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INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

About the Event The International Space Medicine Summit (ISMS) 2014 brings together, as have the previous summits, the world’s leading physicians, space biomedical scientists, engineers, , cosmonauts and educators from the spacefaring nations for high-level discussions to identify not only necessary space medicine research goals but also ways to further enhance international cooperation and collaborative research. All International Space Station (ISS) partners will be represented at the summit, and this year a delegation from China will discuss their human spaceflight program.

As we plan to return to the moon, and eventually land on Mars, there must be much more research to prevent and/ or mitigate the medical, psychological and biomedical challenges spacefarers face. The ISS provides an excellent laboratory in which to conduct the required research. It is essential that the station is utilized to its fullest potential through cooperative studies and the sharing of equipment and instruments between the international partners.

This summit is committed to fostering increased communication, collaboration and cooperation. By sharing and applying the lessons learned from long-duration human spaceflight and analog research environments, we can benefit future space travelers as well as help improve life here on Earth.

Organizing Partners Rice University’s Baker Institute The mission of the Baker Institute is to help bridge the gap between the theory and practice of public policy by drawing together experts from academia, government, media, business and nongovernmental organizations. By involving policymakers and scholars, as well as students (tomorrow’s policymakers and scholars), the institute seeks to improve the debate on selected public policy issues and to make a difference in the formulation, implementation and evaluation of public policy, both domestic and international. The Baker Institute is an integral part of Rice University, one of the nation’s most distinguished institutions of higher education. The efforts of Baker Institute fellows and affiliated Rice faculty focus on several ongoing research projects, details of which can be found on the institute’s website, www.bakerinstitute.org.

Baylor College of Medicine Baylor College of Medicine is committed to being a national leader in advancing human health through the integration of patient care, research, education and community service. The college pursues this mission by promoting patient care of the highest standard, advancing basic and clinical biomedical research, sustaining educational excellence, and fostering public awareness of health and the prevention of disease. Since its founding in 1900, Baylor has grown into an internationally respected medical and research institution. Baylor offers patient care services through several of its Texas Medical Center affiliate hospitals and clinics, with more than 152,000 inpatient visits and 2.2 million outpatient visits annually. The college has more than 70 research and patient-care centers and units. More information can be found on the school’s website, www.bcm.edu. INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Participating Organizations Association of Air Medical Services (AAMS) Association of American Medical Colleges (AAMC) Athena Global Bauman Moscow State Technical University (Bauman MSTU) Baylor College of Medicine (BCM) Boeing Space Exploration Boise State University Canadian Space Agency (CSA) China Research and Training Center (ACC) Commonwealth Scientific and Industrial Research Organisation (CSIRO) Gagarin Cosmonaut Research and Training Center (GCTC) German Aerospace Center (DLR) European Space Agency (ESA) Foundation for International Space Education (FISE) Harvard University Hawaii Space Exploration Analog & Simulation (HI-SEAS) Henry Ford Health System (HFHS) Indian Space Research Organization (ISRO) Institute for Biomedical Problems (IBMP) International Space School Educational Trust (ISSET) Japan Aerospace Exploration Agency (JAXA) Johns Hopkins School of Medicine King’s College London Lunar and Planetary Institute (LPI) Massachusetts Institute of Technology (MIT) The Methodist Hospital (TMH) Moscow State University The Museum of Flight National Aeronautics and Space Administration (NASA) National Institutes of Health (NIH) National Space Biomedical Research Institute (NSBRI) Rice University Rice University’s Baker Institute Russian Academy of Sciences Russian Federal Space Agency () Swansea University Tietronix/Safetronix UK Space Agency Universities Space Research Association (USRA) University College London (UCL) University of Geneva University of Houston (UH) University of Maryland University on Delhi, India University of Pennsylvania University of Roma Tor Vergata University of Southampton University of Wollongong, Australia The University of Texas Health Science Center at Houston (UTHSC) The University of Texas Medical Branch at Galveston (UTMB) The University of Texas Southwestern Medical Center at Dallas (UTSW) Wyle INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Conference Agenda Thursday, June 5

1830 Opening Reception BioScience Research Collaborative, Rice University

Friday, June 6

0800 Continental Breakfast

Welcome, Introductions and Opening Remarks 0830 The Honorable Edward P. Djerejian Founding Director, Rice University’s Baker Institute George W.S. Abbey Baker Botts Senior Fellow in Space Policy, Rice University’s Baker Institute Bobby R. Alford Distinguished Service Professor, Baylor College of Medicine; and Chairman, National Space Biomedical Research Institute

Keynote Address Introduction: George W.S. Abbey, Baker Institute 0845 Neal F. Lane Senior Fellow in Science and Technology Policy, Baker Institute, and Malcolm Gillis University Professor, Rice University

Panel I — Space Research in China Introduction: Leroy Chiao, Astronaut 0930 Moderator: Leroy Chiao, Astronaut Panelists Guohua Jiang, ACC Xiaoping Chen, ACC Linjie Wang, ACC Topics • Human performance in space • Development of countermeasures in China • Progress of human factors engineering in China • Traditional Chinese medical interventions • Plans for research on Chinese space station Discussion and Summation INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Panel II — Radiation: Update on Research Advances Introduction: Jeff Sutton, NSBRI 1045 Moderator: Jeff Chancellor, NSBRI Panelists Valery Bogomolov, IBMP Keith Cengel, University of Pennsylvania Robert Heinz, Johns Hopkins School of Medicine Anatoly Rozenfeld, University of Wollongong Nathan Schwadron, University of Maryland Edward Semones, NASA , NASA Igor Ushakov, IBMP Topics • PELS (permissable exposure level for spaceflight) • New approaches to researching radiation effects on humans in space • Adjustment of international standards of radiation levels in space flight • Mechanism for developing and implementing international standards Discussion and Summation

Luncheon Introduction: George W.S. Abbey, Baker Institute 1200 The Need to Return to the Moon Paul Spudis Senior Staff Scientist, Lunar and Planetary Institute

Panel III — EVA: Updates From All Countries Introduction: George W.S. Abbey, Baker Institute 1300 Moderator: William Gerstenmaier, NASA Panelists Michael Barratt, Astronaut Michael Gernhardt, Astronaut , Cosmonaut Sergei Krikalev, Cosmonaut Michael Lopez-Alegria, Astronaut , Astronaut Sergei Ryazanskiy, Cosmonaut Nicole Stott, Astronaut Vladimir Titov, Cosmonaut , Astronaut Topics • EVA problems • International sharing of suits • Future EVA plans Discussion and Summation

1500 Break INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Panel IV — Russian Lessons Learned: The Future of Biomedical Research and Medical Operations Introduction: Jeff Sutton, NSBRI 1530 Moderator: Igor Ushakov, IBMP Panelists Valery Bogomolov, IBMP Elena Fomina, IBMP Vadim Gushchin, IBMP Oleg Kotov, Cosmonaut Inesa Kozlovskaya, IBMP Vladimir Kripalapov, IBMP Alexey Polyakov, IBMP Sergei Ryazanskiy, Cosmonaut Vladimir Titov, Cosmonaut Evgenia Yarmanova, IBMP Topics • and future Russian programs • Long-duration flight research in Russia • Future exploration plans Discussion and Summation

1700 Reception

Dinner and Evening Address Introduction: William Gerstenmaier, NASA 1800 Major General Charles F. Bolden Jr. NASA Administrator INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Saturday, June 7

0800 Continental Breakfast

Panel V — Integration of Cooperative Research Activities, Facilities and Personnel Introduction: George W.S. Abbey, Baker Institute 0830 Moderator: William Gerstenmaier, NASA Panelists Michael Barratt, Astronaut Valery Bogomolov, IBMP David Dinges, University of Pennsylvania Bernard Koch, ESA Inesa Kozlovskaya, IBMP Paolo Nespoli, Astronaut Chiaki Mukai, Astronaut Donald Pettit, Astronaut Graham Scott, NSBRI Jeff Sutton, NSBRI Yuri Voronkov, IBMP Koichi Wakata, Astronaut Topics • One-year study • VIIP • Chinese space station • Center for Space Medicine cooperative project • New studies Discussion and Summation

Panel VI — Unique Design and Performance Considerations for Women in Space Introduction: George W.S. Abbey, Baker Institute 1000 Moderator: Bonnie Dunbar, Astronaut Panelists Cady Coleman, Astronaut Inesa Kozlovskaya, IBMP Chiaki Mukai, Astronaut , Astronaut Topics • Design considerations for women in space • Gender-weighted medical limitations to flight • Gender-weighted performance in flight • Physiologic adaptation and performance differences in women • Family planning for female career astronauts Discussion and Summation INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Luncheon Introduction: Jeff Sutton, NSBRI 1130 Richard Gibbs Director, Human Genome Sequencing Center, and Wofford Cain Professor of Molecular and Human Genetics, Baylor College of Medicine

Live Connection to the Hawaii Space Exploration Analog & Simulation (HI-SEAS) Introduction: Graham Scott, NSBRI 1230 Kim Binsted Principal Investigator, HI-SEAS

Panel VII — Future Analogs Updated Introduction: Jeff Sutton, NSBRI 1330 Moderator: Michael Barratt, Astronaut Panelists Kim Binsted, HI-SEAS Vadim Gushchin, IBMP Bernard Koch, ESA Craig Kundrot, NASA Paulo Nespoli, Astronaut Christian Otto, USRA Scott Parazinski, Astronaut Don Pettit, Astronaut Alexandr Smoleevskiy, IBMP Vladimir Titov, Cosmonaut Topics • Desired characteristics for an analog • International Space Station as a possible analog • Follow-up to the 500-day study • Other international analogs Discussion and Summation

Panel VIII — Education Introduction: George W.S. Abbey, Baker Institute 1445 Moderator: Barbara Morgan, Astronaut Panelists Chris Barber, ESA Ludmila Buravkova, IBMP Jon Clark, NSBRI Bonnie Dunbar, Astronaut Francisco Fusco, FISE Oleg Kotov, Cosmonaut Steve Mackwell, LPI Seth Margoles, The Museum of Flight Sergei Ryazanskiy, Cosmonaut

INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Topics • Stimulating interest in science and engineering education • Benefits of an international educational program • Serve as a catalyst for learning • Opportunities for student exchange programs Discussion and Summation

Discussion Groups The discussion groups provide an opportunity for all participants to collaborate with a group leader on an assigned topic. Each group will be tasked with developing a written report on their topic, to be presented Sunday morning. Your group assignment can be found on your name tag. If you do not find a letter on your name tag, please check with our staff.

1600 Group A Cooperative Research Team Leader: William Gerstenmaier, NASA

Group B Cooperative Use of Analogs Team Leader: Graham Scott, NSBRI

Group C Education Team Leader: Barbara Morgan, Astronaut

Reception and Dinner Introduction: William Fitzgibbon, University of Houston 1800 Empowering Nations Through Science- and Technology-Based Education: The Example of India Dinesh Singh Vice Chancellor, University of Delhi

Music by Rice University’s Shepherd School of Music Ensemble INTERNATIONAL SPACE MEDICINE SUMMIT 2014 June 5–8, 2014 • Rice University’s Baker Institute • Houston, Texas

Sunday, June 8

0830 Continental Breakfast

Discussion Group Reports 0900 Group A Cooperative Research

Group B Cooperative Use of Analogs

Group C Education

Closing Remarks 1115 Bobby R. Alford Distinguished Service Professor, Baylor College of Medicine; and Chairman, National Space Biomedical Research Institute George W.S. Abbey Baker Botts Senior Fellow in Space Policy, Rice University’s Baker Institute