1 00:00:08,870 --> 00:00:06,950 recently my colleague pat ryan spoke 2 00:00:11,669 --> 00:00:08,880 with dr john charles the associate 3 00:00:14,310 --> 00:00:11,679 manager for the international science on 4 00:00:17,990 --> 00:00:14,320 nasa's human research program about the 5 00:00:19,590 --> 00:00:18,000 science plan for expeditions 43-46 6 00:00:21,910 --> 00:00:19,600 and asked him to identify the greatest 7 00:00:25,589 --> 00:00:21,920 concerns we have about how prolonged 8 00:00:28,070 --> 00:00:25,599 weightlessness affects a person 9 00:00:30,790 --> 00:00:28,080 the way weightlessness affects people 10 00:00:32,549 --> 00:00:30,800 after long periods in space is part of 11 00:00:34,229 --> 00:00:32,559 the problem and the rest of the problem 12 00:00:36,870 --> 00:00:34,239 of course is isolation and distance and 13 00:00:38,950 --> 00:00:36,880 things like that from family and support 14 00:00:40,310 --> 00:00:38,960 but the weightless problems are 15 00:00:41,270 --> 00:00:40,320 i think very interesting and they 16 00:00:43,190 --> 00:00:41,280 concern 17 00:00:45,510 --> 00:00:43,200 loss of bone mass that is the loss of 18 00:00:47,190 --> 00:00:45,520 bone structure and integrity because the 19 00:00:49,270 --> 00:00:47,200 bones are no longer hefting around our 20 00:00:51,110 --> 00:00:49,280 bodies and under one g 21 00:00:53,189 --> 00:00:51,120 the muscles that make those bones move 22 00:00:55,350 --> 00:00:53,199 also get weaker the cardiovascular 23 00:00:56,709 --> 00:00:55,360 system which doesn't have to pump blood 24 00:00:58,709 --> 00:00:56,719 uh from the lower body into the upper 25 00:01:00,389 --> 00:00:58,719 part of the body because of 26 00:01:03,110 --> 00:01:00,399 pooling because of gravity 27 00:01:05,030 --> 00:01:03,120 also has certain changes not so much in 28 00:01:06,230 --> 00:01:05,040 the force of the pumping but in the 29 00:01:09,510 --> 00:01:06,240 in the 30 00:01:15,670 --> 00:01:09,520 the 31 00:01:17,270 --> 00:01:15,680 effects of gravity of course notices 32 00:01:19,190 --> 00:01:17,280 right away that weightlessness doesn't 33 00:01:21,350 --> 00:01:19,200 happen anymore or weightlessness happens 34 00:01:23,590 --> 00:01:21,360 and gravity doesn't happen anymore 35 00:01:25,429 --> 00:01:23,600 all of these changes uh occur fairly 36 00:01:28,070 --> 00:01:25,439 quickly in flight but we're now looking 37 00:01:30,230 --> 00:01:28,080 at the long-term manifestations of these 38 00:01:32,230 --> 00:01:30,240 very very physical changes 39 00:01:34,390 --> 00:01:32,240 along with the psychological aspects and 40 00:01:36,069 --> 00:01:34,400 other aspects of just being in a 41 00:01:38,789 --> 00:01:36,079 confined environment in a great distance 42 00:01:41,030 --> 00:01:38,799 from from support and so forth do we 43 00:01:43,670 --> 00:01:41,040 anticipate that all of these 44 00:01:45,670 --> 00:01:43,680 bad effects get worse the longer that 45 00:01:47,190 --> 00:01:45,680 you stay would it be worse in months 46 00:01:48,069 --> 00:01:47,200 seven or eight than it is in two or 47 00:01:49,270 --> 00:01:48,079 three 48 00:01:51,190 --> 00:01:49,280 well you know we're doing this one year 49 00:01:53,510 --> 00:01:51,200 mission and that the goal is to try and 50 00:01:55,429 --> 00:01:53,520 answer exactly that question we have 51 00:01:57,670 --> 00:01:55,439 always in the life sciences assumed that 52 00:01:59,590 --> 00:01:57,680 the next increment of duration is where 53 00:02:01,190 --> 00:01:59,600 the cliff is is where the brick wall is 54 00:02:02,870 --> 00:02:01,200 that we're going to run into and so far 55 00:02:04,550 --> 00:02:02,880 we've really not seen it so far the 56 00:02:06,789 --> 00:02:04,560 human body has proved remarkably 57 00:02:08,949 --> 00:02:06,799 adaptable to 58 00:02:10,869 --> 00:02:08,959 the most novel environmental situation 59 00:02:12,790 --> 00:02:10,879 that is possible to conceive of and that 60 00:02:14,949 --> 00:02:12,800 is the absence of gravity gravity has 61 00:02:17,510 --> 00:02:14,959 influenced everything on the earth in 62 00:02:18,630 --> 00:02:17,520 terms of biology from the very beginning 63 00:02:23,350 --> 00:02:18,640 of 64 00:02:25,270 --> 00:02:23,360 and now we're finding that the those 65 00:02:27,430 --> 00:02:25,280 resources that the body has to take care 66 00:02:28,550 --> 00:02:27,440 of itself in different attitudes 67 00:02:30,949 --> 00:02:28,560 different postures different 68 00:02:33,270 --> 00:02:30,959 environments on the ground are also 69 00:02:35,030 --> 00:02:33,280 pretty good for living in the absence of 70 00:02:36,949 --> 00:02:35,040 gravity as long as you maintain pressure 71 00:02:38,070 --> 00:02:36,959 and temperature and food and things like 72 00:02:40,869 --> 00:02:38,080 that 73 00:02:42,309 --> 00:02:40,879 so we're we're not yet encountering the 74 00:02:44,070 --> 00:02:42,319 the cliff you know there's no here be 75 00:02:45,990 --> 00:02:44,080 dragons on the map that we've 76 00:02:47,910 --> 00:02:46,000 encountered so far 77 00:02:50,309 --> 00:02:47,920 we're finding that many of the changes 78 00:02:52,070 --> 00:02:50,319 that occur in the human body 79 00:02:54,470 --> 00:02:52,080 physiologically occur 80 00:02:56,710 --> 00:02:54,480 fairly soon that is within days weeks 81 00:02:59,830 --> 00:02:56,720 even months of time and weightlessness 82 00:03:01,910 --> 00:02:59,840 but after three or four or five months 83 00:03:04,070 --> 00:03:01,920 our bodies would be pretty well 84 00:03:05,750 --> 00:03:04,080 accommodated to weightlessness as far as 85 00:03:08,149 --> 00:03:05,760 we know 86 00:03:10,309 --> 00:03:08,159 now that's a big caveat because 87 00:03:12,149 --> 00:03:10,319 we don't have many other 88 00:03:14,390 --> 00:03:12,159 data points beyond those first few 89 00:03:15,830 --> 00:03:14,400 months but things seem to level off and 90 00:03:17,910 --> 00:03:15,840 we seem to be approaching something that 91 00:03:20,229 --> 00:03:17,920 some people call a space normal state 92 00:03:21,910 --> 00:03:20,239 that is you're through the the turmoil 93 00:03:23,670 --> 00:03:21,920 in the uproar of the adaptation and the 94 00:03:25,750 --> 00:03:23,680 accommodation process 95 00:03:27,270 --> 00:03:25,760 but there's always the what if you know 96 00:03:29,750 --> 00:03:27,280 if we're talking about two and a half 97 00:03:31,670 --> 00:03:29,760 year round trips to mars all of it in 98 00:03:33,670 --> 00:03:31,680 gravity less than earth's gravity 99 00:03:35,910 --> 00:03:33,680 weightlessness for the transits out and 100 00:03:37,990 --> 00:03:35,920 back and one third of a g while you're 101 00:03:39,270 --> 00:03:38,000 on the planet of mars 102 00:03:40,789 --> 00:03:39,280 wouldn't it be nice to know ahead of 103 00:03:43,430 --> 00:03:40,799 time before you embark on those missions 104 00:03:45,589 --> 00:03:43,440 whether gravity is whether there is a 105 00:03:47,750 --> 00:03:45,599 bugaboo out there that's gravity related 106 00:03:49,430 --> 00:03:47,760 so we're we're gradually expanding the 107 00:03:51,670 --> 00:03:49,440 the flight durations the space station 108 00:03:53,830 --> 00:03:51,680 has given us a huge database on roughly 109 00:03:56,550 --> 00:03:53,840 six month durations and so far like i 110 00:03:57,990 --> 00:03:56,560 say not many bugaboos but there was one 111 00:03:59,830 --> 00:03:58,000 and that is the visual problem that 112 00:04:01,990 --> 00:03:59,840 people have heard about before 113 00:04:04,149 --> 00:04:02,000 which seems to have manifested itself 114 00:04:06,470 --> 00:04:04,159 along about month three or four or five 115 00:04:09,429 --> 00:04:06,480 in these six-month missions 116 00:04:11,190 --> 00:04:09,439 and it was a bit of a surprise because 117 00:04:14,229 --> 00:04:11,200 people had not really reported that 118 00:04:15,509 --> 00:04:14,239 degree of visual change previously now 119 00:04:17,189 --> 00:04:15,519 we're trying now the human research 120 00:04:19,189 --> 00:04:17,199 program is trying to understand what is 121 00:04:20,949 --> 00:04:19,199 unique about the current situation about 122 00:04:22,950 --> 00:04:20,959 the crew members about the environment 123 00:04:25,510 --> 00:04:22,960 about whatever else may be causing a 124 00:04:27,749 --> 00:04:25,520 visual change so we can understand that 125 00:04:29,510 --> 00:04:27,759 problem and also so we can generalize to 126 00:04:31,830 --> 00:04:29,520 other problems what other problems have 127 00:04:32,790 --> 00:04:31,840 we missed that will manifest themselves 128 00:04:35,830 --> 00:04:32,800 on say 129 00:04:37,030 --> 00:04:35,840 month 13 or month 20 of a long duration 130 00:04:39,510 --> 00:04:37,040 flight we're trying to avoid those 131 00:04:41,990 --> 00:04:39,520 problems on this mission for for kelly 132 00:04:44,870 --> 00:04:42,000 and kornienko how do you take data about 133 00:04:47,270 --> 00:04:44,880 what's happening to them in order to 134 00:04:48,950 --> 00:04:47,280 to study later and 135 00:04:51,430 --> 00:04:48,960 learn what you need to learn 136 00:04:54,550 --> 00:04:51,440 we use all the techniques available in 137 00:04:56,550 --> 00:04:54,560 21st century medicine including nowadays 138 00:04:57,990 --> 00:04:56,560 genetic analysis you've heard of the 139 00:05:00,710 --> 00:04:58,000 twin study that craig kundra my 140 00:05:02,710 --> 00:05:00,720 colleague talked to you about recently 141 00:05:04,629 --> 00:05:02,720 that is really an application of 142 00:05:06,469 --> 00:05:04,639 individualized 21st century medicine to 143 00:05:07,909 --> 00:05:06,479 understand the effects of long-term 144 00:05:10,230 --> 00:05:07,919 space flight on 145 00:05:11,749 --> 00:05:10,240 very specific individuals but we also 146 00:05:13,110 --> 00:05:11,759 use the other techniques that many of us 147 00:05:14,629 --> 00:05:13,120 are familiar with from visits to the 148 00:05:17,670 --> 00:05:14,639 doctor's office the blood pressure the 149 00:05:19,590 --> 00:05:17,680 ecg the the stress testing we have 150 00:05:22,070 --> 00:05:19,600 treadmills and other ways to stress test 151 00:05:24,230 --> 00:05:22,080 individuals in flight we have 152 00:05:25,749 --> 00:05:24,240 blood draws nobody can forget the blood 153 00:05:27,189 --> 00:05:25,759 draws the astronauts absolutely the most 154 00:05:29,510 --> 00:05:27,199 favorite activity to do has to be 155 00:05:31,510 --> 00:05:29,520 punctured and have blood drawn in flight 156 00:05:33,510 --> 00:05:31,520 and those are going to be 157 00:05:35,749 --> 00:05:33,520 really well springs of of new and 158 00:05:38,150 --> 00:05:35,759 valuable information on the effects of 159 00:05:40,230 --> 00:05:38,160 long-duration flights on these uh these 160 00:05:41,909 --> 00:05:40,240 two crew members uh doing the one-year 161 00:05:43,590 --> 00:05:41,919 mission but they will allow us to to 162 00:05:45,830 --> 00:05:43,600 form a commonality with a large 163 00:05:47,670 --> 00:05:45,840 six-month database we also have but wait 164 00:05:50,150 --> 00:05:47,680 there's more we also have 165 00:05:50,870 --> 00:05:50,160 a large uh set of 166 00:05:52,550 --> 00:05:50,880 of 167 00:05:54,150 --> 00:05:52,560 psychological and psychosocial 168 00:05:55,590 --> 00:05:54,160 investigations because the human 169 00:05:57,749 --> 00:05:55,600 research program 170 00:05:59,749 --> 00:05:57,759 considers the psychological psychosocial 171 00:06:02,629 --> 00:05:59,759 aspects of long-duration flights off 172 00:06:04,070 --> 00:06:02,639 beyond earth's orbit and off to mars as 173 00:06:07,350 --> 00:06:04,080 some of the most significant the most 174 00:06:09,350 --> 00:06:07,360 profound potential problems that that we 175 00:06:11,110 --> 00:06:09,360 might encounter and the funny thing 176 00:06:12,790 --> 00:06:11,120 about the psychological 177 00:06:14,070 --> 00:06:12,800 changes that may occur in flight is that 178 00:06:15,830 --> 00:06:14,080 you don't have them until suddenly 179 00:06:18,550 --> 00:06:15,840 you've got them in a big way so the 180 00:06:20,950 --> 00:06:18,560 trick is to develop techniques that will 181 00:06:22,710 --> 00:06:20,960 monitor crew members psychological 182 00:06:24,230 --> 00:06:22,720 states and their ability to form teams 183 00:06:25,749 --> 00:06:24,240 and their ability to sleep which is an 184 00:06:28,150 --> 00:06:25,759 important contributor to psychological 185 00:06:29,670 --> 00:06:28,160 health and then 186 00:06:31,270 --> 00:06:29,680 using those techniques that we may have 187 00:06:33,510 --> 00:06:31,280 developed on the ground and in isolation 188 00:06:35,350 --> 00:06:33,520 studies apply those to long-duration 189 00:06:37,510 --> 00:06:35,360 missions to validate them in the actual 190 00:06:39,909 --> 00:06:37,520 flight environment but part of the study 191 00:06:41,590 --> 00:06:39,919 now is to find out just exactly what 192 00:06:43,749 --> 00:06:41,600 they're capable of doing when they do 193 00:06:45,590 --> 00:06:43,759 return to earth at the end of the year 194 00:06:47,510 --> 00:06:45,600 yes pat the the goal of that 195 00:06:49,270 --> 00:06:47,520 investigation which is called field test 196 00:06:51,350 --> 00:06:49,280 is to understand the capabilities of 197 00:06:53,350 --> 00:06:51,360 astronauts immediately after landing 198 00:06:54,950 --> 00:06:53,360 from a long duration period in space 199 00:06:56,790 --> 00:06:54,960 flight which would mimic the transit 200 00:06:58,390 --> 00:06:56,800 time from the earth to mars 201 00:07:00,469 --> 00:06:58,400 to allow us to to help the the 202 00:07:01,909 --> 00:07:00,479 spacecraft designers for future mars 203 00:07:03,909 --> 00:07:01,919 vehicles understand what they have to 204 00:07:05,510 --> 00:07:03,919 build into the landing vehicle and how 205 00:07:07,749 --> 00:07:05,520 much they can expect the astronauts to 206 00:07:09,909 --> 00:07:07,759 do immediate after landing this is a 207 00:07:11,749 --> 00:07:09,919 very exciting and actually a very 208 00:07:13,270 --> 00:07:11,759 i want to say popular it's it's 209 00:07:15,350 --> 00:07:13,280 enthusiastically supported by the crew 210 00:07:17,029 --> 00:07:15,360 members the astronaut office as well as 211 00:07:19,189 --> 00:07:17,039 a scientific community because it's a 212 00:07:20,790 --> 00:07:19,199 good demonstration of what people can do 213 00:07:22,870 --> 00:07:20,800 immediately after landing and it has 214 00:07:24,469 --> 00:07:22,880 operational and scientific benefits and 215 00:07:26,390 --> 00:07:24,479 i think it's also interesting to note 216 00:07:28,870 --> 00:07:26,400 that in in this case in the one year 217 00:07:30,710 --> 00:07:28,880 crew a lot of these investigations are 218 00:07:32,629 --> 00:07:30,720 joint work by american and russian 219 00:07:34,469 --> 00:07:32,639 scientists in ways that 220 00:07:37,110 --> 00:07:34,479 hadn't happened on this project up to 221 00:07:39,830 --> 00:07:37,120 now that's exactly right in fact these 222 00:07:42,390 --> 00:07:39,840 were two separate ideas that were 223 00:07:44,230 --> 00:07:42,400 promoted by the the all of the uh space 224 00:07:46,629 --> 00:07:44,240 station program managers the u.s russian 225 00:07:48,070 --> 00:07:46,639 european japanese canadian they said we 226 00:07:49,589 --> 00:07:48,080 would like to understand what happens on 227 00:07:51,510 --> 00:07:49,599 a one year mission and we'd also like to 228 00:07:53,189 --> 00:07:51,520 see more joint activities between the 229 00:07:55,029 --> 00:07:53,199 partners taking advantage of the 230 00:07:57,589 --> 00:07:55,039 resources that each brings to the space 231 00:07:59,110 --> 00:07:57,599 station and breaking down any artificial 232 00:08:00,869 --> 00:07:59,120 barriers between 233 00:08:02,150 --> 00:08:00,879 the modules so we can move hardware back 234 00:08:04,150 --> 00:08:02,160 and forth crew members back and forth 235 00:08:05,430 --> 00:08:04,160 take advantage of of equipment that's in 236 00:08:07,909 --> 00:08:05,440 one and crew members that are in the 237 00:08:09,110 --> 00:08:07,919 other and so forth we quickly melded 238 00:08:11,430 --> 00:08:09,120 those two 239 00:08:13,510 --> 00:08:11,440 efforts into one so the one-year mission 240 00:08:15,830 --> 00:08:13,520 and the breaking down barriers became 241 00:08:17,589 --> 00:08:15,840 the same activity and we're using this 242 00:08:20,309 --> 00:08:17,599 one-year mission as a highly visible 243 00:08:22,230 --> 00:08:20,319 demonstration of how to do that 244 00:08:24,550 --> 00:08:22,240 once we get these techniques these 245 00:08:26,869 --> 00:08:24,560 lessons learned figured out we hope to 246 00:08:28,550 --> 00:08:26,879 be doing this on every iss mission 247 00:08:30,150 --> 00:08:28,560 beyond the one-year mission so that we 248 00:08:31,830 --> 00:08:30,160 take advantage as i say of the resources 249 00:08:34,070 --> 00:08:31,840 everybody brings and provide benefits to 250 00:08:37,269 --> 00:08:34,080 all the partners be very exciting to see 251 00:08:38,790 --> 00:08:37,279 how it goes thank you for uh letting us 252 00:08:41,750 --> 00:08:38,800 get a look into what's going to happen