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At least 181 records · Page 10

Noninvasive Techniques for Intracranial Pressure Assessment: A Review from Aerospace Medicine Perspective

Microgravity-induced changes in fluid distribution and other physiological factors due to space flight have been implicated as the cause of increased intracranial pressure (ICP) in a number of space crewmembers. The modest levels of ICP elevation and absence of severe symptoms in this group do not warrant invasive diagnostic interventions. However, the long-term trends and residual or consequential changes secondary to the observed ICP elevation in this group are not yet known. Therefore, close attention is needed to evaluate the potential techniques of noninvasively assessing ICP, including those feasible for in-flight use. Of particular interest is continuity between ground and in-flight testing, whereby data from the same or different techniques allow reasonably dependable estimation of ICP trends and responses. Methods: A thorough review of current literature, analysis of NASA data, and interviews with subject matter experts were conducted to construct a presentation that reflects the state of the art for noninvasive ICP measurement and monitoring. Results: Multiple imaging and non-imaging modalities are available to assess ICP in terrestrial clinical and experimental environments. Imaging alternatives include magnetic resonance imaging (MRI) and high-resolution sonography. Non-imaging techniques include transcranial Doppler, certain audiological methods, and venous ophthalmodynamometry, among others. Special functional techniques have been proposed recently that allow the use of advanced MRI methods to calculate ICP in addition to the acquisition of high-resolution images. Our data include many of these applications, with several cases of correlation with lumbar puncture, the invasive "gold standard" measurement of ICP.

Hamilton, Douglas R.↗

Rapid Detection of the Varicella Zoster Virus

1.Technology Description-Researchers discovered that when the Varicella Zoster Virus (VZV) reactivates from latency in the body, the virus is consistently present in saliva before the appearance of skin lesions. A small saliva sample is mixed with a specialized reagent in a test kit. If the virus is present in the saliva sample, the mixture turns a red color. The sensitivity and specificity emanates from an antibody-antigen reaction. This technology is a rapid, non-invasive, point of-of-care testing kit for detecting the virus from a saliva sample. The device is easy to use and can be used in clinics and in remote locations to quickly detect VZV and begin treatment with antiviral drugs. 2.Market Opportunity- RST Bioscience will be the first and only company to market a rapid, same day test kit for the detection of VZV in saliva. The RST detection test kit will have several advantages over existing, competitive technology. The test kit is self contained and laboratory equipment is not required for analysis of the sample. Only a single saliva sample is required to be taken instead of blood or cerebral spinal fluid. The test kit is portable, sterile and disposable after use. RST detection test kits require no electrical power or expensive storage equipment and can be used in remote locations. 3.Market Analysis- According to the CDC, it is estimated that 1 million cases of shingles occur each year in the U.S. with more than half over the age of sixty. There is a high demand for rapid diagnostics by the public. The point-of-care testing (POCT) market is growing faster than other segments of in vitro diagnostics. According to a July 2007 InteLab Corporation industry report the overall market for POCT was forecast to increase from $10.3 billion in 2005 to $18.7 billion by 2011. The market value of this test kit has not been determined. 4.Competition- The VZV vaccine prevents 50% of cases and reduces neuralgia by 66%. The most popular test detects VZV-specific IgM antibody in blood. Other tests include running a sample in a polymerase chain reaction analyzer, enzyme immunoassay, latex agglutination, indirect fluorescent antibody and fluorescent antibody to membrane antigen assay. These existing tests require laboratory analysis by trained personnel, expensive equipment, invasive procedures and a longer period of time to obtain test results.

Lewis, Michelle P.↗

3D Imaging with a Single-Aperture 3-mm Objective Lens: Concept, Fabrication and Test

There are many advantages to minimally invasive surgery (MIS). An endoscope is the optical system of choice by the surgeon for MIS. The smaller the incision or opening made to perform the surgery, the smaller the optical system needed. For minimally invasive neurological and skull base surgeries the openings are typically 10-mm in diameter (dime sized) or less. The largest outside diameter (OD) endoscope used is 4mm. A significant drawback to endoscopic MIS is that it only provides a monocular view of the surgical site thereby lacking depth information for the surgeon. A stereo view would provide the surgeon instantaneous depth information of the surroundings within the field of view, a significant advantage especially during brain surgery. Providing 3D imaging in an endoscopic objective lens system presents significant challenges because of the tight packaging constraints. This paper presents a promising new technique for endoscopic 3D imaging that uses a single lens system with complementary multi-bandpass filters (CMBFs), and describes the proof-of-concept demonstrations performed to date validating the technique. These demonstrations of the technique have utilized many commercial off-the-shelf (COTS) components including the ones used in the endoscope objective.

surgery↗

Remote Sensing and Modeling for Improving Operational Aquatic Plant Management

The California Sacramento-San Joaquin River Delta is the hub for California’s water supply, conveying water from Northern to Southern California agriculture and communities while supporting important ecosystem services, agriculture, and communities in the Delta. Changes in climate, long-term drought, water quality changes, and expansion of invasive aquatic plants threatens ecosystems, impedes ecosystem restoration, and is economically, environmentally, and sociologically detrimental to the San Francisco Bay/California Delta complex. NASA Ames Research Center and the USDA-ARS partnered with the State of California and local governments to develop science-based, adaptive-management strategies for the Sacramento-San Joaquin Delta. The project combines science, operations, and economics related to integrated management scenarios for aquatic weeds to help land and waterway managers make science-informed decisions regarding management and outcomes. The team provides a comprehensive understanding of agricultural and urban land use in the Delta and the major water sheds (San Joaquin/Sacramento) supplying the Delta and interaction with drought and climate impacts on the environment, water quality, and weed growth. The team recommends conservation and modified land-use practices and aids local Delta stakeholders in developing management strategies. New remote sensing tools have been developed to enhance ability to assess conditions, inform decision support tools, and monitor management practices. Science gaps in understanding how native and invasive plants respond to altered environmental conditions are being filled and provide critical biological response parameters for Delta-SWAT simulation modeling. Operational agencies such as the California Department of Boating and Waterways provide testing and act as initial adopter of decision support tools. Methods developed by the project can become routine land and water management tools in complex river delta systems.

Agriculture↗

Adaptive Management Methods to Protect the California Sacramento-San Joaquin Delta Water Resource

The California Sacramento-San Joaquin River Delta is the hub for California's water supply, conveying water from Northern to Southern California agriculture and communities while supporting important ecosystem services, agriculture, and communities in the Delta. Changes in climate, long-term drought, water quality changes, and expansion of invasive aquatic plants threatens ecosystems, impedes ecosystem restoration, and is economically, environmentally, and sociologically detrimental to the San Francisco Bay/California Delta complex. NASA Ames Research Center and the USDA-ARS partnered with the State of California and local governments to develop science-based, adaptive-management strategies for the Sacramento-San Joaquin Delta. The project combines science, operations, and economics related to integrated management scenarios for aquatic weeds to help land and waterway managers make science-informed decisions regarding management and outcomes. The team provides a comprehensive understanding of agricultural and urban land use in the Delta and the major water sheds (San Joaquin/Sacramento) supplying the Delta and interaction with drought and climate impacts on the environment, water quality, and weed growth. The team recommends conservation and modified land-use practices and aids local Delta stakeholders in developing management strategies. New remote sensing tools have been developed to enhance ability to assess conditions, inform decision support tools, and monitor management practices. Science gaps in understanding how native and invasive plants respond to altered environmental conditions are being filled and provide critical biological response parameters for Delta-SWAT simulation modeling. Operational agencies such as the California Department of Boating and Waterways provide testing and act as initial adopter of decision support tools. Methods developed by the project can become routine land and water management tools in complex river delta systems.

Agriculture↗

Controlled Environments Enable Adaptive Management in Aquatic Ecosystems Under Altered Environments

Ecosystems worldwide are impacted by altered environment conditions resulting from climate, drought, and land use changes. Gaps in the science knowledge base regarding plant community response to these novel and rapid changes limit both science understanding and management of ecosystems. We describe how CE Technologies have enabled the rapid supply of gap-filling science, development of ecosystem simulation models, and remote sensing assessment tools to provide science-informed, adaptive management methods in the impacted aquatic ecosystem of the California Sacramento-San Joaquin River Delta. The Delta is the hub for California's water, supplying Southern California agriculture and urban communities as well as the San Francisco Bay area. The changes in environmental conditions including temperature, light, and water quality and associated expansion of invasive aquatic plants negatively impact water distribution and ecology of the San Francisco Bay/Delta complex. CE technologies define changes in resource use efficiencies, photosynthetic productivity, evapotranspiration, phenology, reproductive strategies, and spectral reflectance modifications in native and invasive species in response to altered conditions. We will discuss how the CE technologies play an enabling role in filling knowledge gaps regarding plant response to altered environments, parameterization and validation of ecosystem models, development of satellite-based, remote sensing tools, and operational management strategies.

Remote Sensing↗

Watershed-Scale Modeling of Land-Use and Altered Environment Impacts on Aquatic Weed Growth in the Delta

The California Sacramento-San Joaquin River Delta is the hub for California's water supply, conveying water from Northern to Southern California agriculture and communities while supporting important ecosystem services, agriculture, and communities in the Delta. Changes in climate, long-term drought, and water quality have all been suspected as playing role in the dramatic expansion of invasive aquatic plants and their impact on ecosystems of the San Francisco Bay / California Delta complex. NASA Ames Research Center, USDA-Agricultural Research Service, the State of California, UC Davis, and local governments have partnered under a USDA sponsored project (DRAAWP) to develop science-based, adaptive-management strategies for invasive aquatic plants in Sacramento-San Joaquin Delta. Critical to developing management strategies is to understand how the Delta is affected by both the magnitude of fluctuations in land-use and climate / drought induced altered environments and how the plants respond to these altered environments. We utilize the Soil Water Assessment Tool (SWAT), a watershed-scale model developed to quantify the impact of land management practices in large and complex watersheds on water quality, as the backbone for a customized Delta model - Delta-SWAT. The model uses land-use, soils, elevation, and hydrologic routing to characterize pesticide and nutrient transport from the Sacramento and San Joaquin rivers watersheds and loading into the Delta. Land-use within the Delta, as well as water extraction to supply those functions, and the resulting return of water to Delta waterways are included in Delta-SWAT. Hydrologic transport within the Delta has required significant attention to address the lack of elevation driven transport processes. Delta-SWAT water quality trend estimates are compared with water quality monitoring conducted throughout the Delta. Aquatic plant response to water quality and other environmental factors is carried out using a customized model component. Plant response to the range of water quality factors, response times, and altered temperature and light regimes of the Delta have required gap-filling studies to provide model parameters. Delta-SWAT provides a tool for evaluating temporal and spatial effects of land-use and altered environments in the Delta and contributing watersheds on aquatic weed growth. Using Delta-SWAT for simulation modeling allows evaluation of historic and current conditions as well as consideration potential climate change and management practice outcomes. Delta-SWAT adds to the scientific understanding of dynamics in the Delta and enhances development of science-informed, management strategies and practices.

Ecosystem↗

Personalized Risk Assesment for Adverse Drug Reactions and Treatment Failures

As NASA and other space agencies prepare for future long-term space missions beyond the LEO, the cumulative impact of risk factors encountered in space increases substantially rising concerns about astronauts health. Application of on-board medications to mitigate clinical symptoms associated with certain medical conditions and illnesses is the first line of response to ensure sustainable health and performance of crew. Unfortunately, very limited research has been conducted to determine efficacy of the earth-based pharmaceuticals in a microgravity environment. In some instances, orally administered medications taken during flight were reported to be less effective than expected. Evaluation of series of experiments involving astronauts from shuttle flights shows notable individual variability to several pharmaceuticals during flight. These data provide reasonable assumption of perturbation in CYP450 enzymes during spaceflight, which contribute to the hepatic metabolism of the majority of drugs and therefore may have significant effects on therapeutic efficacy and increase treatment-related toxicity. The genes encoding the CYP450 enzymes are highly variable in humans. Inheritable variations of CYP450 hepatic metabolizer enzymes and transport proteins play a crucial role in the inter-individual variability of drug efficiency and risks of adverse drug reactions. Additionally, there are some reports that document changes in the levels of production of drug-metabolizing enzymes in microgravity. Therefore, in order to provide a safe and effective pharmaceutical treatment in space, medications selection should be based not only on the specific efficacy of medications but also on the individual drug sensitivity and flight-induced changes in metabolism of astronauts chosen for a particular mission. To our knowledge, there was no pre-flight drug sensitivity testing on a genetic level for any of the previous manned NASA space missions. Therefore, technologies capable of predicting and managing medication efficacy, side effects, and toxicity of drugs based on individual genetic variability of crew members are increasingly needed. In this report, we present results of testing the market available Personalized Prescribing System (PPS), a comprehensive, non-invasive solution for safer, targeted medication management for every crew member. Statistical accuracy and simplicity of non-invasive sample analysis demonstrate the feasibility of drug sensitivity assessment and record-keeping tool for flight surgeons and astronauts in applying the recommended medications for situations arising in flight. The information on individual drug sensitivity will translate into personalized risk assessment for adverse drug reactions and treatment failures for each drug from the medication kit as well as predefined outcome. This will address the HHC’s raised “Concern of Clinically Relevant Unpredicted Effects of Medication” as recently updated.

medications↗

Air and Water Temperature Relationship and Growth of Hyacinth and Primrose

Temperature is a primary determining factor for plant growth and development so providing an appropriate temperature input is critically important for developing growth models. The Delta Region Areawide Aquatic Weed Project (DRAAWP), a USDA (US Dept. of Agriculture)-sponsored area-wide project including NASA Ames Research Center and State of California Department of Boating and Waterways, uses modeling to assess invasive aquatic plant impacts on ecosystem services in the Delta. Availability of continuous records for monitored temperature is limited and particularly in the case of water temperature the distribution of monitoring is inadequate. This work quantitatively defines the influence of air and water temperature in determining dominant growth rate processes for important floating aquatic invasive plants in the Delta. Since these plants function with portions submerged and above water we wanted to understand the relationship between root zone and shoot zone temperature and ability to use a single temperature inputs in DRAAWP models. Water Hyacinth and Primrose were gown in multiple controlled environment chamber studies with various combinations of root zone and shoot zone temperatures. Long-term growth studies provided integrated response of biomass accumulation and distribution within the canopy. Short-term gas exchange studies provide a time scale for responsiveness to temperature and a short-term study approach to evaluate temperature responses at various stages of canopy development.

Hyacinth↗

Southern Wyoming Ecological Forecasting: Monitoring Cheatgrass in Southern Wyoming and Northern Colorado to Inform Management Efforts Post-Mullen Fire

Cheatgrass (Bromus tectorum) is a prominent invasive species in the Intermountain West that has the potential to out-compete native plant species, reduce biodiversity, and reduce the quality of habitat for ungulates. Furthermore, because cheatgrass readily establishes in disturbed landscapes, it can potentially increase fuel loads and exacerbate wildfire risk. In 2020, the Mullen Fire burned 176,878 acres in Carbon and Albany Counties, Wyoming and Jackson County, Colorado. Large fires such as this one raise concern for partners at the United States Forest Service and the United States Geological Survey Fort Collins Science Center, who are tasked with rapidly detecting and controlling invasive species in the post-fire environment. We developed a Random Forest model trained by in-situ field data and spectral indices such as Normalized Difference Vegetation Index (NDVI), Soil Adjusted Vegetation Index, and Enhanced Vegetation Index derived from Landsat 8 Operational Land Imager, Sentinel-2 MultiSpectral Instrument, and Shuttle Radar Topography Mission to detect and map cheatgrass presence during the 2021 growing season. The team successfully created a spectral cheatgrass detection map in the study area (RMSE = 13.71, R2 = 0.34). We also produced a NDVI time-series derived from Sentinel-2 MSI to analyze vegetation recovery patterns.

Dahlia Shahin↗

Vermont & New Hampshire Ecological Forecasting: Monitoring Trends in Tree Defoliation Due to Lymantria dispar Outbreaks to Predict Future Hardwood Tree Mortality and Health Impacts

The invasive, herbivorous insect Lymantria dispar is a major defoliator of hardwood trees in the northeastern United States. Established populations of L. dispar typically rest at low levels but undergo recurring outbreaks that cause tree mortality if they occur in quick succession or are combined with other stressors on tree health. Widespread defoliation events disrupt local wildlife, economies, and livelihoods. Accurate monitoring of defoliation events is necessary to implement effective land management practices that support tree health. There are challenges to accurately monitoring L. dispar outbreaks that include the ephemeral character of defoliation disturbances and the difficulties of conducting large-scale surveys of L. dispar populations using existing aerial and ground-based data collection methods. To better monitor the impact of L. dispar on forests in Vermont and New Hampshire, the NASA DEVELOP team partnered with organizations responsible for supporting land and invasive species management including the Forest Ecosystem Monitoring Cooperative, the Vermont Agency of Agriculture, Food and Markets, the University of New Hampshire Cooperative Extension, and the New Hampshire Division of Forests and Lands, Forest Health Program. The team used NASA Earth observations collected by the Terra, Soil Moisture Active Passive (SMAP), Shuttle Radar Topography Mission (SRTM), Landsat 7, and Landsat 8 satellites along with ancillary datasets to map historical tree defoliation from 2012 to 2021. In support of partners’ future land management efforts, the team created a Google Earth Engine tool that displays annual defoliation extent.

Seamore Zhu↗

New York Ecological Forecasting: Utilizing NASA Earth Observations to Map Ash Distribution and Inform Emerald Ash Borer Control

Since their first sightings in the U.S. in 2002, emerald ash borer beetles (Agrilus planipennis; EAB) have killed millions of native ash (Fraxinus spp.) trees across 35 states. Infected ash stands frequently exhibit complete mortality, with the predicted result being the functional extinction of native ash in U.S. forests. In August of 2020, EAB was discovered in the 6.1-million-acre Adirondack Park. The team’s partners at the Adirondack Park Invasive Plant Program (APIPP) desired ash tree distribution and EAB susceptibility information to help improve EAB bio-control efficiency and apply the methodology to future invasive programs. To assist, the team mapped ash tree distribution using NASA Earth observations from Landsat 7 Enhanced Thematic Mapper Plus (ETM+) and Shuttle Radar Topography Mission (SRTM), along with hyperspectral imagery from the Airborne Visible/Infrared Imaging Spectrometer (AVIRIS). Field data from the Monitoring and Managing Ash (MaMA) project, iMapInvasives and iNaturalist databases, and the New York State Department of Environmental Conservation (NYSDEC) provided ground truthing for mapping and modeling. Results indicate that for ash detection, the team’s Spectral Angle Mapping (SAM) hyperspectral classification is slightly more sensitive but less accurate than multispectral Random Forest (RF) classification, though neither method was above a ~20% detection rate. End products include maps of ash extent derived from both imagery types, a model forecasting future spread scenarios based on current EAB presence, and outreach materials. These products inform APIPP’s management decisions and facilitate public awareness of EAB’s threat to communities within the region.

Liam Megraw↗

CyanoSCape: Freshwater Phytoplankton and Floating Aquatic Vegetation Biodiversity

In Southern Africa, the impacts of anthropogenic activities on biodiversity and ecosystem services are exacerbated by the climate crisis. Rapid land use change and the lack of emphasis on environmentally sustainable agricultural practices has hindered hydrological processes and compromised riverine and aquatic ecosystems. This poses obvious risks to natural/indigenous aquatic biodiversity and long-term ecosystem sustainability. Phytoplankton serve as the foundation of the freshwater food web with zooplankton as consumers, which feed fish, invertebrates, and so on up the food chain that comprises the biodiversity of the freshwater system that serves as habitat for biodiversity as well. The diversity of phytoplankton (microscopic organisms) includes photosynthesizing bacteria (cyanobacteria), plant-like diatoms, dinoflagellates, and green algae. Nutrient run-off from agricultural fertilizers and urban overflows, warm temperatures, abundant light availability and compromised hydrological systems provide an ideal environment for cyanobacteria to flourish. Increased prevalence of cyanobacteria, due to both natural and anthropogenic causes, can incur significant effects on the biodiversity of the overall phytoplankton assemblage. These bloom forming algae can significantly outcompete other phytoplankton classes in warmer and eutrophic waters where they are quick to dominate the freshwater system. Eutrophication and toxic cyanobacteria blooms (cyanoHABs) in the inland waters of the Greater Cape Floristic Region (GCFR) incur significant effects on the biodiversity of the overall phytoplankton assemblage and provide a favorable environment forthe overgrowth of floating aquatic vegetation (FAV), which is often invasive and associated with reduced aquatic biodiversity. The algal biodiversity of the GCFR’s freshwater systems is not well characterized. Hyperspectral optical observations are expected to facilitate the improvement of current phytoplankton functional type retrievals significantly, as the sensitivity is sufficient that the distinctive, fine spectral features of different phytoplankton groups can be detected. This will enable testing emerging algorithms and inform the development of new algorithms for use with upcoming hyperspectral satellite missions in this decade. Innovations in optical sensor sensitivity and next generation machine learning capabilities considerably enhance the potential for accurate and rapid detection of phytoplankton, namely the presence, extent, and diversity of cyanobacteria present in cyanoHABs and additionally, invasive FAV. Upcoming hyperspectral satellite missions such as NASA’s Surface Biology and Geology (SBG), Plankton, Aerosol, Cloud, ocean Ecosystem (PACE), and the European Space Agency’s Copernicus Hyperspectral Imaging Mission (CHIME) will provide imagery with unprecedented spectral and spatial resolution which will further enable the discovery of linkages between the seasonality and dynamics of HABs and FAV. The overarching goal of this project is to utilize hyperspectral data, with recently developed and next-generation algorithms, to determine the biodiversity of freshwater systems phytoplankton assemblage with emphasis on genus level distinction, as well as monitor the prevalence and diversity of FAV.

CyanoSCape↗

Automated Fluidics Device for Extraction and Quantification of miRNA Biomarkers From Blood

Radiation Assessment DuRing Exposure And long-Duration Spaceflight (RADREADS) demonstrates space-compatible point-of-care technology for quantitative biological monitoring of blood miRNA biomarkers in response to long-term low dose radiation exposure. This individualized monitoring approach will inform targeted treatment strategies to maximize medical resource utilization by accounting for individual susceptibility to radiation-related illnesses. As human spaceflight progresses beyond Earth’s magnetic shielding, radiation exposure poses a significant risk to astronaut health and safety. Extended operation in this environment comes with an increased risk of radiation exposure, leading to higher risks of radiation sickness, cancer, central nervous system effects, and degenerative diseases. While conventional physical dosimetry techniques capture radiation dose, individualistic susceptibility to radiation damage is varied. Multiple characteristics, including age, body weight, sex, genetics, and immune status, have been found to influence radiosensitivity (Liu et al. 2011, and Bouffler 2016). This differential response necessitates individualized monitoring and targeted treatment strategies to maximize medical resource utilization; however, a practical diagnostic platform for quantifying long-term, low dose radiation-induced tissue damage does not currently exist. MicroRNAs (miRNAs) are a class of small, non-coding RNAs that regulate gene expression by mediating the degradation of messenger RNA. The levels of particular miRNAs are influenced by biological processes such as inflammation and serve as biomarkers for a variety of conditions including cancer (Singh et al. 2017). MicroRNAs are found in various bodily fluids and are amenable to collection via liquid biopsies, providing a minimally invasive and easily quantifiable readout for a variety of radiosensitive reporters. A preliminary signature of 15 spaceflight sensitive miRNA has been identified in rodent and human studies, including miR-21-5p, miR-24-3p, miR-92a-3p, miR-17-5p, miR-16a-3p, miR-34a-3p, and miR-223-3p. These targets generally increased expression with radiation dose and linear energy transfer, though variation between individuals is not yet described. Current gaps in the field include a lack of understanding of longitudinal biological responses to long-term, low dose radiation exposure and the absence of space-compatible point-of-care technology for quantitative biological monitoring. In this body of work, we aim to develop an automated bleed-to-read system to process whole blood for the detection of miRNA biomarkers in order to monitor individualistic responses to radiation exposure. This will be achieved via separating serum (or plasma) from whole blood, followed by extraction, amplification, and quantification of the miRNA using a RT-qPCR reaction. Previously, the WetLab-2 hardware enabled execution of a RT-qPCR reaction aboard ISS; however, it is a manual system that requires crew manipulation and bulky components (Parra et al. 2017). To address these issues, automated fluid handling hardware was developed for each stage of sample preparation. Extraction of total RNA is achieved by sequentially pumping reagents through an off-the-shelf nucleic acid binding column (miRNeasy Serum/Plasma Advanced Kit, Qiagen). This approach eliminates several manual pipetting and centrifuging steps and limits the use of toxic chemicals commonly found in other sample processing techniques. The resulting elution will then be automatically dispensed for RT-qPCR analysis using a compact rotary qPCR (Mic qPCR Cycler, Bio Molecular Systems) that will improve spaceflight compatibility by removing bubbles from the detection region, another challenge highlighted by WetLab-2 (Parra et al. 2017). Efforts are also being made to simplify the RT-qPCR reaction to a 1-step air-dryable mix to improve long-term reagent stability at room temperature and reduce system complexity. By automating the RT-qPCR processes via microfluidic manipulation, RADREADS will reduce crewmember hands-on time and enable the personalized detection of radiation-induced tissue damage during long duration missions. Minimally invasive, longitudinal monitoring of individual’s response to radiation exposure will inform how the physiological system responds to long-term low dose space radiation and enables development of targeted countermeasures by the medical team. Ultimately, this portable technology will require minimal technical expertise and can also be used to monitor miRNA biomarkers associated with other diseases.

Tristen Head↗

RF Characterization of a Photocurable PEDOT:PSS:PEGDA Conductive Biomaterial for 3D-Printing Implantable Antennas

In this work, we demonstrate photocurable PEDOT:PSS:PEGDA biomaterial as a promising candidate for intracorporeal 3D printing. Intracorporeal 3D printing offers a less invasive method which offer flexibility to tailor the form factor of printed structures. Previous work has demonstrated the feasibility of a robotic probe to 3D-print biological tissues intracorporeally via a minor incision. This same probe could also 3D-print implantable antennas as long as a suitable conductive material is identified in terms of conductivity, biocompatibility, and ability to cure at room/body temperature for safety purposes. We assess the frequency-dependent conductivity of this biomaterial and explore the Radio-Frequency (RF) performance of resulting antennas operating in free-space and inside tissue-emulating phantoms. Results show that PEDOT:PSS biomaterial with 21% and 30% PEGDA content exhibit a conductivity of ~10 4 S/m up to 5 GHz, suitable for wireless implants. Comparing the two, 21% PEGDA content exhibits poorer curing abilities, while 30% PEGDA exhibits slightly lower conductivity. Measurements for 2.4 GHz free-space dipoles conducted in an anechoic chamber reveal only ~0.8 dB and ~1 dB lower gain for PEDOT:PSS:21%PEGDA and PEDOT:PSS:30%PEGDA biomaterial, respectively, as compared to their copper counterpart. For a 5 mm-deep implanted patch antenna, these two biomaterials exhibit 3.05 dB and 3.84 dB higher transmission loss than copper, respectively. If deemed necessary, this performance degradation can be overcome by increasing the overall antenna size since the printing process is now minimally invasive and miniaturization requirements can be relaxed.

3D-printing↗

Artificial Intelligence Medical Support for Long-Duration Space Missions

We envision an artificial intelligence (AI) based system that will provide support and recommendations to the crew medical officer (CMO) and ground flight surgeon during long-duration space missions. Such a system would be pretrained on the knowledgebase of clinical knowledge on Earth, minimizing the amount of Earth data that needs to be transferred into space. Then during deployment, the system would be constantly refined through active learning from diverse streams of data from sensors in the spacecraft, data collected daily from individual astronauts, and human-in-the-loop feedback from the crew. The model could be interrogated for predictions and recommendations on personalized crew health based on the overall status of the spacecraft, medicinal stores, and status of other crew members. Adaptation techniques would be used to incorporate spaceflight data that have very different distributions from the training data due to the extreme environment. Edge computing and the most advanced neuromorphic processing would enable computation in scenarios with low power and bandwidth, while dimensionality reduction would be employed to ensure that the input data streams from spaceflight are as small as possible. In order to realize this long-term vision, several hardware and software aspects need to be developed and assembled. First, models pretrained on Earth biomedical data would need to be evaluated for predictive accuracy, and the best one selected. That model would need to be adapted to learn from diverse, sparse, and inconsistently measured data streams, as well as human-in-the-loop feedback. A data integration, standardization, and dimensionality reduction methodology would need to be developed to handle all data types and feed them into the model. Once the software and data infrastructure is developed, it would need to be integrated with small footprint compute processors and tested in high-radiation, high-vibration, unregulated temperature situations. As a short-term goal, we recommend to focus on the development of the data and model software structure. Several large language models (LLM) already exist that have been trained on Earth biomedical and clinical knowledgebases, including BioMedLLM, Med-PaLM, SPOKE LLM, and Foresight. These models need to be evaluated for accuracy and the best one chosen for a proof-of-concept structure, while maintaining awareness of the accelerating AI field and incorporating any newly improved model architectures as needed. Then, we recommend to develop a database of synthetic data types to mimic the diverse data streams that are expected in a long-duration space mission. This should include environmental and microbial data from the spacecraft, non-invasive data from wearables and point-of-care devices employed by astronauts, and more invasive molecular and physiological monitoring of clinical and biomarker data from astronauts. The data standardization methodology should be developed, and these data streams used to refine the clinical LLM. Several scenarios should be developed that could plausibly come up in a long-duration space mission, and changes or aberrations introduced to the data at specific times to mimic these scenarios. Then, question and answer tasks should be designed to interrogate the model for predictions and recommendations, with acceptable answers already identified.

Artificial Intelligence↗

Cardiocirculatory responses to exercise - Physiologic study by noninvasive techniques.

The changes from rest to exercise were determined for certain phases of the cardiac cycle in ten healthy male subjects who underwent submaximal, physiologically paced bicycle ergometry. ECGs, phonocardiograms, and carotid pu lse tracings were recorded. The preejection period and isovolumic contraction time decreased with exercise. Changes in left ventricular ejection time appeared to depend on the severity or the duration of stress. Pulse transmission time did not change significantly. The data obtained in the study and comparison of these results to those obtained by invasive methods indicate that noninvasive techniques, when used in the manner suggested, are appropriate means for detecting a variety of cardiocirculatory changes during exercise.

Pigott, V. M.↗