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By NASA
6 min read
Preparations for Next Moonwalk Simulations Underway (and Underwater)
In-person participants L-R standing: Dave Francisco, Joanne Kaouk, Dr. Richard Moon, Dr. Tony Alleman, Dr. Sean Hardy, Sarah Childress, Kristin Coffey, Dr. Ed Powers, Dr. Doug Ebersole, Dr. Steven Laurie, Dr. Doug Ebert; L-R seated: Dr. Alejandro Garbino, Dr. Robert Sanders, Dr. Kristi Ray, Dr. Mike Gernhardt, Dr. Joseph Dervay, Dr. Matt Makowski). Not pictured: Dr. Caroline Fife In June 2024, the NASA Office of the Chief Health and Medical Officer (OCHMO) Standards Team hosted an independent assessment working group to review the status and progress of research and clinical activities intended to mitigate the risk of decompression sickness (DCS) related to patent foramen ovale (PFO) during spaceflight and associated ground testing and human subject studies.
Decompression sickness (DCS) is a condition which results from dissolved gases (primarily nitrogen) forming bubbles in the bloodstream and tissues. It is usually experienced in conditions where there are rapid decreases in ambient pressure, such as in scuba divers, high-altitude aviation, or other pressurized environments. The evolved gas bubbles have various physiological effects and can obstruct the blood vessels, trigger inflammation, and damage tissue, resulting in symptoms of DCS. NASA presently classifies DCS into two categories: Type I DCS, which is less severe, typically leads to musculoskeletal symptoms including pain in the joints or muscles, or skin rash. Type II DCS is more severe and commonly results in neurological, inner ear, and cardiopulmonary symptoms. The risk of DCS in spaceflight presents during extravehicular activities (EVAs) in which astronauts perform mission tasks outside the spaceflight vehicle while wearing a pressurized suit at a lower pressure than the cabin pressure. DCS mitigation protocols based on strategies to reduce systemic nitrogen load are implemented through the combination of habitat environmental parameters, EVA suit pressure, and breathing gas procedures (prebreathe protocols) to achieve safe and effective mission operations. The pathophysiology of DCS has still not been fully elucidated since cases occur despite the absence of detected gas bubbles but includes right to left shunting of venous gas emboli (VGE) via several potential mechanisms, one of which is a Patent Foramen Ovale (PFO).
From: Dr. Schochet & Dr. Lie, Pediatric Pulmonologists
Reference OCHMO-TB-037 Decompression Sickness (DCS) Risk Mitigation technical brief for additional information.
A PFO is a shunt between the right atrium and the left atrium of the heart, which is a persisting remnant of a physiological communication present in the fetal heart. Post-natal increases in left atrial pressure usually force the inter-septal valve against the septum secundum and within the first 2 years of life, the septae permanently fuse due to the development of fibrous adhesions. Thus, all humans are born with a PFO and approximately 75% of PFOs fuse following childbirth. For the 25% of the population’s whose PFOs do not fuse, ~6% have what is considered by some to be a large PFO (> 2 mm). PFO diameter can increase with age. The concern with PFOs is that with a right to left shunt between the atria, venous emboli gas may pass from the right atrium (venous) to the left atrium (arterial) (“shunt”), thus by-passing the normal lung filtration of venous emboli which prevent passage to the arterial system. Without filtration, bubbles in the arterial system may lead to a neurological event such as a stroke. Any activity that increases the right atrium/venous pressure over the left atrium/arterial pressure (such as a Valsalva maneuver, abdominal compression) may further enable blood and/or emboli across a PFO/shunt.
From: Nuffield Department of Clinical Neurosciences
The purpose of this working group was to review and provide analysis on the status and progress of research and clinical activities intended to mitigate the risk of PFO and DCS issues during spaceflight. Identified cases of DCS during NASA exploration atmosphere ground testing conducted in pressurized chambers led to the prioritization of the given topic for external review. The main goals of the working group included:
Quantification of any increased risk associated with the presence of a PFO during decompression protocols utilized in ground testing and spaceflight EVAs, as well as unplanned decompressions (e.g., cabin depressurization, EVA suit leak). Describe risks and benefits of PFO screening in astronaut candidates, current crewmembers, and chamber test subjects. What are potential risk reduction measures that could be considered if a person was believed to be at increased risk of DCS due to a PFO? What research and/or technology development is recommended that could help inform and/or mitigate PFO-related DCS risk? The working group took place over two days at NASA’s Johnson Space Center and included NASA subject matter experts and stakeholders, as well as invited external reviewers from areas including cardiology, hypobaric medicine, spaceflight medicine, and military occupational health. During the working group, participants were asked to review past reports and evidence related to PFOs and risk of DCS, materials and information regarding NASA’s current experience and practices, and case studies and subsequent decision-making processes. The working group culminated in an open-forum discussion where recommendations for current and future practices were conferred and subsequently summarized in a final summary report, available on the public NASA OCHMO Standards Team website.
The following key findings are the main take-aways from the OCHMO independent assessment:
In an extreme exposure/high-risk scenario, excluding individuals with a PFO and treating PFOs does not necessarily decrease the risk of DCS or create a ‘safe’ environment. It may create incremental differences and slightly reduce overall risk but does not make the risk zero. There are other physiological factors that also contribute to the risk of DCS that may have a larger impact (see 7.0 Other Physiological Factors in the findings section). Based on the available evidence and the risk of current decompression exposures (based on current NASA protocols and NASA-STD-3001 requirements to limit the risk of DCS), it is not recommended to screen for PFOs in any spaceflight or ground testing participants. The best strategy to reduce the risk of DCS is to create as safe an environment as possible in every scenario, through effective prebreathe protocols, safety, and the capability to rapidly treat DCS should symptoms occur. Based on opinion, no specific research is required at this time to further characterize PFOs with DCS and altitude exposure, due to the low risk and preference to institute adequate safe protocols and ensuring treatment availability both on the ground and in spaceflight. For engineering protocols conducted on the ground, it should be ensured that the same level of treatment capability (treatment chamber in the immediate vicinity of the testing) is provided as during research protocols. The ability to immediately treat a DCS case is critical in ensuring the safety of the test subjects. The full summary report includes detailed background information, discussion points from the working group, and conclusions and recommendations. The findings from the working group and resulting summary report will help to inform key stakeholders in decision-making processes for future ground testing and spaceflight operations with the main goal of protecting crew health and safety to ensure overall mission success.
Summary Report About the Author
Sarah D. Childress
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Last Updated Dec 31, 2024 Related Terms
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By NASA
Illustration of the main asteroid belt, orbiting the Sun between Mars and JupiterNASA NASA’s powerful James Webb Space Telescope includes asteroids on its list of objects studied and secrets revealed.
A team led by researchers at the Massachusetts Institute of Technology (MIT) in Cambridge repurposed Webb’s observations of a distant star to reveal a population of small asteroids — smaller than astronomers had ever detected orbiting the Sun in the main asteroid belt between Mars and Jupiter.
The 138 new asteroids range from the size of a bus to the size of a stadium — a size range in the main belt that has not been observable with ground-based telescopes. Knowing how many main belt asteroids are in different size ranges can tell us something about how asteroids have been changed over time by collisions. That process is related to how some of them have escaped the main belt over the solar system’s history, and even how meteorites end up on Earth.
“We now understand more about how small objects in the asteroid belt are formed and how many there could be,” said Tom Greene, an astrophysicist at NASA’s Ames Research Center in California’s Silicon Valley and co-author on the paper presenting the results. “Asteroids this size likely formed from collisions between larger ones in the main belt and are likely to drift towards the vicinity of Earth and the Sun.”
Insights from this research could inform the work of the Asteroid Threat Assessment Project at Ames. ATAP works across disciplines to support NASA’s Planetary Defense Coordination Office by studying what would happen in the case of an Earth impact and modeling the associated risks.
“It’s exciting that Webb’s capabilities can be used to glean insights into asteroids,” said Jessie Dotson, an astrophysicist at Ames and member of ATAP. “Understanding the sizes, numbers, and evolutionary history of smaller main belt asteroids provides important background about the near-Earth asteroids we study for planetary defense.”
Illustration of the James Webb Space TelescopeNASA The team that made the asteroid detections, led by research scientist Artem Burdanov and professor of planetary science Julien de Wit, both of MIT, developed a method to analyze existing Webb images for the presence of asteroids that may have been inadvertently “caught on film” as they passed in front of the telescope. Using the new image processing technique, they studied more than 10,000 images of the star TRAPPIST-1, originally taken to search for atmospheres around planets orbiting the star, in the search for life beyond Earth.
Asteroids shine more brightly in infrared light, the wavelength Webb is tuned to detect, than in visible light, helping reveal the population of main belt asteroids that had gone unnoticed until now. NASA will also take advantage of that infrared glow with an upcoming mission, the Near-Earth Object (NEO) Surveyor. NEO Surveyor is the first space telescope specifically designed to hunt for near-Earth asteroids and comets that may be potential hazards to Earth.
The paper presenting this research, “Detections of decameter main-belt asteroids with JWST,” was published Dec. 9 in Nature.
The James Webb Space Telescope is the world’s premier space science observatory. Webb is solving mysteries in our solar system, looking beyond to distant worlds around other stars, and probing the mysterious structures and origins of our universe and our place in it. Webb is an international program led by NASA with its partners, ESA (European Space Agency) and CSA (Canadian Space Agency).
For news media:
Members of the news media interested in covering this topic should reach out to the NASA Ames newsroom.
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By NASA
NASA-supported scientists have suggested an updated framework for the role of ferns in environmental recovery from disaster. Instead of competing with other organisms, ferns may act as facilitators that ease the way for other plants and animals to re-establish themselves in a damaged landscape.
The study examines how a biosphere recovers from major upheaval, be it from wildfires or asteroid impacts, using what scientists call a ‘facilitative’ framework (where the actions of organisms help each other) rather than the long-held ‘competition-based’ framework.
NASA supported researchers at a fossil plant quarry near the Old Raton Pass Cretaceous–Paleogene (K-Pg) boundary in New Mexico.Ellen Currano Ferns are a common type of vascular plant found in woodlands, gardens, and many a plant pot on apartment shelves. Unlike many other vascular plants, ferns do not flower or seed. Instead, they reproduce via spores. Ferns first appeared on Earth some 360 million years ago during the Devonian period and, prior to the evolution of flowering plants, were the most common vascular plant on Earth.
Ferns are often one of the first plants to re-establish in areas affected by large-scale upheaval events, and it has been suggested that this is because ferns produce spores in great amounts that are widely distributed on the wind. Some scientists, particularly in the fields of geology and paleontology, have used this ‘competitive’ success of ferns as a foundation for ecological theories about how recolonization happens after upheavals.
However, in recent years, growing research has shown that recovery is not only about competition. Positive interactions, known as facilitation, between ferns and other species also play a significant role. The authors of the recent study believe that it is time to re-examine positive interactions within ecosystems, rather than defaulting to a competition framework.
Ferns in History
“I love to imagine ecosystems through time and play a game in my head where I ask myself, ’if I could stand here for 1 million years, would this fossilize?’” said lead author Lauren Azevedo Schmidt of the University of California at Davis. “Because of the mental time gymnastics I do, my research questions follow the same pathway. How do I create synergy between modern and paleo research?”
Early Paleocene fern fossil discovered on the Vermejo Park Ranch, NM. Photo by Ellen Currano.Ellen Currano The team examined ideas that have been developed based on observing modern organisms as well as ancient populations in the fossil record. They propose that, rather than out-competing other species, ferns act as facilitators for ecosystem recovery by stabilizing the ground, enhancing properties of the soil, and mediating competition between other organisms. This repositions ferns as facilitators of ecological recovery within disturbed habitats. This has broad implications for understanding how a community recovers and the importance of positive interactions following disturbance events. Because ferns are among the oldest lineages of plants on Earth and have experienced unimaginable climates and extinction events, they provide critical information to better understand the fossil record and Earth before humans.
Fossil plant excavation in the Cretaceous rocks just below the K-Pg boundary at Old Raton Pass, NM. Photo by Ellen Currano.Ellen Currano “The Cretaceous – Paleogene [K-Pg] extinction event reworked Earth’s biosphere, resulting in approximately 75% of species going extinct, with up to 90% of plants going extinct,” said Azevedo Schmidt. “This magnitude of devastation is something humans (luckily) have never had to deal with, making it hard to even think about. But it is something we must consider when tackling research/issues surrounding exobiology.”
The longevity of ferns on Earth provides a view into the evolution of life on Earth, even through some of the planet’s most devastating disasters. This is of interest to astrobiology and exobiology because exploring how environmental factors can and have impacted the large-scale evolution of life on Earth through mass extinctions and mass radiation events can help us understand the potential for the origin, evolution and distribution for life elsewhere in the Universe.
Ferns in Space
In addition to their relevance to astrobiology, the resilience of ferns and their ability to help heal a damaged environment could also make them important partners for future human missions in space. NASA’s Space Biology program has supported experiments to study how plants adapt to space with the expectation that knowledge gained can lead to ways by which crops can be cultivated for fresh food. Lessons learned from studying resilient plants, such as ferns, could guide efforts to make crops adapt better to harsh space conditions so they can serve as a reliable food source as humans explore destinations beyond our planet. Previous studies have also looked at how plants might keep air clean in enclosed spaces like the International Space Station or in habitats on the Moon or Mars.
NASA supported scientists can be seen prospecting for plant fossils in Berwind Canyon, CO. Photo by Ellen Currano.Ellen Currano “Ferns were able to completely transform Earth’s biosphere following the devastation of the K-Pg [Cretaceous–Paleogene] extinction event. The environment experienced continental-scale fires, acid rain, and nuclear winter, but ferns were able to tolerate unbelievable stress and make their environment better,” says Azevedo Schmidt. “I think we can all learn something from the mighty ferns.”
The study, “Ferns as facilitators of community recovery following biotic upheaval,” was published in the journal BioScience [doi:10.1093/biosci/biae022]
For more information on NASA’s Astrobiology program, visit:
https://www.science.nasa.gov/astrobiology
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Karen Fox / Molly Wasser
Headquarters, Washington
202-358-1600
karen.c.fox@nasa.gov / molly.l.wasser@nasa.gov
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By European Space Agency
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By Space Force
The Space Force Personnel Management Act marks a significant step towards the evolving structure of the USSF by integrating and streamlining active-component Guardians and Air Force Reservists in space-focused career fields to offer both full- and part-time service options.
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