norbert kraft, m.d., - usmp · normal color perception (ishihara or nagel’s anomaloscope) 3.14...
TRANSCRIPT
XXI International Congress of Engineering and XIII Arquiforo “Vision 2016“ University of San Martin de Porres
Lima, Peru October 20th, 2016
Norbert Kraft, M.D.,
CMO Mars One, USA
Starting Point
1994 Medical Degree University Vienna, Austria
Military Department of Flight, Space and Glacionautic medicine (1992-97) • Yearly overall exam and certification of Fighter Pilots.
• Co-development of
Rehabilitation machine “Meditrain“ and Exercise machine “MotoMIR“.
Russian cosmonaut Valeri Polyakov 437 consecutive days aboard the MIR station (1994-95). Trained on MotoMIR and could walk back on Earth.
Exercise Machines
Meditrain Pros
• Training of e.g. Leg, Arm, Back and Neck muscles.
• Bio feedback – faster training sucess
• Endurance and Strength measurement
Cons
• Too expensive
• Not pretty enough
MotoMIR Pros
• Sucessfull training during space flight.
• Endurance and Strength measurement
Cons
• Not enough political connections to be
used in space again
Japanese Space Agency 1997-2002, Japan
Medical and Operations Office
• First isolation chamber project for medical and psychological research.
• Selection of three Japanese Astronauts
(first time use of Isolation chamber for selection).
• Physiological and Medical requirements for the ISS.
Japanese Science and Technology Agency Award
264 Days Isolation Chamber Project
1999-2000, Russia
Principal Investigator and Commander • Principal Investigator of the 5 crews during the 264 days
• Commander of the international and mixed gender crew – 110 days
My 110 days in Isolation
Crew 3 (international) and Crew 1 (Russian, all male)
Intercultural crew issues happend: Bloody Fistfight and Sexual Assault
1 crew member left after 60 days into his 110 day stay (most stressful and frightened event in his life).
My 110 days in Isolation
Crew 3 (international) and Crew 1 (Russian, all male)
Result of overall complaints in the reports
0
10
20
30
40
50
60
70
8078.4
7.1 5.3 4.5
1.4 1.3 0.9 0.7 0.6 0.2 0.1
Crew 3 complaints in their reports
Results were similar of NASA psychologists who stated
after Shuttle-MIR missions: “Most of the psychological
problems (80%) originate with the organization.”
Japanese Space Agency
1997-2002, Japan
Physiological and Medical requirements for the ISS
Nutrient Training Habitat In-Flight Settlement
Kcal/d 2400 2710 2400
Total Fat 55 g 102 g 55 g
Saturated fatty acids 20 g 20 g 20 g
Sodium 2000 mg 6406 mg 2000 mg
Potassium 3500 mg 3984 mg 3500 mg
Total carbohydrate 354 g 334 g 354 g
Fiber 25 g 25 g 25 g
Protein 48 g 48 g 48 g
Vitamin A 5000 IU 5000 IU 5000 IU
Vitamin C 60 mg 60 mg 60 mg
Calcium 900 mg 1240 mg 900 mg
Iron 15 mg 20 mg 15 mg
Vitamin D 400 IU 400 IU 400 IU
Vitamin E 30 IU 30 IU 30 IU
Vitamin K 80 µg 80 µg 80 µg
Thiamin 1.5 mg 1.5 mg 1.5 mg
Riboflavin 1.7 mg 1.7 mg 1.7 mg
Niacin 20 mg 20 mg 20 mg
Vitamin B6 2.0 mg 2.0 mg 2.0 mg
Folate 400 µg 400 µg 400 µg
Vitamin B12 6.0 µg 6.0 µg 6.0 µg
Biotin 300 µg 300 µg 300 µg
Pantothenic acid 10 mg 10 mg 10 mg
Phosphorus 1400 mg 1714 mg 1400 mg
Iodine 150 µg 150 µg 150 µg
Magnesium 400 mg 377 mg 400 mg
Zinc 15 mg 16 mg 15 mg
Selenium 70 µg 70 µg 70 µg
Copper 2.0 mg 2.0 mg 2.0 mg
Manganese 2.0 mg 2.0 mg 2.0 mg
Chromium 120 µg 120 µg 120 µg
Molybdenum 75 µg 75 µg 75 µg
Protocol used as bases for the Mars One Medical and Psychological Operations Requirements Document (MOMPOR)
L-45/30 days: Blood :
a. Hematology – CBC w/differential, reticulocytes;
b. Chemistry profile – glucose, BUN, creatinine, AST,
ALT, GGTP, alkaline phosphatase, total bilirubin,
total protein, electrolytes, calcium, magnesium,
phosphorus, creatine kinase, LD, uric acid, albumin;
Ionized calcium;
c. Thyroid function – free T4, TSH;
d. Iron profile – iron, iron binding capacity, transferrin,
transferrin saturation, ferritin; Special chemistry – C-
reactive protein;
e. Bone Markers – bone specific alkaline phosphatase,
osteocalcin;
NASA Ames Research Center
2002-2011, USA
Enhancing Team Performance for Exploration Missions • Is there a difference between: all male, all female and gender-mixed teams?
• Paper tests useful as perfomance predictors?
• Which training method would improve perfomance?
Unsuccessful team
Purple
Base
Green Red
Red
Green
Base
Purple
Successful team*
Discourse Structure of
* Color of arrow identifies speaker; Width indicates percentage of his contributions responded to by a given teammate
Aerospace Medical Association Raymond F. Longacre Award
Major South American Airline
2008, Peru
• To collect non-simulated in-flight data on the following topics: - Work schedule related alertness decrements
- Cognitive decrements in pilots due to jet lag on long-haul flights - Physiological and psychological workload of flight attendants on long-haul flights
20 20
DAY 1 0000 0100 0200 0300 0400 0500 0600 0700 0800 0900 1000 1100
Activity S A O
Fatigue 6
Workload
1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300
Activity T W T T E
Fatigue 6 4 4
Workload 6 1
NASA Ames Research Center
2002-2011, USA
Traffic Controller Alertness and Fatigue Monitoring Study &
Physiological Monitoring of First Responders
• Perceived fatigue and sleep quantity, sleep quality, and alertness.
• Online survey - measure of perceived fatigue. • Objective measures of sleep, fatigue and alertness
NASA Group Achievement Award
Selection Rounds
• Basic personal data e.g. age, gender indentity, profession, education
• Essay motivation for applying
• Questions about their life:
- frightening incident,
- event that increased your stress dramatically,
- experience with other cultures,
- personalities you have difficulty with,
- never meet your family again
• Small administration fee based on GDP of country of residence
• 60 sec. video including 3 questions:
- why do you apply for the mission
- describe your sense of humor
- why you would make a good candidate
1. Application: We moved from 202.586 to 12.874 candidates
Selection Rounds
• Essay and question content
• Video presentation
2. Profile: We moved from 12.874 to 1.058 candidates
Selection Rounds
3. Medical check: Mars One Medical Standards Certification Document (MOMSC)
• The Medical Standards cover those parameters that can be evaluated against a clinically accepted scale. They are based on the medical criteria for NASA Mission Specialist Astronauts, in order to ensure the selection of Mars One astronauts with career longevity and identify those applicants who by current standards can be classified as having no acceptable potential medical risk factors even under aspect of Extravehicular and Extrahabitat Activities.
2.7 OPHTHALMOLOGY
1. Vision in both eyes.
2. Visual acuity in both eyes of 100% (20/20) either uncorrected or
corrected with lenses or contact lenses.
3. Refractive error shall not exceed +5 to -8 diopters.
4. Astigmatism shall not exceed 3 diopters.
5. PRK or LASIX: at least 1 year has passed since the date of the
refractive surgical procedure with no permanent adverse after
effects.
6. Normal color perception (Ishihara or Nagel’s anomaloscope)
3.14 PSYCHIATRIC DISORDERS
1. Psychosis or authenticated history of psychotic episode.
2. Psychoneurosis or authenticated history of a
psychoneurotic episode requiring professional care.
3. Character and behavior disorders that are evident by
history and objective examination such that the degree of
immaturity, instability, personality inadequacy, or
dependency will seriously interfere with performance of
duty.
4. History of "fear of flying."
Selection Rounds
3. Medical check: We move from 1.058 to 630 candidates
• Medical exam conducted by their own physician
• Requirements very similar to those by NASA and ESA
50%
36% 36% 40%
23%
< 26 26 - 35 36 - 45 46 - 55 < 55
Age range
Medically disqualified
Selection Rounds
4. Personal Interview: We moved from 630 to 100 candidates
15 min. carefully structured interview:
1. When did you decide to apply for Mars One‘s mission to Mars with no return
and why?
2. Tell a story of your life that shows what unique qualities you bring to a team.
3. How do your friends and family support you?
4. After 3 years on Mars, given the opportunity that a return flight will be
possible, would you take the trip?
5. Several knowledge questions - We asked them to study specific pages from
the Mars One website and other Mars related material 2 months before the
start of the interviews:
Questions focused on the possible risks of a Mars mission e.g.:
• How many hours will the reserve of water and oxygen last?
• What are the acceptable radiation limits?
Selection Rounds
4. Personal Interview: We moved from 630 to 100 candidates
• Exlusion based on team understanding and knowledge
115 131 132
145 140
NO SHOW NONE 10-30% 40-60% 70-100%
Can
did
ate
s
Correct answered
Knowledge questions
48
289
211 171
225
152
UNDER
10
10 OVER
10
UNDER
10
10 OVER
10
Can
did
ate
s
Rating
Quest 2 Quest 4
Selection Rounds
4. Personal Interview: We moved from 630 to 100 candidates
• Exlusion based on team understanding and knowledge
9% 9%
15%
25%
9% 11%
33%
NONE AA BA MA PHD JD MD
Per
cen
tage
left
Degree
Reduction after personal interview
6% 8%
38%
25%
9%
< 26 26 - 35 36 - 45 46 - 55 55 <
Per
cen
tage
left
Age range
Reduction after personal interview
Selection Rounds
5. Group Challenge: Mars One Selection Activity Document (MOSAD) • We will move from 100 to 40 candidates
BLUE NAME ORANGE NAME GREEN NAME YELLOW NAME RED NAME
Group 1 Group 2 Group 3 Group 4 Group 5
21-25 NA F 21-25 Eu F Hannah 21-25 As F 21-25 NA F 21-25 SA F Zaskia
26-35 Af M 26-35 Af M 26-35 As M 21-25 Af M 21-25 Af M
26-35 Eu M 26-35 Eu M 26-35 Eu M 26-35 Eu M 26-35 Eu M
26-35 NA M 26-35 Eu M 26-35 NA M 26-35 NA M 26-35 NA M
26-35 Eu F 26-35 As F 26-35 NA F 26-35 NA F 26-35 NA F
26-35 NA F 26-35 NA F 26-35 Eu F 26-35 Eu F 26-35 Eu F
36-45 NA F 36-45 NA F 36-45 NA F 36-45 Oc F 36-45 NA F
36-45 As M 36-45 As M 36-45 Oc M 36-45 NA M 36-45 Eu M
36-45 Eu M 36-45 NA M 36-45 Eu M 46-55 Eu M Steve 46-55 As F Etsuko
46-55 Oc F Dianne 46-55 NA F 46-55 Eu F Ljubinka 56+ As F 46-55 NA M
Spokesperson Spokesperson Spokesperson Spokesperson Spokesperson
Candidates within limitations form their own groups
100 Candidate Distribution
Gender identity: Women 50 – Men 50
12
23
48
15 2
< 26 26 - 35 36 - 45 46 - 55 < 55
Can
did
ate
s
Age range
Age distribution
23
2
35
29
6 1 4
NONE AA BA MA PHD JD MD C
and
idat
es
Degree
Degree distribution
100 Candidate Distribution
Professions:
7
29
16
42
6
OCEANIA EUROPE ASIA AMERICAS AFRICA
Can
did
ate
s
Nationality distribution
Study Material
Study material will be provided. Content will include, but is not limited to material from the key areas
Medicine Physiology Psychology
Law Engineering Biology
Selection Criteria
Challenges will be filmed and reviewed by the committee
Morale Motivation Norm Settings Psychological Adaptation
Coping Strategies Decision Making
Handling Conflict Power & Leadership Struggles
Sociogram & Behavior outside the challenges
Clarity and relevance of communication
Challenges Include
Interdependency
Knowledge: Study material necessary to complete some of the tasks
Lower personal barriers
Problem solving and creativity
Teamwork
Thoroughness and precision
Trust
Use of other senses / Teamwork under limitations
15 minutes debriefing after each challenge
Focus on key competencies
Morale, Motivation, Psychological Adaptation, Coping Strategies, Norm Setting, Decision Making, Handling Conflict,
Power and Leadership Struggles
Sociogram – Example Sheet
Name: Name 5 ID#:
When answering the following question, select from the following
team members you have been working with.
Don’t select yourself
Name 1, Name 2, Name 3, Name 4, Name 5, Name 6, Name7 ,
Name 8, Name 9, Name 10
With whom would you like to live on Mars?
First choice: Name 3
Second choice: Name 6
Third choice: Name 7
With whom would you like to live on Mars?
Individual relationship Chart = IR chart
Name 1
First choice Second choice Third choice
= 5 = 3 = 2
Name 2
Name 8
Name 3 Name 7
Name 4
Name 5 Name 6
Name 9 Name 10
Selection Procedure
Multiple different indoor and outdoor challenges
Objective: Completion in the given time and speed
Winner group will not loose a member at the end of the day
Every evening, the selection committee decides on
who will leave the selection process
Day 2
80
Day 3
60
Day 4
50
Day 5
40
Isolation challenge
Male/Female ratio remains
Next Selection Rounds
6. Isolation Challenge: We move from 40 to ~30 candidates
Temperature: 18oC/64oF – 24oC /75oF
Relative Humidity: 25 - 60% RH.
Ventilation Rate: 4-30 n (1/hr)
Hearing protection devices will be used when
noise levels meet or exceed 65 dBA, or exceed
the Noise Criteria-50 guidelines for work and
NC-40 for sleep (higher Hz lower dBA).
Next Selection Rounds
Isolation habitat living conditions:
Mars One Medical and Psychological Operations Requirements Document (MOMPOR)
PRIVATE MEDICAL CONFERENCES
A Private Medical Conference (PMC) may be requested at
any time by the Flight Surgeon (FS), or any crewmember.
Health Care and Reporting Policy: Scheduled PMCs shall
be timelined as follows:
A. Daily for the first seven days (15 minutes for entire crew)
B. Weekly after the first seven days (15 min. each)
C. Prior to each EHA; conducted within 24 hours.
D. Following each EHA; conducted within 24 hours
following EHA suit removal.
The general crew workday shall be timelined as follows:
A. 8.5 hours Sleep
B. 1.5 hours Post-sleep
C. 0.5 hours Planning and Coordination
D. 8.0 hours System Operations
E. 1.0 hours Midday Meal
F. 2.5 hours Exercise Period
(1.5 hours for setup, stowage, cleaning, etc.)
G. 2.0 hours Pre-sleep
Next Selection Rounds
7. Suitability Interview: We move from ~30 to 24-12 candidates
Mars One Mars Settlers Suitability Interview Document (MOMSSID)
• Part 1 Candidate’s Background • Part 2 Mission Related Factors
- Mental and Emotional Stability - Performance under stressful & unique working conditions - Group Living Skills - Team Work Skills - Family Issues - Motivation - Judgment & Decision Making - Conscientiousness - Communication Skills - Leadership Skills
• Part 3 other qualifications and additional information - Foreign Languages - Alternative Future Plans
After the Selection Rounds
Mission Training:
• Part 1 Technical Training
- All crew members: medical, engineering, law, political science, ..
- At least 50%: geology, construction, exobiology, astronomy, …
• Part 2 Personal and Group Training
- Simulation missions up to three months per year
• Part 3 Research Work
- Research proposals in their area of expertise
Every year:
• Medical health
• One or more crews of four will be replaced
• New crews will join
I believe all things are possible when we
are unified, and I cannot think of anything more unifying for this planet than putting
one of us on another world.
Mars One Candidate
Mars One Humanity’s Next Great Adventure: Inside the first human settlement on Mars
Questions ?
www.mars-one.com