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NASA NTRSDate not supplied

Clinical Decision Support: Path to Functional Requirements

Long-duration, deep-space exploration missions present significant challenges to crew health and performance. These challenges include the individual and combined effects of microgravity, radiation exposure, isolation, limited resources (mass, volume, power, data and crew time), limited options for evacuation and those associated with delayed or constrained communications, all of which demand greater crew autonomy. Specifically, as the communication delays intensify the further we explore space, the unqualified need for Earth-independent medical operations focused on autonomous diagnosis, treatment and prevention will be key to mission continuation and success. To augment the requisite knowledge, skills and abilities (KSAs) of a time-constrained crew operating under stressful conditions, combatting fatigue, and facing a potential medical crisis, a robust clinical decision support system (CDSS) is a probable solution that would facilitate, guide and inform Earth-independent medical operations, while assisting crewmembers through various clinical presentations. The Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP) is expanding the boundaries of space medical systems to advance the care of astronauts on future exploration missions beyond low Earth orbit. ExMC is actively identifying and testing next-generation medical care and crew health maintenance technologies. The Clinical Decision Support (CDS) project addresses gap Medical-701 within the Inflight Medical Conditions risk: “Enhance medical capabilities within an exploration medical system.” Though mass, volume, and power will face increasing constraints, the projected computational capabilities of spacecraft systems will increase exponentially as information technology continues to advance this decade and beyond. Hence, data, software and computational resources will play an essential and synergistic role in maintaining crew health, wellness and performance in deep space missions. The focus of the CDS project is to develop recommended requirements for an in-vehicle CDSS that acts as a ‘virtual assistant’ for delivering optimal health, performance and medical care during exploration missions. The CDSS is envisioned as an integrated, software-based tool deployed on a laptop computer or handheld device. The CDSS will assist the crew and ground support when interacting with knowledge/databases (e.g. records, pharmacy, schedule), instrumentation (e.g. imaging, physiological monitoring devices), and habitat (e.g. wellness system, task performance system) and vehicle systems (e.g. environmental system, communication system). In addition, the human interface will employ a context-based approach that accounts for the crew’s situation. Thus, extraneous and clinically/operationally non-relevant information are reduced to avoid an increase in cognitive load. The framework of an ideal spaceflight CDSS is to include core and advanced analytical features that incorporate work from collaborators yet maintain a flexible platform for integrating new technology in the future. In fiscal year 2021 (FY21), the CDS project identified requirements through two primary mechanisms: (i) the development of software implementation prototypes and (ii) the application of systems engineering processes. The CDS project developed and tested a series of increasingly complex system prototypes that were based on use cases derived from the CDSS concept of operations (ConOps). These software implementations yielded insights on CDSS functionality as well as lessons learned that provided the initial requirements for CDSS capability. By applying a systems engineering (SE) approach, medical scenarios provided in the ConOps and the use cases for software implementation underwent functional decomposition to identify CDSS functionality. Also, systems-based modeling language (SysML) tools such as activity diagrams were developed from the same ConOps and use cases to identify CDSS functionality. The lessons learned from software implementation defined both specific requirements and broad areas of requirements. Within these defined broad requirement areas, further analysis of the SE products identified specific capability that resulted in the final functional requirements. In summary, the software prototypes, functional decomposition of the ConOps and use cases, and SysML diagrams provided the basis for the CDSS requirements developed in FY21. In the upcoming year, these requirements will be refined for their final ExMC baseline review in latter FY22.

Clinical decision support↗
NASA NTRSDate not supplied

Markov Decision Process based Trajectory Planning for UAVs under Uncertain Wind Conditions

In this paper we propose a Markov Decision Process (MDP) algorithm for path-planning of Unmanned Aviation Vehicles (UAVs) under varying wind conditions. Solutions to path-planning for UAVs are becoming increasingly necessary as autonomous UAVs continue to enter commercial and government spaces. Path-planning is inherently challenging, as UAVs needs to account for dynamically changing flying conditions such as weather, obstacle or no-fly zones, degraded vehicle health and off-nominal battery power consumption. Machine learning methods such as Markov Decision Process (MDPs) have the potential to revolutionize how vehicles navigate in such uncertain environments. Previous papers have demonstrated the use of MDPs to optimize UAV path-planning for energy consumption under time-varying wind distribution. In this study, UAV trajectories from a pre-determined waypoint to target cell, will be computed on a 7X7 grid environment by optimizing parameters for mission assurance and safety limits in addition to the energy consumption, and operation time. The UAV navigates the grid by taking actions to move in either of the eight cardinal and intercardinal directions, under constant thrust profile. The next state of the UAV is calculated by considering its action, transition probability, obstacle cells and the wind speed magnitude and direction. Both constant and stochastic wind will be considered in this paper, the parameters being extracted from real wind measurements in proximity to an experimental UAV flight. One of the studies to be demonstrated in this paper is that as the unmanned airspace gets more complex with multiple vehicles and environmental uncertainties, trade-offs between energy consumption, operation time, risk tolerance, and mission assurance needs to be made. Further, MDPs are capable of fast computation of UAV trajectories under varying wind, hence making them suitable for in-flight path planners.

decision-making↗
NASA NTRSDate not supplied

Dissertation Defense: Three Papers on Organizational Decision-Making and Change at NASA Goddard Space Flight Center

This is a three-paper dissertation that responds to a call for empirical research on stakeholder influence in the implementation of evaluation recommendations. The literature is consistent but mostly theoretical: stakeholder participation should positively influence and increase the probability of implementation (see e.g., Christie, 2011; Cousins & Earl, 1992; Fetterman, 2004). In response, I use two Goddard Space Flight Center engineering technical training and development programs to build a causal argument supporting my proposition that stakeholder influence in the logic modeling process impacts organizational decision-making and change. I first introduce the logic modeling process as a tool to involve stakeholders in program and evaluation design (paper 1); then use the data collection process to implement the collaboratively constructed logic model outcomes (paper 2); and, finally, I triangulate the data using the Toal (2009) Evaluation Involvement Scale (paper 3). I do this to “increase the validity of the findings” (Noble & Heale, 2019, p. 67) and to garner potential mechanisms. I found that stakeholder participation in the logic modeling process positively influenced the use of data to inform recommendations which in turn positively influenced implementation of evaluation recommendations. I identified the process itself as the mechanism and the key decision points as links or influencers. Potential factors included power and interest (measured by role) and time-on-job.

organizational decision-making↗
NASA NTRSDate not supplied

Exploration Medical Integrated Product Team Clinical Decision Support Market Survey

NASA’s Exploration Medical Integrated Product Team (XMIPT) has identified Clinical Decision Support (CDS) technology as a critical need for future human space exploration. Such technology will support real time diagnosis, monitoring, and treatment of spaceflight medical conditions. The need for such tools and support systems is critical for in-mission clinical decision-making, especially when Earth-based support is unavailable due to communication delays or blackouts. Supporting technologies may or may not involve Artificial Intelligence (AI), and would support astronaut crew with minimal clinical training, or even those with advanced training if they are, for example, in need of a refresher, experiencing multiple stressors, or temporarily overloaded with tasking. This need traces to the Development of Earth Independent Operations Technologies for NASA’s Mars Campaign Office. The CDS Market Survey purpose, methods, outcomes thus far, and near-term steps will be discussed.

Decision support↗
NASA NTRS1965

Circuit maintains digital decision threshold at preset level

Optimum decision-level circuit maintains the decision threshold at any preselected percentage of the input-signal amplitude. Communications equipment involving recognition of transmitted digital information can benefit from this circuit.

Source record↗
NASA NTRS1967

System automatically provides dynamic launch decision criteria

Saturn 5 Dynamic Launch Decision Criteria model provides instantaneous criteria, derived from the parametric behavior of a complex system such as a space launch vehicle plus its payload, for the decision making of launch management personnel.

Doig, J. E.↗
NASA NTRS1972

Determination of ILS category 2 decision height window requirements

A method for determining the appropriate longitudinal and lateral decision height dispersion limits for any airplane/control system combination during an instrument landing approach is presented. An example is worked out to clarify the steps required. It is shown that the current longitudinal decision height dispersion limits are well suited for a DC-8 with the example control system, but that the lateral limits are too loose to guarantee acceptable touchdowns with the example system subjected to recommended wind and shear disturbances.

Johnson, W. A.↗
NASA NTRS1971

The impact of management science on political decision making

The possible impact on public policy and organizational decision making of operations research/management science (OR/MS) is discussed. Criticisms based on the assumption that OR/MS will have influence on decision making and criticisms based on the assumption that it will have no influence are described. New directions in the analysis of analysis and in thinking about policy making are also considered.

White, M. J.↗
NASA NTRS1971

Some implications of the technology assessment function for the effective public decision-making process

A preliminary provisional assessment of the prospects for the establishment of an adequate technology assessment function and the implications of the assessment function for the public decision process are presented. Effects of the technology assessment function on each phase of the public decision process and briefly explored. Significant implications during the next decade are projected with respect to the following phases: invention and development of alternative means (technological configurations); evaluation, selection and promotion of preferred courses of action; and modification of statutory scheme or social action program as an outcome of continuing monitoring and appraisal.

Mayo, L. H.↗
NASA NTRS1974

The application of natural science data to land management decision-making

A natural environmental analysis process which allows the decision maker to know the probable consequences of a decision prior to the act is developed. Emphasis is placed on the fit between the natural environment and the social, economic, and functional attributes of man's communities and the transition from nature in its present state to various forms and intensities of development. Applications of the analysis are examined. It is concluded that the analysis is a workable system for land use management.

Williams, D. L.↗
NASA NTRS1975

Experiments in pilot decision-making during simulated low visibility approaches

A simulation task is reported which incorporates both kinds of variables, informational and psychological, to successfully study pilot decision making behavior in the laboratory. Preliminary experiments in the measurement of decisions and the inducement of stress in simulated low visibility approaches are described.

Curry, R. E.↗
NASA NTRS1974

Offset quadrature communications with decision-feedback carrier synchronization

In order to accommodate a quadrature amplitude-shift-keyed (QASK) signal, Simon and Smith (1974) have modified the decision-feedback loop which tracks a quadrature phase-shift-keyed (QPSK). In the investigation reported approaches are considered to modify the loops in such a way that offset QASK signals can be tracked, giving attention to the special case of an offset QPSK. The development of the stochastic integro-differential equation of operation for a decision-feedback offset QASK loop is discussed along with the probability density function of the phase error process.

Simon, M. K.↗
NASA NTRS1975

Decision-related cortical potentials during an auditory signal detection task with cued observation intervals

Cortical-evoked potentials were recorded from human subjects performing an auditory detection task with confidence rating responses. Unlike earlier studies that used similar procedures, the observation interval during which the auditory signal could occur was clearly marked by a visual cue light. By precisely defining the observation interval and, hence, synchronizing all perceptual decisions to the evoked potential averaging epoch, it was possible to demonstrate that high-confidence false alarms are accompanied by late-positive P3 components equivalent to those for equally confident hits. Moreover the hit and false alarm evoked potentials were found to covary similarly with variations in confidence rating and to have similar amplitude distributions over the scalp. In a second experiment, it was demonstrated that correct rejections can be associated with a P3 component larger than that for hits. Thus it was possible to show, within the signal detection paradigm, how the two major factors of decision confidence and expectancy are reflected in the P3 component of the cortical-evoked potential.

Squires, K. C.↗
NASA NTRS1975

Improved resource use decisions and actions through remote sensing

Operational uses of remote sensing for improving management decisions and actions concerning resource uses are considered in terms of first generation, or direct-action; and second generation or indirect, delayed-action applications. From among applications completed during 1974-75, seven case studies are offered in illustration of the many contrasts which can be drawn between first and second generation application studies. These include: (1) multi-agency river basin planning; (2) corridor assessment and route location for highway location together with improvement of county-level planning decisions; (3) improving timber management practices; (4) enforcement of new state statutes; (5) county-wide open space preservation; (6) land value reappraisal relative to property tax equalization; and (7) optimizing agri-business processing plant locations.

Hill-Rowley, R.↗
NASA NTRS1976

On optimal soft-decision demodulation

A necessary condition is derived for optimal J-ary coherent demodulation of M-ary (M greater than 2) signals. Optimality is defined as maximality of the symmetric cutoff rate of the resulting discrete memoryless channel. Using a counterexample, it is shown that the condition derived is generally not sufficient for optimality. This condition is employed as the basis for an iterative optimization method to find the optimal demodulator decision regions from an initial 'good guess'. In general, these regions are found to be bounded by hyperplanes in likelihood space; the corresponding regions in signal space are found to have hyperplane asymptotes for the important case of additive white Gaussian noise. Some examples are presented, showing that the regions in signal space bounded by these asymptotic hyperplanes define demodulator decision regions that are virtually optimal.

Lee, L.-N.↗
NASA NTRS1976

Pilot interaction with automated airborne decision making systems

An investigation was made of interaction between a human pilot and automated on-board decision making systems. Research was initiated on the topic of pilot problem solving in automated and semi-automated flight management systems and attempts were made to develop a model of human decision making in a multi-task situation. A study was made of allocation of responsibility between human and computer, and discussed were various pilot performance parameters with varying degrees of automation. Optimal allocation of responsibility between human and computer was considered and some theoretical results found in the literature were presented. The pilot as a problem solver was discussed. Finally the design of displays, controls, procedures, and computer aids for problem solving tasks in automated and semi-automated systems was considered.

Rouse, W. B.↗
NASA NTRS1976

Factors Affecting the Corporate Decision-Making Process of Air Transport Manufacturers

Fuel economy is a pivotal question influencing the future sale and utilization of commercial aircraft. The NASA Aircraft Energy Efficiency (ACEE) Program Office has a program intended to accelerate the readiness of advanced technologies for energy efficient aircraft. Because the decision to develop a new airframe or engine is a major financial hazard for manufacturers, it is important to know what factors influence the decision making process. A method is described for identifying and ranking individuals and organizations involved at each stage of commercial air transport development, and the barriers that must be overcome in adopting new technologies.

Ollila, R. G.↗
NASA NTRS1977

Evaluation of NASA-sponsored research on capital investment decision making in the civil aviation industry

Significant findings of three studies undertaken to provide the NASA Aircraft Energy Efficiency (ACEE) Office with information regarding how aircraft manufacturers and commercial airlines make investment decisions concerning the acquisition of new and derivative technology are analyzed and their general implications explored. Topics discussed include: the market for airline aircraft, factors affecting the corporate decision making process of air transport manufacturers, and flight equipment purchasing practices of representative air carriers.

Donovan, D. J.↗