|  | The duration of 520-day  experiment on “Mars-500” project was 1 year (June 3, 2010 – June 3, 2011).Intermediate results.The main purpose of the experiment is  investigation of  interaction in  the contour “human - environment” and obtaining of experimental data about the state of health and working capacity of humans, staying in conditions of isolation in confined pressurized environment during simulation of  the main differences and  limitations typical  for the Martian flight.  The aims of the  experiment are as follows: 
  Investigation  of the influence of the simulated conditions of a manned Martian expedition on  the health and working capacity of the crew; Verification  of organization of the crew’s activity and its interaction with the ground  control center during simulation of peculiarities typical for the Martian  flight; Verification  of the principles, methods and means of control and monitoring of the habitat; Verification  of the principles, methods and means of control, diagnostics and prognosis of  the state of health and working capacity, providing of medical help, means of  collection, processing and analysis of the medical and physiological  information, means of prophylaxis; Approbation  of the elements of the information-reference system; Verification  of the means and methods of telemedicine for distant control over the state of  human health; Approbation  of the methods and autonomous means of psychological support; Assessment  of the modern technologies of the systems and means of life support and protection  of humans.  Peculiarities  of the Martian expedition (long duration; high degree of autonomy, that presupposes  self-control of the whole vital activity of the crew, including control over  the state of health, psychological state and working capacity; long staying of  the crew in the conditions of social isolation, confined environment, far from  the Earth conditions of life; high degree of responsibility for the success of  the mission in combination with significant risk) are simulated in conditions  of ground-based medical-technical experimental facility of SSC RF – IBMP RAS,  taking into account communication delays and limitation of information. Investigations, included into the  clinical-physiological and physiological, psychological and psycho-physiological  directions, are devoted to the investigation of the influence of the simulated  conditions of a manned Martian expedition on the health and working capacity of  the crew.
 Verification of organization of the  activity of the crew and its interaction with the ground-based control center  is performed with the help of a set of investigations, included into  psychological and psycho-physiological, operational-technological directions,  proposed and realized in the experiment communication regulations.
 A series of investigations, included  into sanitary-hygienic and operational-technological directions are meant for verification  of the principles, methods and means of control and monitoring of the habitat.
 Investigations, included into clinical-physiological  and physiological, psychological and psycho-physiological, biochemical,  immunological and biological directions are meant for verification of the  principles, methods and means of control, diagnostics and prognosis of the  state of health and working capacity, providing of medical help, means of  collection, processing and analysis of medical and physiological information,  means of prophylaxis.
 Approbation of the elements of  reference-information system is conducted in the frameworks of the use of the  systems of control, management and documents flow.
 Two experiments in the  operational-technological direction are devoted to the verification of the  means and methods of telemedicine for distant control over the state of health  of humans.
 Approbation  of the methods and autonomous means of psychological support is provided by  investigations in psychological and psycho-physiological directions and  analysis of the use of the means agreed upon with the crew.
 Assessment of the modern  technologies of the systems and means of life support and protection of humans  is conducted with the use of the developed system of control and management and  investigations in the operational-technological   direction.
 Organization of the work and rest regime of the crew is conducted taking into account shift duties of one crew member at the main console: Crew members live on the following  regime:
 
  sleep – 8.5 hours; period  after sleep – 1.5 hour (including 1 hour for breakfast); daily  operative meeting – 0.5 hour; preparation  for work, examination of the facility, familiarization with the time line of  the day – 1.5 hour; work  with the systems – 2 hours; implementation  of the scientific experiments – 4 hours; lunch  -  1 hour; physical  trainings – 1 hour; personal  time and supper – 4 hours.  The main types of the  crew’s activities are as follows:1. Implementation of the scientific program of the  experiment, planning and organization of the investigations is performed by the  crew itself on the basis of an approximate time line, worked out by the  experiment control center. 2. Maintenance of the physical and psychical health, working  capacity of the crew members, that are conducted by means of regular medical  control and physical trainings with the use of the existing training devices. On  the basis of the data of the medical control the crew physician takes decision  about conduction of prophylaxis and treatment activities, in case of necessity  in extreme situations he addresses the experiment control center for help.
 3. Control over parameters of the regulated habitat of  pressurized facility, that is conducted according to the regulations during the  working day. The crew also performs regular toxicological and microbiological  control over the state of the pressurized facility.
 4. Control and registration of the consumed resources  – food, water, expendables, spare parts, LSS resources.
 5. Regular prophylaxis and repair works on maintenance  of the normal functioning of the systems of the pressurized facility,  conduction in the pressurized facility of sanitary-hygienic activities, maintenance  in the pressurized facility of the normal everyday conditions.
 6. Increase of the level of qualification of the crew  members, learning of new professions, improvement of language skills.
 Physical parameters of the  habitat During the experiment the main  parameters of the habitat are maintained and constantly controlled, they  include temperature of the gas environment, its composition and dustiness,  noise and lightening in different zones, relative humidity, etc. The values of the parameters of the habitat,  content of microorganisms in the atmosphere and on the surfaces, concentration of  harmful contaminants in the air of the modules must not exceed the values given  in GOST R 50804-95 “Habitat of the cosmonaut in a manned space apparatus”.
 Control over the dynamics of the indices of  the habitat in the experimental modules is performed by the investigators and  the ground-based service on the approved methodologies and schedules.  Registration of the parameters of the atmosphere in the table form is conducted  every two hours.
 The scientific program Performance of the advanced series  of the investigations and experiments on verification of all the elements,  directions and tasks of the Martian expedition, including investigations of  physiological systems and organism in general, verification of scientific,  methodological, instrumental and apparatus-information means of the system of  health support is the most important stage of preparation of the real Martian  mission. At the present time the main priority  task of the advanced simulated investigations, including the current 520-day experiment,  is further development and verification of human-oriented systems and biomedical  means, aimed at preservation of health, achievement of long-time high level of physical  and psychical working capacity, optimal conditions of vital activity, adequate social  space, stable psycho-physiological comfort during all the stages of the Martian  expedition, efficient rehabilitation with preservation of the optimal  parameters of somatic and psychic health.
 The scientific  program of the conducted experiment reflects the following requirements:
 
  constant  registration and control over the experimental conditions: support  of adequacy of the used methods, equipment and software; support  of the efficiency of the constant dynamic control of the investigated  parameters; creation,  operative and retrospective use of the onboard basis of the data of medical,  medical-technical information and information-analytical systems;optimal,  full-scope inter-computer exchange of the data with the experiment control  center.  During the preparation and realization of the program  of 520-day experiment the following sequence of the investigation is realized:  
  analysis and assessment of the  medical risks, choice of the priority investigations; prognosis, formulation of the  checked hypothesis or alternative hypothesis; determination of the methodological  approaches and means of checking;choice and installation of the  hardware and software; realization  of program-mathematical and information support; realization of the requirements to  collection, accumulation, presentation, analysis, interpretation of the data.  Filling of the shells of data basis and expert systems.  Duration of the experiment by the  present time is 1 year (June 3, 2010 – June 3, 2011). The scientific program of 520-day  experiment was worked out and is being realized in the frameworks of 5 parts  (more than 100 investigations).
 Psychology Psychologists have singled out 3  main directions of the investigations during the flight of the manned  expedition to Mars:  
  support  of psycho-emotional state, general and professional psychological working capacity  during 520 days of the expedition; support  of efficient inter-group interaction in the multicultural crew, interaction of the crew with the  Control center in over-duration autonomous flight during increasing  communication delay.  Basing on this, the main tasks of the psychological program of the experiment Mars-500 were formulated:  
  verification of the new criteria of individual and group psychological selection as applied to the manned Martian expedition; assessment of psycho-emotional state, psychic working capacity and alarm level of the crew members; investigation  of peculiarities of communication of the crew with the external world taking  into account limitations (communication delay), typical for the flight to Mars; investigation  of the processes of the group and individual adaptation for conditions of  520-day isolation;investigation  of the personal values and interaction in the group, influence of the  multicultural background on the communication of the crew; investigation  of the problems of support of the skills of operator’s professional activity in  conditions of 520-day isolation, also with the help of technologies of virtual  simulation of operations on landing on Mars; verification  of the new means of psychological support, developed on the basis of technologies  of virtual reality; investigation  of the influence of different means of psychological prophylaxis (including existence  on board of higher plants) for optimization of psycho-physiological  status of the crew members; investigation  of the role of unconscious psycho-physiological reactions in adaptation for conditions  of long-term isolation.  According to the tasks, 26 scientific projects on  psychology were included into the program of “Mars-500” experiment. From them – 16 are Russian, 7 – ESA,  1 – CCTC, 1 – USA (NSBRI), 1 – Spain. During realization of the program both  methods that have gained good reputation in the flights to orbital space stations,  and innovation methods are used, for example technology of virtual modeling and  computer analysis of communication.
 In psychological and  psycho-physiological investigations the state of higher psychic functions is  regularly studied, mechanism of psycho-emotional stress, efficiency of the  methods of control of psychic working capacity, peculiarities of inter-group  and interpersonal interaction and dynamics of communication of the crew with  the external world, state and dynamics of professional skills of control over  accurate processes, stands and simulators.
 The state of operator’s functions is  studied, stability of the types of reaction of stress-factors of the activity  (experiments “Pilot’, “Record”, “Virtual”, “PRET”, “SOPR-monitoring”, etc.).
 Efficiency is studied of the  influence of conduction of regular autogenic trainings on classical  methodologies on the psycho-physiological state of the operators during  conduction of the sessions of test control at all the stages of the experiment.
 At the present time psychological  state of the crew complies with the prognosis of the specialists. At this signs  of “the problem of the way back” are found, aggravated by psychic asthenisation  at the background of sensors deprivation and monotony.
 Clinical and laboratory-diagnostic investigations Dynamics of the main organs and  tissues and metabolic processes are studied in the clinical and  laboratory-diagnostic investigations. The blood system is studied (component  composition, morphology, balance of coagulation and anti-coagulation systems). In the biochemical analyses of  liquid media of the organism (saliva, blood, urine) content is studied of  different biochemically active substances, the state of metabolic processes,  ferment systems and hormones).
 The data has been obtained and is  being analyzed about the most important elements of water-electrolyte, protein,  carbohydrate and fat metabolism and state of neuro-endocrine mechanisms of  regulation.
 Metabolic status is studied of nefron,  dynamics of the immune system, motor and secretory function of the  gastro-intestinal tract and food status of the organism, microbiological and  genetic status of the organism.
 Physiology In the physiological investigations  investigation is conducted of the dynamics of the state of physiological  systems, peculiarities and state of mechanisms and their regulation. The cardio-vascular system is  studied. In the experiments “Ecosan”, “Cardioson”, “Cardiovisor”, and  “Regularion AD” comprehensive investigation is conducted of the dynamics of the  state of heart and the central blood circulation at different stages of  isolation, efficiency of prophylaxis measures is assessed. The obtained data  are supplemented with the data of regularly conducted tele-ecography and  tele-auscultation.
 In the experiment on investigation of  flow-dependent dilatation of shoulder artery and dynamics of ankle-shoulder index  of arterial pressure important data have been obtained about the state of endothelium  of the main arterial vessels and endothelial functions and state of regional  stream of low extremities.
 With the help of the computer  methodologies the state of capillary stream is studied of different regions,  the use of laser analyzer allows to assess dynamics and peculiarities of  capillary blood flow.
 The dynamics of the state of  respiratory system and gas-energy-exchange is studied in the experiments “The  main exchange”, “Respiration-rest”, “Respiration-cycloergometry” and “Spiro”.
 Also the functional characteristics of  the activity of the heart and vessels and the state of the external respiration  are investigated during conduction of Holter-monitoring, stress-ECG, studying  of AP regulation, during studying of respiration noises of forced exhale.
 In electro-physiological experiments  the state of electro-epidermal activity is studied (electro-physiological status  of the basal membrane), analysis of electroencephalogram is conducted, correlation  of its rhythms at rest, after performance of physical loading and in the  periods of night sleep. An important and also new direction of investigations  is studying of the influence of audio-visual stimulation on dynamics of the  structure of EEG rhythms and average constant potential in the experiment  “Omega-neuroanalyzer”. The state of a series of analyzer systems is studied, in  particular, hearing analyzer with the audiometry method and visual analyzer  during the investigation of threshold-sensitive characteristics of perception  of visual information during regulation of the parameters of light environment  in the experiment “Visual threshold”.
 The state of the thermoregulation  system is assessed in the experiment “Thermolab”.
 The dynamics is studied of physical  working capacity during different regimes of physical prophylactic trainings  with the use of several kinds of training devices and conduction of regular testing  of their efficiency.
 Besides the above mentioned  investigations, a series of other important physiological investigations and  experiments is conducted.
 Sanitary-hygienic and  microbiological investigations In sanitary-hygienic and microbiological  investigations dynamics is studied of changes of conditions of the habitat, cyclicism  of the changes of its toxicological-hygienic characteristics, prognosis significance  of shifts and their reasons.  Operational-technological  investigations In the operational-technological  investigations studying is conducted of growth and vital activity of plants in  conditions of confined environment with the given conditions of the habitat by  means of installation and servicing of greenhouses with growing of a series of  plants both as elements of psychological support (decorative) and with the aim  of supplement of the food ration with fresh greens (vitamin greenhouse - salad  machine "Phytocycle"). Verification is conducted of the  methods and means of emergency medical help providing, medical control,  telemedical means of medical control and diagnostics.
 A series of new means of  sanitary-hygienic control of the habitat is studied.
 Organization of the work  of ground-based services Daily activity of the crew is performed on the basis  of the timeline developed by the person responsible for the planning of the  investigations.  Two days before the  beginning of the planned day the timeline is handed over to the crew. In it  methodologies are marked that require strict following the time and conditions  (blood taking on an empty stomach), that means the necessity of its strict  conduction at the mentioned time. Implementation of the other methodologies is  distributed by the crew itself depending on the real situation in the facility  at the condition of obligatory implementation of the planned daily scope of  investigations. The analytical group is  working, its responsibilities include: analysis of the reports of the commander  and the crew, finding of the crew's remarks and their analysis, handing the information  over to the supervisors, technical personnel, medical specialists; forming of  responses for the investigators.
 Implementation of the  scientific program Average frequency of the  investigations is once per 60 days. By the given period all the planned  investigations have been performed by the crew. There are not any failures or  shifts of the investigations on other dates. The investigators, including foreign  ones do not have any remarks on the quality of the transmitted initial  scientific  information. They assess  positively activity of the crew on the implementation of the scientific  investigations.
 Medical control and  support of the experiment Organization  of the medical support of the experiment with 520-day isolation foresees observation  of the following requirements: medical safety and complete autonomy of the conduction  of the experiments, the level of medical help is in the volume of qualified medical  help, provided by the crew-physician and expanded due to consultative help of  medical services accompanying the experiment, confidentiality of the obtained  medical information. Medical  support of the experiments includes providing of medical monitoring of the  state of health of the crew participants by means of daily, expanded monthly  and expert half-year control; performance of diagnostic procedures in case of  diseases and injuries, also in case of emergency states; conduction of adequate  medical-prophylactic activities; creation of medical documentation on the  methods and means of providing of treatment-diagnostic help.
 For the  conduction of medical control and treatment-diagnostic procedures, and also for  installation of the medical equipment and pharmacological means a special  medical module was allocated and equipped with a set of the necessary means of  control and providing of medical help (including the use of telemedical means).  In the aims of observation of confidentiality of the medical data a system of  information means was created, allowing to transfer the obtained medical  information on closed channels of communication.
 Medical control in the process of the experiment  includes: daily medical  control:
 
  subjective assessment  of the state of health on a special questionnaire, morning and evening  control of the main indices of vital activity (pressure, heart rate, body  temperature, weight).  in-depth (monthly) medical control: 
  in-depth assessment of the activity of the cardio-vascular system (electro-cardiographic investigations at rest and at loading, in case of necessity conduction of Holter's monitoring and  monitoring of  the arterial pressure), laboratory methods  of investigation of blood and urine, private medical and psychological conferences.  For the  period from the beginning of 520-day isolation no significant changes were  noted of the state of health of the participants of the experiment. A series of  medical situations, found in the participants of the experiment, required  prescription of treatment-prophylactic activities that were enough and  adequate. On the  expert conclusion of the Medical-experts commission of the institute from  24.11.2010 and 23.05.2011 all the participants of the crew, on the state of  health, were admitted for further participation in the experiment.
 Nutrition The nutrition regime in the experiment is 5-times: breakfast,  the second breakfast, lunch, snack, dinner - i. e. three main food intakes and  two light snacks. On the content of the necessary for the human organism  nutrients the food ration complies with the accepted physiological norms for  the contingents whose professional activity on energy expenditure refers to the  category of average gravity (up to 3000 kcal). The nutrients composition of the  ration complies with the recommendations of World health organization (WHO).
 There are not any remarks regarding the quality of the  food products.
 In the process of the experiment on the basis of the  results of assessment of the volunteers' health, taking into account their  remarks, recommendations were given on correction of the product composition of  the food ration, foreseeing decrease of calories by means of exception from consumption  of separate products.
 Psychological support As means of psychological support of the crew  in the experiment the same methods and means are used, that with ISS crews (books,  films, music, news surveys, etc.). Means of psychological support were formed  taking into account the opinion of each crew member and loaded before the  beginning of the experiment. News surveys are transmitted three times a week on  the computer net.
 Psychological and emotional environment It is worth saying that the verified in the experiment  MARS-105 system of psychological selection has justified itself completely. The  crew of 520-day isolation went through this stage as the single unity. There  were not any conflict situations, moreover no situations requiring interference  of the ground-based services. Difficulties during performance of some  complicated investigation methodologies were overcome by the crew together. It  is worth saying that cultural differences and language difficulties do not influence  the quality of the implemented activity. In communication constructive friendly  style prevails. The crew spends enough time together, for this they asked for  films with titles in different languages, i. e. an opportunity appear to  discuss the seen films together. The crew together and beforehand prepares  surprises for birthdays, big state holidays and informal holidays (on October  31 they celebrated Halloween). It is possible to notice that the crew members  somehow increased the time spent on individual activities that does not hamper  communication. There is not any division of the crew on language or any other  interests. The commander has the authority and is both formal and  informal leader.
 Each crew member is regularly the operator on duty,  working at the main console EU-150, that allows to learn some types of works,  that are on board engineer's functions.
 Maintenance of physical  working capacityExperience of flights on the orbital station "Mir" and  International space station (ISS) allowed to formulate a series of tasks,  solving of which is important for providing of high efficiency of prophylaxis  activities on maintenance of the physical working capacity in interplanetary  space flights. The  participants of the experiment are divided into 3 groups, two volunteers in  each. The regimes of trainings alternate, by the present time three stages have  been finished.
 At the first stage efficiency of the trainings was assessed, performed  with the use of training device MDS (Austria), expanders and vibro-training  device (Germany).
 At the  second stage efficiency was assessed of locomotor trainings in an active and  passive regimes of the treadmill and trainings on cycloergometer.
 At the  third stage finishing of trainings foreseen by the experiment is performed.
 Each 30 days test program  was performed of assessment of the state and level of training fitness of the  crew members with the use of tests on treadmill, on the strength training  device, stable-platform and conduction of the test on cycloergometer with  gas-analyzer. Preliminary results of assessment of the level of working  capacity of the crew point to the fact that the proposed system of physical  trainings allows not only to preserve the level of general working capacity of  the crew members in the conditions of the experiment, but also to increase the  level of fitness.
 Simulated off-nominal  situations On December 1-2, 2010 an off-nominal situation was  simulated, simulating short-circuit failure and further fire of the central  distribution switchgear, supplying electrical energy for the whole medical  technical facility. The activities of the members of the team on duty were  defined by the "Instruction about the activities of the team on duty in emergency  situation and in case of fire" the crew - by "Activities of the crew  of volunteers during fire and emergency situation".
 The total duration of the off-nominal situation was 22  hours 48 minutes.
 After completion of the off-nominal situation the crew  was informed that it had been simulated.
 The created and acted out off-nominal situation showed  good moral preparation of the crew and its ability to act actively in a stress  situation.
 In the period from April 18 to 25, 2011 simulation was  conducted of the second off-nominal situation, simulating high degree of  autonomy of the crew. Under high autonomy we understand a long period of time  (in the given case - one week) during which the crew itself composed the daily  schedule and took decisions on realization of the program of investigations. Before the conduction of the given off-nominal  situation the crew was informed that in connection with failures in  communication during a week communication nets would not work, and communication  with them stops completely. During the conduction of the given experiment the  on-ground services stopped transmission to the crew of radiograms,  video-messages, personal letters and information news blocks. The telemedical  system was also switched off. However, in the aims of the safety of the crew,  the emergency communication and cameras of video observation were not switched  off.
 The crew worked this situation without difficulties  that allows to make a conclusion - the crew is in a good psycho-emotional form,  that allows them to cope easily with difficult tasks.
 Simulation of the  landing to Mars and work of the crew on the surface. Simulation of the landing on Mars and works of the crew on the surface were successfully performed in the period from 01/02/2011 till 01/03/2011. The purpose of the stage of Mars landing is a simulation of the crew activity on provision of landing and work on the Mars surface with use of robotic tools as well as computer technologies and virtual reality technologies. Main tasks: 
  Learning of the equipment of EU-50 module, transfer and distribution  of the loads from the reserve storehouse;Simulating of the dynamic operations on the docking and undocking  the landing module with interplanetary space facility;Crew members training with use of virtual and computerized models of  crew activity on the Mars surface;Redistribution of liquid medium of the organism when modeling the  impact of microgravity before the landing of the crew on the Mars surface.Training of the crew before (the exit to the Mars surface) using  three-dimensional virtual model of the crew activities;Support and implementation of 3 exits to the Mars surface of the  landing part of the crew;Remote exploration of the Mars surface with use of real robotic  tools;Provision of the medical control and program of scientific  researches during the activities on the Mars surface. There were successfully implemented 4 projects at this stage: 1.”Investigation of the effects of cranial redistribution of liquids on the state of working capacity and orthostatic tolerance of humans during the work in a space suit on the simulated Martian surface in the ground-based experiment with long-term isolation, simulating a manned flight to Mars”.2. “Performing of 3 goings out to the Martian surface and its exploration with the help of robotic-technical means (“Gulliver” rover)”.
 3. Investigations with the use of the technology of virtual reality (VIRTU).
 4. “Approbation of PRET (Performance Readiness Evaluation and Training Tool)” in the framework of “Mars-500” project.
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