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Christopher Haas

Publications and source records attributed to Christopher Haas.

Orion Cabin Lighting System: Filter Workaround for Maintaining Crew Circadian Entrainment

Introduction: Suboptimal crew circadian entrainment (CCE) is common and results in cumulative fatigue and reduced cognitive function. This may promote use of psychostimulants and hypnotics. The Orion Cabin Lighting System (OCLS) consists of 15 dimmable lamps circuited to several zones. The OCLS monochromatic white lamp design is insufficient for maintaining CCE. While blue light (480-nm) elicits peak wake-cycle response, it is a powerful disruptor of CCE. We propose OCLS lamp filters (OLFs) as a workaround for maintaining CCE. Methods: Preliminary OLFs testing utilized a tunable-white LED to serve as a baseline lamp in the NASA Lighting Lab’s controlled environment (prototype OCLS lamps were unavailable). Illuminance and spectral irradiances were measured with the NASA Lighting Lab’s spectroradiometer. ConOps is proposed for OLFs. Results: OLFs markedly attenuated 480-nm light and illumination with minimal mass/volume requirements. ConOps includes in-flight deployment of OLFs and reducing OCLS lamp intensity prior to bedtime. Pros: minimal mass/volume, no added power, and a simplistic design. Cons: manual twice-daily articulation of OLFs, undetermined frangibility/flammability/off-gassing and effects on thermal regulation, and untested task illumination or color fidelity in the Orion cabin. Discussion: While OLFs aptly attenuate 480-nm light from our tunable LED lamp in the Lighting Lab’s controlled environment, they remain untested within the Orion cabin on OCLS lamps. Future tests include Orion cabin illumination optimization for appropriate Lux delivery and ensuring task/color fidelity with OLFs deployed. Adequate OCLS cooling should be similarly assessed. Other safety testing includes OLF frangibility/flammability/off-gassing in an enriched-O 2 /hypobaric environment. Together, these data will demonstrate OLFs provide a viable workaround for maintaining CCE further ensuring mission safety and success.

Carlos Rene Dostal↗

Flight Surgeon Survey Results Review: Long-Duration Artemis Medical System ConOps

Background: The Artemis Mission Functional Medical Concept of Operation (ConOp) is an operational document that describes the functional medical capabilities and concept of operations for early Artemis missions of around 30 days duration. It is currently under revision for longer missions (180+ days), aiming to build a foundational diagnostic and treatment capabilities list considering mission parameters, crew selection and training, and mass/volume constraints. An interview of NASA operational flight surgeons was completed to start the revision of the medical ConOp. Methods: In the survey, 20 experienced NASA flight surgeons responded to 57 standardized questions covering 17 categories, 22 questions of which were covered in this analysis including 4 categories: Cardiovascular, Catastrophic Situations, Pulmonary, and Respiratory/O2 Support. These results were categorized into recommendations and observations. The recommendations were used to objectively quantify the responses to look for consensus, differences and uncertainty among responses. The observations remain important but were not included in this review. Analysis: Regarding questions related to changes in medical conditions treated for long-duration missions, percentage of “No Change” responses varied from 20% to 75%. In the “Change” treatment plan responses, a variety of recommendations were made, which were further made into graphics for better illustration. Additionally, recommendations on capability questions in multiple systems were visualized altogether in one product. Discussion: This work demonstrates the importance of collaboration and thorough analysis amongst experienced NASA flight surgeons for helping establish medical systems and contributing to the likelihood of mission success during Artemis long-duration missions. Through this review, we were able to identify some positive attributes as well as areas for improvement, which will facilitate further discussions.

Andrew Bushong↗

Flight Surgeon Survey Results Review: Long-Duration Artemis Medical System ConOps

The Artemis Mission Functional Medical Concept of Operation (ConOp) is an operational document that describes the functional medical capabilities and concept of operations for early Artemis missions of around 30 days duration. It is currently under revision for longer missions (180+ days), aiming to build a foundational diagnostic and treatment capabilities list considering mission parameters, crew selection and training, and mass/volume constraints. An interview of NASA operational flight surgeons was completed to start the revision of the medical ConOp.

Andrew Bushong↗

Turning Limitations into Opportunities in the Development of the Orion Medical System: Incorporation of mHealth Devices

INTRODUCTION: Selection of medical devices for the Orion medical system is a complex task which is dependent on the current state of terrestrial technology. In this work we review the interplay between NASA requirements, constraints, and opportunities for synergy during the development of the Orion medical system. METHODS: The “plan to treat” list of conditions, and subsequently the medical resource list for the Orion Artemis II lunar flyby mission was completed using semi-quantitative methods. During this process, some medical resources were excluded to comply with mass and volume limits, while other resources applicable to multiple medical requirements were prioritized for inclusion. Choices were also examined considering NASA level of care standards for the Artemis design reference missions. As a means to optimize capabilities in spite of mass and volume constraints, ideas for integration of multiple devices into a single platform were explored, including a ‘hackathon’ challenge which was conducted to generate and evaluate concepts for combining medical devices into a single app-based mobile device (ultrasound, ECG, etc.). RESULTS: The Orion team identified 128 medical conditions that we “plan to treat”, with 139 unique medical resources to address these conditions, including 5 digital diagnostic devices (ECG, otoscope, stethoscope, pulse oximeter, and blood pressure monitor). During selection of these digital devices the team noted that miniaturized medical devices often use mobile device platforms (mHealth), some displaying and transmitting data exclusively via mobile device. Of the 5 initially selected devices, all are capable of mobile connection, one which cannot function without a mobile device (ECG). Furthermore, only one of these devices connects natively to a Windows platform, which is currently the only operating system available on Orion. DISCUSSION: Significant savings in mass and volume as well as training and usability improvements can be achieved by leveraging mHealth technologies. However, the platform presents significant challenges for deployment within the Artemis Program including lack of internet connectivity, incompatible operating systems, and radiation concerns. Each of these drawbacks are surmountable with investment in the supporting vehicle architecture, which may become necessary to support the technology trends seen in commercially available medical devices today. Objective: Learn about the opportunities and challenges of leveraging mHealth devices in the development of medical capabilities for austere environments. Learn about the constraints of the NASA spaceflight environment with regards to digital medical device integration.

Douglas Ebert↗

Abstract: Orion Lighting Workaround for Maintaining Crew Circadian Entrainment

Introduction. Light is the major environmental time cue of our endogenous circadian pacemaker. Suboptimal crew circadian entrainment (CCE) is common and associated with acute and chronic medical symptoms. Additionally, fatigue from suboptimal CCE promotes problematic use of sleep medications. The Orion Cabin Lighting System (OCLS) consists of monochromatic light-emitting diode (LED) lamps. However, light is a powerful suppressor of melatonin and it is a disruptor of CCE if used at incorrect times. A commercial off the shelf (COTS) dynamic lighting system (COTS-DLS) is a potential workaround for maintaining CCE.

Matthew Lindsey↗

Non-Invasive Ventilation Evaluation for Exploration Missions

This session will review the evidence supporting the use of non-invasive ventilation (NIV) for acute respiratory failure and will evaluate the validity and viability of using various modalities of NIV within the mass and volume constraints of exploration missions.

Aaliya Burza↗