Albrecht, Moritz H; Collins, Heather R; Asemani, Davud; Chatterjee, A Rano; Spampinato, M Vittoria; Zhu, Xun; Chimowitz, Marc I; Antonucci, Michael U

    2017-11-02

    There is limited information regarding the effects of spaceflight on the anatomical configuration of the brain and on cerebrospinal fluid (CSF) spaces. We used magnetic resonance imaging (MRI) to compare images of 18 astronauts' brains before and after missions of long duration, involving stays on the International Space Station, and of 16 astronauts' brains before and after missions of short duration, involving participation in the Space Shuttle Program. Images were interpreted by readers who were unaware of the flight duration. We also generated paired preflight and postflight MRI cine clips derived from high-resolution, three-dimensional imaging of 12 astronauts after long-duration flights and from 6 astronauts after short-duration flights in order to assess the extent of narrowing of CSF spaces and the displacement of brain structures. We also compared preflight ventricular volumes with postflight ventricular volumes by means of an automated analysis of T 1 -weighted MRIs. The main prespecified analyses focused on the change in the volume of the central sulcus, the change in the volume of CSF spaces at the vertex, and vertical displacement of the brain. Narrowing of the central sulcus occurred in 17 of 18 astronauts after long-duration flights (mean flight time, 164.8 days) and in 3 of 16 astronauts after short-duration flights (mean flight time, 13.6 days) (Pbrain after all long-duration flights (12 astronauts) but not after short-duration flights (6 astronauts) and narrowing of CSF spaces at the vertex after all long-duration flights (12 astronauts) and in 1 of 6 astronauts after short-duration flights. Three astronauts in the long-duration group had optic-disk edema, and all 3 had narrowing of the central sulcus. A cine clip was available for 1 of these 3 astronauts, and the cine clip showed upward shift of the brain. Narrowing of the central sulcus, upward shift of the brain, and narrowing of CSF spaces at the vertex occurred frequently and predominantly in

  20. Artist concept of Mercury program study of medical effects and technology

    Science.gov (United States)

    1964-01-01

    Artist concept of Mercury program study of medical effects and technology development. Drawing depicts cut-away view of Mercury capsule orbiting the Earth, showing the astronaut and his capsule's hardware.

  1. Essays on the History of Rocketry and Astronautics: Proceedings of the Third through the Sixth History Symposia of the International Academy of Astronautics, volume 1

    Science.gov (United States)

    Hall, R. C. (Editor)

    1977-01-01

    This two volume publication presents the proceedings of the third through sixth history symposia of the International Academy of Astronautics. Thirty-nine papers are divided into four categories: (1) Early Solid Propellant Rocketry; (2) Rocketry and Astronautics: Concepts, Theory, and Analyses after 1880; (3) The Development of Liquid and Solid Propellant Rockets from 1880 to 1945; and (4) Rocketry and Astronautics after 1945. Categories 1 and 2 will be found in volume 1 and the remainder in volume 2. Among other diciplines, Rocketry and Astronautics encompasses the physical and engineering sciences including fluid mechanics, thermodynamics, vibration theory, structural mechanics, and celestial mechanics. Papers presented in these two volumes range from those of empirical experimenters who used the time-honored cut and try methods to scientists wielding theoretical principles. The work traces the coupling of the physical and engineering sciences, industrial advances, and state support that produced the awesome progress in rocketry and astronautics for the most part within living memory. The proceedings of the four symposia present in these two volumes contain information on the work of leading investigators and their associates carried out in the first two-thirds of the twentieth century.

  2. Naval Medical Research and Development News. Volume 7, Issue 11

    Science.gov (United States)

    2015-11-01

    waterborne disease, is characterized by fever, cramps and sometimes severe bloody diarrhea,” said Cmdr. Christopher Duplessis, lead researcher in...them with the command’s capabilities and prepare them for space flight. The astronauts spent two hours in NMRI’s low-pressure chamber and were...subjected to an atmosphere of three percent carbon dioxide. A NASA documentary film of this shows the astronauts huddled in the chamber dressed in

  3. Individual differences in susceptibility to motion sickness among six Skylab astronauts

    Science.gov (United States)

    Graybiel, A.; Miller, E. F., II; Homick, J. L.

    1975-01-01

    Motion sickness was studied in Skylab crewmen. By mission-day 8 (MD 8), astronauts were virtually free of motion sickness symptoms after rotation and linear acceleration tests. None of the Skylab-II astronauts (crewmen 1-3) was motion sick aloft, but astronaut 6 of the Skylab-III crew experienced motion sickness within an hour after transition into orbit. All three astronauts (4-6) of Skylab-III experienced motion sickness in the workshop, where astronaut 6 was most susceptible and astronaut 4 least susceptible. The higher susceptibility of SL-III crewmen in the workshop, as compared with SL-II crewmen, may be attributable to the fact that they were based in the command module (CM) less than one-third as long as were SL-II astronauts. I.e., the unnatural movements permitted in the open spaces of the workshop entrained more complex interactions of unusual vestibular and visual stimuli than did those in the CM. The observed reduced liability to kinetosis relative to earth may be due to absence of the gravity stimulus to the otolith organs.

  4. The Extravehicular Suit Impact Load Attenuation Study for Use in Astronaut Bone Fracture Prediction

    Science.gov (United States)

    Lewandowski, Beth E.; Gilkey, Kelly M.; Sulkowski, Christina M.; Samorezov, Sergey; Myers, Jerry G.

    2011-01-01

    The NASA Integrated Medical Model (IMM) assesses the risk, including likelihood and impact of occurrence, of all credible in-flight medical conditions. Fracture of the proximal femur is a traumatic injury that would likely result in loss of mission if it were to happen during spaceflight. The low gravity exposure causes decreases in bone mineral density which heightens the concern. Researchers at the NASA Glenn Research Center have quantified bone fracture probability during spaceflight with a probabilistic model. It was assumed that a pressurized extravehicular activity (EVA) suit would attenuate load during a fall, but no supporting data was available. The suit impact load attenuation study was performed to collect analogous data. METHODS: A pressurized EVA suit analog test bed was used to study how the offset, defined as the gap between the suit and the astronaut s body, impact load magnitude and suit operating pressure affects the attenuation of impact load. The attenuation data was incorporated into the probabilistic model of bone fracture as a function of these factors, replacing a load attenuation value based on commercial hip protectors. RESULTS: Load attenuation was more dependent on offset than on pressurization or load magnitude, especially at small offsets. Load attenuation factors for offsets between 0.1 - 1.5 cm were 0.69 +/- 0.15, 0.49 +/- 0.22 and 0.35 +/- 0.18 for mean impact forces of 4827, 6400 and 8467 N, respectively. Load attenuation factors for offsets of 2.8 - 5.3 cm were 0.93 +/- 0.2, 0.94 +/- 0.1 and 0.84 +/- 0.5, for the same mean impact forces. Reductions were observed in the 95th percentile confidence interval of the bone fracture probability predictions. CONCLUSIONS: The reduction in uncertainty and improved confidence in bone fracture predictions increased the fidelity and credibility of the fracture risk model and its benefit to mission design and operational decisions.

  5. TBS (Trabecular Bone Score) Expands Understanding of Spaceflight Effects on the Lumbar Spine of Long Duration Astronauts

    Science.gov (United States)

    Sibonga, Jean D.; Smith, Scott A.; Hans, Didier; LeBlanc, Adrian; Spector, Elisabeth; Evans, Harlan; King, Lisa

    2014-01-01

    Background: Bone loss due to long-duration spaceflight has been characterized by both DXA and QCT serial scans. It is unclear if these spaceflight-induced changes in bone mineral density and structure result in increased fracture incidence. NASA astronauts currently fly on 5-6-month missions on the International Space Station (ISS) and at least one 12-month mission is planned. While NASA has measured areal BMD (by DXA) and volumetric BMD (by QCT), and has estimated hip strength (by finite element models of QCT data, no method has yet been used to examine bone microarchitecture from lumbar spine (LS). DXA scans are routinely performed pre- and post-flight on all ISS astronauts to follow BMD changes associated with space flight. Trabecular Bone Score (TBS) is a relatively new method that measures grey-scale-level texture information extracted from lumbar spine DXA images and correlates with 3D parameters of bone micro-architecture. We evaluated the ability of LS TBS to discriminate changes in astronauts who have flown on ISS missions and to determine if TBS can provide additional information compared to DXA. Methods: LS (L1-4) DXA scans from 51 astronauts (mean age, 47 +/- 4) were divided into 3 groups based on the exercise regimes performed while onboard the ISS. Pre-ARED (exercise using a load-limited resistive exercise device, exercise with a high-load resistive exercise device, up to 600lb) and a Bisphos group (ARED exercise and a 70-mg alendronate tablet once a week before and during flight, starting 17 days before launch). DXA scans were performed and analyzed on a Hologic Discovery W using the same technician for the pre- and postflight scans. LSC for the LS in our laboratory is 0.025 g/cm2. TBS was performed at the Mercy Hospital, Cincinnati, Ohio on a similar Hologic computer. TBS precision was calculated from 16 comparable test subjects (0.0XX g/cm2). Data were preliminary analyzed using a paired, 2-tailed t-test for the difference between pre- and

  6. Science of the subjective.

    Science.gov (United States)

    Jahn, R G; Dunne, B J

    2007-01-01

    Over the greater portion of its long scholarly history, the particular form of human observation, reasoning, and technical deployment we properly term "science" has relied at least as much on subjective experience and inspiration as it has on objective experiments and theories. Only over the past few centuries has subjectivity been progressively excluded from the practice of science, leaving an essentially secular analytical paradigm. Quite recently, however, a compounding constellation of newly inexplicable physical evidence, coupled with a growing scholarly interest in the nature and capability of human consciousness, are beginning to suggest that this sterilization of science may have been excessive and could ultimately limit its epistemological reach and cultural relevance. In particular, an array of demonstrable consciousness-related anomalous physical phenomena, a persistent pattern of biological and medical anomalies, systematic studies of mind/brain relationships and the mechanics of human creativity, and a burgeoning catalogue of human factors effects within contemporary information processing technologies, all display empirical correlations with subjective aspects that greatly complicate, and in many cases preclude, their comprehension on strictly objective grounds. However, any disciplined re-admission of subjective elements into rigorous scientific methodology will hinge on the precision with which they can be defined, measured, and represented, and on the resilience of established scientific techniques to their inclusion. For example, any neo-subjective science, while retaining the logical rigor, empirical/theoretical dialogue, and cultural purpose of its rigidly objective predecessor, would have the following requirements: acknowledgment of a proactive role for human consciousness; more explicit and profound use of interdisciplinary metaphors; more generous interpretations of measurability, replicability, and resonance; a reduction of ontological

  7. Astronaut EVA exposure estimates from CAD model spacesuit geometry.

    Science.gov (United States)

    De Angelis, Giovanni; Anderson, Brooke M; Atwell, William; Nealy, John E; Qualls, Garry D; Wilson, John W

    2004-03-01

    Ongoing assembly and maintenance activities at the International Space Station (ISS) require much more extravehicular activity (EVA) than did the earlier U.S. Space Shuttle missions. It is thus desirable to determine and analyze, and possibly foresee, as accurately as possible what radiation exposures crew members involved in EVAs will experience in order to minimize risks and to establish exposure limits that must not to be exceeded. A detailed CAD model of the U.S. Space Shuttle EVA Spacesuit, developed at NASA Langley Research Center (LaRC), is used to represent the directional shielding of an astronaut; it has detailed helmet and backpack structures, hard upper torso, and multilayer space suit fabric material. The NASA Computerized Anatomical Male and Female (CAM and CAF) models are used in conjunction with the space suit CAD model for dose evaluation within the human body. The particle environments are taken from the orbit-averaged NASA AP8 and AE8 models at solar cycle maxima and minima. The transport of energetic particles through space suit materials and body tissue is calculated by using the NASA LaRC HZETRN code for hadrons and a recently developed deterministic transport code, ELTRN, for electrons. The doses within the CAM and CAF models are determined from energy deposition at given target points along 968 directional rays convergent on the points and are evaluated for several points on the skin and within the body. Dosimetric quantities include contributions from primary protons, light ions, and electrons, as well as from secondary brehmsstrahlung and target fragments. Directional dose patterns are displayed as rays and on spherical surfaces by the use of a color relative intensity representation.

  8. Hemolysis in runners as evidenced by low serum haptoglobin: Implications for preflight monitoring of astronauts

    Science.gov (United States)

    Owens, Joyce; Spitler, Diane L.; Frey, Mary Anne Bassett

    1987-01-01

    Hematological parameters and serum haptoglobin were examined in 21 male employees of the Kennedy Space Center who were at 3 levels of physical activity: 7 subjects regularly ran more than 40 km (25 miles) per week (Group I); 7 ran 13 to 24 km (8 to 15 miles) per week (II), and 7 were sedentary (III). Blood was drawn on a different day of the week for five weeks. Differences between day of the week, visit number, and activity level were examined. No differences were observed for day of week or visit number; thus mean values for each variable were calculated for each subject. Variables did not differ among groups. However, trends with level of training were observed in some critical variables. Hemoglobin (Hb) and hematocrit (Hct) conformed to a staircase effect with Group I (14.5 gm/dl and 41.3 percent) lower than Group III (15.1 gm/dl and 42.9 percent). Reticulocyte count was higher and haptoglobin levels lower in Group I (1.35% and 75.7 gm/dl) than Group III (.99 percent and 132.9 gm/dl), with haptoglobin for the high mileage Group I in the clinically abnormal range. Since haptoglobin binds free Hb following RBC destruction, these results suggest that intravascular hemolysis occurs in trained male runners. These results may have special meaning for astronauts training before long-duration spaceflights, since the further reduction in red blood cells which is reported to occur during spaceflight could become detrimental to their health and performance.

  9. Psychometric properties of the Subjective Well-Being Under Neuroleptics Scale and the Subjective Deficit Syndrome Scale

    NARCIS (Netherlands)

    de Haan, L.; Weisfelt, M.; Dingemans, P. M. A. J.; Linszen, D. H.; Wouters, L.

    2002-01-01

    Rationale: Subjective experience of antipsychotic drugs is relevant for medication compliance and quality of life. There is, however, sparse knowledge about the assessment of subjective experience. Objectives: To examine the internal consistency, test-retest reliability, sensitivity to medication

  10. Apollo 11 astronaut Buzz Aldrin suits up for Countdown Demonstration Test

    Science.gov (United States)

    1969-01-01

    Apollo 11 Lunar Module Pilot Edwin E. Aldrin Jr. relaxes after suiting up to participate in a space vehicle Countdown Demonstration Test with Astronauts Neil A. Armstrong and Michael Collins. They will be launched on a lunar landing mission.

  11. Astronaut Donald McMonagle checks drainage hose on his life raft in training

    Science.gov (United States)

    1994-01-01

    Astronaut Donald R. McMonagle, STS-66 mission commander, checks the drainage hose on his rapidly fashioned life raft during an emergency bailout training exercise in JSC's Weightless Environment Training Facility (WETF).

  12. Astronaut Neil Armstrong in Launch Complex 16 trailer during suiting up

    Science.gov (United States)

    1966-01-01

    Astronaut Neil A. Armstrong, command pilot of the Gemini 8 space flight, sits in the Launch Complex 16 trailer during suiting up operations for the Gemini 8 mission. Suit technician Jim Garrepy assists.

  13. Portrait of Astronaut Neil A. Armstrong, commander of Apollo 11 mission

    Science.gov (United States)

    1969-01-01

    Portrait of Astronaut Neil A. Armstrong, commander of the Apollo 11 Lunar Landing mission in his space suit, with his helmet on the table in front of him. Behind him is a large photograph of the lunar surface.

  14. Planetary Science Training for NASA's Astronauts: Preparing for Future Human Planetary Exploration

    Science.gov (United States)

    Bleacher, J. E.; Evans, C. A.; Graff, T. G.; Young, K. E.; Zeigler, R.

    2017-02-01

    Astronauts selected in 2017 and in future years will carry out in situ planetary science research during exploration of the solar system. Training to enable this goal is underway and is flexible to accommodate an evolving planetary science vision.

  15. The F.I.T. Story: Astronautics at F.I.T.

    Science.gov (United States)

    Aviation/Space, 1980

    1980-01-01

    Describes the astronautic programs and research at the Florida Institute of Technology, Melborne, Florida. Undergraduate and graduate students participate in research, such as Lighter-Than-Air vehicles, optical observation, auroral-magnetospheric research, and geomagnetism. (DS)

  16. Astronaut Rescue Air Pack (ARAP) and Emergency Egress Air Pack (EEAP)

    Science.gov (United States)

    Barnhart, W. L.; Clew, R. D.; Waddell, H. M., Jr.

    1970-01-01

    Two designs for a lightweight, low profile, mobile rescue apparatus providing a 15-minute air supply and self-contained two-way communications assembly are described. Units are designed for astronaut use in hazardous environments.

  17. Astronaut L. Gordon Cooper is assisted into his spacecraft for tests

    Science.gov (United States)

    1963-01-01

    NASA and McDonnell Aircraft Corp. spacecraft technicians assist Astronaut L. Gordon Cooper into his spacecraft prior to undergoing tests in the altitude chamber. These tests are used to determine the operating characteristcs of the overall environmental control system.

  18. The last of NASA's original pilot astronauts expanding the space frontier in the late sixties

    CERN Document Server

    Shayler, David J

    2017-01-01

    Resulting from the authors’ deep research into these two pre-Shuttle astronaut groups, many intriguing and untold stories behind the selection process are revealed in the book. The often extraordinary backgrounds and personal ambitions of these skilled pilots, chosen to continue NASA’s exploration and knowledge of the space frontier, are also examined. In April 1966 NASA selected 19 pilot astronauts whose training was specifically targeted to the Apollo lunar landing missions and the Earth-orbiting Skylab space station. Three years later, following the sudden cancellation of the USAF’s highly classified Manned Orbiting Laboratory (MOL) project, seven military astronauts were also co-opted into NASA’s space program. This book represents the final chapter by the authors in the story of American astronaut selections prior to the era of the Space Shuttle. Through personal interviews and original NASA documentation, readers will also gain a true insight into a remarkable age of space travel as it unfolded ...

  19. Use of silver-batteries in the aeronautic and astronautic navigation

    Energy Technology Data Exchange (ETDEWEB)

    Hausler, B.; Jeworrek, K.

    1969-11-01

    The alcaline accumulators with silver on the positive side of the electrode pair become increasingly important. Their efficiency is explained by means of examples from aeronautic and astronautic navigation.

  20. The simulation of radiation effects to astronauts due to solar energetic particles in deep space

    Science.gov (United States)

    Gang, Bao

    2012-02-01

    The exposure to interplanetary radiation poses a serious health risk to astronauts, especially for long-term missions. Protecting the astronauts from these particles has been the key issue to the manned space mission. High-energy space particles can penetrate the protective layer of a spacecraft, and probably cause deleterious effects to the astronauts. To estimate the size of these effects, a credible simulation of radioprotection is required. Using the Geant4 software toolkit, we have modeled the interaction processes and predicted the total energy deposit in a phantom (astronaut) as well as the similar information associated with secondary effects, due to Solar Energetic Particles (SEPs) at ∼1 AU caused by the large SEPs events in October 1989 and August 1972. In addition, we compared the characteristics of the energy deposit due to SEPs and Galactic Cosmic Rays (GCRs) and explained the differences between them by physical mechanism analysis.

  1. Medical genetics

    Energy Technology Data Exchange (ETDEWEB)

    Jorde, L.B.; Carey, J.C.; White, R.L.

    1995-10-01

    This book on the subject of medical genetics is a textbook aimed at a very broad audience: principally, medical students, nursing students, graduate, and undergraduate students. The book is actually a primer of general genetics as applied to humans and provides a well-balanced introduction to the scientific and clinical basis of human genetics. The twelve chapters include: Introduction, Basic Cell Biology, Genetic Variation, Autosomal Dominant and Recessive Inheritance, Sex-linked and Mitochondrial Inheritance, Clinical Cytogenetics, Gene Mapping, Immunogenetics, Cancer Genetics, Multifactorial Inheritance and Common Disease, Genetic Screening, Genetic Diagnosis and Gene Therapy, and Clinical Genetics and Genetic Counseling.

  2. Life in extraterrestrial space: An anthropological consideration on astronauts' everyday experiences

    OpenAIRE

    Sato, Tomohisa; 佐藤, 知久

    2015-01-01

    Since the completion of the International Space Station (ISS) in 2000, over 80 astronauts have experienced months of life in extraterrestrial space. Based on an analysis of texts mainly written by three Japanese ISS astronauts (Wakata, Noguchi, and Furukawa), this paper examines the meanings of their daily experiences in the ISS from three perspectives: psychological, physical, and ontological. These perspectives were chosen based on the following: ||1) Psychological studies show that long-du...

  3. From Homo Sapiens to Homo Cosmicus - Astronautics, Darwinism abd Historical Determinism

    Science.gov (United States)

    Tolkowsky, G.

    Since its inception in late-nineteenth century, astronautics has been viewed as a historical outcome of human evolution as well as a future driver thereof. The history of astronautics-related, evolutionary thought reveals a tension between the Darwinian notion of natural selection and that of homocosmic predestination - be it of dialectical materialistic or theological nature. One can detect the influence of this ideological diversity on the American and Soviet space programs.

  4. Astronaut Edwin Aldrin prepares to deploy EASEP on surface of moon

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, moves toward a position to deploy two components of the Early Apollo Scientific Experiments Package (EASEP) on the surface of the Moon during the Apollo 11 extravehicular activity. The Passive Seismic Experiments Package (PSEP) is in his left hand; and in his right hand is the Laser Ranging Retro-Reflector (LR3). Astronaut Neil A. Armstrong, commander, took this photograph with a 70mm lunar surface camera.

  5. Artists concept of Apollo 11 Astronaut Neil Armstrong on the moon

    Science.gov (United States)

    1969-01-01

    A Grumman Aircraft Engineering Corporation artist's concept depicting mankind's first walk on another celestianl body. Here, Astronaut Neil Armstrong, Apollo 11 commander, is making his first step onto the surface of the moon. In the background is the Earth, some 240,000 miles away. Armstrong. They are continuing their postflight debriefings. The three astronauts will be released from quarantine on August 11, 1969. Donald K. Slayton (right), MSC Director of Flight Crew Operations; and Lloyd Reeder, training coordinator.

  6. Enhancing the Meaningfulness of Work for Astronauts on Long Duration Space Exploration Missions.

    Science.gov (United States)

    Britt, Thomas W; Sytine, Anton; Brady, Ashley; Wilkes, Russ; Pittman, Rebecca; Jennings, Kristen; Goguen, Kandice

    2017-08-01

    Numerous authors have identified the stressors likely to be encountered on long duration space exploration missions (e.g., to Mars), including the possibility of significant crises, separation from family, boredom/monotony, and interpersonal conflict. Although many authors have noted that meaningful work may be beneficial for astronauts on these missions, none have detailed the sources of meaningful work for astronauts and how these sources may differ between astronauts. The present article identifies how engagement in meaningful work during long duration missions may mitigate the adverse effects of demands and increase the potential for benefits resulting from the missions. Semistructured interviews were conducted with nine NASA personnel, including astronauts, flight directors, and flight surgeons. Questions addressed sources of meaning for astronauts, characteristics of tasks that enhance vs. detract from meaning, and recommendations for enhancing meaning. Personnel mentioned contributing to humanity and the next generation, contributing to the mission, and exploration as the most meaningful aspects of their work. Characteristics of tasks that enhanced meaning included using a variety of skills, feeling personal control over their schedule, autonomy in the execution of tasks, and understanding the importance of the experiments conducted on the mission. Top recommendations to sustain meaning were insuring social needs were met through such activities as the strategic use of social media, giving astronauts autonomy as well as structure, and conducting training during transit. Implications are addressed for tailoring meaning-based interventions for astronauts participating on long duration missions and assessing the effectiveness of these interventions.Britt TW, Sytine A, Brady A, Wilkes R, Pittman R, Jennings K, Goguen K. Enhancing the meaningfulness of work for astronauts on long duration space exploration missions. Aerosp Med Hum Perform. 2017; 88(8):779-783.

  7. Astronaut Brian Duffy, mission commander for the STS-72 mission, prepares to ascend stairs to the

    Science.gov (United States)

    1996-01-01

    STS-72 TRAINING VIEW --- Astronaut Brian Duffy, mission commander for the STS-72 mission, prepares to ascend stairs to the flight deck of the fixed base Shuttle Mission Simulator (SMS) at the Johnson Space Center (JSC). Duffy will be joined by four other NASA astronauts and an international mission specialist aboard the Space Shuttle Endeavour for a scheduled nine-day mission, now set for the winter of this year.

  8. Astronaut Leroy Chiao, assigned as mission specialist for the mission, prepares to ascend stairs to

    Science.gov (United States)

    1996-01-01

    STS-72 TRAINING VIEW --- Astronaut Leroy Chiao, assigned as mission specialist for the mission, prepares to ascend stairs to the flight deck of the fixed base Shuttle Mission Simulator (SMS) at the Johnson Space Center (JSC). Chiao will join an international mission specialist and four other NASA astronauts aboard the Space Shuttle Endeavour for a scheduled nine-day mission, now set for the winter of this year.

  9. Astronauts Gardner and Allen during loading of Palapa B-2 in payload bay

    Science.gov (United States)

    1984-01-01

    Astronaut Joseph P. Allen, in this frame, is the sole anchor for the top portion (and most of) the captured Palapa B-2 satellite. Astronaut Dale A. Gardner is on the other end as they load it into the payload bay. Note the difference between the two stinger devices stowed on the Challenger's port side (right side of frame). The one nearer the spacecraft's vertical stabilizer is spent. The one nearer the camera is still awaiting use.

  10. Astronauts Carr and Gibson in the wardroom of the Orbital Workshop

    Science.gov (United States)

    1973-01-01

    Astronaut Gerald P. Carr, right, Skylab 4 commander, enjoys a meal aboard the orbiting Skylab space station in this photographic reproduction from a television transmission of November 28, 1973. Scientist-Astronaut Edward G. Gibson, science pilot for the third manned Skylab flight, demonstrates the zero gravity environment by turning upside down. The food station is in the wardroom of the Crew Quarters in the Orbital Workshop (OWS).

  11. Analysis of age as a factor in NASA astronaut selection and career landmarks.

    Science.gov (United States)

    Kovacs, Gregory T A; Shadden, Mark

    2017-01-01

    NASA's periodic selection of astronauts is a highly selective process accepting applications from the general population, wherein the mechanics of selection are not made public. This research was an effort to determine if biases (specifically age) exist in the process and, if so, at which points they might manifest. Two sets of analyses were conducted. The first utilized data requested via the Freedom of Information Act (FOIA) on NASA astronaut applicants for the 2009 and 2013 selection years. Using a series of multinomial and logistic regressions, the data were analyzed to uncover whether age of the applicants linearly or nonlinearly affected their likelihood of receiving an invitation, as well as their likelihood of being selected into the astronaut program. The second used public data on age at selection and age at other career milestones for every astronaut selected from 1959 to 2013 to analyze trends in age over time using ordinary least-squares (OLS) regression and Pearson's correlation. The results for the FOIA data revealed a nonlinear relationship between age and receiving an interview, as well as age and selection into the astronaut program, but the most striking observation was the loss of age diversity at each stage of selection. Applicants younger or older than approximately 40 years were significantly less likely to receive invitations for interviews and were significantly less likely to be selected as an astronaut. Analysis of the public-source data for all selections since the beginning of the astronaut program revealed significant age trends over time including a gradual increase in selectee age and decreased tenure at NASA after last flight, with average age at retirement steady over the entire history of the astronaut program at approximately 48 years.

  12. Menstrual Cycle Control in Female Astronauts and the Associated Risk of Venous Thromboembolism

    Science.gov (United States)

    Jain, Varsha; Wotring, Virginia

    2015-01-01

    Venous thromboembolism (VTE) is a common and serious condition affecting approximately 1-2 per 1000 people in the USA every year. There have been no documented case reports of VTE in female astronauts during spaceflight in the published literature. Some female astronauts use hormonal contraception to control their menstrual cycles and it is currently unknown how this affects their risk of VTE. Current terrestrial risk prediction models do not account for the spaceflight environment and the physiological changes associated with it. We therefore aim to estimate a specific risk score for female astronauts who are taking hormonal contraception for menstrual cycle control, to deduce whether they are at an elevated risk of VTE. A systematic review of the literature was conducted in order to identify and quantify known terrestrial risk factors for VTE. Studies involving analogues for the female astronaut population were also reviewed, for example, military personnel who use the oral contraceptive pill for menstrual suppression. Well known terrestrial risk factors, for example, obesity or smoking would not be applicable to our study population as these candidates would have been excluded during astronaut selection processes. Other risk factors for VTE include hormonal therapy, lower limb paralysis, physical inactivity, hyperhomocysteinemia, low methylfolate levels and minor injuries, all of which potentially apply to crew members LSAH data will be assessed to identify which of these risk factors are applicable to our astronaut population. Using known terrestrial risk data, an overall estimated risk of VTE for female astronauts using menstrual cycle control methods will therefore be calculated. We predict this will be higher than the general population but not significantly higher requiring thromboprophylaxis. This study attempts to delineate what is assumed to be true of our astronaut population, for example, they are known to be a healthy fit cohort of individuals, and

  13. Microminiature Monitor for Vital Electrolyte and Metabolite Levels of Astronauts

    Science.gov (United States)

    Tohda, Koji; Gratzl, Miklos

    2004-01-01

    Ions, such as proton (pH) and potassium, play a crucial role in body fluids to maintain proper basic functioning of cells and tissues. Metabolites, such as glucose, control the energy available to the entire human body in normal as well as stress situations, and before, during, and after meals. These molecules diffuse easily between blood in the capillaries and the interstitial fluid residing between cells and tissues. We have developed and approach to monitoring of critical ions (called electrolytes) and glucose in the interstitial fluid under the human skin. Proton and potassium levels sensed using optode technology that translates the respective ionic concentrations into variable colors of corresponding ionophore/dye/polymeric liquid membranes. Glucose is monitored indirectly, by coupling through immobilized glucose oxidase with local pH that is then detected using a similar color scheme. The monitor consists of a tiny plastic bar, 100-200 microns wide and 1-2 mm long, placed just under the skin, with color changing spots for each analyte as well as blanks. The colors are read and translated into concentration values by a CCD camera. Direct optical coupling between the in vivo sensing bar and the ex vivo detector device requires no power, and thus eliminates the need for wires or optical fibers crossing the skin. The microminiature bar penetrates the skin easily and painlessly, so that astronauts could insert it themselves. The approach is fully compatible with telemetry in space, and thus, in vivo clinical data will be available real time in the Earth based command center once the device is fully developed. The information provided can be used for collecting hitherto unavailable vital data on clinical effects of space travel. Managing clinical emergencies in space with the sensor already in place should also become much more efficient than without a continuous monitor, as is currently the case. Civilian applications may include better glucose control of

  14. Mission X: Train Like an Astronaut. International Fitness Challenge

    Science.gov (United States)

    Lloyd, Charles

    2011-01-01

    The Mission X, Train like an Astronaut, pilot project was a 2-year effort directed by the International Life Science Working Group. The pilot was funded by the Human Research Program and was lead by the Human Research Program Education and Outreach (HRPEO) project and supported by a group of space agencies providing in-kind resources. The aim was to identify an international educational outreach concept that would promote a life science topic utilizing the education and outreach expertise of the various space agencies working on the utilization of the International Space Station. This in turn serves as an inspiration for the younger generation to aspire to go further in school, and provides insight into the capability of a participating country to ensure the effort provided value for their communities and children. The pilot project developed the necessary tools to promote communications between the partners and to use materials and expertise from all the countries? space agencies. The Mission X Website (trainlikeanastronaut.org) provided a single repository for the educational activities as well as a place for the Challenge Teams to provide their progress in the international fitness challenge. It also added to the International flavor as different countries were able to share and learn about what was happening with all those involved in the 6-week challenge period. A point system was utilized to promote constructive, cooperative competition in which 4164 students participated. The points were used to help FitKid, Astro Charlie, "Walk-To-The-Moon". The 18 physical and educational Mission X activities were made available on the Mission X website in seven languages. The Mission X pilot project was considered a success in 1) the design, development, and implementation of the multi-language website, 2) the expansion of healthy lifestyle awareness, and 3) the concept for drawing an international educational community together to highlight global topics in association

  15. Evaluation of the single radiosensitivity in patients subjected to medical exposure that show severe skin reactions; Evaluacion de la radiosensibilidad individual en pacientes sometidos a exposiciones medicas que manifiestan reacciones cutaneas severas

    Energy Technology Data Exchange (ETDEWEB)

    Di Giorgio, M.; Vallerga, M.B. [Laboratorio de Dosimetria Biologica, Autoridad Regulatoria Nuclear, Av. Del Libertador 8250 (C1429BNP), Buenos Aires (Argentina); Portas, M. [Hospital de Quemados del Gobierno de la Ciudad de Buenos Aires (Argentina); Perez, M.R. [Laboratorio de Radiopatologia, Autoridad Regulatoria Nuclear, Buenos Aires (Argentina)]. e-mail: mdigiorg@cae.arn.gov.ar

    2006-07-01

    The Burnt Hospital of the Buenos Aires City Government (HQGCBA) it is a hospital of reference of the Net of Medical Responses in Radiological Emergencies of the Argentine Republic. In the mark of an agreement among the HQGCBA and the Authority Regulatory Nuclear (ARN), it is in execution a study protocol for the one boarding diagnoses and therapeutic of radioinduced cutaneous leisure. They exist individual variations that can condition the response to the ionizing radiations (IR), so much in accidental exposures as having programmed (radiotherapy, radiology interventionist). In this context, the individual radiosensitivity is evaluated in the patients signed up in this protocol that presented sharp or late cutaneous reactions, with grades of severity 3-4 (approaches EORTC/RTOG). The capacity of repair of the DNA was evaluated in outlying blood lymphocytes irradiated in vitro (2 Gy, gamma of Co-60) by means of the micronucleus techniques and comet essay in alkaline conditions. In this work two cases in those that is applied this study protocol, the therapeutic answer and its correlate with the discoveries of the radiosensitivity tests is presented. Case 1: patient of feminine sex, subjected to external radiotherapy by a breast infiltrating ductal carcinoma; developed sharp cutaneous radiotoxicity grade 3 (confluent humid epithelitis) that motivate the interruption of the treatment. Case 2: patient of masculine sex, subjected to a coronary angioplasty (interventionist radiology); developed late cutaneous radiotoxicity grade 4 (ulceration in dorsal region). Both patients were treated with topical trolamine associated to systemic administration of pentoxiphiline and antioxidants. The therapeutic answer is evaluated by means of clinical pursuit, photographic serial register and complementary exams (thermography and ultrasonography of high frequency). In the case 1 the answer was very favorable, with precocious local improvement and complete remission of symptoms and

  16. A Tribute to National Aeronautics and Space Administration Minority Astronauts: Past and Present

    Science.gov (United States)

    1999-01-01

    The National Aeronautics and Space Administration (NASA) has been selecting astronauts since 1959. The first group was called the "Mercury Seven." These seven men were chosen because of their performance as military officers and test pilots, their character, their intelligence, and their guts. Six of these seven flew in the Mercury capsule. Several additional groups were chosen between 1959 and 1978. It was an exciting period in the American space program. Many of these astronauts participated in the Gemini and Apollo programs, traveled and walked on the Moon, docked with the Russians during the Apollo-Soyuz Test Project, and occupied America's first space station, the Skylab. With the onset of the Space Shuttle, a new era began. The astronauts selected in 19 78 broke the traditional mold. For the first time, minorities and women became part of America's astronaut corps. Since then, eight additional groups have been selected, with an increasing mix of African American, Hispanic, Latino, Asian/Pacific Islander, and Native American men and women. These astronauts will continue the American space program into the new millennium by continuing flights on the Space Shuttle and participating in the construction and occupancy of the International Space Station. These astronauts, and those who will be chosen in the future, will lead America and its partners to future voyages beyond the influence of Earth's gravity.

  17. The Effect of Concept Mapping on the Learning Levels of Students in Taking the Course of "Nursing Care of Patients With Glandular Diseases Subject" in Urmia University of Medical Sciences, Iran

    Directory of Open Access Journals (Sweden)

    Aghakhani

    2015-04-01

    Full Text Available Background Studies show that traditional teaching methods, such as lecturing, do not lead to in-depth learning. Concept maps have been used for a long time by researchers and teachers to facilitate learning. Objectives The present study aimed to investigate the effect of concept mapping on the learning levels of students in nursing care of patients with glandular diseases subject in Urmia University of Medical Sciences. Materials and Methods In a quasi-experimental study with a pre-test/post-test design, 28 nursing students were selected and divided into two groups: the experimental and the control groups. After administration of pre-test, the students in the experimental group participated in classes on designing concept maps. Next, lessons on glands and nursing were presented to the students in the experimental and control groups through concept maps and lectures, respectively. At the end of the semester, the learning levels of the students in both groups were evaluated by the post-test. Results The means of the scores of the students as determined by results of the pre-test revealed insignificant statistical difference between the two groups. However, the learning level of the students in the experimental group was significantly higher (P < 0.05. As a metacognitive intervention, concept mapping can contribute to in-depth learning of nursing students. Conclusions According to the findings, it is recommended that concept mapping should be used for teaching and evaluation. Further studies are needed to compare the effect of concept mapping with those of other metacognition approaches on different types of learners.

  18. Revolutionary Design for Astronaut Exploration — Beyond the Bio-Suit System

    Science.gov (United States)

    Newman, Dava J.; Canina, Marita; Trotti, Guillermo L.

    2007-01-01

    The Bio-Suit System is designed to revolutionize human space exploration by providing enhanced astronaut extravehicular activity (EVA) locomotion and performance based on the concepts of a `second skin' capability. The novel Bio-Suit concept provides an overall exploration system realized through symbiotic relationships between a suite of advanced technologies, creative design, human modeling and analysis, and new mission operations techniques. By working at the intersection of engineering, design, life sciences and operations, new emergent capabilities and interrelationships result for applications to space missions, medical rehabilitation, and extreme sports activities. In many respects, the Bio-Suit System mimics Nature (biomimetics). For example, the second skin is capable of augmenting our biological skin by providing mechanical counter-pressure. We have designed and tested prototypes that prove mechanical counter-pressure feasibility. The `epidermis' of our second skin suit is patterned from 3D laser scans that incorporate human skin strain field maps for maximum mobility and natural movements, while requiring minimum energy expenditure for exploration tasks. We provide a technology roadmap for future design, pressure production and technology investments for the Bio-Suit System. Woven into the second skin are active materials to enhance human performance as well as to provide necessary performance metrics (i.e., energy expenditure). Wearable technologies will be embedded throughout the Bio-Suit System to place the explorer in an information-rich environment enabling real-time mission planning, prediction, and visualization. The Bio-Suit System concept augments human capabilities by coupling human and robotic abilities into a hybrid of the two, to the point where the explorer is hardly aware of the boundary between innate human performance and robotic activities.

  19. Different Perspectives on Asthenia in Astronauts and Cosmonauts: International Research Literature

    Science.gov (United States)

    Sandoval, Luis; Shea, Camille; Otto, Christian; Leventon, Lauren

    2010-01-01

    The Behavioral Health and Performance (BHP) Element is one of the six elements within the NASA Human Research Program (HRP) and is responsible for managing four risks: a) The Risk of Performance Decrements due to inadequate Cooperation, Coordination, Communication and Psychological Adaptation within a Team (Team), b) the Risk of Performance Errors due to Sleep Loss, Circadian De-synchronization, Fatigue and Work Overload (Sleep), c) Risk of Behavioral Conditions (BMed), and d) the Risk of Psychiatric Disorders (BMed). The aim of this report is to address some of the recommendations made by the recent NASA HRP Standing Review Panel for the Behavioral Medicine Risk of Psychiatric Disorders. Such recommendations included: a) the inclusion of important national and international literature in English and non-English language materials; including journals, books, magazines, conference reports and b) an extensive literature review of certain types of psychological states to predict, detect, and assess adverse mental states that may negatively affect the psychological well being of the astronauts, specifically asthenia. This report was a collaborative international work effort focused on the evaluation and determination of the importance of continuing research on asthenia as a possible psychological problem that might affect the optimal psychological functioning among crewmembers during long-duration space flight missions. Russian medical personnel (flight surgeons and psychologist) have observed symptoms of asthenia (weakness, increased fatigue, irritability, and attention and memory disorders) in cosmonauts after four months in space (Myasnikov& Zamaleddinov1996; Grigorieve, 1996 ) and believe that asthenia is one of the greater risks that will affect crews? optimal psychological functioning.

  20. Salivary Varicella Zoster Virus in Astronauts and in Patients of Herpes Zoster

    Science.gov (United States)

    Mehta, Satish; Pierson, Duane L.

    2010-01-01

    Spaceflight is a uniquely stressful environment with astronauts experiencing a variety of stressors including: isolation and confinement, psychosocial, noise, sleep deprivation, anxiety, variable gravitational forces, and increased radiation. These stressors are manifested through the HPA and SAM axes resulting in increased stress hormones. Diminished T-lymphocyte functions lead to reactivation of latent herpes viruses in astronauts during spaceflight. Herpes simplex virus reactivated with symptoms during spaceflight whereas Epstein-Barr virus (EBV), cytomegalovirus (CMV), and varicella zoster virus (VZV) reactivate and are shed without symptoms. EBV and VZV are shed in saliva and CMV in the urine. The levels of EBV shed in astronauts increased 10-fold during the flight; CMV and VZV are not typically shed in low stressed individuals, but both were shed in astronauts during spaceflight. All herpesviruses were detected by polymerase chain reaction (PCR) assay. Culturing revealed that VZV shed in saliva was infectious virus. The PCR technology was extended to test saliva of 54 shingles patients. All shingles patients shed VZV in their saliva, and the levels followed the course of the disease. Viremia was also found to be common during shingles. The technology may be used before zoster lesions appear allowing for prevention of disease. The technology may be used for rapid detection of VZV in doctors? offices. These studies demonstrated the value of applying technologies designed for astronauts to people on Earth.

  1. Integrated Medical Model Overview

    Science.gov (United States)

    Myers, J.; Boley, L.; Foy, M.; Goodenow, D.; Griffin, D.; Keenan, A.; Kerstman, E.; Melton, S.; McGuire, K.; Saile, L.; hide

    2015-01-01

    The Integrated Medical Model (IMM) Project represents one aspect of NASA's Human Research Program (HRP) to quantitatively assess medical risks to astronauts for existing operational missions as well as missions associated with future exploration and commercial space flight ventures. The IMM takes a probabilistic approach to assessing the likelihood and specific outcomes of one hundred medical conditions within the envelope of accepted space flight standards of care over a selectable range of mission capabilities. A specially developed Integrated Medical Evidence Database (iMED) maintains evidence-based, organizational knowledge across a variety of data sources. Since becoming operational in 2011, version 3.0 of the IMM, the supporting iMED, and the expertise of the IMM project team have contributed to a wide range of decision and informational processes for the space medical and human research community. This presentation provides an overview of the IMM conceptual architecture and range of application through examples of actual space flight community questions posed to the IMM project.

  2. Automated Miniaturized Instrument for Space Biology Applications and the Monitoring of the Astronauts Health Onboard the ISS

    Science.gov (United States)

    Karouia, Fathi; Peyvan, Kia; Danley, David; Ricco, Antonio J.; Santos, Orlando; Pohorille, Andrew

    2011-01-01

    Human space travelers experience a unique environment that affects homeostasis and physiologic adaptation. The spacecraft environment subjects the traveler to noise, chemical and microbiological contaminants, increased radiation, and variable gravity forces. As humans prepare for long-duration missions to the International Space Station (ISS) and beyond, effective measures must be developed, verified and implemented to ensure mission success. Limited biomedical quantitative capabilities are currently available onboard the ISS. Therefore, the development of versatile instruments to perform space biological analysis and to monitor astronauts' health is needed. We are developing a fully automated, miniaturized system for measuring gene expression on small spacecraft in order to better understand the influence of the space environment on biological systems. This low-cost, low-power, multi-purpose instrument represents a major scientific and technological advancement by providing data on cellular metabolism and regulation. The current system will support growth of microorganisms, extract and purify the RNA, hybridize it to the array, read the expression levels of a large number of genes by microarray analysis, and transmit the measurements to Earth. The system will help discover how bacteria develop resistance to antibiotics and how pathogenic bacteria sometimes increase their virulence in space, facilitating the development of adequate countermeasures to decrease risks associated with human spaceflight. The current stand-alone technology could be used as an integrated platform onboard the ISS to perform similar genetic analyses on any biological systems from the tree of life. Additionally, with some modification the system could be implemented to perform real-time in-situ microbial monitoring of the ISS environment (air, surface and water samples) and the astronaut's microbiome using 16SrRNA microarray technology. Furthermore, the current system can be enhanced

  3. Medical Computational Thinking

    DEFF Research Database (Denmark)

    Musaeus, Peter; Tatar, Deborah Gail; Rosen, Michael A.

    2017-01-01

    Computational thinking (CT) in medicine means deliberating when to pursue computer-mediated solutions to medical problems and evaluating when such solutions are worth pursuing in order to assist in medical decision making. Teaching computational thinking (CT) at medical school should be aligned...... and individual patient care. In conclusion, the medical curriculum provides a meaningful problem space in which medical computational thinking ought to be developed. We argue not for the introduction of a stand-alone subject of medical CT, but as researchers, teachers, clinicians, or curriculum administrators...

  4. Synergistic action of gravity and temperature on the motor system within the lifespan: a "Baby Astronaut" hypothesis.

    Science.gov (United States)

    Meigal, Alexander Yu

    2013-03-01

    Here we describe GATO (gravity, age, thermoregulation, and oxygenation) hypothesis (or a "Baby Astronaut" hypothesis) which we suggest to explain synergistic effect of these factors on the motor system. Taken separately, microgravity (in spaceflight, G~0), the early age, heat and hypoxia exert identical effect on the motor system. We posit that synergy of these factors originate from their synchronicity during intrauterine immersion (analog microgravity) of the fetus in warm hypoxic condition. We further postulate three successive motor adaptive strategies, driven lifelong by gravity as the key factor. The first by age, fetal/microgravity (FM)-strategy, induced by the intrauterine immersion of the fetus, is based on domination of fast type muscle fibers. After birth, thought to be analog for landing from orbit, newborn is subjected to combined influence of cooler ambient temperature, normoxia, and 1G Earth gravity, which cooperatively form a slower GE-strategy. Eventually, healthy ageing results in further domination of slow type muscle fibers that forms the slowest (SL)-strategy. Our hypothesis implies that specific sensory conditions may substitute for each other owing to their synergistic action on the motor system. According to GATO hypothesis heating and hypoxia may be considered as "pro-microgravity" factors, while cold and hyperoxia - as "pro-gravity" ones. As such, cold may act as a partial "surrogate" for gravity, estimated as ~0.2G. That may have potential to elaborate countermeasures for muscle atrophy in astronauts either on-board in long-term spaceflight or for post-flight rehabilitation. Based on GATO hypothesis, predictions on muscle remodeling caused by illumination, sound/noise, and gravidity are discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. Getting to the Heart of Cardiovascular Risk Assessment in Astronauts for Exploration Class Missions

    Science.gov (United States)

    Elgart, S. R.; Shavers, M. R.; Chappell, L.; Milder, C. M.; Huff, J. L.; Semones, E. J.; Simonsen, L. C.; Patel, Z. S.

    2017-01-01

    Since the beginning of manned spaceflight, NASA has recognized the potential risk of cardiovascular decrements due to stressors in the space environment. Of particular concern is the effect of space radiation on cardiovascular disease since astronauts will be exposed to higher levels of galactic cosmic rays outside the Earth's protective magnetosphere. To date, only a few studies have examined the effects of heavy ion radiation on cardiovascular disease, and at lower, space-relevant doses, the association between radiation exposure and cardiovascular pathology is more varied and unclear. Furthermore, other spaceflight conditions such as microgravity, circadian shifts, and confinement stress pose unique challenges in estimating the health risks that can be attributed to exposure to ionizing radiations. In this work, we review age, cause of mortality, and radiation exposure amongst early NASA astronauts in selection groups and discuss the limitations of assessing such a cohort when attempting to characterize the risk of space flight, including stressors such as space radiation and microgravity exposure, on cardiovascular health. METHODS: NASA astronauts in selection groups 1-7 were chosen and the comparison population was white men of the same birth cohort as drawn from data from the CDC Wonder Database and CDC National Center for Health Statistics Life Tables. Cause of death information was obtained from the Lifetime Surveillance of Astronaut Health program and deceased astronauts were classified based on ICD-10 codes: ischemic heart disease (IHD), stroke, cancer, acute occupational events, non-NASA accidents, and other/unknown. Expected years of life left and expected age at death were calculated for the cohort. RESULTS AND CONCLUSIONS: There were 32 deaths in this early astronaut population, 12 of which were due to accidents or acute occupational events that impacted lifespan considerably. The average age at death from these causes is 30 years lower than the

  6. Abortion - medical

    Science.gov (United States)

    ... womb (uterus). There are different types of medical abortions: Therapeutic medical abortion is done because the woman has ... Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion

  7. Using Space as a Context to Enrich the Teaching and Learning of STEM Subjects

    Science.gov (United States)

    Clements, Allan; Curtis, Jeremy; Jackson, Libby; Lyons, Tom

    2014-01-01

    This article looks at how space can provide a context for the teaching of STEM subjects. It explores how space fits with the new curriculum, and outlines what resources are available for teachers from the National STEM Centre eLibrary. In November 2015, the UK sends its first official astronaut into space, Tim Peake. His mission can provide a…

  8. The disease-subject as a subject of literature

    Directory of Open Access Journals (Sweden)

    Kottow Andrea R

    2007-06-01

    Full Text Available Abstract Based on the distinction between living body and lived body, we describe the disease-subject as representing the impact of disease on the existential life-project of the subject. Traditionally, an individual's subjectivity experiences disorders of the body and describes ensuing pain, discomfort and unpleasantness. The idea of a disease-subject goes further, representing the lived body suffering existential disruption and the possible limitations that disease most probably will impose. In this limit situation, the disease-subject will have to elaborate a new life-story, a new character or way-of-being-in-the-world, it will become a different subject. Health care professionals need to realize that patients are not mere observers of their body, for they are immersed in a reassesment of values, relationships, priorities, perhaps even life-plans. Becoming acquainted with literature's capacity to create characters, modify narratives and depict life-stories in crisis, might sharpen physicians' hermeneutic acumen and make them more receptive to the quandaries of disease-subjects facing major medical and existential decisions in the wake of disruptive disease.

  9. Astronaut Linda Godwin Trains in Weightless Environment Facility (WET-F)

    Science.gov (United States)

    1995-01-01

    Astronaut and mission specialist, Linda Godwin, makes a final check of her respiration system before submersion into a 25 ft deep pool at the Johnson Space Center's (JSC) Weightless Environment Training Facility (WET-F). Wearing a high fidelity training version of the Extravehicular Mobility Unit (EMU) space suit, Godwin simulated STS-76 Extravehicular Activity (EVA) chores in the pool. Launched aboard the Space Shuttle Atlantis in March of 1996, STS-76 marked the third U.S. Shuttle-Mir docking during which Godwin, along with astronaut and mission specialist Michael R. (Rich) Clifford, performed the first Extravehicular Activity (EVA) during Mir-Shuttle docked operations.

  10. Astronaut Edwin Aldrin after deployment of EASEP on surface of moon

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot, is photographed during the Apollo 11 extravehicular activity on the Moon. He has just deployed the Early Apollo Scientific Experiments Package (EASEP). In the foreground is the Passive Seismic Experiment Package (PSEP); beyond it is the Laser Ranging RetroReflector (LR-3); in the center background is the United States flag; in the left background is the black and white lunar surface television camera; in the far right background is the Lunar Module. Astronaut Neil A. Armstrong, commander, took this photograph with a 70mm lunar surface camera.

  11. Former astronauts Armstrong and Cernan talk at Apollo 11 anniversary banquet

    Science.gov (United States)

    1999-01-01

    During an anniversary banquet honoring the Apollo program team, the people who made the entire lunar landing program possible, former Apollo astronauts Neil Armstrong (left) and Gene Cernan talk about their experiences. The banquet was held in the Apollo/Saturn V Center, part of the KSC Visitor Complex. This is the 30th anniversary of the Apollo 11 launch and moon landing, July 16 and July 20, 1969. Other guests at the banquet were astronauts Wally Schirra, Edwin 'Buzz' Aldrin and Walt Cunningham. Neil Armstrong was the first man to walk on the moon; Gene Cernan was the last.

  12. Radiation Exposure and Mortality from Cardiovascular Disease and Cancer in Early NASA Astronauts: Space for Exploration

    Science.gov (United States)

    Elgart, S. R.; Little, M. P.; Campbell, L. J.; Milder, C. M.; Shavers, M. R.; Huff, J. L.; Patel, Z. S.

    2018-01-01

    Of the many possible health challenges posed during extended exploratory missions to space, the effects of space radiation on cardiovascular disease and cancer are of particular concern. There are unique challenges to estimating those radiation risks; care and appropriate and rigorous methodology should be applied when considering small cohorts such as the NASA astronaut population. The objective of this work was to establish whether there is evidence for excess cardiovascular disease or cancer mortality in an early NASA astronaut cohort and determine if a correlation exists between space radiation exposure and mortality.

  13. Differences in Pre and Post Vascular Patterning of Retinas from ISS Crew Members and HDT Subjects by VESGEN Analysis

    Science.gov (United States)

    Murray, M. C.; Vizzeri, G.; Taibbi, G.; Mason, S. S.; Young, M. H.; Zanello, S. B.; Parsons-Wingerter, P. A.

    2018-01-01

    Surveillance of Astronaut Health (LSAH). For the initial blinded VESGEN phase, ophthalmic retinal images were masked as to subject identity and pre- and post-status. In the second unblinded phase, VESGEN results were analyzed according to the pre- and post-status of left and right retinas matched to each subject. To complete our study, vascular results will be subjected to NASA biostatistical analysis and correlated with other ophthalmic and medical findings. Preliminary results for changes in the pre- to post-status of vascular patterning in the retinas of crewmembers and HDT subjects are strikingly opposite. By Df and other vascular branching measures, the space-filling capacity of arterial and venous trees decreased in a substantial subset of crewmembers (11/16 retinas). In contrast, vascular densities increased in a substantial subset of HDT subjects by the same parameters (6/10 retinas, currently excluding one anomalous subject). To conclude the study, biostatistical and medical analyses will be of critical importance for investigating the validity of these vascular findings. Vascular densities appeared to decrease in the retinas of crewmembers following ISS Missions, and increase in subjects after HDT. The vascular increases and decreases most likely derive primarily from limits of resolution to the ophthalmic imaging that does not capture the smallest vessels, rather than from vessel growth or atrophy. Differences in arterial and venous response to cephalad fluid shifts induced by ISS and HDT may have resulted from a long-duration conditioning phenomenon (for example, 6-month ISS missions compared to 70-day HDT), or the presence of gravity in HDT compared to microgravity onboard the ISS. To conclude our study, the biostatistical and medical analyses will be of critical importance for investigating the validity and significance of the VESGEN findings.

  14. Subjective Sleep Experience During Shuttle Missions

    Science.gov (United States)

    Whitmire, Alexandra; Slack, Kelley; Locke, James; Patterson, Holly; Faulk, Jeremy; Keeton, Kathryn; Leveton, Lauren

    2012-01-01

    It is now known that for many astronauts, sleep is reduced in spaceflight. Given that sleep is intimately tied to performance, safety, health, and well being, it is important to characterize factors that hinder sleep in space, so countermeasures can be implemented. Lessons learned from current spaceflight can be used to inform the development of space habitats and mitigation strategies for future exploration missions. The purpose of this study was to implement a survey and one-on-one interviews to capture Shuttle flyers' subjective assessment of the factors that interfered with a "good nights sleep" during their missions. Strategies that crewmembers reported using to improve their sleep quality during spaceflight were also discussed. Highlights from the interview data are presented here.

  15. Astronaut Edwin Aldrin undergoes zero-gravity training aboard KC-135

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot of the Apollo 11 lunar landing mission, undergoes zero-gravity training aboard a U.S. Air Force KC-135 jet aircraft from nearby Patrick Air Force Base, Florida. Aldrin is wearing an Extravehicular Mobility Unit (EMU), the type of equipment which he will wear on the lunar surface.

  16. Astronaut Edwin Aldrin in EMU verifies fit of Portable Life Support System

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., wearing an Extravehicular Mobility Unit (EMU), verifies fit of the Portable Life Support System (PLSS) strap length during lunar surface training at the Kennedy Space Center. Aldrin is the prime crew lunar module pilot of the Apollo 11 lunar landing mission. Aldrin's PLSS backpack is attached to a lunar weight simulator.

  17. GEMINI 12 [GT-12] ASTRONAUTS LOVELL AND ALDRIN RETURN FROM SPACE

    Science.gov (United States)

    1966-01-01

    Kennedy Space Center, FLA.--Astronauts James A. Lovell, left, and Edwin ''Buzz'' Aldrin shake hands in front of scoreboard sign listing flights in the successful Gemini series. The two were greeted at the Cape Kennedy Skid Strip Wednesday november 16, 1966 upon their return from space by hundreds of NASA, Air Force and contractors who worked on the program.

  18. Portrait of Astronaut Edwin Aldrin, Lunar Module pilot of Apollo 11 mission

    Science.gov (United States)

    1969-01-01

    Portrait of Astronaut Edwin E. Aldrin Jr., Lunar Module pilot of the Apollo 11 Lunar Landing mission in his space suit, with his helmet on the table in front of him. Behind him is a large photograph of the lunar surface.

  19. Astronaut Harrison Schmitt next to deployed U.S. flag on lunar surface

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison Schmitt, Apollo 17 lunar module pilot, is photographed next to the U.S. flag during extravehicular activity (EVA) of NASA's final lunar landing mission in the Apollo series. The photo was taken at the Taurus-Littrow landing site. The highest part of the flag appears to point toward our planet earth in the distant background.

  20. Astronaut Harrison Schmitt looks at 'orange' soil brought back by Apollo 17

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison H. 'Jack' Schmitt (facing camera), Apollo 17 lunar module pilot, was one of the first to look at the sample of 'orange' soil brought back from the Taurus-Littrow landing site by the Apollo 17 crewmen.

  1. President Nixon welcomes the Apollo 11 astronauts aboard the U.S.S. Hornet

    Science.gov (United States)

    1969-01-01

    President Richard M. Nixon welcomes the Apollo 11 astronauts aboard the U.S.S. Hornet. Already confined to the Mobile Quarantine Facility are (left to right) Neil A. Armstrong, commander; Michael Collins, command module pilot; and Edwin E. Aldrin Jr., lunar module pilot.

  2. 78 FR 72011 - Interpretation Concerning Involvement of NASA Astronauts During a Licensed Launch or Reentry

    Science.gov (United States)

    2013-12-02

    ... definite. It is the FAA's understanding that a NASA astronaut's interaction with the controls of a launch... the flight path of the vehicle. Any persons on board would not likely affect the flight path of the..., while the technology is so new, it is important for public safety that pilots be highly skilled at the...

  3. Astronaut Donald Slayton checks out Docking Module back-up flight article

    Science.gov (United States)

    1974-01-01

    Astronaut Donald K. Slayton helps check out the Docking Module (DM) back-up flight article during Apollo Soyuz Test Project (ASTP) preflight preparations at JSC. Slayton, docking module pilot of the American ASTP crew, participates in a DM thermo-vacuum test walk through 'dry run' in Chamber B, Space Environment Simulation Laboratory, bldg 32, at JSC.

  4. Astronaut Donald McMonagle works with HPP-2 experiment on middeck

    Science.gov (United States)

    1994-01-01

    On the Space Shuttle Atlantis' mid-deck, astronaut Donald R. McMonagle, mission commander, works with the Heat Pipe Performance (HPP-2) experiment. HPP-2 was flown to investigate the thermal performance and and fluid dynamics of heat pipes operating with asymmetric and multiple heating zones under microgravity conditions.

  5. Behavioral Issues Associated With Long Duration Space Expeditions: Review and Analysis of Astronaut Journals

    Science.gov (United States)

    Struster, Jack

    2010-01-01

    Personal journals maintained by NASA astronauts during six-month expeditions onboard the International Space Station were analyzed to obtain information concerning a wide range of behavioral and human factors issues. Astronauts wrote most about their work, followed by outside communications (with mission control, family, and friends), adjustment to the conditions, interactions with crew mates, recreation/leisure, equipment (installation, maintenance), events (launches, docking, hurricanes, etc.), organization/management, sleep, and food. The study found evidence of a decline in morale during the third quarters of the missions and identified key factors that contribute to sustained adjustment and optimal performance during long-duration space expeditions. Astronauts reported that they benefited personally from writing in their journals because it helped maintain perspective on their work and relations with others. Responses to questions asked before, during, and after the expeditions show that living and working onboard the ISS is not as difficult as the astronauts anticipate before starting their six-month tours of duty. Recommendations include application of study results and continuation of the experiment to obtain additional data as crew size increases and operations evolve.

  6. Astronaut Gerald Carr during spacesuit pressure and fit checks at KSC

    Science.gov (United States)

    1973-01-01

    Astronaut Gerald P. Carr, commander of the Skylab 4 mission, undergoes spacesuit pressure and fit checks at the Kennedy Space Center (KSC), Florida. This shoulder and head shot of Carr was taken a few days before the scheduled Skylab 4 launch.

  7. Lifetime Surveillance of Astronaut Health (LSAH) / Life Sciences Data Archive (LSDA) Data Request Helpdesk

    Science.gov (United States)

    Young, Millennia; Van Baalen, Mary

    2016-01-01

    This session is intended to provide to HRP IWS attendees instant feedback on archived astronaut data, including such topics as content of archives, access, request processing, and data format. Members of the LSAH and LSDA teams will be available at a 'help desk' during the poster sessions to answer questions from researchers.

  8. Atlas booster which will lift Astronaut L. Gordon Cooper into space arrives at Cape Canaveral, Fla.

    Science.gov (United States)

    1963-01-01

    The Atlas vehicle 130D which will lift Astronaut L. Gordon Cooper into space arrives at Cape Canaveral, Fla. The launch vehicle is a one-and-a-half stage, liquid propellant launch vehicle with five engines: 2 booster engines, 1 sustainer engine, and 2 small vernier engines. These engines produce a total thrust of approximately 360,000 pounds.

  9. Exploration Medical System Demonstration

    Science.gov (United States)

    Rubin, D. A.; Watkins, S. D.

    2014-01-01

    BACKGROUND: Exploration class missions will present significant new challenges and hazards to the health of the astronauts. Regardless of the intended destination, beyond low Earth orbit a greater degree of crew autonomy will be required to diagnose medical conditions, develop treatment plans, and implement procedures due to limited communications with ground-based personnel. SCOPE: The Exploration Medical System Demonstration (EMSD) project will act as a test bed on the International Space Station (ISS) to demonstrate to crew and ground personnel that an end-to-end medical system can assist clinician and non-clinician crew members in optimizing medical care delivery and data management during an exploration mission. Challenges facing exploration mission medical care include limited resources, inability to evacuate to Earth during many mission phases, and potential rendering of medical care by non-clinicians. This system demonstrates the integration of medical devices and informatics tools for managing evidence and decision making and can be designed to assist crewmembers in nominal, non-emergent situations and in emergent situations when they may be suffering from performance decrements due to environmental, physiological or other factors. PROJECT OBJECTIVES: The objectives of the EMSD project are to: a. Reduce or eliminate the time required of an on-orbit crew and ground personnel to access, transfer, and manipulate medical data. b. Demonstrate that the on-orbit crew has the ability to access medical data/information via an intuitive and crew-friendly solution to aid in the treatment of a medical condition. c. Develop a common data management framework that can be ubiquitously used to automate repetitive data collection, management, and communications tasks for all activities pertaining to crew health and life sciences. d. Ensure crew access to medical data during periods of restricted ground communication. e. Develop a common data management framework that

  10. Image Detective 2.0: Engaging Citizen Scientists with NASA Astronaut Photography

    Science.gov (United States)

    Higgins, Melissa; Graff, Paige Valderrama; Heydorn, James; Jagge, Amy; Vanderbloemen, Lisa; Stefanov, William; Runco, Susan; Lehan, Cory; Gay, Pamela

    2017-01-01

    Image Detective 2.0 engages citizen scientists with NASA astronaut photography of the Earth obtained by crew members on the International Space Station (ISS). Engaged citizen scientists are helping to build a more comprehensive and searchable database by geolocating this imagery and contributing to new imagery collections. Image Detective 2.0 is the newest addition to the suite of citizen scientist projects available through CosmoQuest, an effort led by the Astronomical Society of the Pacific (ASP) and supported through a NASA Science Mission Directorate Cooperative Agreement Notice award. CosmoQuest hosts a number of citizen science projects enabling individuals from around the world to engage in authentic NASA science. Image Detective 2.0, an effort that focuses on imagery acquired by astronauts on the International Space Station, builds on work initiated in 2012 by scientists and education specialists at the NASA Johnson Space Center. Through the many lessons learned, Image Detective 2.0 enhances the original project by offering new and improved options for participation. Existing users, as well as new Image Detective participants joining through the CosmoQuest platform, gain first-hand experience working with astronaut photography and become more engaged with this valuable data being obtained from the International Space Station. Citizens around the world are captivated by astronauts living and working in space. As crew members have a unique vantage point from which to view our Earth, the Crew Earth Observations (CEO) online database, referred to as the Gateway to Astronaut Photography of Earth (https://eol.jsc.nasa.gov/), provides a means for crew members to share their unique views of our home planet from the ISS with the scientific community and the public. Astronaut photography supports multiple uses including scientific investigations, visualizations, education, and outreach. These astronaut images record how the planet is changing over time, from human

  11. Astronauts in Outer Space Teaching Students Science: Comparing Chinese and American Implementations of Space-to-Earth Virtual Classrooms

    Science.gov (United States)

    An, Song A.; Zhang, Meilan; Tillman, Daniel A.; Robertson, William; Siemssen, Annette; Paez, Carlos R.

    2016-01-01

    The purpose of this study was to investigate differences between science lessons taught by Chinese astronauts in a space shuttle and those taught by American astronauts in a space shuttle, both of whom conducted experiments and demonstrations of science activities in a microgravity space environment. The study examined the instructional structure…

  12. Naval Medical Research and Development News. Volume 7, Issue 11, November 2015

    Science.gov (United States)

    2015-11-01

    a food and waterborne disease, is characterized by fever, cramps and sometimes severe bloody diarrhea,” said Cmdr. Christopher Duplessis, lead...acquaint them with the command’s capabilities and prepare them for space flight. The astronauts spent two hours in NMRI’s low-pressure chamber ...and were subjected to an atmosphere of three percent carbon dioxide. A NASA documentary film of this shows the astronauts huddled in the chamber

  13. Sensibility and Subjectivity: Levinas’ Traumatic Subject

    Directory of Open Access Journals (Sweden)

    Rashmika Pandya

    2011-02-01

    Full Text Available The importance of Levinas’ notions of sensibility and subjectivity are evident in the revision of phenomenological method by current phenomenologists such as Jean-Luc Marion and Michel Henry. The criticisms of key tenants of classical phenomenology, intentionality and reduction, are of a particular note. However, there are problems with Levinas’ characterization of subjectivity as essentially sensible. In “Totality and Infinity” and “Otherwise than Being”, Levinas criticizes and recasts a traditional notion of subjectivity, particularly the notion of the subject as the first and foremost rational subject. The subject in Levinas’ works is characterized more by its sensibility and affectedness than by its capacity to reason or affect its world. Levinas ties rationality to economy and suggests an alternative notion of reason that leads to his analysis of the ethical relation as the face-to-face encounter. The ‘origin’ of the social relation is located not in our capacity to know but rather in a sensibility that is diametrically opposed to the reason understood as economy. I argue that the opposition in Levinas’ thought between reason and sensibility is problematic and essentially leads to a self-conflicted subject. In fact, it would seem that violence characterizes the subject’s self-relation and, thus, is also inscribed at the base of the social relation. Rather than overcoming a problematic tendency to dualistic thought in philosophy Levinas merely reverses traditional hierarchies of reason/emotion, subject/object and self/other. 

  14. Sequential Imaging of Earth by Astronauts: 50 Years of Global Change

    Science.gov (United States)

    Evans, Cynthia A.

    2009-01-01

    For nearly 50 years, astronauts have collected sequential imagery of the Earth. In fact, the collection of astronaut photography comprises one of the earliest sets of data (1961 to present) available to scientists to study the regional context of the Earth s surface and how it changes. While today s availability of global high resolution satellite imagery enables anyone with an internet connection to examine specific features on the Earth s surface with a regional context, historical satellite imagery adds another dimension (time) that provides researchers and students insight about the features and processes of a region. For example, one of the geographic areas with the longest length of record contained within the astronaut photography database is the lower Nile River. The database contains images that document the flooding of Lake Nasser (an analog to today s flooding behind China s Three Gorges Dam), the changing levels of Lake Nasser s water with multiyear cycles of flood and drought, the recent flooding and drying of the Toshka Lakes, as well as urban growth, changes in agriculture and coastal subsidence. The imagery database allows investigations using different time scales (hours to decades) and spatial scales (resolutions and fields of view) as variables. To continue the imagery collection, the astronauts on the International Space Station are trained to understand basic the Earth Sciences and look for and photograph major events such as tropical storms, landslides, and volcanic eruptions, and document landscapes undergoing change (e.g., coastal systems, cities, changing forest cover). We present examples of selected sequences of astronaut imagery that illustrate the interdependence of geological processes, climate cycles, human geography and development, and prompt additional questions about the underlying elements of change.

  15. In-Flight Personalized Medication Management

    Science.gov (United States)

    Peletskaya, E.; Griko, Y. V.

    2016-01-01

    Current medication selection for treatment of astronauts during spaceflight missions is primarily dictated by the task of efficiently treating the widest possible range of physiological conditions and illnesses with a limited set of medications. Dosage and recommendations on the combination of drugs are based on the assumption of genetically equal drug sensitivity and unchanged metabolism. To our knowledge, there was no pre-flight drug sensitivity testing on a genetic level for any of the previous manned NASA space missions. Although many of the common, binary drug-drug interactions are, most likely, already considered in the ISS Medical kit composition, multi-drug and multi-drug-gene factors are not incorporated in the medication selection or prescription. Furthermore, due to the physiological changes occurring in microgravity environments, astronauts might be susceptible to potential increased drug toxicity as a result of decreased clearance of numerous drugs. In particular, perturbation of CYP450 enzymes which contribute to the hepatic metabolism of the majority of drugs may have significant effects on therapeutic efficacy and increase treatment-related toxicity5. The genes encoding the CYP450 enzymes are highly variable in humans. Inheritable variations of CYP450 hepatic metabolizer enzymes and transport proteins play a crucial role in the inter-individual variability of drug efficiency and risks of adverse drug reactions5. Additionally, there are some reports that document changes in the levels of production of drug-metabolizing enzymes in microgravity. These data can be extrapolated to provide reasonable assumptions of decreased levels of expression for most CYP450 enzymes in human body during prolonged space travel. If the prescribed medication regiment is not fully effective or causes undesirable side effects, the ability of the astronauts to function and maintain peak performance levels during space flight could be seriously compromised. Therefore

  16. Recommended Methods for Monitoring Skeletal Health in Astronauts to Distinguish Specific Effects of Prolonged Spaceflight

    Science.gov (United States)

    Vasadi, Lukas J.; Spector, Elizabeth R.; Smith, Scott A.; Yardley, Gregory L.; Evans, Harlan J.; Sibonga, Jean D.

    2016-01-01

    NASA uses areal bone mineral density (aBMD) by dual-energy X-ray absorptiometry (DXA) to monitor skeletal health in astronauts after typical 180-day spaceflights. The osteoporosis field and NASA, however, recognize the insufficiency of DXA aBMD as a sole surrogate for fracture risk. This is an even greater concern for NASA as it attempts to expand fracture risk assessment in astronauts, given the complicated nature of spaceflight-induced bone changes and the fact that multiple 1-year missions are planned. In the past decade, emerging analyses for additional surrogates have been tested in clinical trials; the potential use of these technologies to monitor the biomechanical integrity of the astronaut skeleton will be presented. OVERVIEW: An advisory panel of osteoporosis policy-makers provided NASA with an evidence-based assessment of astronaut biomedical and research data. The panel concluded that spaceflight and terrestrial bone loss have significant differences and certain factors may predispose astronauts to premature fractures. Based on these concerns, a proposed surveillance program is presented which a) uses Quantitative Computed Tomography (QCT) scans of the hip to monitor the recovery of spaceflight-induced deficits in trabecular BMD by 2 years after return, b) develops Finite Element Models [FEM] of QCT data to evaluate spaceflight effect on calculated hip bone strength and c) generates Trabecular Bone Score [TBS] from serial DXA scans of the lumbar spine to evaluate the effect of age, spaceflight and countermeasures on this novel index of bone microarchitecture. SIGNIFICANCE: DXA aBMD is a widely-applied, evidence-based predictor for fractures but not applicable as a fracture surrogate for premenopausal females and males assessing changes in bone integrity with and without countermeasures. Collective use of aBMD, TBS, QCT, and FEM analysis for astronaut surveillance could accommodate NASA's aggressive schedule for risk definition and inform a NASA

  17. Whatever happened to medical politics?

    Science.gov (United States)

    Emmerich, Nathan

    2011-10-01

    This paper argues the case for coming to see 'medical politics' as a topic or subject within medical education. First, its absence is noted from the wide array of paramedical subjects (medical ethics, history of medicine, the medical humanities, etc) currently given attention in both the medical education literature and in specific curricula. Second the author suggests that 'the political' is implicitly recognisable in the historical roots of medical ethics education, specifically in certain of the London Medical Group's activities, and also that the medical profession, or indeed any profession, cannot be understood as an apolitical form of social organisation either in its institutional or scientific (epistemic) forms. Some brief suggestions for introductory and advanced topics in medical politics are discussed and the degree to which medical politics ought to be taken seriously and delivered as part of medical education is considered. Ultimately the author concludes that medical politics might be considered a useful subject within medical education, but it is perhaps best understood as a perspective or approach that can contribute to the development of a more expansive perspective within the extant paramedical subjects.

  18. Whither medical humanities?

    Science.gov (United States)

    Singh, Navjeevan

    2012-01-01

    Understanding the medical humanities (MH) and their role in medical education is in its infancy in India. Students are initiated into professional (medical) education too early in life, usually at the expense of a basic grounding in the humanities, resulting in warped intellectual growth. The author, arguing against the wholesale import of foreign systems, advocates free inquiry by medical educators to evolve a humanities programme for medical students derived from our own cultural context. This essay describes the early experiences of efforts to make a beginning at the University College of Medical Sciences, Delhi. The author reviews the various strategies used and the challenges of introducing the subject to the current generation of medical students.

  19. Pilot Study on the Investigation of Tear Fluid Biomarkers as an Indicator of Ocular, Neurological, and Immunological Health in Astronauts

    Science.gov (United States)

    Morton, Stephen; Crucian, Brian; Hagan, Suzanne; Satyamitra, Merriline; Daily, Anna

    2018-01-01

    The purpose of this pilot study is to investigate the collection, preparation, and analysis of tear biomarkers as a means of assessing ocular, neurological, and immunological health. At present, no published data exists on the cytokine profiles of tears from astronauts exposed to long periods of microgravity and space irradiations. In addition, no published data exist on cytokine (biomarker) profiles of tears that have been collected from irradiated non-human biological systems (primates and other animal models). A goal for the proposed pilot study is to discover novel tear biomarkers which can help inform researchers, clinicians, epidemiologist and healthcare providers about the health status of a living biological system, as well as informing them when a disease state is triggered. This would be done via analysis of the onset of expression of pro-inflammatory cytokines, leading up to the full progression of a disease (i.e. cancer, loss of vision, radiation-induced oxidative stress, cardiovascular disorders, fibrosis in major organs, bone loss). Another goal of this pilot study is to investigate the state of disease against proposed medical countermeasures, in order to determine whether the countermeasures are efficacious in preventing or mitigating these injuries. An example of an up and coming tear biomarker technology, Ascendant Dx, a clinical stage diagnostic company, is developing a screening test to detect breast cancer using proteins from tears. The team utilized Liquid Chromatography -Mass Spectrometry with Mass analysis (LC MS/MS) as a discovery platform followed by validation with ELISA to come up with a panel of protein biomarkers that can differentiate breast cancer samples from control ("cancer free") samples with results far surpassing the results of imaging techniques in use today. Continued research into additional proteins is underway to increase the sensitivity and specificity of the test and development efforts are on the way to transfer the

  20. Medical marijuana

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000899.htm Medical marijuana To use the sharing features on this ... have legalized marijuana for medical use. How Does Medical Marijuana Work? Medical marijuana may be: Smoked Vaporized ...

  1. Medical humanities ... almost.

    Science.gov (United States)

    Dangayach, Neha

    2012-01-01

    Brought up in the traditional education system in a large teaching hospital in Mumbai, India, I moved on to do specialisation in neurology in the United States of America. The Indian system of pre-medical education mandates early choices between the humanities and the sciences and thus precludes a more well-rounded development of a student. Though medical humanities is not taught as a subject as part of the medical curriculum in India, listening to inspiring and learned teachers and the daily interaction with scores of patients who are willing to submit themselves to examination "in the cause of medical education" is a humbling experience to a sensitive student. I see similar willingness in patients in the United States. However, a formal course in the medical humanities, including arts, literature, and philosophy will surely enrich the experience of a larger number of undergraduates and postgraduates learning the core subjects and help in moulding a more rounded physician.

  2. Astronaut David Brown talks with team members from Lake Buena Vista, Fla

    Science.gov (United States)

    2000-01-01

    Astronaut David Brown chats with members of the Explorers team, from Lake Buena Vista, Fla., during the FIRST (For Inspiration and Recognition of Science and Technology) Southeast Regional competition held March 9-11 in the KSC Visitor Complex Rocket Garden. Teams of high school students from all over the country are testing the limits of their imagination using robots they have designed, with the support of business and engineering professionals and corporate sponsors, to compete in a technological battle against other schools' robots. Of the 30 high school teams competing at the Southeast Regional event, 16 are Florida teams co-sponsored by NASA and KSC contractors. Local high schools participating are Astronaut, Bayside, Cocoa Beach, Eau Gallie, Melbourne, Melbourne Central Catholic, Palm Bay, Rockledge, Satellite, and Titusville.

  3. Astronaut John Young on rim of Plum crater gathering lunar rock samples

    Science.gov (United States)

    1972-01-01

    Astronaut John W. Young, commander of the Apollo 16 lunar landing mission, stands on the rim of Plum crater while collecting lunar rock samples at Station No.1 during the first Apollo 16 extravehicular activity (EVA-1) at the Descartes landing site. This scene, looking eastward, was photographed by Astronaut Charles M. Duke Jr., lunar module pilot. The small boulder in the center foreground was chip sampled by the crewmen. Plum crater is 40 meters in diameter and 10 meters deep. The Lunar Roving Vehicle is parked on the far rim of the crater. The gnomon, which is used as a photographic reference to establish local vertical sun angle, scale, and lunar color, is deployed in the center of the picture. Young holds a geological hammer in his right hand.

  4. Materials and technologies used in the Oil & Gas sector based on Astronautic researches

    Science.gov (United States)

    Vera Rodriguez, Rafael Jonathan Camilo

    2015-07-01

    Many people don't realise how much the oil & gas sector can be connected with astronomy and astronautic researches. But in fact, many of the actual technologies used in facilities and Early-Production Facilities (EPFs) come from the necessities first raised in the astronomy and aerospace fields. In the following talk I show some examples of materials and detection systems, used in Colombian EPFs, which were first developed from projects connected with astronomy.

  5. Do Astronauts Havbe a Higher Rate of Orthopedic Shoulder Conditions Than a Cohort of Working Professionals

    Science.gov (United States)

    Laughlin, M. S.; Murray, J. D.; Young, M.; Wear, M. L.; Van Baalen, M.; Tarver, W. J.

    2016-01-01

    Occupational surveillance of astronaut shoulder injuries began with operational concerns at the Neutral Buoyancy Laboratory (NBL) during Extra Vehicular Activity (EVA) training. Orthopedic shoulder injury and surgery rates were calculated [1], but classifying the rates as normal, high or low was highly dependent on the comparison group. Thus, the purpose of this study was to identify a population of working professionals and compare orthopedic shoulder consultation and surgery rates.

  6. Telecast of Astronauts Armstrong and Aldrin by the Lunar Module ladder

    Science.gov (United States)

    1969-01-01

    Astronauts Neil A. Armstrong (on left), commander; and Edwin E. Aldrin Jr., lunar module pilot, are seen standing by the Lunar Module ladder in this black and white reproduction taken from a telecast by the Apollo 11 lunar surface television camera during the Apollo 11 extravehicular activity. This picture was made from a televised image received at the Deep Space Network tracking station at Goldstone, California.

  7. Telecast of Astronaut Neil Armstrong descending ladder to surface of the moon

    Science.gov (United States)

    1969-01-01

    Astronaut Neil A. Armstrong, Apollo 11 commander, descends the ladder of the Apollo 11 Lunar Module prior to making the first step by man on the moon. This view is a black and white reproduction taken from a telecast by the Apollo 11 lunar surface camera during extravehicular activity. The black bar running through the center of the picture is an anamoly in the television ground data system at the Goldstone Tracking Station.

  8. Astronaut Andy Thomas holds facsimile Olympic torch like one to fly on STS-101

    Science.gov (United States)

    2000-01-01

    Astronaut Andy Thomas holds a facsimile of the Olympic torch that is being carried on Space Shuttle Atlantis during mission STS- 101. Thomas is from Australia, which is the site of the 2000 Olympics. He coordinated the effort to have the torch added to the manifest so that it would truly circle the Earth in the spirit of the worldwide sporting event. The Sydney Olympic Torch Relay will arrive in Australia on June 8. The games begin Sept. 1.

  9. Views of Astronaut (Col.) Joe Engle and son Jon with L-5 Piper Cub

    Science.gov (United States)

    1981-01-01

    Views of Astronaut (Col.) Joe Engle and son Jon with L-5 Piper Cub at Clover Airport. Photos includes Jon Engle sitting on side door frame working on portion of wing. Joe Engle is behind him working on a wing strut (34329); Joe Engle works on tightening bolt (34330); Jon Engle works on portion of wing which connects to the cockpit. Joe Engle works on connecting strut to wing (34331).

  10. The visual standards for the selection and retention of astronauts, part 2

    Science.gov (United States)

    Allen, M. J.; Levene, J. R.; Heath, G. G.

    1972-01-01

    In preparation for the various studies planned for assessing visual capabilities and tasks in order to set vision standards for astronauts, the following pieces of equipment have been assembled and tested: a spectacle obstruction measuring device, a biometric glare susceptibility tester, a variable vergence amplitude testing device, an eye movement recorder, a lunar illumination simulation chamber, a night myopia testing apparatus, and retinal adaption measuring devices.

  11. Space Radiation: The Number One Risk to Astronaut Health beyond Low Earth Orbit

    Directory of Open Access Journals (Sweden)

    Jeffery C. Chancellor

    2014-09-01

    Full Text Available Projecting a vision for space radiobiological research necessitates understanding the nature of the space radiation environment and how radiation risks influence mission planning, timelines and operational decisions. Exposure to space radiation increases the risks of astronauts developing cancer, experiencing central nervous system (CNS decrements, exhibiting degenerative tissue effects or developing acute radiation syndrome. One or more of these deleterious health effects could develop during future multi-year space exploration missions beyond low Earth orbit (LEO. Shielding is an effective countermeasure against solar particle events (SPEs, but is ineffective in protecting crew members from the biological impacts of fast moving, highly-charged galactic cosmic radiation (GCR nuclei. Astronauts traveling on a protracted voyage to Mars may be exposed to SPE radiation events, overlaid on a more predictable flux of GCR. Therefore, ground-based research studies employing model organisms seeking to accurately mimic the biological effects of the space radiation environment must concatenate exposures to both proton and heavy ion sources. New techniques in genomics, proteomics, metabolomics and other “omics” areas should also be intelligently employed and correlated with phenotypic observations. This approach will more precisely elucidate the effects of space radiation on human physiology and aid in developing personalized radiological countermeasures for astronauts.

  12. Quarantined Apollo 11 Astronauts Addressed by U.S. President Richard Milhous Nixon

    Science.gov (United States)

    1969-01-01

    The Apollo 11 mission, the first manned lunar mission, launched from the Kennedy Space Center, Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. Aldrin Jr., Lunar Module (LM) pilot. The CM, piloted by Michael Collins remained in a parking orbit around the Moon while the LM, named 'Eagle'', carrying astronauts Neil Armstrong and Edwin Aldrin, landed on the Moon. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. The recovery operation took place in the Pacific Ocean where Navy para-rescue men recovered the capsule housing the 3-man Apollo 11 crew. The crew was airlifted to safety aboard the U.S.S. Hornet recovery ship, where they were quartered in a Mobile Quarantine Facility (MQF). In this photograph, the U.S.S. Hornet crew looks on as the quarantined Apollo 11 crew is addressed by U.S. President Richard Milhous Nixon via microphone and intercom. The president was aboard the recovery vessel awaiting return of the astronauts. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  13. Mission X in Japan, an Education Outreach Program Featuring Astronautical Specialties and Knowledge

    Science.gov (United States)

    Niihori, Maki; Yamada, Shin; Matsuo, Tomoaki; Nakao, Reiko; Nakazawa, Takashi; Kamiyama, Yoshito; Takeoka, Hajime; Matsumoto, Akiko; Ohshima, Hiroshi; Mukai, Chiaki

    In the science field, disseminating new information to the public is becoming increasingly important, since it can aid a deeper understanding of scientific significance and increase the number of future scientists. As part of our activities, we at the Japan Aerospace Exploration Agency (JAXA) Space Biomedical Research Office, started work to focus on education outreach featuring space biomedical research. In 2010, we launched the Mission X education program in Japan, named after “Mission X: Train Like an Astronaut” (hereinafter called “Mission X”), mainly led by NASA and European Space Agency (ESA). Mission X is an international public outreach program designed to encourage proper nutrition and exercise and teaching young people to live and eat like astronauts. We adopted Mission X's standpoint, and modified the program based on the originals to suit Japanese culture and the students' grade. Using astronauts as examples, this mission can motivate and educate students to instill and adopt good nutrition and physical fitness as life-long practices.Here we introduce our pilot mission of the “Mission X in Japan” education program, which was held in early 2011. We are continuing the education/public outreach to promote the public understanding of science and contribute to science education through lectures on astronautical specialties and knowledge.

  14. Apollo 11 Astronaut Armstrong Arrives at the Flight Crew Training Building

    Science.gov (United States)

    1969-01-01

    In this photograph, Apollo 11 astronaut Neil Armstrong walks to the flight crew training building at the NASA Kennedy Space Center (KSC) in Florida, one week before the nation's first lunar landing mission. The Apollo 11 mission launched from KSC via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, 'Columbia', piloted by Collins, remained in a parking orbit around the Moon while the LM, 'Eagle'', carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

  15. Astronaut Biography Project for Countermeasures of Human Behavior and Performance Risks in Long Duration Space Flights

    Science.gov (United States)

    Banks, Akeem

    2012-01-01

    This final report will summarize research that relates to human behavioral health and performance of astronauts and flight controllers. Literature reviews, data archival analyses, and ground-based analog studies that center around the risk of human space flight are being used to help mitigate human behavior and performance risks from long duration space flights. A qualitative analysis of an astronaut autobiography was completed. An analysis was also conducted on exercise countermeasure publications to show the positive affects of exercise on the risks targeted in this study. The three main risks targeted in this study are risks of behavioral and psychiatric disorders, risks of performance errors due to poor team performance, cohesion, and composition, and risks of performance errors due to sleep deprivation, circadian rhythm. These three risks focus on psychological and physiological aspects of astronauts who venture out into space on long duration space missions. The purpose of this research is to target these risks in order to help quantify, identify, and mature countermeasures and technologies required in preventing or mitigating adverse outcomes from exposure to the spaceflight environment

  16. Adaptive Impedance Controller for a Robot Astronaut to Climb Stably in a Space Station

    Directory of Open Access Journals (Sweden)

    Bo Wei

    2016-05-01

    Full Text Available Maintaining stability is a significant challenge during the control of a robot astronaut while climbing with human-like dual-arm action in a space station. This challenge is caused by conflicting force generated by dynamic internal forces in the closed chain during dual-arm climbing. In general, an impedance controller is suitable for solving this problem. However, the conflicting force in the rigid closed chain is stored in the virtual spring of the impedance controller (especially in microgravity, where even small disturbances cause a significant change in robot astronaut movements. As such, it is difficult to select suitable control parameters for the stable climbing of a robot astronaut. This paper proposes an adaptive algorithm to optimize the impedance controller parameters. This eliminates conflicting force disturbances, with one arm in compliance with the motion of the other. It provides scope for achieving stable motion without the need for precise control parameters. Finally, the stability of the proposed algorithm is demonstrated by Lyapunov theory using a robot called ASTROBOT. The experimental results show the validity of the proposed algorithm.

  17. Hybrid Force Control Based on ICMAC for an Astronaut Rehabilitative Training Robot

    Directory of Open Access Journals (Sweden)

    Lixun Zhang

    2012-08-01

    Full Text Available A novel Astronaut Rehabilitative Training Robot (ART based on a cable-driven mechanism is represented in this paper. ART, a typical passive force servo system, can help astronauts to bench press in a microgravity environment. The purpose of this paper is to design controllers to eliminate the surplus force caused by an astronaut's active movements. Based on the dynamics modelling of the cable-driven unit, a hybrid force controller based on improved credit assignment CMAC (ICMAC is presented. A planning method for the cable tension is proposed so that the dynamic load produced by the ART can realistically simulate the gravity and inertial force of the barbell in a gravity environment. Finally, MATLAB simulation results of the man-machine cooperation system are provided in order to verify the effectiveness of the proposed control strategy. The simulation results show that the hybrid control method based on the structure invariance principle can inhibit the surplus force and that ICMAC can improve the dynamic performance of the passive force servo system. Furthermore, the hybrid force controller based on ICMAC can ensure the stability of the system.

  18. Decreased otolith-mediated vestibular response in 25 astronauts induced by long-duration spaceflight.

    Science.gov (United States)

    Hallgren, Emma; Kornilova, Ludmila; Fransen, Erik; Glukhikh, Dmitrii; Moore, Steven T; Clément, Gilles; Van Ombergen, Angelique; MacDougall, Hamish; Naumov, Ivan; Wuyts, Floris L

    2016-06-01

    The information coming from the vestibular otolith organs is important for the brain when reflexively making appropriate visual and spinal corrections to maintain balance. Symptoms related to failed balance control and navigation are commonly observed in astronauts returning from space. To investigate the effect of microgravity exposure on the otoliths, we studied the otolith-mediated responses elicited by centrifugation in a group of 25 astronauts before and after 6 mo of spaceflight. Ocular counterrolling (OCR) is an otolith-driven reflex that is sensitive to head tilt with regard to gravity and tilts of the gravito-inertial acceleration vector during centrifugation. When comparing pre- and postflight OCR, we found a statistically significant decrease of the OCR response upon return. Nine days after return, the OCR was back at preflight level, indicating a full recovery. Our large study sample allows for more general physiological conclusions about the effect of prolonged microgravity on the otolith system. A deconditioned otolith system is thought to be the cause of several of the negative effects seen in returning astronauts, such as spatial disorientation and orthostatic intolerance. This knowledge should be taken into account for future long-term space missions. Copyright © 2016 the American Physiological Society.

  19. Space Radiation: The Number One Risk to Astronaut Health beyond Low Earth Orbit

    Science.gov (United States)

    Chancellor, Jeffery C.; Scott, Graham B. I.; Sutton, Jeffrey P.

    2014-01-01

    Projecting a vision for space radiobiological research necessitates understanding the nature of the space radiation environment and how radiation risks influence mission planning, timelines and operational decisions. Exposure to space radiation increases the risks of astronauts developing cancer, experiencing central nervous system (CNS) decrements, exhibiting degenerative tissue effects or developing acute radiation syndrome. One or more of these deleterious health effects could develop during future multi-year space exploration missions beyond low Earth orbit (LEO). Shielding is an effective countermeasure against solar particle events (SPEs), but is ineffective in protecting crew members from the biological impacts of fast moving, highly-charged galactic cosmic radiation (GCR) nuclei. Astronauts traveling on a protracted voyage to Mars may be exposed to SPE radiation events, overlaid on a more predictable flux of GCR. Therefore, ground-based research studies employing model organisms seeking to accurately mimic the biological effects of the space radiation environment must concatenate exposures to both proton and heavy ion sources. New techniques in genomics, proteomics, metabolomics and other “omics” areas should also be intelligently employed and correlated with phenotypic observations. This approach will more precisely elucidate the effects of space radiation on human physiology and aid in developing personalized radiological countermeasures for astronauts. PMID:25370382

  20. A subjective scheduler for subjective dedicated networks

    Science.gov (United States)

    Suherman; Fakhrizal, Said Reza; Al-Akaidi, Marwan

    2017-09-01

    Multiple access technique is one of important techniques within medium access layer in TCP/IP protocol stack. Each network technology implements the selected access method. Priority can be implemented in those methods to differentiate services. Some internet networks are dedicated for specific purpose. Education browsing or tutorial video accesses are preferred in a library hotspot, while entertainment and sport contents could be subjects of limitation. Current solution may use IP address filter or access list. This paper proposes subjective properties of users or applications are used for priority determination in multiple access techniques. The NS-2 simulator is employed to evaluate the method. A video surveillance network using WiMAX is chosen as the object. Subjective priority is implemented on WiMAX scheduler based on traffic properties. Three different traffic sources from monitoring video: palace, park, and market are evaluated. The proposed subjective scheduler prioritizes palace monitoring video that results better quality, xx dB than the later monitoring spots.

  1. SPACE MEDICINE and Medical Operations Overview

    Science.gov (United States)

    Dervay, Joe

    2009-01-01

    This presentation is an overview of the function of the work of the Space Medicine & Health Care Systems Office. The objective of the medical operations is to ensure the health, safety and well being of the astronaut corps and ground support team during all phases of space flight. There are many issues that impact the health of the astronauts. Some of them are physiological, and others relate to behavior, psychological issues and issues of the environment of space itself. Reviews of the medical events that have affected both Russian, and Americans while in space are included. Some views of shuttle liftoff, and ascent, the medical training aboard NASA's KC-135 and training in weightlessness, the Shuttle Orbiter Medical system (SOMS), and some of the medical equipment are included. Also included are a graphs showing Fluid loading countermeasures, and vertical pursuit tracking with head and eye. The final views are representations of the future crew exploration vehicle (CEV) approaching the International Space Station, and the moon, and a series of perspective representations of the earth in comparison to the other planets and the Sun, the Sun in relation to other stars, and a view of where in the galaxy the Sun is.

  2. Ambiguous Tilt and Translation Motion Cues in Astronauts after Space Flight

    Science.gov (United States)

    Clement, G.; Harm, D. L.; Rupert, A. H.; Beaton, K. H.; Wood, S. J.

    2008-01-01

    Adaptive changes during space flight in how the brain integrates vestibular cues with visual, proprioceptive, and somatosensory information can lead to impaired movement coordination, vertigo, spatial disorientation, and perceptual illusions following transitions between gravity levels. This joint ESA-NASA pre- and post-flight experiment is designed to examine both the physiological basis and operational implications for disorientation and tilt-translation disturbances in astronauts following short-duration space flights. The first specific aim is to examine the effects of stimulus frequency on adaptive changes in eye movements and motion perception during independent tilt and translation motion profiles. Roll motion is provided by a variable radius centrifuge. Pitch motion is provided by NASA's Tilt-Translation Sled in which the resultant gravitoinertial vector remains aligned with the body longitudinal axis during tilt motion (referred to as the Z-axis gravitoinertial or ZAG paradigm). We hypothesize that the adaptation of otolith-mediated responses to these stimuli will have specific frequency characteristics, being greatest in the mid-frequency range where there is a crossover of tilt and translation. The second specific aim is to employ a closed-loop nulling task in which subjects are tasked to use a joystick to null-out tilt motion disturbances on these two devices. The stimuli consist of random steps or sum-of-sinusoids stimuli, including the ZAG profiles on the Tilt-Translation Sled. We hypothesize that the ability to control tilt orientation will be compromised following space flight, with increased control errors corresponding to changes in self-motion perception. The third specific aim is to evaluate how sensory substitution aids can be used to improve manual control performance. During the closed-loop nulling task on both devices, small tactors placed around the torso vibrate according to the actual body tilt angle relative to gravity. We hypothesize

  3. Effects of a Closed Space Environment on Gene Expression in Hair Follicles of Astronauts in the International Space Station.

    Directory of Open Access Journals (Sweden)

    Masahiro Terada

    Full Text Available Adaptation to the space environment can sometimes pose physiological problems to International Space Station (ISS astronauts after their return to earth. Therefore, it is important to develop healthcare technologies for astronauts. In this study, we examined the feasibility of using hair follicles, a readily obtained sample, to assess gene expression changes in response to spaceflight adaptation. In order to investigate the gene expression changes in human hair follicles during spaceflight, hair follicles of 10 astronauts were analyzed by microarray and real time qPCR analyses. We found that spaceflight alters human hair follicle gene expression. The degree of changes in gene expression was found to vary among individuals. In some astronauts, genes related to hair growth such as FGF18, ANGPTL7 and COMP were upregulated during flight, suggesting that spaceflight inhibits cell proliferation in hair follicles.

  4. Impaired fasting glucose as an independent risk factor for hypertension among healthy middle-aged Japanese subjects with optimal blood pressure: the Yuport Medical Checkup Centre retrospective cohort study.

    Science.gov (United States)

    Morio, Masaaki; Inoue, Machiko; Inoue, Kazuo; Akimoto, Kimihiko

    2013-12-20

    This study aimed at investigating whether impaired fasting glucose (IFG) is an independent risk factor for incident hypertension among middle-aged Japanese subjects with optimal blood pressure (OBP). This retrospective cohort study was conducted in 2943 non-diabetic and non-hypertensive subjects aged 40-64 years, who participated in a voluntary health check-up program during the baseline (1998-2002) and follow-up periods (2002-2006). A multiple logistic regression model was utilized to calculate the odds ratio (OR) of incident hypertension among men and women with IFG and OBP. OBP was defined as systolic blood pressure (SBP) <120 mmHg and diastolic blood pressure (DBP) <80 mmHg, with no known history of hypertension. In this study, hypertension was defined as SBP ≥140 mmHg and DBP ≥90 mmHg or by a self-reported clinical diagnosis of hypertension. After the mean follow-up period of 5.6 years, the incidence of hypertension in men and women was 5.7% (73/1270) and 3.8% (62/1673), respectively. The age-adjusted ORs for incident hypertension in men and women with IFG were 1.95 (95% CI, 1.21-3.15) and 3.54 (95% CI, 2.00-6.27), respectively. After adjusting for age, systolic blood pressure, body mass index, total cholesterol, triglyceride, high-density lipoprotein cholesterol, and uric acid, the ORs for hypertension were 1.66 (95% CI; 1.02-2.70) for men and 2.62 (95% CI, 1.45-4.73) for women. The study results show that IFG may act as an independent risk factor for developing hypertension in individuals with OBP.

  5. Pharmacokinetics of Acetaminophen in Hind Limbs Unloaded Mice: A Model System Simulating the Effects of Low Gravity on Astronauts in Space

    Science.gov (United States)

    Peterson, Amanda; Risin, Semyon A.; Ramesh, Govindarajan T.; Dasgupta, Amitava; Risin, Diana

    2008-01-01

    The pharmacokinetics (PK) of medications administered to astronauts could be altered by the conditions in Space. Low gravity and free floating (and associated hemodynamic changes) could affect the absorption, distribution, metabolism and excretion of the drugs. Knowledge of these alterations is essential for adjusting the dosage and the regimen of drug administration in astronauts. Acquiring of such knowledge has inherent difficulties due to limited opportunities for experimenting in Space. One of the approaches is to use model systems that simulate some of the Space conditions on Earth. In this study we used hind limbs unloaded mice (HLU) to investigate the possible changes in PK of acetaminophen, a widely used analgesic with high probability of use by astronauts. The HLU is recognized as an appropriate model for simulating the effects of low gravity on hemodynamic parameters. Mice were tail suspended (n = 24) for 24-96 hours prior to introduction of acetaminophen (150 - 300 mg/kg). The drug (in aqueous solution containing 10% ethyl alcohol by volume) was given orally by a gavage procedure and after the administration of acetaminophen mice were additionally suspended for 30 min, 1 and 2 hours. Control mice (n = 24) received the same dose of acetaminophen and were kept freely all the time. Blood specimens were obtained either from retroorbital venous sinuses or from heart. Acetaminophen concentration was measured in plasma by the fluorescent polarization immunoassay and the AxSYM analyzer (Abbott Laboratories). In control mice peak acetaminophen concentration was achieved at 30 min. By 1 hour the concentration decreased to less than 50% of the peak level and at 2 hours the drug was almost undetectable in the serum. HLU for 24 hours significantly altered the acetaminophen pharmacokinetic: at 30 min the acetaminophen concentrations were significantly (both statistically and medically significant) lower than in control mice. The concentrations also reduced less

  6. Alexandre Ananoff (1910-1992): 30 years to promote astronautics before Sputnik

    Science.gov (United States)

    Mouriaux, Pierre-François; Varnoteaux, Philippe

    2014-01-01

    2012 marks the 20th anniversary of Alexandre Ananoff's death. Born in 1910 in Tbilisi, Georgia, the Russian-French space expert and enthusiast Alexandre Ananoff is known for being the organiser of the first International Astronautical Congress at La Sorbonne University, Paris, in September-October 1950, as well as being the author of the famous book L'Astronautique (1950) and for advising fellow author Hergé for his book adventures of Tintin on the Moon. The purpose of our paper is to present his complete works promoting space, from his first public presentations after discovering the works of Tsiolkovsky in the late 20s to his analysis of the first Sputnik launch in the popular French magazine Paris Match in 1957. A. Ananoff was a real ambassador for astronautics and a pioneer in space education for the general public—probably the first one in France. He built a unique collection of books and novels about space travel (donated before his death to the French Air and Space Museum of Paris-Le Bourget), wrote dozens of articles, gave numerous lectures and corresponded with most of the space pioneers around the world. However, he was criticised for being an autodidact and was very disappointed by the lack of consideration accorded him within his own country. During the 60s, he progressively stopped his space activities to turn his attention to becoming a specialist of 18th century French painters. He published his Memoirs of an Astronaut in 1978 and gave his last lecture at IAC in September 1979. He died in Paris on 25 December 1992, aged 82. His last wish was that his ashes could be sent on the Moon, an end accomplishment for all his efforts.

  7. Estimating Subjective Probabilities

    DEFF Research Database (Denmark)

    Andersen, Steffen; Fountain, John; Harrison, Glenn W.

    Subjective probabilities play a central role in many economic decisions, and act as an immediate confound of inferences about behavior, unless controlled for. Several procedures to recover subjective probabilities have been proposed, but in order to recover the correct latent probability one must...

  8. Estimating Subjective Probabilities

    DEFF Research Database (Denmark)

    Andersen, Steffen; Fountain, John; Harrison, Glenn W.

    2014-01-01

    Subjective probabilities play a central role in many economic decisions and act as an immediate confound of inferences about behavior, unless controlled for. Several procedures to recover subjective probabilities have been proposed, but in order to recover the correct latent probability one must ...

  9. Subjective meaning: an introduction

    NARCIS (Netherlands)

    van Wijnbergen-Huitink, Janneke; van Wijbergen-Huitink, Janneke; Meier, Cécile

    This introductory chapter traces some of the considerations on the basis of which relativistic approaches to subjective meaning became en vogue. In doing so, the chapter provides an overview of the relevant linguistic and philosophical issues when developing a treatment of subjectivity. In addition,

  10. Subjective safety in traffic.

    NARCIS (Netherlands)

    2012-01-01

    The term ‘subjective safety in traffic’ refers to people feeling unsafe in traffic or, more generally, to anxiety regarding being unsafe in traffic for oneself and/or others. Subjective safety in traffic can lead to road users limiting their mobility and social activities, which is one of the

  11. Subjective poverty line definitions

    NARCIS (Netherlands)

    J. Flik; B.M.S. van Praag (Bernard)

    1991-01-01

    textabstractIn this paper we will deal with definitions of subjective poverty lines. To measure a poverty threshold value in terms of household income, which separates the poor from the non-poor, we take into account the opinions of all people in society. Three subjective methods will be discussed

  12. Crew escape system (CES) testing with Astronaut Bagian in JSC WETF Bldg 29

    Science.gov (United States)

    1988-01-01

    Crew escape system (CES) testing and emergency escape training is conducted with Astronaut James P. Bagian in JSC Weightless Environment Training Facility (WETF) Bldg 29 pool. Bagian, wearing the newly designed (navy blue) launch and entry suit (LES), 'flips' off a pole protruding from a Space Shuttle side egress hatch mockup. The move was part of a rehearsal/ evaluation of the CES pole mode of emergency escape from the Space Shuttle. SCUBA-equipped divers, already in the pool, were on hand to assist with the exercise. In the background, technicians monitor test activity. Bagian wore gear like that to be supplied to each STS-26 crewmember and subsequent crews.

  13. [Astronauts, asteroids and the universe of antithrombotic therapies in primary percutaneous coronary intervention].

    Science.gov (United States)

    De Luca, Leonardo; Granatelli, Antonino

    2017-06-01

    A sensation of self-awareness on the relativity of our certainties comes over looking to the huge amount of data on antithrombotic therapies assessed in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (pPCI). This sensation can be compared to the so-called "overview effect", a cognitive shift in awareness reported by some astronauts during spaceflight, often while viewing the Earth from orbit. In this review we will mention drugs floated like meteors in the Universe of STEMI treatment and we will discuss the body of evidence on oral and intravenous antithrombotic therapies for patients undergoing pPCI.

  14. Do Astronauts have a Higher Rate of Orthopedic Shoulder Conditions than a Cohort of Working Professionals?

    Science.gov (United States)

    Laughlin, Mitzi S.; Murray, Jocelyn D.; Young, Millenia; Wear, Mary L.; Tarver, W. J.; Van Baalen, Mary

    2016-01-01

    Occupational surveillance of astronaut shoulder injuries began with operational concerns at the Neutral Buoyancy Laboratory (NBL) during Extra Vehicular Activity (EVA) training. NASA has implemented several occupational health initiatives during the past 20 years to decrease the number and severity of injuries, but the individual success rate is unknown. Orthopedic shoulder injury and surgery rates were calculated, but classifying the rates as normal, high or low was highly dependent on the comparison group. The purpose of this study was to identify a population of working professionals and compare orthopedic shoulder consultation and surgery rates.

  15. That's MY Astronaut! Could Democratic Space Tourism Contribute to Earth Stewardship?

    Science.gov (United States)

    Wallace, E. F.

    2012-08-01

    Many studies have been done on the physical and biological effects of space on the human body. The psychological effects of living in space are also being analyzed including the stressors from living in an isolated environment. But are we paying enough attention to what seems to be a positive effect on the human psyche, that is, the effect on astronauts and cosmonauts of the magnificent view of Earth from space? Does the length of time spent looking out the window affect our consciousness? Who comes back changed? And why? Such a social experiment needs more participants. Could democratic access to the view via suborbital space tourism change our Earth for the better?

  16. Cancer Risk Estimates from Space Flight Estimated Using Yields of Chromosome Damage in Astronaut's Blood Lymphocytes

    Science.gov (United States)

    George, Kerry A.; Rhone, J.; Chappell, L. J.; Cucinotta, F. A.

    2011-01-01

    To date, cytogenetic damage has been assessed in blood lymphocytes from more than 30 astronauts before and after they participated in long-duration space missions of three months or more on board the International Space Station. Chromosome damage was assessed using fluorescence in situ hybridization whole chromosome analysis techniques. For all individuals, the frequency of chromosome damage measured within a month of return from space was higher than their preflight yield, and biodosimetry estimates were within the range expected from physical dosimetry. Follow up analyses have been performed on most of the astronauts at intervals ranging from around 6 months to many years after flight, and the cytogenetic effects of repeat long-duration missions have so far been assessed in four individuals. Chromosomal aberrations in peripheral blood lymphocytes have been validated as biomarkers of cancer risk and cytogenetic damage can therefore be used to characterize excess health risk incurred by individual crewmembers after their respective missions. Traditional risk assessment models are based on epidemiological data obtained on Earth in cohorts exposed predominantly to acute doses of gamma-rays, and the extrapolation to the space environment is highly problematic, involving very large uncertainties. Cytogenetic damage could play a key role in reducing uncertainty in risk estimation because it is incurred directly in the space environment, using specimens from the astronauts themselves. Relative cancer risks were estimated from the biodosimetry data using the quantitative approach derived from the European Study Group on Cytogenetic Biomarkers and Health database. Astronauts were categorized into low, medium, or high tertiles according to their yield of chromosome damage. Age adjusted tertile rankings were used to estimate cancer risk and results were compared with values obtained using traditional modeling approaches. Individual tertile rankings increased after space

  17. View of Astronaut Edwin Aldrin in Lunar Module taken from television

    Science.gov (United States)

    1969-01-01

    Astronaut Edwin E. Aldrin Jr., lunar module pilot of the Apollo 11 lunar landing mission, is seen in this color reproduction taken from the third television transmission from the Apollo 11 spacecraft during its translunar journey toward the moon. Aldrin is inside the Lunar Module (LM). In the background are some of the LM's controls and displays. A LM window is on the right. The LM is still docked nose to nose with the Command/Service modules . Apollo 11 was approximately 176,000 nautical miles from earth, and traveling at a speed of about 3,200 feet per second when this photograph was taken.

  18. HAMLET -Human Model MATROSHKA for Radiation Exposure Determination of Astronauts -Current status and results

    Science.gov (United States)

    Reitz, Guenther; Berger, Thomas; Bilski, Pawel; Burmeister, Soenke; Labrenz, Johannes; Hager, Luke; Palfalvi, Jozsef K.; Hajek, Michael; Puchalska, Monika; Sihver, Lembit

    The exploration of space as seen in specific projects from the European Space Agency (ESA) acts as groundwork for human long duration space missions. One of the main constraints for long duration human missions is radiation. The radiation load on astronauts and cosmonauts in space (as for the ISS) is a factor of 100 higher than the natural radiation on Earth and will further increase should humans travel to Mars. In preparation for long duration space missions it is important to evaluate the impact of space radiation in order to secure the safety of the astronauts and minimize their radiation risks. To determine the radiation risk on humans one has to measure the radiation doses to radiosensitive organs within the human body. One way to approach this is the ESA facility MATROSHKA (MTR), under the scientific and project lead of DLR. It is dedicated to determining the radiation load on astronauts within and outside the International Space Station (ISS), and was launched in January 2004. MTR is currently preparing for its fourth experimental phase inside the Japanese Experimental Module (JEM) in summer 2010. MTR, which mimics a human head and torso, is an anthropomorphic phantom containing over 6000 radiation detectors to determine the depth dose and organ dose distribution in the body. It is the largest international research initiative ever performed in the field of space dosimetry and combines the expertise of leading research institutions around the world, thereby generating a huge pool of data of potentially immense value for research. Aiming at optimal scientific exploitation, the FP7 project HAMLET aims to process and compile the data acquired individually by the participating laboratories of the MATROSHKA experiment. Based on experimental input from the MATROSHKA experiment phases as well as on radiation transport calculations, a three-dimensional model for the distribution of radiation dose in an astronaut's body will be built up. The scientific achievements

  19. Former astronauts Schirra and Armstrong visit KSC for STS-83 launch

    Science.gov (United States)

    1997-01-01

    Among the many special NASA STS-83 launch guests who witnessed the liftoff of the Space Shuttle Columbia April 4 were Apollo 7 Commander Walter M. 'Wally' Schirra (left ) and Apollo l1 Commander Neil A. Armstrong. The two former astronauts are posing in front of the Apollo Command and Service Module in the Apollo/Saturn V Center at KSC. Columbia took off from Launch Pad 39A at 2:20:32 p.m. EST to begin the 16-day Microgravity Science Laboratory-1 (MSL-1) mission.

  20. Simulated Partners and Collaborative Exercise (SPACE) to boost motivation for astronauts: study protocol.

    Science.gov (United States)

    Feltz, Deborah L; Ploutz-Snyder, Lori; Winn, Brian; Kerr, Norbert L; Pivarnik, James M; Ede, Alison; Hill, Christopher; Samendinger, Stephen; Jeffery, William

    2016-11-14

    Astronauts may have difficulty adhering to exercise regimens at vigorous intensity levels during long space missions. Vigorous exercise is important for aerobic and musculoskeletal health during space missions and afterwards. A key impediment to maintaining vigorous exercise is motivation. Finding ways to motivate astronauts to exercise at levels necessary to mitigate reductions in musculoskeletal health and aerobic capacity have not been explored. The focus of Simulated Partners and Collaborative Exercise (SPACE) is to use recently documented motivation gains in task groups to heighten the exercise experience for participants, similar in age and fitness to astronauts, for vigorous exercise over a 6-month exercise regimen. A secondary focus is to determine the most effective features in simulated exercise partners for enhancing enjoyment, self-efficacy, and social connectedness. The aims of the project are to (1) Create software-generated (SG) exercise partners and interface software with a cycle ergometer; (2) Pilot test design features of SG partners within a video exercise game (exergame), and (3) Test whether exercising with an SG partner over 24-week time period, compared to exercising alone, leads to greater work effort, aerobic capacity, muscle strength, exercise adherence, and enhanced psychological parameters. This study was approved by the Institutional Review Board (IRB). Chronic exercisers, between the ages 30 and 62, were asked to exercise on a cycle ergometer 6 days per week for 24 weeks using a routine consisting of alternating between moderate-intensity continuous and high-intensity interval sessions. Participants were assigned to one of three conditions: no partner (control), always faster SG partner, or SG partner who was not always faster. Participants were told they could vary cycle ergometer output to increase or decrease intensity during the sessions. Mean change in cycle ergometer power (watts) from the initial continuous and 4