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From page 247... ... publications. The committee also consulted with numerous experts in areas that included medical informatics, bone metabolism, dental disease, and the effects on health and behavior of living and working for long periods of time under extreme and remote conditions. Read the entire page →
From page 248... ... The subject matter covered during the 2-day visit included selection and retention of astronauts, biological effects of space radiation, telemedicine, family supports, postflight rehabilitation, evaluation and validation of countermeasures, risk management, efforts to develop artificial gravity, and many others. The committee's visit also included a luncheon discussion and sampling of food provided to astronauts during space travel and visits to space shuttle training facilities, the Flight Medicine Clinic, the Sonny Carter Neutral Buoyancy Facility, and mock-ups of portions of the International Space Station (ISS) Read the entire page →
From page 249... ... APPENDIX A Phase 1 Mir, Clinical Experience Thomas Marshburn Analog Environment, Clinical Experience Roger Billica Longitudinal Study of Astronaut Health Sam Pool An Evidence-Based Approach for Space Medicine David Williams Ethical Issues in Space Flight Baruch Brody, Ellen Baker, ferry Homick, and Charles Sawin Behavioral Health and Performance Christopher Flynn and Albert Holland Flight Medicine Clinic David Dawson and Denise Baisden International Space Station (ISS) Mock-ups Terrance Taddeo and Craig Fischer Pathophysiology of Disease in Microgravity Thomas Marshburn Pharmacotherapeutics in Microgravity and Clinical Concerns Lakshmi Putcha and William Norfleet Biological Effects of Space Radiation Jeffery Jones Resuscitation and Stabilization in Microgravity Airway Management William Norfleet Cardiac Resuscitation Tom Marshburn Surgical Technique David Williams 249 Read the entire page →
From page 250... ... 250 Astronaut Selection and Retention Medical Approach Smith Johnston and Roger Billica Problem-Oriented Approach to Space Medicine Clinical Care Requirements David Dawson Simple Orbiter Medical System Kits Paul Stoner Crew Health Care System Terrance Taddeo Initial Training Skill Retention Medical Informatics Telemedicine Routine Health Assessment ExtraveLic? vlar Activity Medical Sciences Lalbora tories Postflight Rehabilitation Beth Shepherd Countermeasure Evaluation and Validation William Paloski Wec~nesc~ay, February 23, 2000 Risk Management Roger Billica APPENDIX A Philip Stepaniak Thomas Marshburn Patrick McGinnis James Logan Rainer Effenhauser William Norfleet William Paloski Countermeasure Evaluation: Extended-Duration Orbiter Medical Program Charles Sawin Critical Path for Countermeasure Development John Charles Clinical Care Capability Program Craig Fischer National Space Biomedical Research Institute and Countermeasure Development Bobby Alford and Larry Young Read the entire page →
From page 251... ... vman-to-System Interface Sleep and Circadian Assessment National and International Strategies for Space Medicine Phase 1 Mir Experience Organization and Management Credentialing, Education, Training Medical Certification of Crew International Space Station (ISS) Activities M? Read the entire page →
From page 252... ... Albert Holland of the Life Sciences Directorate on May 11, 2000, to obtain information regarding the process for selection of astronauts for space missions and with Drs. David Williams and Bobby Alford on Tune 22, 2000, to discuss NASA's organizational structure and the role of the National Space Biomedical Research Institute in reference to space medicine. Read the entire page →
From page 253... ... Space Dentistry: Maintaining Astronauts' Oral Health on tong Missions Monday, April 77, 2000, Institute of Medicine Agency Welcome and Opening Remarks John R Ball, M.D., l.D., Chair, IOM Committee on Creating a Vision for Space Medicine During Travel Beyond Earth Orbit Introduction Colonel Shannon E Read the entire page →
From page 254... ... 254 Open Discussion Committee members, program participants, and invited guests Acknowledgments American Academy of Periodontology American Dental Association International and American Associations for Dental Research National Institute of Dental and Craniofacial Research Pan American Health Organization Workshop Guests Dr. Read the entire page →
From page 255... ... Harris helped organize a panel of one current and four former physician-astronauts. The purpose was to give committee members an opportunity to discuss firsthand issues of astronaut health and care during a space mission from the perspectives of astronauts who are also physicians. Read the entire page →
From page 256... ... 256 Bernard A Harris, Jr., M.D., Moderator SPACEHAB, Inc. Read the entire page →
From page 257... ... At present, there is no way of simulating zero gravity for prolonged periods on Earth, but there is the opportunity to study small and large populations of volunteers in isolated, confined, and sometimes hostile environments. The planning procedures, personnel screening and training procedures, and equipment selected and used in various situations in analog environments can be used to prepare for long-duration space missions beyond Earth orbit, as well as to study common effects on physiology and behavior. Read the entire page →
From page 258... ... Changes in parathyroid hormone (PTH) levels have been noted during space travel and may be related to bone mineral density loss. Read the entire page →
From page 259... ... Roger Billica, chief of NASA's Medical Operations Branch, has noted that the Antarctic experience bears the closest resemblance to spaceflight, and emphasis will be placed on using data and information from that experience to prepare for flight beyond Earth orbit. The examples of studies in analog environments noted above provide Read the entire page →
From page 260... ... 260 APPENDIX A only a portion of the information already available, and there is the potential to acquire much more. Further cooperative studies can be done with greater safety, control, and follow-up than those available for spaceflight studies alone. Read the entire page →
From page 261... ... and perhaps establish colonies on the Moon. Currently, radiation protection in deep space missions is an unsolved issue, and the threat of d~sbarism is ever present, especially during extravehicular activities. Read the entire page →
From page 262... ... 262 APPENDIX A 2 Your assistance :is recessed i n evaluating our current medical-care system and recommending the type of infrastructure we trill need to develop to support 1~-durat, on missions; J includi rig interplanet:~:ry travel in which timely evacuation of crew members will not be an option. Medical-care-p~Qnr~der training, specialty mix, nomnedica1 crew skills, use of advanced technology, surgi cal~int~e:~ve care capability in space, rehabilitation approaches to cope with Measures to grav~at~ona1 fields following exposures to microgra~rity' psycholog~alih~an~-factors challenges ad use of robotics for health monitoring,, education, arid possible surged are examples cat the types of issues we would like you to address \~e would also like you to consider the use of anal og environments ~ such as remote Antarctic stations ~ for training and :research. Read the entire page →

From page 247...

... publications. The committee also consulted with numerous experts in areas that included medical informatics, bone metabolism, dental disease, and the effects on health and behavior of living and working for long periods of time under extreme and remote conditions.