How Space Travel Can Kill You
Astronaut Leroy Chiao is a veteran of four space missions, recently acting as Commander of Expedition 10 aboard the International Space Station. He has logged over 229 days in space - over 36 hours of which were spent in Extra-Vehicular Activity (EVA, or spacewalks). He served as a member of the White House appointed Review of U.S. Human Spaceflight Plans Committee.
Dr. Chiao left NASA in 2005 and is involved in entrepreneurial business ventures and works in the US, China, Japan and Russia. He is a director of Excalibur Almaz, a private manned spaceflight company. In addition, he is a director of InNexus, a biotechnology/pharmaceutical development company. Active as a consultant and public speaker, he also serves as the Chairman of the National Space Biomedical Research Institute User Panel, which is attached to the Baylor College of Medicine. Dr. Chiao is a director of Challenger Center and of the Committee of 100. He is also an advisor and spokesman for the Heinlein Prize Trust.
Question: Are you still involved with NASA at all?
Leroy Chiao: Yes, the National Space Biomedical Research Institute was created about, let's see, I think it was about 12 years ago by NASA, and it was looking for a way to funnel research dollars through this institute to go out and collaborate with universities and other research institutes in a way that NASA would have more difficulty doing because NASA is a government agency. And so, it was created and run by the Baylor of College of Medicine and I was hired on, probably about, let's see, I guess it's been about three years. And I am the Chairman of the User Panel, and what we are, we're a panel composed of current and former astronauts as well as current and former flight surgeons. And what we do is we advise the Chairman, we're an Advisory Panel, and we advise the chairman on the research projects that we think are operationally relevant. That is, what do we need to learn about and what do we need to develop a protocol for to deal with a medical problem in space?
So, as an example, one of the biggest concerns about going out beyond lower Earth orbit is the radiation. We find that exercise seems to counteract a lot of the negative effects of space flight, like bone loss and muscle atrophy and cardiovascular systems issues, but really, the radiation is something you worry about. If you start going on a trip to Mars, you're going to get away from the Van Allen Belts, you're going to be susceptible to solar flares, and what do you do. So, that's one of our big areas of concerns and so we see us advising the Director for the NSBRI, but we should fund more research on developing better detectors, or pharmaceutical counter measures maybe, to help protect astronauts from radiation, or even looking at shielding. What kind of lightweight shielding would be effective to create a safe haven in a spacecraft going to Mars.
Other areas, as I mentioned, were bone loss and muscle loss and cardiovascular atrophy. Those are always significant areas that we are worried about. You know, exercise, as I said, seems to counteract a lot of that, but right now, we exercise two hours a day on the station, which is a huge hit out of your day. I mean, it's great for staying in shape, but you know, it cuts into the productivity of the crew and if you look at how expensive it is to get a crew into space, if we can keep them healthy and have them exercise, but spend less time doing it, we can get more done.
Question: What sort of exercise regime do astronauts perform in space?
Leroy Chiao: Well, it's very important, first of all if you think about it, especially in a long flight like a six month space flight and on the ISS. If you didn't exercise and used the analogy on earth, it would be like laying in bed. So, just imagine laying in bed for several months, and even just trying to get up and walk, you probably wouldn't be able to. But if you got up and you exercised two hours a day, you'd probably be okay, and that's the same in space.
The exercises we do, we do cardiovascular and resistance exercises, and so we have a treadmill, but of course, we have harnesses and rubber Bungies to hold us down to the track so that we don't float away. We have exercise bicycles and we also have a resistive exercise device that uses loaded cords that we can vary the resistance on and you can attach a bar or a harness to these cords and do weight lifting type exercises. So, that helps keep your bones and your muscles in shape.
Question: What has been done to address bone loss from space travel?
Leroy Chiao: Well, one of the ultrasound experiments that we did onboard was very interesting. We were doing something called telemedicine, where we were using the ultrasound. I'm not an M.D., and neither was my crew mate onboard, but we were able to, with very little training, show that we could produce diagnostic quality images of bones, eyes, internal organs, and things like that. And so, one interesting application of this ultrasound is the possibility that you could possibly use it to measure critical bone areas, areas where we know historically have seen a lot of loss, and you could actually track during a long space mission do measurements and track if you're losing bone in these areas. So, that's something that's very exciting because on Earth, when they check you for bone loss, you get in this big machine, I mean it's huge. It's the size of a room and it's got a platform with an x-ray that scans your whole body and in critical areas and it takes a while and it just wouldn't be practical to have a machine like that in space. So, if you could show that using a portable diagnostic quality ultrasound, which basically is the size of a laptop with some extensions to it, if you could actually measure reliably, bone loss with that, that would be a great tool to have.
Question: What about blood tests in space?
Leroy Chiao: Well, there's some very exciting work in that area and one of the researches is funded by NSBRI, is working on exactly that. And that has real application because when you're monitoring an astronaut, and we're not always monitored, but during certain times when we're having a physical exam, you know, we have to take blood samples, or we have to give other samples, and it's not easy to do, especially in zero gravity. So, if you can imagine trying to squeeze blood out of a finger prick and then getting it into a capillary tube and getting that into a machine to be analyzed. It all can be done, and we do it, but it's – then you might have some droplets of blood floating around. So, if you can find a non-invasive way to do it that would certainly make life easier for us onboard. Also, when you're in a spacesuit, we do some very rudimentary monitoring right now in both the Russian and U.S. spacesuits. We load up a simple electrocardiogram and the flight surgeons can look at your heartbeat while you are doing the space walk. They can also – well, they don't have it right now, but they can also theoretically look at maybe with this device the oxygenation of your blood and other parameters just to determine the health of the astronaut who is doing the space walk.
So, this kind of technology is very exciting and has real application in space. And the neat thing about a lot of the NSBRI projects, or that are funded by NSBRI, is they also have application for patients on the ground. The ultrasound that I mentioned has application not only in space for a long mission or for a mission to the Moon or Mars, but also in remote areas on the Earth. Not even just – I’m not even talking about expeditions like to the Antarctic, but just a remote area, a small town somewhere. The local doctor is not going to know everything, and so if that person can link in with a diagnostic ultrasound to the hospital in New York City through the internet, then they can do a very quick diagnosis of something that's wrong with someone that's in this remote area.
Question: How is fatigue an issue in space?
Leroy Chiao: Well if you ask the astronauts, will tell you there is no issue, you know. But of course, fatigue is a problem. I mean, it's as big a problem in outer space as it is on the ground and you could make an argument that it is even more critical in space because a mistake up there could be literally, life threatening, or could cause big problems in the mission. So, fatigue is an issue that we are concerned about. We are definitely scheduled for a full eight hours of sleep every night, but just like on Earth, you're often busy and you don't – you usually don't use all that eight hours to sleep, you're usually staying up and catching up on things, or doing something you want to do, looking at your photographs, or watching a movie, or something.
And so, over time, over a long mission, fatigue can really build up and that's something that we are trained as astronauts to be self-aware of. We have to kind of monitor it ourselves, but we also have tools and some of which are also funded by NSBRI. We have self-assessment tools, computer-based tools to see how we are performing mentally and there's some also very interesting technology and work that's being funded by NRSBI to look at facial recognition to look at your patterns to see if you're experiencing stress or fatigue.
I find that interesting and I have to tell you, as an astronaut, it makes me a little bit concerned because as an operator I can see getting up there and thinking, well now I've got to control my facial muscles to make sure they don't think I'm stressed out. But really, it's a kind of thing that I think will gain acceptance with gradually. But it probably has more to immediate application in things like homeland security, and looking at facial recognition of people going through airports and things like that to see who's under stress.
Recorded on December 16, 2009
Before humans can spend long periods of time in space, scientists need to find a way to solve the many health problems that astronauts face, including bone and muscle loss.
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Northwell Health is using insights from website traffic to forecast COVID-19 hospitalizations two weeks in the future.
- The machine-learning algorithm works by analyzing the online behavior of visitors to the Northwell Health website and comparing that data to future COVID-19 hospitalizations.
- The tool, which uses anonymized data, has so far predicted hospitalizations with an accuracy rate of 80 percent.
- Machine-learning tools are helping health-care professionals worldwide better constrain and treat COVID-19.
The value of forecasting<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTA0Njk2OC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyMzM2NDQzOH0.rid9regiDaKczCCKBsu7wrHkNQ64Vz_XcOEZIzAhzgM/img.jpg?width=980" id="2bb93" class="rm-shortcode" data-rm-shortcode-id="31345afbdf2bd408fd3e9f31520c445a" data-rm-shortcode-name="rebelmouse-image" data-width="1546" data-height="1056" />
Northwell emergency departments use the dashboard to monitor in real time.
Credit: Northwell Health<p>One unique benefit of forecasting COVID-19 hospitalizations is that it allows health systems to better prepare, manage and allocate resources. For example, if the tool forecasted a surge in COVID-19 hospitalizations in two weeks, Northwell Health could begin:</p><ul><li>Making space for an influx of patients</li><li>Moving personal protective equipment to where it's most needed</li><li>Strategically allocating staff during the predicted surge</li><li>Increasing the number of tests offered to asymptomatic patients</li></ul><p>The health-care field is increasingly using machine learning. It's already helping doctors develop <a href="https://care.diabetesjournals.org/content/early/2020/06/09/dc19-1870" target="_blank">personalized care plans for diabetes patients</a>, improving cancer screening techniques, and enabling mental health professionals to better predict which patients are at <a href="https://healthitanalytics.com/news/ehr-data-fuels-accurate-predictive-analytics-for-suicide-risk" target="_blank" rel="noopener noreferrer">elevated risk of suicide</a>, to name a few applications.</p><p>Health systems around the world have already begun exploring how <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315944/" target="_blank" rel="noopener noreferrer">machine learning can help battle the pandemic</a>, including better COVID-19 screening, diagnosis, contact tracing, and drug and vaccine development.</p><p>Cruzen said these kinds of tools represent a shift in how health systems can tackle a wide variety of problems.</p><p>"Health care has always used the past to predict the future, but not in this mathematical way," Cruzen said. "I think [Northwell Health's new predictive tool] really is a great first example of how we should be attacking a lot of things as we go forward."</p>
Making machine-learning tools openly accessible<p>Northwell Health has made its predictive tool <a href="https://github.com/northwell-health/covid-web-data-predictor" target="_blank">available for free</a> to any health system that wishes to utilize it.</p><p>"COVID is everybody's problem, and I think developing tools that can be used to help others is sort of why people go into health care," Dr. Cruzen said. "It was really consistent with our mission."</p><p>Open collaboration is something the world's governments and health systems should be striving for during the pandemic, said Michael Dowling, Northwell Health's president and CEO.</p><p>"Whenever you develop anything and somebody else gets it, they improve it and they continue to make it better," Dowling said. "As a country, we lack data. I believe very, very strongly that we should have been and should be now working with other countries, including China, including the European Union, including England and others to figure out how to develop a health surveillance system so you can anticipate way in advance when these things are going to occur."</p><p>In all, Northwell Health has treated more than 112,000 COVID patients. During the pandemic, Dowling said he's seen an outpouring of goodwill, collaboration, and sacrifice from the community and the tens of thousands of staff who work across Northwell.</p><p>"COVID has changed our perspective on everything—and not just those of us in health care, because it has disrupted everybody's life," Dowling said. "It has demonstrated the value of community, how we help one another."</p>
A new study proposes mysterious axions may be found in X-rays coming from a cluster of neutron stars.
Are Axions Dark Matter?<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="5e35ce24a5b17102bfce5ae6aecc7c14"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/e7yXqF32Yvw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span>
New research suggests you can't fake your emotional state to improve your work life — you have to feel it.
What is deep acting?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ1NDk2OS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNTY5MzA0Nn0._s7aP25Es1CInq51pbzGrUj3GtOIRWBHZxCBFnbyXY8/img.jpg?width=1245&coordinates=333%2C-1%2C333%2C-1&height=700" id="ddf09" class="rm-shortcode" data-rm-shortcode-id="9dc42c4d6a8e372ad7b72907b46ecd3f" data-rm-shortcode-name="rebelmouse-image" data-width="1245" data-height="700" />
Arlie Russell Hochschild (pictured) laid out the concept of emotional labor in her 1983 book, "The Managed Heart."
Credit: Wikimedia Commons<p>Deep and surface acting are the principal components of emotional labor, a buzz phrase you have likely seen flitting about the Twittersphere. Today, "<a href="https://www.bbc.co.uk/bbcthree/article/5ea9f140-f722-4214-bb57-8b84f9418a7e" target="_blank">emotional labor</a>" has been adopted by groups as diverse as family counselors, academic feminists, and corporate CEOs, and each has redefined it with a patented spin. But while the phrase has splintered into a smorgasbord of pop-psychological arguments, its initial usage was more specific.</p><p>First coined by sociologist Arlie Russell Hochschild in her 1983 book, "<a href="https://www.ucpress.edu/book/9780520272941/the-managed-heart" target="_blank">The Managed Heart</a>," emotional labor describes the work we do to regulate our emotions on the job. Hochschild's go-to example is the flight attendant, who is tasked with being "nicer than natural" to enhance the customer experience. While at work, flight attendants are expected to smile and be exceedingly helpful even if they are wrestling with personal issues, the passengers are rude, and that one kid just upchucked down the center aisle. Hochschild's counterpart to the flight attendant is the bill collector, who must instead be "nastier than natural."</p><p>Such personas may serve an organization's mission or commercial interests, but if they cause emotional dissonance, they can potentially lead to high emotional costs for the employee—bringing us back to deep and surface acting.</p><p>Deep acting is the process by which people modify their emotions to match their expected role. Deep actors still encounter the negative emotions, but they devise ways to <a href="http://www.selfinjury.bctr.cornell.edu/perch/resources/what-is-emotion-regulationsinfo-brief.pdf" target="_blank">regulate those emotions</a> and return to the desired state. Flight attendants may modify their internal state by talking through harsh emotions (say, with a coworker), focusing on life's benefits (next stop Paris!), physically expressing their desired emotion (smiling and deep breaths), or recontextualizing an inauspicious situation (not the kid's fault he got sick).</p><p>Conversely, surface acting occurs when employees display ersatz emotions to match those expected by their role. These actors are the waiters who smile despite being crushed by the stress of a dinner rush. They are the CEOs who wear a confident swagger despite feelings of inauthenticity. And they are the bouncers who must maintain a steely edge despite humming show tunes in their heart of hearts.</p><p>As we'll see in the research, surface acting can degrade our mental well-being. This deterioration can be especially true of people who must contend with negative emotions or situations inside while displaying an elated mood outside. Hochschild argues such emotional labor can lead to exhaustion and self-estrangement—that is, surface actors erect a bulwark against anger, fear, and stress, but that disconnect estranges them from the emotions that allow them to connect with others and live fulfilling lives.</p>
Don't fake it till you make it<p>Most studies on emotional labor have focused on customer service for the obvious reason that such jobs prescribe emotional states—service with a smile or, if you're in the bouncing business, a scowl. But <a href="https://eller.arizona.edu/people/allison-s-gabriel" target="_blank">Allison Gabriel</a>, associate professor of management and organizations at the University of Arizona's Eller College of Management, wanted to explore how employees used emotional labor strategies in their intra-office interactions and which strategies proved most beneficial.</p><p>"What we wanted to know is whether people choose to engage in emotion regulation when interacting with their co-workers, why they choose to regulate their emotions if there is no formal rule requiring them to do so, and what benefits, if any, they get out of this effort," Gabriel said in <a href="https://www.sciencedaily.com/releases/2020/01/200117162703.htm" target="_blank">a press release</a>.</p><p>Across three studies, she and her colleagues surveyed more than 2,500 full-time employees on their emotional regulation with coworkers. The survey asked participants to agree or disagree with statements such as "I try to experience the emotions that I show to my coworkers" or "I fake a good mood when interacting with my coworkers." Other statements gauged the outcomes of such strategies—for example, "I feel emotionally drained at work." Participants were drawn from industries as varied as education, engineering, and financial services.</p><p>The results, <a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2Fapl0000473" target="_blank" rel="noopener noreferrer">published in the Journal of Applied Psychology</a>, revealed four different emotional strategies. "Deep actors" engaged in high levels of deep acting; "low actors" leaned more heavily on surface acting. Meanwhile, "non-actors" engaged in negligible amounts of emotional labor, while "regulators" switched between both. The survey also revealed two drivers for such strategies: prosocial and impression management motives. The former aimed to cultivate positive relationships, the latter to present a positive front.</p><p>The researchers found deep actors were driven by prosocial motives and enjoyed advantages from their strategy of choice. These actors reported lower levels of fatigue, fewer feelings of inauthenticity, improved coworker trust, and advanced progress toward career goals. </p><p>As Gabriel told <a href="https://www.psypost.org/2021/01/new-psychology-research-suggests-deep-acting-can-reduce-fatigue-and-improve-your-work-life-59081" target="_blank" rel="noopener noreferrer">PsyPost in an interview</a>: "So, it's a win-win-win in terms of feeling good, performing well, and having positive coworker interactions."</p><p>Non-actors did not report the emotional exhaustion of their low-actor peers, but they also didn't enjoy the social gains of the deep actors. Finally, the regulators showed that the flip-flopping between surface and deep acting drained emotional reserves and strained office relationships.</p><p>"I think the 'fake it until you make it' idea suggests a survival tactic at work," Gabriel noted. "Maybe plastering on a smile to simply get out of an interaction is easier in the short run, but long term, it will undermine efforts to improve your health and the relationships you have at work. </p><p>"It all boils down to, 'Let's be nice to each other.' Not only will people feel better, but people's performance and social relationships can also improve."</p>
You'll be glad ya' decided to smile<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="88a0a6a8d1c1abfcf7b1aca8e71247c6"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/QOSgpq9EGSw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>But as with any research that relies on self-reported data, there are confounders here to untangle. Even during anonymous studies, participants may select socially acceptable answers over honest ones. They may further interpret their goal progress and coworker interactions more favorably than is accurate. And certain work conditions may not produce the same effects, such as toxic work environments or those that require employees to project negative emotions.</p><p>There also remains the question of the causal mechanism. If surface acting—or switching between surface and deep acting—is more mentally taxing than genuinely feeling an emotion, then what physiological process causes this fatigue? <a href="https://www.frontiersin.org/articles/10.3389/fnhum.2019.00151/full" target="_blank">One study published in the <em>Frontiers in Human Neuroscience</em></a><em> </em>measured hemoglobin density in participants' brains using an fNIRS while they expressed emotions facially. The researchers found no significant difference in energy consumed in the prefrontal cortex by those asked to deep act or surface act (though, this study too is limited by a lack of real-life task).<br></p><p>With that said, Gabriel's studies reinforce much of the current research on emotional labor. <a href="https://journals.sagepub.com/doi/abs/10.1177/2041386611417746" target="_blank">A 2011 meta-analysis</a> found that "discordant emotional labor states" (read: surface acting) were associated with harmful effects on well-being and performance. The analysis found no such consequences for deep acting. <a href="https://doi.apa.org/doiLanding?doi=10.1037%2Fa0022876" target="_blank" rel="noopener noreferrer">Another meta-analysis</a> found an association between surface acting and impaired well-being, job attitudes, and performance outcomes. Conversely, deep acting was associated with improved emotional performance.</p><p>So, although there's still much to learn on the emotional labor front, it seems Van Dyke's advice to a Leigh was half correct. We should put on a happy face, but it will <a href="https://bigthink.com/design-for-good/everything-you-should-know-about-happiness-in-one-infographic" target="_self">only help if we can feel it</a>.</p>
Scientists used CT scanning and 3D-printing technology to re-create the voice of Nesyamun, an ancient Egyptian priest.
- Scientists printed a 3D replica of the vocal tract of Nesyamun, an Egyptian priest whose mummified corpse has been on display in the UK for two centuries.
- With the help of an electronic device, the reproduced voice is able to "speak" a vowel noise.
- The team behind the "Voices of the Past" project suggest reproducing ancient voices could make museum experiences more dynamic.
Howard et al.<p style="margin-left: 20px;">"While this approach has wide implications for heritage management/museum display, its relevance conforms exactly to the ancient Egyptians' fundamental belief that 'to speak the name of the dead is to make them live again'," they wrote in a <a href="https://www.nature.com/articles/s41598-019-56316-y#Fig3" target="_blank">paper</a> published in Nature Scientific Reports. "Given Nesyamun's stated desire to have his voice heard in the afterlife in order to live forever, the fulfilment of his beliefs through the synthesis of his vocal function allows us to make direct contact with ancient Egypt by listening to a sound from a vocal tract that has not been heard for over 3000 years, preserved through mummification and now restored through this new technique."</p>
Connecting modern people with history<p>It's not the first time scientists have "re-created" an ancient human's voice. In 2016, for example, Italian researchers used software to <a href="https://www.smithsonianmag.com/smart-news/hear-recreated-voice-otzi-iceman-180960570/" target="_blank">reconstruct the voice of Ötzi,</a> an iceman who was discovered in 1991 and is thought to have died more than 5,000 years ago. But the "Voices of the Past" project is different, the researchers note, because Nesyamun's mummified corpse is especially well preserved.</p><p style="margin-left: 20px;">"It was particularly suited, given its age and preservation [of its soft tissues], which is unusual," Howard told <em><a href="https://www.livescience.com/amp/ancient-egypt-mummy-voice-reconstructed.html" target="_blank">Live Science</a>.</em></p><p>As to whether Nesyamun's reconstructed voice will ever be able to speak complete sentences, Howard told <em><a href="https://abcnews.go.com/Weird/wireStory/ancient-voice-scientists-recreate-sound-egyptian-mummy-68482015" target="_blank">The Associated Press</a>, </em>that it's "something that is being worked on, so it will be possible one day."</p><p>John Schofield, an archaeologist at the University of York, said that reproducing voices from history can make museum experiences "more multidimensional."</p><p style="margin-left: 20px;">"There is nothing more personal than someone's voice," he told <em>The Associated Press.</em> "So we think that hearing a voice from so long ago will be an unforgettable experience, making heritage places like Karnak, Nesyamun's temple, come alive."</p>
Archaeologists discover a cave painting of a wild pig that is now the world's oldest dated work of representational art.
- Archaeologists find a cave painting of a wild pig that is at least 45,500 years old.
- The painting is the earliest known work of representational art.
- The discovery was made in a remote valley on the Indonesian island of Sulawesi.