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4 Recommendations for Changes in Study Design and Execution
Pages 39-44

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From page 39...
... LSAH STAFF RECOMMENDATIONS FOR CHANGE LSAH scientists put forth suggested improvements to the study in three areas during their discussions with the IOM committee in March 2003:(1) improving the percentage of comparison participants returning to the Occupational Health Clinic at the Johnson Space Center (JSC)
From page 40...
... · Offer to pay for an equivalent examination to be performed at a site convenient to comparison participants outside the Houston area. Occu pational health clinics at other NASA centers, Federal Aviation Agency medical examiners, or private primary care providers could be given a standard protocol.
From page 41...
... The current staff consists of a single doctoral level epidemiologist who also serves a the project manager, 2.5 masters level epidemiologists, an administrative assistant, 2 data entry clerks, and 3 software specialists. IOM RECOMMENDATIONS FOR CHANGE Implementing the following recommendations, which subsume many of those offered by the LSAH staff, will inevitably involve additional expenditures, but the committee believes they are essential for the validity of the data gathered through the LSAH and ultimately for the creation of a safer space travel program.
From page 42...
... personnel should be added to the comparison participant pool if the civil servant population can no longer provide adequate matches for new astronaut classes; b) NASA should continue to seek international partner astronauts' medical data, but we do not recommend pooling such data with the LSAH data;.
From page 43...
... Occupational health clinics at other NASA centers, Federal Aviation Agency medical examiners, or private primary care providers could be given a standard protocol.
From page 44...
... The expertise needed by the oversight committee includes such areas as biostatistics, environmental health, clinical medicine, radiation biology, neurology, endocrinology, and cardiology. Principal activities of such an oversight committee should be review of the methods used to acquire and analyze the data, surveillance of the data set for unexpected events, and evaluation of plans for reacting to these events.


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