An Alternative Approach to Human Servicing of Manned Earth Orbiting Spacecraft

As manned spacecraft have grown larger and more complex, they have come to rely on spacewalks or Extravehicular Activities (EVA) for both mission success and crew safety. Typically these spacecraft maintain all of the hardware and trained personnel needed to perform an EVA on-board at all times. Maintaining this capability requires volume and up-mass for storage of EVA hardware, crew time for ground and on-orbit training, and on-orbit maintenance of EVA hardware . This paper proposes an alternative methodology to utilize launch-on-need hardware and crew to provide EVA capability for space stations in Earth orbit after assembly complete, in the same way that most people would call a repairman to fix something at their home. This approach would not only reduce ground training requirements and save Intravehicular Activity (IVA) crew time in the form of EVA hardware maintenance and on-orbit training, but would also lead to more efficient EVAs because they would be performed by specialists with detailed knowledge and training stemming from their direct involvement in the development of the EVA. The on-orbit crew would then be available to focus on the immediate response to the failure as well as the day-to-day operations of the spacecraft and payloads. This paper will look at how current ISS unplanned EVAs are conducted, including the time required for preparation, and offer alternatives for future spacecraft utilizing lessons learned from ISS. As this methodology relies entirely on the on-time and on-need launch of spacecraft, any space station that utilized this approach would need a robust transportation system including more than one launch vehicle capable of carrying crew. In addition the fault tolerance of the space station would be an important consideration in how much time was available for EVA preparation after the failure. Each future program would have to weigh the risk of on-time launch against the increase in available crew time for the main objective of the spacecraft

Water Immersion Ballasted Partial Gravity for Lunar and Martian EVA Simulation

The University of Maryland Space Systems Laboratory is developing the capability to simulate partial gravity levels for human operational activities through the use of ballast on body segments in the underwater environment. This capability will be important as NASA prepares to return to the Moon by the end of the next decade. This thesis discusses various forms of partial gravity simulation used in the past, and discusses applications for ballasted underwater simulations. Primary application of this technique is for static or quasistatic activities, such as collecting basic anthropometric data on reach envelopes or postural control, as well as accumulating an experience base on partial gravity habitat and vehicle design and operations. The research conducted investigated collecting postural stability data through the use of a controlled disturbance to the ballasted subject

The need to research refractory breathlessness

High-quality research is needed to improve quality of life for people with chronic refractory breathlessness in COP

Veterans walk to beat back pain: study rationale, design and protocol of a randomized trial of a pedometer-based Internet mediated intervention for patients with chronic low back pain

<p>Abstract</p> <p>Background</p> <p>Chronic back pain is a significant problem worldwide and may be especially prevalent among patients receiving care in the U.S. Department of Veterans Affairs healthcare system. Back pain affects adults at all ages and is associated with disability, lost workplace productivity, functional limitations and social isolation. Exercise is one of the most effective strategies for managing chronic back pain. Yet, there are few clinical programs that use low cost approaches to help patients with chronic back pain initiate and maintain an exercise program.</p> <p>Methods/Design</p> <p>We describe the design and rationale of a randomized controlled trial to assess the efficacy of a pedometer-based Internet mediated intervention for patients with chronic back pain. The intervention uses an enhanced pedometer, website and e-community to assist these patients with initiating and maintaining a regular walking program with the primary aim of reducing pain-related disability and functional interference. The study specific aims are: 1) To determine whether a pedometer-based Internet-mediated intervention reduces pain-related functional interference among patients with chronic back pain in the short term and over a 12-month timeframe. 2) To assess the effect of the intervention on walking (measured by step counts), quality of life, pain intensity, pain related fear and self-efficacy for exercise. 3) To identify factors associated with a sustained increase in walking over a 12-month timeframe among patients randomized to the intervention.</p> <p>Discussion</p> <p>Exercise is an integral part of managing chronic back pain but to be effective requires that patients actively participate in the management process. This intervention is designed to increase activity levels, improve functional status and make exercise programs more accessible for a broad range of patients with chronic back pain.</p> <p>Trial Registration Number</p> <p>NCT00694018</p

Atomic Force Microscopy Reveals the Mechanobiology of Lytic Peptide Action on Bacteria

Increasing rates of antimicrobial-resistant medically important bacteria require the development of new, effective therapeutics, of which antimicrobial peptides (AMPs) are among the promising candidates. Many AMPs are membrane-active, but their mode of action in killing bacteria or in inhibiting their growth remains elusive. This study used atomic force microscopy (AFM) to probe the mechanobiology of a model AMP (a derivative of melittin) on living <i>Klebsiella pneumoniae</i> bacterial cells. We performed <i>in situ</i> biophysical measurements to understand how the melittin peptide modulates various biophysical behaviors of individual bacteria, including the turgor pressure, cell wall elasticity, and bacterial capsule thickness and organization. Exposure of <i>K. pneumoniae</i> to the peptide had a significant effect on the turgor pressure and Young’s modulus of the cell wall. The turgor pressure increased upon peptide addition followed by a later decrease, suggesting that cell lysis occurred and pressure was lost through destruction of the cell envelope. The Young’s modulus also increased, indicating that interaction with the peptide increased the rigidity of the cell wall. The bacterial capsule did not prevent cell lysis by the peptide, and surprisingly, the capsule appeared unaffected by exposure to the peptide, as capsule thickness and inferred organization were within the control limits, determined by mechanical measurements. These data show that AFM measurements may provide valuable insights into the physical events that precede bacterial lysis by AMPs