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At least 289 records · Page 16

Real-Time Teleguidance of a Non-Surgeon Crew Medical Officer Performing Orthopedic Surgery at the Amundsen-Scott South Pole Station During Winter-Over

The Amundsen-Scott South Pole Research station located at the geographic South Pole, is the most isolated, permanently inhabited human outpost on Earth. Medical care is provided to station personnel by a non-surgeon crew medical officer (CMO). During the winter-over period from February to October, the station is isolated, with no incoming or outgoing flights due to severe weather conditions. In late June, four months after the station had closed for the austral winter, a 31 year old meteorologist suffered a complete rupture of his patellar tendon while sliding done an embankment. An evacuation was deemed to be too risky to aircrews due to the extreme cold and darkness. A panel of physicians from Massachusetts General Hospital, Johns Hopkins University and the University of Texas Medical Branch were able to assess the patient remotely via telemedicine and agreed that surgery was the only means to restore mobility and prevent long term disability. The lack of a surgical facility and a trained surgical team were overcome by conversion of the clinic treatment area, and intensive preparation of medical laypersons as surgical assistants. The non-surgeon CMO and CMO assistant at South Pole, were guided through the administration of spinal anesthetic, and the two-hour operative repair by medical consultants at Massachusetts General Hospital. Real-time video of the operative field, directions from the remote consultants and audio communication were provided by videoconferencing equipment, operative cameras, and high bandwidth satellite communications. In real-time, opening incision/exposure, tendon relocation, hemostatsis, and operative closure by the CMO was closely monitored and guided and by the remote consultants. The patient s subsequent physical rehabilitation over the ensuing months of isolation was also monitored remotely via telemedicine. This was the first time in South Pole s history that remote teleguidance had been used for surgery and represents a model for real-time guidance of CMO s working at remote duty stations.

Otto, Christian↗

Using Systems Engineering to Develop an Integrated Crew Health and Performance System to Mitigate Risk for Human Exploration Missions

New space exploration missions are currently being designed to take humanity beyond Low EarthOrbit (LEO) to cis-lunar space, the lunar surface, and eventually to Mars. These missions carryincreased risks due to a number of factors, including distance from Earth, exposure to deep spacehazards, reduced capacity and ability to resupply and evacuate, and increased communication delays.As distance from Earth grows and mission length increases, a growing proportion of overall missionrisk can be attributed to the “human system.” Almost twenty years ago, the Institute of Medicine in theUnited States recommended the early and complete integration of the human system into thespacecraft and mission design process to mitigate this increased risk inherent in exploration missions.Exploration missions will require increasing levels of crew self-sufficiency that will challenge thecurrent operational paradigms established in LEO. Enabling progressive Earth independence requiresmanagement of the increasingly complex interactions among spacecraft systems and integration of allthe data and functions that affect human health and performance into one coordinated system – theCrew Health and Performance (CHP) system. This system is a critical spacecraft system that isanalogous to other systems such as propulsion, guidance and navigation, or avionics. Design andintegration of the CHP system requires the evidence-based merger of typically disparate disciplinessuch as medicine, human factors, and physiological support system design, using systems engineering(SE) practices. The approach described here enables spacecraft and mission designers to align thescope of a CHP system with mission specific requirements, decrease risk to the crew, and increase theprobability of mission success.

Kerry Mcguire↗

Examining the Relationship between Self-Reported Workload and Resilient Performance in Airline Flight Crews

Workload has long been associated with human performance in aviation. High workload is typically viewed as a system design problem. The aim of this work was to find observable behaviors that guard cognitive resource margins; thus, improve handling of perturbations that arise. Twelve commercial airline flight crews participated in an experiment at NASA Langley Research Center. We explored workload data (NASA Task Load Index) self-reported after completing flight simulation scenarios to see how different individuals, using the same technologies, cope with challenging situations. A trained observer from the same airline as the study participants assessed performance. We differentiated a lower workload crew from a higher workload crew and analyzed their workload and performance. Results indicate that the workload may be a component of pilots’ resilient performance. Initial strategies that reduced workload were classified and these types of behaviors, if implemented correctly, might assist pilots in maintaining functional workload resource margins.

Michael Stewart↗

Examining the Relationship Between Workload and Resilient Performance in Airline Flight Crews

Workload has long been associated with human performance in aviation. High workload is typically viewed as a system design problem. The aim of this work was to find observable behaviors that guard cognitive resource margins; thus, improve handling of perturbations that arise. Twelve commercial airline flight crews participated in an experiment at NASA Langley Research Center. We explored workload data (NASA Task Load Index) self-reported after completing flight simulation scenarios to see how different individuals, using the same technologies, cope with challenging situations. A trained observer from the same airline as the study participants assessed performance. We differentiated a lower workload crew from a higher workload crew and analyzed their workload and performance. Results indicate that the workload may be a component of pilots’ resilient performance. Initial strategies that reduced workload were classified and these types of behaviors, if implemented correctly, might assist pilots in maintaining functional workload resource margins.

Michael Stewart↗

Computerized operator support system and human performance in the control room - 262

An operator aid technology to assist nuclear plant operators maintain situation awareness and detect faults earlier than would be possible using conventional control room technologies is described. Coined the Computerized Operator Support System (COSS), this technology is aimed at the human-machine interface. The COSS has been implemented as a prototype system operating in the control room environment of a full-scale simulator for a commercial nuclear power plant. A human factors assessment that involved two licensed reactor crews was performed to evaluate crew performance. This paper describes the development of the COSS, the underlying fault-detection architecture, and feedback received based on operator-in-the-loop studies. (authors)

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Parametric Modeling of NTP Engine Performance for a Crewed Mars Mission

Nuclear thermal propulsion (NTP) has been studied extensively for use on a crewed mission to Mars, and NASA and DARPA are partnering in the development and demonstration of an NTP engine as part of the DRACO project. The specific impulse and thrust achieved by an engine in the context of a mission determines the propellant amount required to close the mission and the size of the vehicle required. An NTP engine has a slower start-up/shut-down transient than traditional chemical engines and requires post-firing cooling, and thus the average Isp for a burn is a function of the power ramp-up rate and the duration of the burn. An initial demonstration engine may target a lower Isp than the 900 sec that has been extensively studied by NASA. This paper shows the effect on the mission closure and vehicle sizing of the transient ramp rate performance and of lower than 900 sec specific impulse. Ammonia is considered as an alternate NTP propellant, with mission performance estimated.

NTP↗

Integrated Research Plan to Assess the Combined Effects of Space Radiation, Altered Gravity, and Isolation and Confinement on Crew Health and Performance: Implementation Strategy

This document supplements the white paper titled CBS Integrated Research Plan: Problem Statement. The Problem Statement describes why it is important to implement a fully integrated research plan to derive risk estimates for the combined, potentially synergistic, effects of the three major spaceflight hazards (space radiation; isolated, confined, and extreme environments; altered gravity). These risk estimates will help establish acceptable maximum decrement or change in a physiological or behavioral parameter during or after spaceflight, and the acceptable limit of exposure to the combined spaceflight hazards. This Implementation Strategy describes how the research plan will accomplish the CBS Integrated Research Plan goals. The Implementation Strategy includes approaches to evaluate relationships among biological responses underlying three risks that are managed by three of NASA’s Human Research Project (HRP) organizational “elements”. This CBS (Acute effects of radiation on CNS, BMed, Sensorimotor) Integrated Research Plan also identifies strategies to monitor and mitigate decrements to operationally relevant performance. Currently, the strategy that was initiated in 2018, includes an eight-year research plan and a four-year validation plan that extend to the year 2030. Once the monitoring tools and countermeasures are developed, they will be validated and refined during four years of early exploration missions. The planned tasks and their associated research products and deliverables have been mapped to the individual research emphases to clearly demonstrate how each research area helps ensure crew health and safety during exploration missions.

Susan Steinberg↗

The Skylab Medical Operations Project: Recommendations to Improve Crew Health and Performance for Future Exploration Missions

From May of 1973 to February of 1974, the National Aeronautics and Space Administration conducted a series of three manned missions to the Skylab space station, a voluminous vehicle largely descendant of Apollo hardware, and America s first space station. The crewmembers of these three manned missions spent record breaking durations of time in microgravity (28 days, 59 days and 84 days, respectively) and gave the U.S. space program its first experiences with long-duration space flight. The program overcame a number of obstacles (including a significant crippling of the Skylab vehicle) to conduct a lauded scientific program that encompassed life sciences, astronomy, solar physics, materials sciences and Earth observation. Skylab has more to offer than the results of its scientific efforts. The operations conducted by the Skylab crews and ground personnel represent a rich legacy of operational experience. As we plan for our return to the moon and the subsequent manned exploration of Mars, it is essential to utilize the experiences and insights of those involved in previous programs. Skylab and SMEAT (Skylab Medical Experiments Altitude Test) personnel have unique insight into operations being planned for the Constellation Program, such as umbilical extra-vehicular activity and water landing/recovery of long-duration crewmembers. Skylab was also well known for its habitability and extensive medical suite; topics which deserve further reflection as we prepare for lunar habitation and missions beyond Earth s immediate sphere of influence. The Skylab Medical Operations Summit was held in January 2008. Crewmembers and medical personnel from the Skylab missions and SMEAT were invited to participate in a two day summit with representatives from the Constellation Program medical operations community. The purpose of the summit was to discuss issues pertinent to future Constellation operations. The purpose of this document is to formally present the recommendations of the Skylab and SMEAT participants.

Polk, James D.↗

Enroute flight-path planning - Cooperative performance of flight crews and knowledge-based systems

Interface design issues associated with the introduction of knowledge-based systems into the cockpit are discussed. Such issues include not only questions about display and control design, they also include deeper system design issues such as questions about the alternative roles and responsibilities of the flight crew and the computer system. In addition, the feasibility of using enroute flight path planning as a context for exploring such research questions is considered. In particular, the development of a prototyping shell that allows rapid design and study of alternative interfaces and system designs is discussed.

Smith, Philip J.↗

Autogenic-feedback training improves pilot performance during emergency flying conditions

Studies have shown that autonomous mode behavior is one cause of aircraft fatalities due to pilot error. In such cases, the pilot is in a high state of psychological and physiological arousal and tends to focus on one problem, while ignoring more critical information. The effect of training in physiological self-recognition and regulation, as a means of improving crew cockpit performance was examined. Seventeen pilots were assigned to the treatment and control groups matched for accumulated flight hours. The treatment group comprised four pilots of HC-130 Hercules aircraft and four HH-65 Dolphin helicopter pilots; the control group comprised three pilots of HC-130's and six Dolphin helicopter pilots. During an initial flight physiological data were recorded for each crewmember and individual crew performance and rated by an instructor pilot. Eight crewmembers were then taught to regulate their own physiological response levels using Autogenic-Feedback Training (AFT). The remaining subjects received no training. During a second flight, treatment subjects showed significant improvement in performance, while controls did not improve. The results indicate that AFT management of high states of physiological arousal may improve pilot performance during emergency flying conditions.

Kellar, Michael A.↗