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E-book
Author Institute of Medicine (U.S.). Committee on Creating a Vision for Space Medicine during Travel Beyond Earth Orbit.

Title Safe passage : astronaut care for exploration missions / John R. Ball and Charles H. Evans, Jr., editors ; Committee on Creating a Vision for Space Medicine during Travel Beyond Earth Orbit, Board on Health Sciences Policy, Institute of Medicine
Published Washington, D.C. : National Academy Press, ©2001

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Description 1 online resource (xxiii, 291 pages) : illustrations
Contents Risk -- Health Care -- Research -- Behavioral Health -- Data Collection and Access -- Engineering and Biology -- Organization -- Astronaut Health Beyond Earth Orbit -- Health Risks of Space Travel -- Charge to the Committee -- The Committee's Study of Health Care for Astronauts Traveling Beyond Earth Orbit -- Risks to Astronaut Health During Space Travel -- Countermeasure to Solve Physiological Adaptations to Space -- Musculoskeletal System -- Loss of Bone Mineral Density in Microgravity -- Reversibility, Genetic Variability, and Mechanism of Bone Mineral Density Loss -- Clinical Research Opportunities in Astronaut Physiology and Health -- Effects of Microgravity on Skeletal Muscle -- Circulatory and Pulmonary Systems -- Orthostatic Hypotension -- Other Effects on the Cardiovascular System -- Effects of Microgravity on the Pulmonary System -- Alimentary System -- Nutrition in Space -- Space Motion Sickness -- Nervous System -- Neurovestibular Function -- Sleep and Circadian Rhythm -- Eye-Hand Coordination and Sustained Gross Motor Activity -- Peripheral Nervous System -- Reproductive System -- Effects of Radiation on Gametes -- Human Reproductive Physiology in Space -- Sex Differences -- Urinary System -- Physiological Monitoring -- Monitoring During Space Travel: Development of Technology -- A Strategy for a Space Medicine Clinical Research Program -- A Clinical Research Program for NASA -- Managing Risks to Astronaut Health -- General Principles and Issues -- Medical Events in Extreme Environments -- Health Risk Assessment -- Nutrition -- Pharmacodynamics and Pharmacokinetics -- Environmental and Occupational Health -- Health Care Practice Opportunities -- Cardiovascular Care -- Dental Care -- Endocrine Function -- Gastrointestinal Issues -- Gynecological Health Issues -- Hematology, Immunology, and Microbiology -- Mental Health Issues -- Neurological Issues -- Urinary Disorders -- Emergency and Continuing Care -- Anesthesia and Pain Management -- Airway Management in Space -- Anesthetics -- Regional Anesthesia -- Surgery and Trauma -- Physiological Response to Injury -- Surgical Skills and Training -- Surgical Equipment -- Technical Aspects of Surgery -- Prevention of Infection -- Management of Common Surgical Emergencies -- Management of Abscesses and Soft-Tissue Infections -- Rehabilitation for Astronauts on Long-Duration Missions -- Catastrophic Illness, Death, and End-of-Life Considerations -- Personnel and Other Health Care Resources -- Development of a Space Medicine Catalog and Database -- Behavioral Health and Performance -- Astronaut Performance and General Living Conditions -- Current Practice and Knowledge Base -- Requirements for Additional Knowledge -- Use of Pairs of Transport Vehicles for Small Groups Traveling Beyond Earth Orbit -- Support and Recovery Systems -- Current Practice and Knowledge Base -- Requirements for Additional Knowledge -- Screening, Selection, and Training -- Current Practice and Knowledge Base -- Requirements for Additional Knowledge -- Strategic Research Considerations -- Exploring the Ethics of Space Medicine -- Ethical Issues in Clinical Care for Astronauts -- Institutional Pressure to Underreport Clinical Signs, Symptoms, and Medical Data -- Current Practice Regarding the Confidentiality of Individual Astronaut Medical Data -- Earth-Based Analogs for Balancing Medical Confidentiality with Public Health -- Justification for Using the Occupational Health Model to Balance Privacy and Safety -- Ethical Issues in the Astronaut-Flight Surgeon Relationship -- Opportunities for Collecting Medical Data Aboard the International Space Station -- Expand the Collection of Occupational Health Data -- Change the Process for Review of Clinical Research Protocols in Space Medicine -- Suggested Changes in the Approach to Review of Proposed Clinical Research or Data Collection for Astronauts -- Ethical Issues and the Special Circumstances of International Crews -- Planning an Infrastructure for Astronaut Health Care -- Mission and Goals -- Organizational Components -- Leadership -- Critical Elements of the Organizational Framework -- Alternative Organizational Frameworks -- Organizational Structure to Ensure Astronaut Health and Safety -- Systems Development -- Policy and Legislation -- Funding -- Internal Relationships -- External Relationships -- Operational and Clinical Components -- Standard of Care -- Medical Care -- Medical Informatics -- Personnel and Training -- Evaluation and Performance Improvement -- Background and Methodology -- Letter from Daniel S. Goldin, Administrator, NASA -- Committee and Staff Biographies -- Clinical Research Opportunities for Astronaut Health -- Health Care Opportunities in Space Medicine -- Behavioral Health and Performance Research and Development Opportunities -- The Key Elements in the Committee's Recommendations -- Astronaut Health Beyond Earth Orbit -- Trajectory of a human mission to Mars in 2014 -- Charge to the Committee -- What Is Space Medicine in Reference to Developing a Vision and Strategy for Astronaut Health? -- Risks to Astronaut Health During Space Travel -- Some Major Human Physiological Changes Resulting from Extended Travel in Earth Orbit -- Countermeasure (CM) evolution -- Average Bone Mineral Density Loss on Mir -- Altered Sleep Patterns as Example of Multifactorial Problems Arising During Space Travel -- Elements of the Critical Path Roadmap Project -- Critical Path Roadmap Project: Critical Risks -- Countermeasure (CM) development and evolution -- What Constitutes Clinical Research? -- Clinical Research Opportunities for Astronaut Health -- Managing Risks to Astronaut Health -- Major Health and Medical Issues During Spaceflight -- In-Flight Medical Events for U.S. Astronauts During the Space Shuttle Program -- Medical Events Among Seven NASA Astronauts on Mir -- Medical Events and Recurrences Among Astronauts of all Nationalities on Mir -- Pharmacopoeia Usage During Mir Missions -- Incidence of Health Disorders and Medical-Surgical Procedures During 136 Submarine Patrols -- Reasons for 332 Medical Evacuations from All Submarines, U.S. Atlantic Fleet, 1993 to 1996 -- ANARE Health Register Illnesses in Antarctica from 1988 to 1997 -- Potential Methods of Risk Assessment and Screening -- Breast Cancer as an Example of Risk Assessment in Space Medicine -- "Normal" Findings on Physical Examination in Microgravity -- Advances in Preventive Dentistry -- Health Care Opportunities in Space Medicine -- Emergency and Continuing Care -- Health Care Opportunities in Space Medicine -- Behavioral Heath and Performance -- Evidence of Emotional or Social Problems on Short-Duration Missions -- Recovery and Reintegration -- Systematic Multiple Level Observation of Groups -- Potential Uses of Neuroimaging Methods for Astronaut Selection, Training, and Intervention -- Distributed Interactive Simulation -- Behavioral Health and Performance Research and Development Opportunities -- Exploring the Ethics of Space Medicine -- Examples of Earth-Based Limitations on Doctor-Patient Confidentiality to Decrease Risks to Others -- The Common Rule and Informed Consent -- Potential Categories of Clinical Research or Data Collection Protocols for Astronauts -- Examples of Category 2 Clinical Research or Data Collection Protocols for Astronauts -- Planning an Infrastructure for Astronaut Health Care -- Infrastructure Elements for Developing a Comprehensive Health Care System for Astronauts
Bibliography Includes bibliographical references (pages 221-243) and index
Notes Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL
Print version record
digitized 2010 HathiTrust Digital Library committed to preserve pda MiAaHDL
Subject Astronauts -- Health and hygiene
Space medicine.
Medical care -- Needs assessment.
Aerospace Medicine -- standards
Health Services Needs and Demand
Astronauts
Radiation Effects
Space Flight
Weightlessness -- adverse effects
MEDICAL -- Infectious Diseases.
HEALTH & FITNESS -- Diseases -- Contagious.
Medical care -- Needs assessment
Space medicine
Form Electronic book
Author Ball, John, 1944-
Evans, Charles H. (Charles Hawes), 1940-
LC no. 2001005443
ISBN 0309500095
9780309500098