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Preflight Screening Techniques for Centrifuge-Simulated Suborbital Spaceflight

机译:离心机模拟亚轨道太空飞行的飞行前检查技术

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Introduction: Historically, space has been the venue of the healthy individual. With the advent of commercial spaceflight, we face the novel prospect of routinely exposing spaceflight participants (SPFs) with multiple comorbidities to the space environment. Preflight screening procedures must be developed to identify those individuals at increased risk during flight. We examined the responses of volunteers to centrifuge accelerations mimicking commercial suborbital spaceflight profiles to evaluate how potential SFPs might tolerate such forces. We evaluated our screening process for medical approval of subjects for centrifuge participation for applicability to commercial spaceflight operations. Methods: All registered subjects completed a medical questionnaire, physical examination, and electrocardiogram. Subjects with identified concerns including cardiopulmonary disease, hypertension, and diabetes were required to provide documentation of their conditions. Results: There were 335 subjects who registered for the study, 124 who completed all prescreening, and 86 subjects who participated in centrifuge trials. Due to prior medical history, five subjects were disqualified, most commonly for psychiatric reasons or uncontrolled medical conditions. Of the subjects approved, four individuals experienced abnormal physiological responses to centrifuge profiles, including one back strain and three with anxiety reactions. Discussion: The screening methods used were judged to be sufficient to identify individuals physically capable of tolerating simulated suborbital flight. Improved methods will be needed to identify susceptibility to anxiety reactions. While severe or uncontrolled disease was excluded, many subjects successfully participated in centrifuge trials despite medical histories of disease that are disqualifying under historical spaceflight screening regimes. Such screening techniques are applicable for use in future commercial spaceflight operations.
机译:简介:从历史上看,空间一直是健康个体的聚集地。随着商业航天的出现,我们面临着将具有多种合并症的航天参与者(SPF)定期暴露于太空环境的新前景。必须制定飞行前检查程序,以识别在飞行过程中风险增加的人员。我们检查了志愿者对模仿商业化亚轨道航天剖面的离心加速度的反应,以评估潜在的SFP如何耐受这种力量。我们评估了筛选过程,以对受试者的医学批准进行离心试验,以适用于商业航天飞行。方法:所有注册受试者均完成医学问卷,身体检查和心电图检查。需要确定包括心肺疾病,高血压和糖尿病在内的问题的受试者提供其状况的文件。结果:共有335名受试者注册了研究,124名受试者完成了所有预筛查,86名受试者参加了离心试验。由于先前的病史,五名受试者被取消资格,最常见的原因是精神病学原因或无法控制的医疗状况。在被批准的受试者中,有4个人对离心机配置文件发生了异常的生理反应,包括1个背部劳损和3个有焦虑反应。讨论:所用的筛选方法被认为足以识别能够耐受模拟亚轨道飞行的个体。将需要改进的方法来识别对焦虑反应的敏感性。尽管排除了严重或无法控制的疾病,但许多疾病患者均成功参加了离心试验,尽管疾病的病史在历史航天筛查制度下均不合格。这样的筛选技术适用于将来的商业航天飞行。

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