1 00:00:07,909 --> 00:00:06,309 a number of studies always taking place 2 00:00:09,669 --> 00:00:07,919 onboard the international space station 3 00:00:11,509 --> 00:00:09,679 tracking astronaut health in a variety 4 00:00:13,110 --> 00:00:11,519 of ways whether it's different bodily 5 00:00:14,629 --> 00:00:13,120 systems or even how the astronauts are 6 00:00:17,029 --> 00:00:14,639 able to function while in that 7 00:00:19,029 --> 00:00:17,039 microgravity environment and we're lucky 8 00:00:20,550 --> 00:00:19,039 to be joined today uh by one of the 9 00:00:22,310 --> 00:00:20,560 principal investigators of a study 10 00:00:23,990 --> 00:00:22,320 that's actually that's taking a look 11 00:00:25,349 --> 00:00:24,000 kind of at a bit of the nuts and bolts 12 00:00:26,710 --> 00:00:25,359 of how the astronauts are able to 13 00:00:28,710 --> 00:00:26,720 function while they're in that 14 00:00:30,950 --> 00:00:28,720 microgravity for a long period of time 15 00:00:32,549 --> 00:00:30,960 and it's a study called cognition and 16 00:00:34,790 --> 00:00:32,559 i'm joined today by 17 00:00:36,470 --> 00:00:34,800 the principal investigator dr matthias 18 00:00:38,150 --> 00:00:36,480 basner from 19 00:00:40,389 --> 00:00:38,160 the university of pennsylvania school of 20 00:00:42,709 --> 00:00:40,399 medicine so first off dr basner thank 21 00:00:44,950 --> 00:00:42,719 you so much for joining me today and i'd 22 00:00:47,670 --> 00:00:44,960 like to jump right in so what exactly 23 00:00:50,069 --> 00:00:47,680 about the space environment could cause 24 00:00:52,950 --> 00:00:50,079 you know changes in the astronauts 25 00:00:54,630 --> 00:00:52,960 cognitive ability 26 00:00:57,590 --> 00:00:54,640 well good morning first of all and it's 27 00:00:59,750 --> 00:00:57,600 a pleasure to be on your program 28 00:01:02,150 --> 00:00:59,760 i mean first of all there is a 29 00:01:04,229 --> 00:01:02,160 of course psychological factors related 30 00:01:05,830 --> 00:01:04,239 to living in an isolated confined and 31 00:01:07,990 --> 00:01:05,840 extreme environment 32 00:01:10,070 --> 00:01:08,000 that could affect congress performance 33 00:01:11,990 --> 00:01:10,080 but there's also a lot of environmental 34 00:01:13,750 --> 00:01:12,000 stressors 35 00:01:16,630 --> 00:01:13,760 some of them unique to the space flight 36 00:01:18,870 --> 00:01:16,640 environment like microgravity or think 37 00:01:20,230 --> 00:01:18,880 of radiation during exploration type 38 00:01:21,510 --> 00:01:20,240 missions that can affect congress 39 00:01:23,830 --> 00:01:21,520 performance 40 00:01:24,950 --> 00:01:23,840 and another factor that we know of is 41 00:01:27,510 --> 00:01:24,960 like 42 00:01:30,310 --> 00:01:27,520 iss six-month iss missions are 43 00:01:32,310 --> 00:01:30,320 characterized by high workload periods 44 00:01:34,230 --> 00:01:32,320 and also chronic sleep restriction of 45 00:01:36,230 --> 00:01:34,240 course these factors may also affect 46 00:01:38,469 --> 00:01:36,240 cognitive performance 47 00:01:40,710 --> 00:01:38,479 okay so we know some of the 48 00:01:42,630 --> 00:01:40,720 you know external factors that can cause 49 00:01:44,630 --> 00:01:42,640 these what are some of the actual issues 50 00:01:45,830 --> 00:01:44,640 the cognitive issues that were that 51 00:01:47,670 --> 00:01:45,840 these could cause what are we what are 52 00:01:49,030 --> 00:01:47,680 we worried about 53 00:01:51,429 --> 00:01:49,040 well obviously you know cognitive 54 00:01:53,109 --> 00:01:51,439 performance has very many facets and all 55 00:01:55,670 --> 00:01:53,119 of them are important for mission 56 00:01:57,910 --> 00:01:55,680 success in one way or another 57 00:02:00,789 --> 00:01:57,920 three examples are for example attention 58 00:02:03,990 --> 00:02:00,799 memory and reasoning that are very 59 00:02:06,950 --> 00:02:04,000 important what our test battery looks at 60 00:02:09,190 --> 00:02:06,960 also is spatial orientation 61 00:02:11,190 --> 00:02:09,200 risk decision making and emotional 62 00:02:13,750 --> 00:02:11,200 processing which we believe are really 63 00:02:16,390 --> 00:02:13,760 essential for mission success so one 64 00:02:18,070 --> 00:02:16,400 example is the emotional processing the 65 00:02:20,470 --> 00:02:18,080 so the question is if you're 66 00:02:22,229 --> 00:02:20,480 going to mars and flying back are you 67 00:02:24,550 --> 00:02:22,239 still able to read your fellow 68 00:02:26,949 --> 00:02:24,560 astronauts faces if somebody is angry 69 00:02:28,229 --> 00:02:26,959 are you still able to detect that and 70 00:02:29,270 --> 00:02:28,239 this is what we're looking at for 71 00:02:30,949 --> 00:02:29,280 example 72 00:02:33,190 --> 00:02:30,959 so a lot of the underlying things that 73 00:02:35,270 --> 00:02:33,200 can have a huge effect just on you know 74 00:02:37,910 --> 00:02:35,280 the day-to-day life of these astronauts 75 00:02:39,910 --> 00:02:37,920 on board you would mention fatigue and 76 00:02:41,589 --> 00:02:39,920 sleep have 77 00:02:43,190 --> 00:02:41,599 obviously i know when i don't get a good 78 00:02:44,790 --> 00:02:43,200 night's sleep that could that can ruin 79 00:02:46,470 --> 00:02:44,800 my whole day is that something you guys 80 00:02:47,430 --> 00:02:46,480 have kind of looked into how to better 81 00:02:49,350 --> 00:02:47,440 manage 82 00:02:51,509 --> 00:02:49,360 the sleep and fatigue factor of 83 00:02:53,830 --> 00:02:51,519 cognitive ability 84 00:02:55,750 --> 00:02:53,840 definitely yes and obviously fatigue 85 00:02:57,589 --> 00:02:55,760 resulting from sleep loss is only one 86 00:02:58,790 --> 00:02:57,599 factor that can affect cognitive 87 00:03:00,710 --> 00:02:58,800 performance 88 00:03:03,430 --> 00:03:00,720 nasa has actually put great effort in 89 00:03:05,350 --> 00:03:03,440 the past both in terms of basic research 90 00:03:07,350 --> 00:03:05,360 and in terms of applied research to 91 00:03:09,670 --> 00:03:07,360 mitigate the risk associated with 92 00:03:11,350 --> 00:03:09,680 chronic sleep loss i guess the best 93 00:03:13,830 --> 00:03:11,360 example is the lighting system the 94 00:03:15,750 --> 00:03:13,840 current fluorescent lighting system 95 00:03:18,070 --> 00:03:15,760 is in the process of being replaced with 96 00:03:20,390 --> 00:03:18,080 state-of-the-art led lighting where the 97 00:03:22,470 --> 00:03:20,400 intensity and spectral composition of 98 00:03:24,710 --> 00:03:22,480 the light can actually be varied 99 00:03:27,030 --> 00:03:24,720 systematically so for example in the 100 00:03:29,350 --> 00:03:27,040 morning you could expose the crew to 101 00:03:31,589 --> 00:03:29,360 alerting blue enriched light well in the 102 00:03:33,910 --> 00:03:31,599 evening you give them a 103 00:03:35,830 --> 00:03:33,920 red light which is promoting the 104 00:03:38,869 --> 00:03:35,840 secretion of melatonin which which helps 105 00:03:41,270 --> 00:03:38,879 them go to uh sleep more easily so these 106 00:03:43,110 --> 00:03:41,280 are just few examples 107 00:03:44,710 --> 00:03:43,120 pretty cool thing just you know playing 108 00:03:47,030 --> 00:03:44,720 with the lighting these men and women 109 00:03:49,430 --> 00:03:47,040 don't get you know normal sunrise sunset 110 00:03:51,270 --> 00:03:49,440 like we do so you don't know exactly 111 00:03:53,030 --> 00:03:51,280 how big of an effect that can have yeah 112 00:03:55,350 --> 00:03:53,040 they have it every 90 minutes pretty 113 00:03:57,270 --> 00:03:55,360 much uh dusk and dawn so yeah 114 00:03:59,910 --> 00:03:57,280 okay so what are some of the things your 115 00:04:01,509 --> 00:03:59,920 test your or how are you guys testing 116 00:04:03,350 --> 00:04:01,519 this what are some of the actual actions 117 00:04:05,350 --> 00:04:03,360 you're doing to try and test this 118 00:04:07,350 --> 00:04:05,360 cognitive ability 119 00:04:10,550 --> 00:04:07,360 yeah so our software is installed on one 120 00:04:12,630 --> 00:04:10,560 of the hr fpcs in the columbus module 121 00:04:14,550 --> 00:04:12,640 cognition itself is a battery of 10 122 00:04:16,710 --> 00:04:14,560 cognitive tests specifically designed 123 00:04:17,749 --> 00:04:16,720 for the astronaut population because we 124 00:04:21,509 --> 00:04:17,759 know 125 00:04:23,830 --> 00:04:21,519 they're highly motivated so just taking 126 00:04:26,390 --> 00:04:23,840 a standard cognitive test may not work 127 00:04:28,070 --> 00:04:26,400 for this population it takes less than 128 00:04:29,830 --> 00:04:28,080 20 minutes to administer you know that 129 00:04:31,990 --> 00:04:29,840 time is gold on the space station it's 130 00:04:33,909 --> 00:04:32,000 very rare 131 00:04:35,749 --> 00:04:33,919 the battery covers a broad range of 132 00:04:37,590 --> 00:04:35,759 cognitive domains and we know which 133 00:04:39,749 --> 00:04:37,600 brain regions are recruited by each of 134 00:04:41,670 --> 00:04:39,759 the individual tests which is important 135 00:04:43,350 --> 00:04:41,680 so we can make indirect 136 00:04:45,909 --> 00:04:43,360 inferences 137 00:04:47,670 --> 00:04:45,919 if we see a decrement in one test we may 138 00:04:49,430 --> 00:04:47,680 know what brain region is affected which 139 00:04:51,430 --> 00:04:49,440 is important because we don't have 140 00:04:53,670 --> 00:04:51,440 neuroimaging capability on the station 141 00:04:55,670 --> 00:04:53,680 right now what the astronauts currently 142 00:04:58,390 --> 00:04:55,680 do they take the the full battery four 143 00:04:59,990 --> 00:04:58,400 times pre-flight eleven times in flight 144 00:05:01,510 --> 00:05:00,000 with two to three week intervals during 145 00:05:03,749 --> 00:05:01,520 six-month missions 146 00:05:05,430 --> 00:05:03,759 and uh three times post-flight and the 147 00:05:07,590 --> 00:05:05,440 data then compared within each 148 00:05:10,390 --> 00:05:07,600 individual astronaut but we also 149 00:05:12,469 --> 00:05:10,400 generated normative data on the ground 150 00:05:14,469 --> 00:05:12,479 an astronaut in an astronaut population 151 00:05:16,469 --> 00:05:14,479 that is not affected by any of the space 152 00:05:18,390 --> 00:05:16,479 space flight stressors 153 00:05:19,350 --> 00:05:18,400 cognition is also part of the 12-month 154 00:05:21,270 --> 00:05:19,360 mission 155 00:05:24,310 --> 00:05:21,280 and it's also part of the twin study 156 00:05:26,310 --> 00:05:24,320 that nasa is performing right now okay 157 00:05:27,909 --> 00:05:26,320 so after we've you know collected all 158 00:05:29,990 --> 00:05:27,919 the data and we're able to look at how 159 00:05:32,070 --> 00:05:30,000 is how is this going to be able to help 160 00:05:33,749 --> 00:05:32,080 you know what what will your test be 161 00:05:36,629 --> 00:05:33,759 able to do to you know 162 00:05:38,950 --> 00:05:36,639 help prove the cognitive improve on the 163 00:05:40,390 --> 00:05:38,960 the cognitive ability of astronauts only 164 00:05:41,749 --> 00:05:40,400 you know on space station missions but 165 00:05:43,270 --> 00:05:41,759 say astronauts like you had mentioned 166 00:05:45,990 --> 00:05:43,280 before on a trip to mars or something 167 00:05:48,469 --> 00:05:46,000 how is this how is this going to help 168 00:05:50,710 --> 00:05:48,479 yeah so right now a cognition is really 169 00:05:53,029 --> 00:05:50,720 a research tool and what we want to do 170 00:05:55,670 --> 00:05:53,039 we want to find out how individual 171 00:05:57,990 --> 00:05:55,680 spaceflight stressors affect cognitive 172 00:06:00,629 --> 00:05:58,000 performance with the goal to mitigate 173 00:06:02,390 --> 00:06:00,639 these risks so it's you know what are 174 00:06:03,990 --> 00:06:02,400 the individual stressors how do they 175 00:06:06,390 --> 00:06:04,000 affect performance is there something we 176 00:06:08,550 --> 00:06:06,400 can do about it obviously in the long 177 00:06:10,309 --> 00:06:08,560 run what we would like to see is to 178 00:06:13,270 --> 00:06:10,319 really transition 179 00:06:15,270 --> 00:06:13,280 cognition into operations so that we can 180 00:06:17,990 --> 00:06:15,280 use this tool to monitor astronaut 181 00:06:20,550 --> 00:06:18,000 cognitive performance very much like 182 00:06:21,510 --> 00:06:20,560 nasa is doing with winscad right now 183 00:06:25,990 --> 00:06:21,520 what the 184 00:06:29,350 --> 00:06:26,000 astronaut 185 00:06:31,350 --> 00:06:29,360 gets immediate feedback so the software 186 00:06:33,590 --> 00:06:31,360 will provide a standardized score after 187 00:06:36,150 --> 00:06:33,600 each test and with all it will also show 188 00:06:38,309 --> 00:06:36,160 historic data so the astronaut can see 189 00:06:40,309 --> 00:06:38,319 how he or she has performed on the test 190 00:06:43,909 --> 00:06:40,319 in the past and how the current test 191 00:06:45,510 --> 00:06:43,919 bout uh compares to that data 192 00:06:47,749 --> 00:06:45,520 very cool and one thing we're always 193 00:06:49,189 --> 00:06:47,759 interested in finding out you know so 194 00:06:51,189 --> 00:06:49,199 much what we do on board the station 195 00:06:53,189 --> 00:06:51,199 having some direct benefits to you know 196 00:06:55,270 --> 00:06:53,199 those of us back down here on earth how 197 00:06:57,029 --> 00:06:55,280 could this cognition study potentially 198 00:06:59,189 --> 00:06:57,039 help you know just regular people back 199 00:07:01,029 --> 00:06:59,199 down here on the surface 200 00:07:03,270 --> 00:07:01,039 well as i mentioned earlier now this is 201 00:07:04,950 --> 00:07:03,280 we specifically designed designed this 202 00:07:06,629 --> 00:07:04,960 for astronauts and 203 00:07:07,909 --> 00:07:06,639 astronauts are high performing 204 00:07:09,510 --> 00:07:07,919 populations but there are other 205 00:07:11,670 --> 00:07:09,520 high-performing populations on the 206 00:07:14,230 --> 00:07:11,680 ground think for example of medical 207 00:07:16,550 --> 00:07:14,240 doctors where we could apply this this 208 00:07:18,469 --> 00:07:16,560 test battery in these populations 209 00:07:21,029 --> 00:07:18,479 cognition is already embedded in four 210 00:07:23,110 --> 00:07:21,039 antarctic stations uh which nasa 211 00:07:24,870 --> 00:07:23,120 actually uses as a space space analog 212 00:07:27,350 --> 00:07:24,880 environments and obviously you know 213 00:07:29,029 --> 00:07:27,360 these environments are also harsh 214 00:07:31,189 --> 00:07:29,039 with threat to life conditions with 215 00:07:32,950 --> 00:07:31,199 confinement isolation 216 00:07:34,469 --> 00:07:32,960 and also with the strange lighting 217 00:07:36,950 --> 00:07:34,479 conditions that we have on the space 218 00:07:38,309 --> 00:07:36,960 station on a trip to mars so you know in 219 00:07:41,589 --> 00:07:38,319 the end we can also help these 220 00:07:43,670 --> 00:07:41,599 populations to uh to to monitor them and 221 00:07:45,830 --> 00:07:43,680 to to find out which factors are