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NASA NTRSDate not supplied

Clinical Decision Support - Concepts of Operation

We are entering a new era in space exploration to return to the moon and explore Mars. Crew members operating independently during long duration space exploration missions will require a clinical decision support system (CDSS) to increase autonomy by augmenting their knowledge, skills and abilities in different scenarios. Significant changes to in-flight and habitat medical care due to constraints on mass, volume, power, crew time and medical evacuation capabilities are needed to increase crew autonomy and self-reliance in decision making and task performance. The Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP) pushes the boundary of space medical systems to advance the care of astronauts on future exploration missions beyond low Earth orbit by identifying and testing next-generation medical care and crew health maintenance technologies. Clinical decision support (CDS) presents knowledge and data in a context aware manner to augment a crew members’ knowledge, skills and abilities during the process of observation, orientation, decisions and action. A comprehensive crew health and performance CDSS is required to augment crew capability and will be used in different scenarios for several reasons. In general, the CDSS’s role is to assist the crew in prevention, detection, diagnosis and treatment of crew health and performance related conditions that may arise in exploration spaceflight. For example, CDSS would assist a high acuity scenario such as a heart attack by supplying clear instructions, vital signs and treatment reminders. A lower severity scenario such as kidney stone risk could interface to vehicle systems and display more complex predictive data during a diagnosis. A CDSS needs to contribute to successful missions by maintaining a high performing crew who can potentially exhibit countless medical conditions related to derangements from the space environment (sleep, cognition, nutrition and exercise) as well as conditions intrinsic to humans anywhere. While supporting the crew’s ability to make sound clinical decisions is desirable in any mission, it is essential for exploration missions with significant communication delays, no evacuation capability, and extended exposure to the flight environment. Such missions correspond with medical Level of Care V (LOC V), the highest level specified in NASA-STD-3001. The project focuses on CDS implementation research to derive requirements for LOC V, where the need for increased autonomy results in new practices and the inclusion of non-clinical data, such as vehicle environmental measures and physical exercise results, from other human and vehicle domains and advanced analytics. The CDS project describes how the CDSS is intended to be used by defining concepts of operations (ConOps). The process to derive ConOps focuses on increased autonomy that reduces the likelihood and consequences of accepted medical conditions. These crew health and performance inputs are grouped by common datasets and analysis models. Use cases are derived to research new clinical scenarios, architectural development and workflows. Implementation research is conducted with protypes to inform assumptions and derive requirements. The project also establishes how externally developed analysis and approaches can be added to expand a clinical decision support system and thus highlight how a comprehensive system can be globally developed with collaborators. This presentation will cover example scenarios from the CDS ConOps and the method to derive them. One example scenario will be CDSS alerting an increased kidney stone risk during a mission, with diagnosis and treatment options provided during the intervention.

clinical decision support↗
NASA NTRS2021

Exploration Medical Capability Clinical Decision Support System Concept of Operations

The Clinical Decision Support (CDS) project supports the Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP). Specifically, the CDS project addresses the ExMC gap, Medical-701: Enhance medical capabilities within an exploration medical system. For long-duration, deep space missions, computational and data resources will play an important role in maintaining crew health, wellness and performance where the crew will need to be more self-reliant as we enter a new era in space exploration to return to the moon and explore Mars. These ambitious goals will require significant change in in-flight medical care due to constraints on mass, volume, power, crew time, skills reduction over time and medical evacuation capabilities. These constraints make it absolutely necessary to develop transformative solutions using new technologies. Unlike the current paradigm for crew health in low-Earth orbit missions that rely on constant communication with Mission Control, the deep space missions will experience communication delays and possibly, no communications for finite periods of time. Hence, crew health management will benefit from analytics’ capabilities to augment decision support. A comprehensive, multi-functional on-board clinical decision support system (CDSS) will help crews assess and diagnose conditions, decide appropriate responses, and guide the provision of tailored and evidence-based treatments, while reflecting contextual factors and constraints. The context may include present and historical data, viable diagnostic equipment, available supplies and medications, and vehicle and environmental health. Communication time with ground-based personnel is delayed or non-existent during significant portions of the mission so the crew will need to autonomously respond to health, performance and medical situations, particularly those that are unplanned. The CDSS must also provide additional capabilities as complex as training for an emergency situation while augmenting non-expert practitioner skillsets if the Crew Medical Officer (CMO) is incapacitated, and as routine as facilitating delayed communication with flight surgeons on the ground. The CDSS must connect complex issues involving health, wellness, task performance and environmental domains. Furthermore, CDSS functionality will focus on semi-autonomous and autonomous decision-making by the crew that is necessary to address challenges in executing a self-contained medical system that enables health care without assistance from ground clinical experts. The document, ExMC CDSS Architecture Recommendation, (HRP- 48032) establishes a description of the envisioned CDSS architecture. The analytics, descriptive or advanced, contained in a CDSS will interface with the integrated crew health and performance architecture that provides the appropriate data sets. The aim of the CDS project is to develop requirements for a CDSS through a series of test-bed prototype developments and demonstrations.

HRP↗
NASA NTRSDate not supplied

NASA’s Radioisotope Power Systems Program: Status Update

Radioisotope power systems (RPS) have safely been in use in the United States for over 60 years. RPS-enabled NASA missions have utilized space nuclear power to explore planets, moons, and interstellar space. This exploration resulted in changes to our understanding of our Solar System and our place within it. In 2010, NASA HQ established a NASA program to invest in RPS technologies and systems that could enable future missions. The RPS Program ensures the availability of RPS for the exploration of the solar system in environments where conventional solar or chemical power generation is impractical or impossible. The RPS Program, in partnership with the Department of Energy (DOE) Office of Nuclear Energy continues to operate as an interagency partnership to provide robust power system solutions to spacecrafts that conduct missions for exploration and science that otherwise would not be feasible. This paper provides a synopsis of current activities after well over a decade of formal interagency partnering.

Radioisotope↗
NASA NTRS2018

Field Camp for Astronauts: NASA's Geoscience Training Program for Planetary Exploration

Fifty years ago Apollo astronauts walked on the Moon to explore the geology and collect samples for Earth return. Several authors have discussed the strategic planning and training that enabled the Apollo successes, and assembled recommendations regarding today’s lunar science objectives and astronaut training required to achieve those science goals. Since the 1980s, geoscience training for astronauts focused on observing the Earth from orbit. Today, we are building a geoscience training program to support informed Earth observations as well as the exploration culture for future human missions to the Moon and Mars. Our team partnered with JSC’s crew training and astronaut offices to develop our 4-week geoscience program for the 2017 astronaut class. Because the astronauts have a variety of professional backgrounds, we provide a broad introduction to Earth and planetary sciences. But our prime focus is 2 weeks of intensive field work, a methodology introduced with the 2013 astronaut class. We completed the first half of the training – a field trip to observe hurricane deposits along Galveston Bay; keynotes by Apollo colleagues highlighting Apollo experiences; a tightly-integrated week of introductory geology in the classroom followed by a week of fieldwork in the Rio Grande del Norte National Monument. The classroom included interactive map exercises that allowed the students to progressively build a base map of the field area that they used as a starting point for their week-long mapping exercise. We divided the class into small mapping groups to conduct their observations, mapping and interpretation of the geology. In addition to learning geological field work, our field training provided the platform for practicing expeditionary leadership, a key skill set valued by NASA for astronaut crews. Next summer the capstone fieldwork for the 2017 astronauts will include both mapping and rock sampling. Throughout the mapping, the class will collect additional data to help inform field and sampling decisions using diagnostic field instruments that are being tested in analog settings for their operational efficacy for future planetary exploration.

Evans, Cynthia A.↗
NASA NTRS2008

Science on the Moon: The Wailing Wall of Space Exploration

Science on and from the Moon has important implications for expanding human knowledge and understanding, a prospect for the 21st Century that has been under discussion for at least the past 25 years. That having been said, however, there remain many issues of international versus national priorities, strategy, economy, and politics that come into play. The result is a very complex form of human behavior where science and exploration take center stage, but many other important human options are sacrificed. To renew this dialogue about the Moon, it seems we are already rushing pell-mell into it as has been done in the past. The U.S., Japan, China, India, and Russia either have sent or plan to send satellites and robotic landers there at this time. What does a return to the Moon mean, why are we doing this now, who should pay for it, and how? The only semblance of such a human enterprise seems to be the LHC currently coming online at CERN. Can it be used as a model of international collaboration rather than a sports or military event focused on national competition? Who decides and what is the human sacrifice? There are compelling arguments for establishing science on the Moon as one of the primary goals for returning to the Moon and venturing beyond. A number of science endeavors will be summarized, beyond lunar and planetary science per se. These include fundamental physics experiments that are background-limited by the Earth's magnetic dipole moment and noise produced by its atmosphere and seismic interior. The Moon is an excellent platform for some forms of astronomy. Other candidate Moon-based experiments vary from neutrino and gravitational wave astronomy, particle astrophysics, and cosmic-ray calorimeters, to space physics and fundamental physics such as proton decay. The list goes on and includes placing humans in a hostile environment to study the long-term effects of space weather. The list is long, and even newer ideas will come from this COSPAR conference. However, whatever the list the issue of cooperation and binding collaboration remains. As observers of Moon and other space enterprises, we all know that a room full of 60 scientists will not agree on much of anything and there will probably be 60! please for more funding. People have special interests and little common sense (e.g., conflict between NSF- and NASA-funding roadmaps). Scientists are no exception. Nevertheless, CERN has done it on Earth! Can we do the same on the Moon? Some of the present generation of proposals for science from and on the Moon, plus new ones, will witness a place in space exploration's future. It is clear, however, that the world has not thought this through adequately, except for talk about an international space federation whatever that is. An outpost on the Moon with humans permanently living there much like Antarctica on Earth may be in our future. However, such planning is our collective international responsibility and not that of special-interest investigators from individual nations unless they intend to pay for it.

Wilson, Thomas↗
NASA NTRS1962

SPACE SCIENCE - MOON AND PLANETS

Exploration of the solar system during the next decade will concentrate on the Earth, Sun, Moon, and the near planets, Mars and Venus. In the previous paper, the exploration of the Earth and Sun by means of sounding rockets and satellites was discussed. In this paper, our most active projects to explore the Moon, Mars, and Venus will be reviewed briefly.

Moon↗
NASA NTRS2006

Exploring the Mineralogy of the Moon with M3

From the initial era or lunar exploration, we have learned that many processes active on the early Moon are common to most terrestrial planets, including the record of early and late impact bombardment. Since most major geologic activity ceased on the Moon approx. 3 Gy ago, the Moon's surface provides a record of the earliest era of terrestrial planet evolution. The type and composition of minerals that comprise a planetary surface are a direct result of the initial composition and subsequent thermal and physical processing. Lunar mineralogy seen today is thus a direct record of the early evolution of the lunar crust and subsequent geologic processes. Specifically, the distribution and concentration of specific minerals is closely tied to magma ocean products, lenses of intruded or remelted plutons, basaltic volcanism and fire-fountaining, and any process (e.g. cratering) that might redistribute or transform primary and secondary lunar crustal materials. The Moon Mineralogy Mapper (M3, or "m-cube") is a state-of-the-art imaging spectrometer that will fly on Chandrayaan-1, the Indian Space Research Organization (ISRO) mission to be launched late 2007 to early 2008. M3 is one of several foreign instruments chosen by ISRO to be flown on Chandrayaan-1 to complement the strong ISRO payload package. M3 was selected through a peer-review process as part of NASA s Discovery Program. It is under the oversight of PI Carle Pieters at Brown University and is being built by an experienced team at the Jet Propulsion Laboratory. Data analysis and calibration are carried out by a highly qualified and knowledgeable Science Team. To characterize diagnostic properties of lunar minerals, M3 acquires high spectral resolution reflectance data from 700 to 3000 nm (optional to 430 nm). M3 operates as a pushbroom spectrometer with a slit oriented orthogonal to the S/C orbital motion. Measurements are obtained simultaneously for 640 cross track spatial elements and 261 spectral elements. This translates to 70 m/pixel spatial resolution from a nominal 100 km polar orbit for Chandrayaan-1 . The primary science goal of M3 is to characterize and map lunar surface mineralogy in the context of its geologic evolution as outlined above. This translates into several sub-topics that focus on exploring the mineral character of the highland crust, characterizing the diversity basaltic volcanism, and identifying potential volatile concentrations near the poles. The primary exploration goal is to assess and map lunar mineral resources at high spatial resolution to support planning for future, targeted missions.

Pieters, C. M.↗
NASA NTRS2008

Refinements in the Design of the Ares V Cargo Launch Vehicle for NASA's, Exploration Strategy

NASA is developing a new launch vehicle fleet to fulfill the national goals of replacing the shuttle fleet, completing the International Space Station (ISS), and exploring the Moon on the way to eventual exploration of Mars and beyond. Programmatic and technical decisions during early architecture studies and subsequent design activities were focused on safe, reliable operationally efficient vehicles that could support a sustainable exploration program. A pair of launch vehicles was selected to support those goals the Ares I crew launch vehicle and the Ares V cargo launch vehicle. They will be the first new human-rated launch vehicles developed by NASA in more than 30 years (Figure 1). Ares I will be the first to fly, beginning space station ferry operations no later than 2015. It will be able to carry up to six astronauts to ISS or support up to four astronauts for expeditions to the moon. Ares V is scheduled to be operational in the 2020 timeframe and will provide the propulsion systems and payload to truly extend human exploration beyond low-Earth orbit. (LEO).

Creech, Steve↗
NASA NTRS2012

Time and Energy, Exploring Trajectory Options Between Nodes in Earth-Moon Space

The Global Exploration Roadmap (GER) was released by the International Space Exploration Coordination Group (ISECG) in September of 2011. It describes mission scenarios that begin with the International Space Station and utilize it to demonstrate necessary technologies and capabilities prior to deployment of systems into Earth-Moon space. Deployment of these systems is an intermediate step in preparation for more complex deep space missions to near-Earth asteroids and eventually Mars. In one of the scenarios described in the GER, "Asteroid Next", there are activities that occur in Earth-Moon space at one of the Earth-Moon Lagrange (libration) points. In this regard, the authors examine the possible role of an intermediate staging point in an effort to illuminate potential trajectory options for conducting missions in Earth-Moon space of increasing duration, ultimately leading to deep space missions. This paper will describe several options for transits between Low Earth Orbit (LEO) and the libration points, transits between libration points, and transits between the libration points and interplanetary trajectories. The solution space provided will be constrained by selected orbital mechanics design techniques and physical characteristics of hardware to be used in both crewed missions and uncrewed missions. The relationships between time and energy required to transfer hardware between these locations will provide a better understanding of the potential trade-offs mission planners could consider in the development of capabilities, individual missions, and mission series in the context of the ISECG GER.

Martinez, Roland↗
NASA NTRS2006

Electrodynamic Dust Shield for Surface Exploration Activities on the Moon and Mars

The Apollo missions to the moon showed that lunar dust can hamper astronaut surface activities due to its ability to cling to most surfaces. NASA's Mars exploration landers and rovers have also shown that the problem is equally hard if not harder on Mars. In this paper, we report on our efforts to develop and electrodynamic dust shield to prevent the accumulation of dust on surfaces and to remove dust already adhering to those surfaces. The parent technology for the electrodynamic dust shield, developed in the 1970s, has been shown to lift and transport charged and uncharged particles using electrostatic and dielectrophoretic forces. This technology has never been applied for space applications on Mars or the moon due to electrostatic breakdown concerns. In this paper, we show that an appropriate design can prevent the electrostatic breakdown at the low Martian atmospheric pressures. We are also able to show that uncharged dust can be lifted and removed from surfaces under simulated Martian environmental conditions. This technology has many potential benefits for removing dust from visors, viewports and many other surfaces as well as from solar arrays. We have also been able to develop a version of the electrodynamic dust shield working under. hard vacuum conditions. This version should work well on the moon.

Calle, C. I.↗
NASA NTRS2006

Technology Assessment in Support of the Presidential Vision for Space Exploration

This paper discusses the process and results of technology assessment in support of the United States Vision for Space Exploration of the Moon, Mars and Beyond. The paper begins by reviewing the Presidential Vision: a major endeavor in building systems of systems. It discusses why we wish to return to the Moon, and the exploration architecture for getting there safely, sustaining a presence, and safely returning. Next, a methodology for optimal technology investment is proposed with discussion of inputs including a capability hierarchy, mission importance weightings, available resource profiles as a function of time, likelihoods of development success, and an objective function. A temporal optimization formulation is offered, and the investment recommendations presented along with sensitivity analyses. Key questions addressed are sensitivity of budget allocations to cost uncertainties, reduction in available budget levels, and shifting funding within constraints imposed by mission timeline.

technology↗
NASA NTRSDate not supplied

Exploring the Neotectonics of the Moon: The Young, Rocky, Dorsa Aldrovandi Wrinkle Ridge Northwest of Taurus-Littrow

Lunar Reconnaissance Orbiter Camera (LROC) observations have established that some of the small wrinkle ridges on the Moon are certainly Copernican, and possibly active within a few Ma or even active at present. Recently, Valantinas and Schultz pointed out that some of these wrinkle ridges show an excess abundance of meter-scale blocks in Diviner rock abundance data, which supports the idea that tectonic activity must be recent, because the half-life of meter-scale blocks on the Moon is only 40-80 Ma. These wrinkle ridges also have sharp topography and cross-cutting relationships with fresh craters that also speak to their youth. We argue here that these block-rich, young wrinkle ridges are interesting exploration targets. We first describe some objectives and concepts for exploring these landforms in a general sense, and then focus on one candidate landing area, Dorsa Aldrovandi.

Moon↗
NASA NTRS1989

Science exploration opportunities for manned missions to the Moon, Mars, Phobos, and an asteroid

Scientific exploration opportunities for human missions to the Moon, Phobos, Mars, and an asteroid are addressed. These planetary objects are of prime interest to scientists because they are the accessible, terresterial-like bodies most likely to be the next destinations for human missions beyond Earth orbit. Three categories of science opportunities are defined and discussed: target science, platform science, and cruise science. Target science is the study of the planetary object and its surroundings (including geological, biological, atmospheric, and fields and particle sciences) to determine the object's natural physical characteristics, planetological history, mode of origin, relation to possible extant or extinct like forms, surface environmental properties, resource potential, and suitability for human bases or outposts. Platform science takes advantage of the target body using it as a site for establishing laboratory facilities and observatories; and cruise science consists of studies conducted by the crew during the voyage to and from a target body. Generic and specific science opportunities for each target are summarized along with listings of strawman payloads, desired or required precursor information, priorities for initial scientific objectives, and candidate landing sites. An appendix details the potential use of the Moon for astronomical observatories and specialized observatories, and a bibliography compiles recent work on topics relating to human scientific exploration of the Moon, Phobos, Mars, and asteroids. It is concluded that there are a wide variety of scientific exploration opportunities that can be pursued during human missions to planetary targets but that more detailed studies and precursor unmanned missions should be carried out first.

Nash, Douglas B.↗
NASA NTRS2008

Forecasting Proximal Femur and Wrist Fracture Caused by a Fall to the Side during Space Exploration Missions to the Moon and Mars

The possibility of bone fracture in space is a concern due to the negative impact it could have on a mission. The Bone Fracture Risk Module (BFxRM) developed at the NASA Glenn Research Center is a statistical simulation that quantifies the probability of bone fracture at specific skeletal locations for particular activities or events during space exploration missions. This paper reports fracture probability predictions for the proximal femur and wrist resulting from a fall to the side during an extravehicular activity (EVA) on specific days of lunar and Martian exploration missions. The risk of fracture at the proximal femur on any given day of the mission is small and fairly constant, although it is slightly greater towards the end of the mission, due to a reduction in proximal femur bone mineral density (BMD). The risk of wrist fracture is greater than the risk of hip fracture and there is an increased risk on Mars since it has a higher gravitational environment than the moon. The BFxRM can be used to help manage the risk of bone fracture in space as an engineering tool that is used during mission operation and resource planning.

Lewandowski, Beth E.↗
NASA NTRS2007

Risk Assessment of Bone Fracture During Space Exploration Missions to the Moon and Mars

The possibility of a traumatic bone fracture in space is a concern due to the observed decrease in astronaut bone mineral density (BMD) during spaceflight and because of the physical demands of the mission. The Bone Fracture Risk Module (BFxRM) was developed to quantify the probability of fracture at the femoral neck and lumbar spine during space exploration missions. The BFxRM is scenario-based, providing predictions for specific activities or events during a particular space mission. The key elements of the BFxRM are the mission parameters, the biomechanical loading models, the bone loss and fracture models and the incidence rate of the activity or event. Uncertainties in the model parameters arise due to variations within the population and unknowns associated with the effects of the space environment. Consequently, parameter distributions were used in Monte Carlo simulations to obtain an estimate of fracture probability under real mission scenarios. The model predicts an increase in the probability of fracture as the mission length increases and fracture is more likely in the higher gravitational field of Mars than on the moon. The resulting probability predictions and sensitivity analyses of the BFxRM can be used as an engineering tool for mission operation and resource planning in order to mitigate the risk of bone fracture in space.

Lewandowski, Beth E.↗
NASA NTRS2008

Risk Assessment of Bone Fracture During Space Exploration Missions to the Moon and Mars

The possibility of a traumatic bone fracture in space is a concern due to the observed decrease in astronaut bone mineral density (BMD) during spaceflight and because of the physical demands of the mission. The Bone Fracture Risk Module (BFxRM) was developed to quantify the probability of fracture at the femoral neck and lumbar spine during space exploration missions. The BFxRM is scenario-based, providing predictions for specific activities or events during a particular space mission. The key elements of the BFxRM are the mission parameters, the biomechanical loading models, the bone loss and fracture models and the incidence rate of the activity or event. Uncertainties in the model parameters arise due to variations within the population and unknowns associated with the effects of the space environment. Consequently, parameter distributions were used in Monte Carlo simulations to obtain an estimate of fracture probability under real mission scenarios. The model predicts an increase in the probability of fracture as the mission length increases and fracture is more likely in the higher gravitational field of Mars than on the moon. The resulting probability predictions and sensitivity analyses of the BFxRM can be used as an engineering tool for mission operation and resource planning in order to mitigate the risk of bone fracture in space.

Lewandowski, Beth E.↗