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NASA NTRS2002

Tissue engineering skeletal muscle for orthopaedic applications

With current technology, tissue-engineered skeletal muscle analogues (bioartificial muscles) generate too little active force to be clinically useful in orthopaedic applications. They have been engineered genetically with numerous transgenes (growth hormone, insulinlike growth factor-1, erythropoietin, vascular endothelial growth factor), and have been shown to deliver these therapeutic proteins either locally or systemically for months in vivo. Bone morphogenetic proteins belonging to the transforming growth factor-beta superfamily are osteoinductive molecules that drive the differentiation pathway of mesenchymal cells toward the chondroblastic or osteoblastic lineage, and stimulate bone formation in vivo. To determine whether skeletal muscle cells endogenously expressing bone morphogenetic proteins might serve as a vehicle for systemic bone morphogenetic protein delivery in vivo, proliferating skeletal myoblasts (C2C12) were transduced with a replication defective retrovirus containing the gene for recombinant human bone morphogenetic protein-6 (C2BMP-6). The C2BMP-6 cells constitutively expressed recombinant human bone morphogenetic protein-6 and synthesized bioactive recombinant human bone morphogenetic protein-6, based on increased alkaline phosphatase activity in coincubated mesenchymal cells. C2BMP-6 cells did not secrete soluble, bioactive recombinant human bone morphogenetic protein-6, but retained the bioactivity in the cell layer. Therefore, genetically-engineered skeletal muscle cells might serve as a platform for long-term delivery of osteoinductive bone morphogenetic proteins locally.

Review↗

NASA NTRS2008

Resolving the Formation of Protogalaxies: Feedback from the First Stars - 3

The first stars form in dark matter halos of masses 106 M as suggested by an increasing number of numerical simulations. Radiation feedback from these stars expels most of the gas from the shallow potential well of their surrounding dark matter halos.We use cosmological adaptive mesh refinement simulations that include self-consistent Population III star formation and feedback to examine the properties of assembling early dwarf galaxies. Accurate radiative transport is modeled with adaptive ray tracing. We include supernova explosions and follow the metal enrichment of the intergalactic medium. The calculations focus on the formation of several dwarf galaxies and their progenitors. In these halos, baryon fractions in 10(exp 8) Stelar Mass halos decrease by a factor of 2 with stellar feedback and by a factor of 3 with supernova explosions.We find that radiation feedback and supernova explosions increase gaseous spin parameters up to a factor of 4 and vary with time. Stellar feedback, supernova explosions, and H2 cooling create a complex, multiphase interstellar medium whose densities and temperatures can span up to 6 orders of magnitude at a given radius. The pair-instability supernovae of Population III stars alone enrich the halos with virial temperatures of 10(exp 4) K to approximately 10(exp -3) of solar metallicity.We find that 40% of the heavy elements resides in the intergalactic medium (IGM) at the end of our calculations. The highest metallicity gas exists in supernova remnants and very dilute regions of the IGM.

Wise, John H.↗

NASA NTRS2010

Pathway Model of the Kinetics of the TGFbeta Antagonist Smad7 and Cross-Talk with the ATM and WNT Pathways

Signal transduction controls cellular and tissue responses to radiation. Transforming growth factor beta (TGFbeta) is an important regulator of cell growth and differentiation and tissue homeostasis, and is often dis-regulated in tumor formation. Mathematical models of signal transduction pathways can be used to elucidate how signal transduction varies with radiation quality, and dose and dose-rate. Furthermore, modeling of tissue specific responses can be considered through mechanistic based modeling. We developed a mathematical model of the negative feedback regulation by Smad7 in TGFbeta-Smad signaling and are exploring possible connections to the WNT/beta -catenin, and ATM/ATF2 signaling pathways. A pathway model of TGFbeta-Smad signaling that includes Smad7 kinetics based on data in the scientific literature is described. Kinetic terms included are TGFbeta/Smad transcriptional regulation of Smad7 through the Smad3-Smad4 complex, Smad7-Smurf1 translocation from nucleus to cytoplasm, and Smad7 negative feedback regulation of the TGFO receptor through direct binding to the TGFO receptor complex. The negative feedback controls operating in this pathway suggests non-linear responses in signal transduction, which are described mathematically. We then explored possibilities for cross-talk mediated by Smad7 between DNA damage responses mediated by ATM, and with the WNT pathway and consider the design of experiments to test model driven hypothesis. Numerical comparisons of the mathematical model to experiments and representative predictions are described.

Carra, Claudio↗

NASA NTRS2010

Acute and Chronic Exposure to CO2 in Space Flight

Spacecraft and space stations, similar to other habitable confined spaces such as submarines, need to provide a breathable atmosphere for their inhabitants. The inevitable production of CO2 during respiration necessitates life support systems that "scrub" the atmosphere and lower CO2 levels. Due to operational limitations associated with space flight (limited mass, volume, power, and consumables) CO2 is not scrubbed down to its terrestrial equivalent of 0.03% CO2 (ppCO2 of 0.23 mmHg), but is kept below 0.7% (ppCO2 of 5.3 mmHg), a level established in NASA s 180-day mission Spacecraft Maximum Allowable Concentration (SMAC) to be safe and unlikely to cause symptoms. Reports of space flight crewmembers becoming symptomatic with headaches, fatigue, and malaise at levels below those known to cause such symptoms terrestrially has prompted studies measuring the levels of CO2 on both the space shuttle and the space station. Data from cabin atmosphere sampling were collected on space shuttle missions STS-113, STS-122, STS-123, and International Space Station Expeditions 12-15 and 17, and the measured CO2 levels were then correlated to symptoms reported by the crew. The results indicate that a correlation exists between CO2 levels and symptomatology, however causality cannot be established at this time. While the short-term effects of elevated CO2 exposure are well known terrestrially, less is known regarding potential long-term effects of prolonged exposure to a CO2-rich environment or how the physiological changes caused by microgravity may interact with such exposures. Other challenges include limitations in the CO2 monitors used, lack of convection in the microgravity environment, and formation of localized CO2 pockets. As it is unclear if the unique environment of space increases sensitivity to CO2 or if other confounding factors are present, further research is planned to elucidate these points. At the same time, efforts are underway to update the SMAC to a lower level

Alexander, D.↗

NASA NTRSDate not supplied

Evaluating the Impact of Agricultural Soil NOx Emissions on Air Quality Using Advanced Satellite, Ground-based, and Model Data

Soil moisture can also influence the concentration of atmospheric trace gases by moderating the emission of nitrogen oxides (NOx = NO + NO2) from agricultural fields. Human activities can play an important role in controlling the available soil moisture depending on irrigation demand and agricultural management. To further complicate matters, nitrogen fertilizer use has also been found to be a significant source of NOx emissions in agricultural areas. In fact, some of the highest emissions have been reported from fertilized soils in high-temperature agricultural regions, such as the Imperial Valley of California. Since NO2 is an important precursor to ozone formation in the troposphere, which is a leading cause of premature death in humans, it is critical to understand how natural and anthropogenic factors contribute to NOx emissions in these areas. O3 pollution is also a growing threat to global food security due to its detrimental impacts on crop production. This work uses a suite of satellite, ground-based, and model data to investigate how agricultural soil NOx emissions from natural (rainfall) and anthropogenic factors (irrigation, nitrogen fertilizer) govern air quality over California. We evaluate the capabilities of using SMAP retrievals and SMAP Land Information System (LIS) output for monitoring irrigation activities over the major agricultural areas of California by conducting intensive analyses of soil moisture and precipitation data. High-resolution trace gas observations from the new generation TROPOspheric Monitoring Instrument (TROPOMI) sensor are used to characterize and monitor the variability of trace gases and air quality conditions associated with soil NOx emissions. We also synthesize satellite, ground-based, and agriculture data to estimate the separate contributions from rainfall, irrigation, and nitrogen fertilizer practices on soil NOx emissions and associated air quality conditions. Finally, unprecedented hourly trace gas retrievals from the NASA Tropospheric Emissions: Monitoring of Pollution (TEMPO) geostationary satellite sensor are used to monitor the diurnal evolution of NO2 and O3 concentrations from soil NOx emissions.

Aaron R Naeger↗

NASA NTRS2022

Sources, Transport and Visibility Impact of Ambient Submicrometer Particle Size Distributions in an Urban Area of Central Taiwan

This study applied positive matrix factorization (PMF) to identify the sources of size-resolved submicrometer (10–1000 nm) particles and quantify their contributions to impaired visibility based on the particle number size distributions (PNSDs), aerosol light extinction (b p ), air pollutants (PM 10 , PM 2.5 , SO 2 , O 3 , and NO), and meteorological parameters (temperature, relative humidity, wind speed, wind direction, and ultraviolet index) measured hourly over an urban basin in central Taiwan between 2017 and 2021. The transport of source-specific PNSDs was evaluated with wind and back trajectory analyses. The PMF revealed six sources to the total particle number (TPN), surface (TPS), volume (TPV), and b p . Factor 1 (F1), the key contributor to TPN (35.0 %), represented nucleation (<25 nm) particles associated with fresh traffic emission and secondary new particle formation, which were transported from the west-southwest by stronger winds (>2.2 m s -1 ). F2 represented the large Aitken (50–100 nm) particles transported regionally via northerly winds, whereas F3 represented large accumulation (300–1000 nm) particles, which showed elevated concentrations under stagnant conditions (<1.1 m s −1 ). F4 represented small Aitken (25–50 nm) particles arising from the growth and transport of the nucleation particles (F1) via west-southwesterly winds. F5 represented large Aitken particles originating from combustion-related SO 2 sources and carried by west-northwesterly winds. F6 represented small accumulation (100–300 nm) particles emitted both by local sources and by the remote SO 2 sources found for F5. Overall, large accumulation particles (F3) played the greatest role in determining the TPV (66.4 %) and TPS (34.8 %), and their contribution to bp increased markedly from 17.3 % to 40.7 % as visibility decreased, indicating that TPV and TPS are better metrics than TPN for estimating b p . Furthermore, slow-moving air masses—and therefore stagnant conditions—facilitate the build-up of accumulation mode particles (F3 + F6), resulting in the poorest visibility.

source apportionment↗

NASA NTRS2024

Localized Magnetopause Erosion at Geosynchronous Orbit by Reconnection

This study presents observations of magnetopause reconnection and erosion at geosynchronous orbit, utilizing in situ satellite measurements and remote sensing ground‐based instruments. During the main phase of a geomagnetic storm, Geostationary Operational Environmental Satellites (GOES) 15 was on the dawnside of the dayside magnetopause (10.6 MLT) and observed significant magnetopause erosion, while GOES 13, observing duskside (14.6 MLT), remained within the magnetosphere. Combined observations from the THEMIS satellites and Super Dual Auroral Radar Network radars verified that magnetopause erosion was primarily caused by reconnection. While various factors may contribute to asymmetric erosion, the observations suggest that the weak reconnection rate on the duskside can play a role in the formation of asymmetric magnetopause shape. This discrepancy in reconnection rate is associated with the presence of cold dense plasma on the duskside of the magnetosphere, which limits the reconnection rate by mass loading, resulting in more efficient magnetopause erosion on the dawnside.

Hyangpyo Kim↗

NASA NTRS2019

Volatile Element Depletion of the Moon – The Roles of Pre-Cursors, Post-Impact Disk Dynamics, and Core Formation

The compositional and isotopic similarity of Earth’s primitive upper mantle (PUM) and the Moon has bolstered the idea that the Moon was derived from the proto-Earth, but the Moon’s inventory of volatile lithophile elements – Na, K, Rb and Cs – are lower than in Earth’s PUM by a factor of 4 to 5. The abundances of fourteen other volatile elements exhibit siderophile behavior (volatile siderophile elements or VSE; P, As, Cu, Ag, Sb, Ga, Ge, Bi, Pb, Zn, Sn, Cd, In, and Tl) that could be used to evaluate whether the Moon was derived from the proto-Earth, and whether their depletion can be attributed to volatility or core formation. In this study, newly available core-mantle partitioning data are used, together with bulk Moon compositions, protolunar disk dynamics modelling to test the hypothesis that the Moon was derived from PUM-like material. At lunar core formation conditions, As, Sb, Ag, Ge, Bi, Sn are siderophile, whereas P, Cu, Ga, Pb, Zn, Cd, In and Tl are all weakly siderophile or lithophile. Most of the VSE can be explained by a combination of known processes – pre-cursor volatile depletion, melt-gas dynamics and equilibria in the protolunar disk, and core formation. Explaining this whole group of volatile elements may require a combination of mixing and separation of the newly formed Moon from remnant gas rich in the highest volatility VSEs. This large group of volatile elements informs a wide temperature range and offers a powerful test of melt-gas segregation mechanisms in the protolunar disk and lunar formation hypotheses.

Righter, K.↗

NASA NTRS1999

The response of bone to unloading

Skeletal unloading leads to decreased bone formation and decreased bone mass. Bone resorption is uncoupled from bone formation, contributing to the bone loss. During spaceflight bone is lost principally from the bones most loaded in the 1-g environment, and some redistribution of bone from the lower extremities to the head appears to take place. Although changes in calcitropic hormones have been demonstrated during skeletal unloading (PTH and 1,25(OH)2D decrease), it remains unclear whether such changes account for or are in response to the changes in bone formation and resorption. Bed rest studies with human volunteers and hindlimb elevation studies with rats have provided useful data to help explain the changes in bone formation during spaceflight. These models of skeletal unloading reproduce a number of the conditions associated with microgravity, and the findings from such studies confirm many of the observations made during spaceflight. Determining the mechanism(s) by which loading of bone is sensed and translated into a signal(s) controlling bone formation remains the holy grail in this field. Such investigations couple biophysics to biochemistry to cell and molecular biology. Although studies with cell cultures have revealed biochemical responses to mechanical loads comparable to that seen in intact bone, it seems likely that matrix-cell interactions underlie much of the mechanocoupling. The role for systemic hormones such as PTH, GH, and 1,25(OH)2D compared to locally produced factors such as IGF-I, PTHrP, BMPs, and TGF-beta in modulating the cellular response to load remains unclear. As the mechanism(s) by which bone responds to mechanical load with increased bone formation are further elucidated, applications of this knowledge to other etiologies of osteoporosis are likely to develop. Skeletal unloading provides a perturbation in bone mineral homeostasis that can be used to understand the mechanisms by which bone mineral homeostasis is maintained, with the expectation that such understanding will lead to effective treatment for disuse osteoporosis.

NASA Program Fundamental Space Biology↗

NASA NTRS1999

Renal Stone Risk During Space Flight

Space flight produces a number of metabolic and physiological changes in the crewmembers exposed to microgravity. Following launch, body fluid volumes, electrolyte levels, and bone and muscle undergo changes as the human body adapts to the weightless environment. Changes in the urinary chemical composition may lead to the potentially serious consequences of renal stone formation. Previous data collected immediately after space flight indicate changes in the urine chemistry favoring an increased risk of calcium oxalate and uric acid stone formation (n = 323). During short term Shuttle space flights, the changes observed include increased urinary calcium and decreased urine volume, pH and citrate resulting in a greater risk for calcium oxalate and brushite stone formation (n = 6). Results from long duration Shuttle/Mir missions (n = 9) followed a similar trend and demonstrated decreased fluid intake and urine volume and increased urinary calcium resulting in a urinary environment saturated with the calcium stone-forming salts. The increased risk occurs rapidly upon exposure to microgravity, continues throughout the space flight and following landing. Dietary factors, especially fluid intake, or pharmacologic intervention can significantly influence the urinary chemical composition. Increasing fluid intake to produce a daily urine output of 2 liters/day may allow the excess salts in the urine to remain in solution, crystals formation will not occur and a renal stone will not develop. Results from long duration crewmembers (n = 2) who had urine volumes greater than 2.5 L/day minimized their risk of renal stone formation. Also, comparisons of stone-forming risk in short duration crewmembers clearly identified greater risk in those who produced less than 2 liters of urine/day. However, hydration and increased urine output does not correct the underlying calcium excretion due to bone loss and only treats the symptoms and not the cause of the increased urinary salts. Dietary modification and promising pharmacologic treatments may also be used to reduce the potential risk for renal stone formation. Potassium citrate is being used clinically to increase the urinary inhibitor levels to minimize the development of crystals and the growth of renal stones. Bisphosphonates are a class of drugs recently shown to help in patients with osteoporosis by inhibiting the loss of bones in elderly patients. This drug could potentially prevent the bone loss observed in astronauts and thereby minimize the increase in urinary calcium and reduce the risk for renal stone development. Results of NASA's renal stone risk assessment program clearly indicate that exposure to microgravity changes the urinary chemical environment such that there is an increased risk for supersaturation of stone-forming salts, including calcium oxalaie and brushite. These studies have indicated specific avenues for development of countermeasures for the increased renal stone risk observed during and following space flight. Increased hydration and implementation of pharmacologic countermeasures should largely mitigate the in-flight risk of renal stones.

Whitson, Peggy A.↗

NASA NTRS1972

Theoretical interpretation of the Venus 1.05-micron CO2 band and the Venus 0.8189-micron H2O line.

The synthetic-spectrum technique was used in the analysis. The synthetic spectra were constructed with a model which takes into account both isotropic scattering and the inhomogeneity in the Venus atmosphere. The Potter-Hansen correction factor was used to correct for anisotropic scattering. The synthetic spectra obtained are, therefore, the first which contain all the essential physics of line formation. The results confirm Potter's conclusion that the Venus cloud tops resemble terrestrial cirrus or stratus clouds in their scattering properties.

Regas, J. L.↗

NASA NTRS1974

Genesis of lunar regolith

From comparing the mineral and chemical composition of regoliths with the compositions of primary magmatic lunar rocks, it is shown that mare regolith is enriched in aluminum and depleted in iron, titanium, and chromium. This effect cannot be accounted for only by the admixture of highland anorthositic material. The entire array of geochemical data points to the considerable role of depth-wise differentiation of the magmatic material in forming the composition of the primary lunar rocks and, naturally, the composition of the regolith. During regolith formation, processes of the effervescing of magma as it outflowed at the lunar surface were of primary importance. Impacts by micrometeorites represent another important factor.

Vinogradov, A. P.↗

NASA NTRS1981

Bit error rate performance of Image Processing Facility high density tape recorders

The Image Processing Facility at the NASA/Goddard Space Flight Center uses High Density Tape Recorders (HDTR's) to transfer high volume image data and ancillary information from one system to another. For ancillary information, it is required that very low bit error rates (BER's) accompany the transfers. The facility processes about 10 to the 11th bits of image data per day from many sensors, involving 15 independent processing systems requiring the use of HDTR's. When acquired, the 16 HDTR's offered state-of-the-art performance of 1 x 10 to the -6th BER as specified. The BER requirement was later upgraded in two steps: (1) incorporating data randomizing circuitry to yield a BER of 2 x 10 to the -7th and (2) further modifying to include a bit error correction capability to attain a BER of 2 x 10 to the -9th. The total improvement factor was 500 to 1. Attention is given here to the background, technical approach, and final results of these modifications. Also discussed are the format of the data recorded by the HDTR, the magnetic tape format, the magnetic tape dropout characteristics as experienced in the Image Processing Facility, the head life history, and the reliability of the HDTR's.

Heffner, P.↗

NASA NTRS1986

Martian dust particles as condensation nuclei - A preliminary assessment of mineralogical factors

Experiments were performed to determine the factors influencing ice nucleation detected in Viking Lander data from the Mars surface. The study focused on the relationship between mineral properties and condensate formation under Mars conditions. Pulverized particles of the primary phases of basaltic rocks and their alteration products, expandable clay minerals and a nonexpandable clay mineral, and petrologically well-characterized regolith materials ranging from 10-60 microns in size, were studied. The powders were individually or in combinations mixed with water in a flowing CO2 atmosphere while calorimetry data was taken on the ice nucleation threshold. The ice-forming characteristics of the mixes were found to be a function of the crystallographic disregistry, chemical bonding, and active-site properties of the individual minerals. The crystalline materials were better nucleators of condensates than were the cryptocrystalline mineral specimens, while nonexpandable clay materials, particularly zeolite, were the more effective nucleators among the weathering product materials.

Gooding, J. L.↗

NASA NTRS1986

Water vapor in Jupiter's atmosphere

High spectral resolution observations of Jupiter at 2.7 and 5 microns acquired from the Kuiper Airborne Observatory were used to infer the vertical distribution of H2O between 0.7 and 6 bars. The H2O mole fraction, qH2O, is saturated for P<2 bars, qH2O = 4x.000001 in the 2 to 4 bar range and it increases to 3x.00001 at 6 bars where T = 288 K. The base of the 5 micron line formation region is determined by pressure-induced H2 opacity. At this deepest accessible level, the O/H ratio in Jupiter is depleted by a factor of 50 with respect to the solar atmosphere. High spatial resolution Voyager IRIS spectra of Jupiter's North Tropical Zone, Equatorial Zone, and Hot Spots in the North and South Equatorial Belt were analyzed to determine the spatial variation of H2O across the planet. The column abundance of H2O above the 4 bar level is the same in the zones as in the SEB Hot Spots, about 20 cm-amgt. A cloud model for Jupiter's belts and zones was developed in order to fit the IRIS 5 micron spectra. An absorbing cloud located at 2 bars whose 5 micron optical thickness varies between 1 in the Hot Spots and 4 in the coldest zones satisfactorily matches the IRIS data.

Bjoraker, G. L.↗

NASA NTRS1989

Large-scale galaxy flow from a non-gravitational impulse

A theory is presented describing linear perturbations of an expanding universe containing multiple, independently perturbed, collisionless, gravitationally coupled constituents. Solutions are found in the limit where one initially unperturbed component dominates the total density. The theory is applied to perturbations generated by a nongravitational process in one or more of the light components, as would occur in explosive or radiation-pressure-instability theories of galaxy formation. The apparent dynamical density parameter and correlations between density and velocity amplitude for various populations, are evaluated as a function of cosmic scale factor.

Hogan, Craig J.↗

NASA NTRS2001

Warm-Core Intensification of a Hurricane Through Horizontal Eddy Heat Transports Inside the Eye

A simulation of Hurricane Bob (1991) using the PSU/NCAR MM5 mesoscale model with a finest mesh spacing of 1.3 km is used to diagnose the heat budget of the hurricane. Heat budget terms, including latent and radiative heating, boundary layer forcing, and advection terms were output directly from the model for a 6-h period with 2-min frequency. Previous studies of warm core formation have emphasized the warming associated with gentle subsidence within the eye. The simulation of Hurricane Bob also identifies subsidence warming as a major factor for eye warming, but also shows a significant contribution from horizontal advective terms. When averaged over the area of the eye, excluding the eyewall (at least in an azimuthal mean sense), subsidence is found to strongly warm the mid-troposphere (2-9 km) while horizontal advection warms the mid to upper troposphere (5-13 km) with about equal magnitude. Partitioning of the horizontal advective terms into azimuthal mean and eddy components shows that the mean radial circulation cannot, as expected, generally contribute to this warming, but that it is produced almost entirely by the horizontal eddy transport of heat into the eye. A further breakdown of the eddy components into azimuthal wave numbers 1, 2, and higher indicates that the warming is dominated by wave number 1 asymmetries, with smaller contributions coming from higher wave numbers. Warming by horizontal eddy transport is consistent with idealized modeling of vortex Rossby waves and work is in progress to identify and clarify the role of vortex Rossby waves in warm-core intensification in both the full-physics model and idealized models.

Braun, Scott A.↗

NASA NTRS2002

Protecting Space Travelers from Kidney Stones: Renal Stone Risk During Space Flight

Renal stones, popularly known as kidney or bladder stones, are small rock-like objects formed in the kidneys or urinary tract by deposits of calcium and other minerals. The problem arises when the stones block the drainage of the kidney, resulting in urinary obstruction and pain. Passing these stones can be one of the most painful experiences a person will endure so doctors often prescribe pain relievers to ease the experience. Drinking plenty of fluids, which help flush waste out of the body, and eating a well-balanced diet are the first steps to preventing stones. For individuals at risk, this may not be enough, and a doctor may recommend a special diet and medications. Unfortunately, approximately 60 percent of people who have had a renal stone will experience a recurrence. This is particularly true of men, who are four to five times more likely to develop stones than women. Renal stones do not discriminate based on age; even children are at risk. Astronauts are particularly at risk of developing renal stones because they lose bone and muscle mass; calcium, other minerals, and protein normally used for bone and muscle end up in the bloodstream and then in the kidneys. Without plenty of fluid to wash them away, crystals can form and then grow into stones. This factor compounds the risk for astronauts, since they also perceive that they are less thirsty in space and will drink less than normal during the mission. To minimize all of these factors, doctors must instead treat the stone-forming compounds with medication. This study will use potassium citrate to reduce the risk of stone formation. Renal stones are never convenient, but they are a particular concern for astronauts who have limited access to treatment during flight. Researchers are examining how earthbound preventions for renal stone formation work in flight, ensuring missions are not ended prematurely due to this medical condition. During STS-107, earthbound preventions and treatments become astronauts' gain.

Whitson, Peggy↗