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Factors to be considered in forming policies for managing NASA's health maintenance program to provide optimum arrangement for quality medical care are discussed. Topics include scheduling routine physical examinations, job related stress, prevalence of chronic diseases, additions to the PROM data system, and disease trends among personnel.
The 64-kDa autoantigen D1 or 1D, first identified as a potential autoantigen in Graves' disease, is similar to the tropomodulin (Tmod) family of actin filament pointed end-capping proteins. A novel gene with significant similarity to the 64-kDa human autoantigen D1 has been cloned from both humans and mice, and the genomic sequences of both genes have been identified. These genes form a subfamily closely related to the Tmods and are here named the Leiomodins (Lmods). Both Lmod genes display a conserved intron-exon structure, as do three Tmod genes, but the intron-exon structure of the Lmods and the Tmods is divergent. mRNA expression analysis indicates that the gene formerly known as the 64-kDa autoantigen D1 is most highly expressed in a variety of human tissues that contain smooth muscle, earning it the name smooth muscle Leiomodin (SM-Lmod; HGMW-approved symbol LMOD1). Transcripts encoding the novel Lmod gene are present exclusively in fetal and adult heart and adult skeletal muscle, and it is here named cardiac Leiomodin (C-Lmod; HGMW-approved symbol LMOD2). Human C-Lmod is located near the hypertrophic cardiomyopathy locus CMH6 on human chromosome 7q3, potentially implicating it in this disease. Our data demonstrate that the Lmods are evolutionarily related and display tissue-specific patterns of expression distinct from, but overlapping with, the expression of Tmod isoforms. Copyright 2001 Academic Press.
The author has identified the following significant results. The feasibility of using the data collection system on ERTS-1 to predict wheat leaf rust severity and resulting yield loss was tested. Ground-based data collection platforms (DCP'S), placed in two commercial wheat fields in Riley County, Kansas, transmitted to the satellite such meteorological information as maximum and minimum temperature, relative humidity, and hours of free moisture. Meteorological data received from the two DCP'S from April 23 to 29 were used to estimate the disease progress curve. Values from the curve were used to predict the percentage decrease in wheat yields resulting from leaf rust. Actual decrease in yield was obtained by applying a zinc and maneb spray (5.6 kg/ha) to control leaf rust, then comparing yields of the controlled (healthy) and the noncontrolled (rusted) areas. In each field a 9% decrease in yield was predicted by the DCP-derived data; actual decreases were 12% and 9%.
This paper summarizes the results of a radiation transfer study conducted on houseplants using controlled environmental conditions. These conditions included: (1) air and soil temperature; (2) incident and reflected radiation; and (3) soil moisture. The reflectance, transmittance, and emittance measurements were conducted in six spectral bands: microwave, red, yellow, green, violet and infrared, over a period of three years. Measurements were taken on both healthy and diseased plants. The data was collected on plants under various conditions which included: variation in plant bio-mass, diurnal variation, changes in plant pathological conditions (including changes in water content), different plant types, various disease types, and incident light wavelength or color. Analysis of this data was performed to yield an algorithm for plant disease from the remotely sensed data.
The method of constructing fields on the basis of EEG data gives a quantitative characterization of bioelectrical activity. Fields of average rates of the change of potentials in healthy people have a well defined configuration, where the greatest rates are found in the occipital zones, lower in the frontal and parietal, and least in the temporal zones. In response to functional loads the form of the field remains the same because of a synchronous change in the average rates in both hemispheres of the cerebrum to the same extent. The configuration of the fields of background bioelectric activity of the cerebrum in people with Meniere's disease is not uniform. On the basis of this investigation, a clear correlation was found between the subjective sensations of patients during oxygen and carbogen therapy and the changes in the spatial characteristics of the field of potentials of the cerebrum. This correlation makes it possible to objectively identify the nature of the vascular disturbances in Meniere's disease, develop a pathogenetic treatment plan, and evaluate its effectiveness.
Health providers/researchers need environmental data to study and understand the geographic, environmental, and meteorological differences in disease. Satellite remote sensing of the environment offers a unique vantage point that can fill in the gaps of environmental, spatial, and temporal data for tracking disease. The field of geospatial health remains in its infancy, and this program will demonstrate the need for collaborations between multi-disciplinary research groups to develop the full potential. NASA will discuss the Public Health Projects developed to work with Grantees and the CDC while providing them with information on opportunities for future collaborations with NASA for future research.
OBJECTIVE We undertook an upgrade of the Evidence Library database of NASA HRP’s Integrated Medical Model, assessing 120 medical conditions which integrate with a novel probabilistic risk assessment (IMPACT) tool of medical risk and resource utilization for long duration exploration human spaceflight. This data collection process included a selection of these conditions crowd sourced over one year via three 4-week medical student electives at the University of Colorado School of Medicine (IDPT 8059 Space Medicine: Human Spaceflight Factors & Medical Risk Assessment). Students undertook a rapid systematic review of each medical condition, under close preceptors with backgrounds in clinical medicine, library science, epidemiology, biostatistics, and evidence-based medicine. As part of the elective, students also received instruction in core space medicine concepts, evidence based medicine and problem based learning sessions as a flight surgeon supporting a simulated Mars mission. METHODS The list of 120 medical conditions includes both common, terrestrial illness/injury (epistaxis, diverticulitis) as well as spaceflight-specific ones (space adaptation conditions, EVA-related injuries). A rapid systematic review process was developed that would allow students to find the data for determining disease incidence/prevalence, return to definitive care (often a surrogate such as hospitalization rates), loss of crew life, and treatment duration. Each data point required a tailored, specialized search process using different databases and corresponding specialized search filters. Databases were selected on their ability to provide high quality literature in an efficient manner and prioritized by their ability to provide graded evidence via a set rubrics specific to human spaceflight. Students were responsible for performing all literature searches and identifying the highest quality available evidence for each data point. Completed student data sheets underwent initial review by faculty preceptors followed by a secondary editing review by the ExMC Clinical Science Team. RESULTS Over the course of three electives, approximately 105 medical conditions were researched by students using spreadsheets with pre-crafted search strategies. Overall, this process was successful in allowing students to perform the preponderance of work to update incidence, treatment duration, return to definitive care, and loss of crew life data points. Students were successful in running searches, identifying the necessary data points within the literature, and determining the types of terrestrial data that most aligns with the astronaut population for successful completion of their tasks. Limitations included variable student experience with search methodologies [PubMed], differing values of evidence grading [best practice evidence based medicine vs. relevant to spaceflight], and students’ unfamiliarity with spaceflight specific conditions. CONCLUSION Finding the relevant literature for medical conditions in spaceflight within terrestrial databases in a systematic method is time consuming and not intuitive. However, the stepwise process that balanced sensitivity with specificity allowed for students to be highly successful in a short amount of time. Additionally, as the process was refined over the course of three electives, preceptors were better able to anticipate where students were likely to encounter barriers, which allowed the course to be adjusted to account for certain data points needing more time for completion. This replicable process may be an efficient way to accomplish rapid systematic reviews for a large volume of data in a short amount of time.
No abstract available
Rodents are foundational model organisms often utilized due to their seemingly analogous morphologies and biological responses to humans. However, recent studies have demonstrated that murine model data are limited in their applicability, particularly in inflammatory disease. In space studies, accurately predicting human response from mouse data is critical due to extreme limiting factors in both rodent and human spaceflight research. With successful prediction, spaceflight ailments can be predicted and prevented while respecting the constraints of the spaceflight industry and minimizing danger to humans. To do so, novel methodologies must be developed that predict human response from murine data after considering biological differences between rodents and humans in spaceflight. After considering terrestrial models, we determined that a spaceflight-based expression profiting translation tool should be created to accurately capture predictions of human gene expression in spaceflight from mouse data. To prepare to build this model, we organized known human spaceflight risks, chose analog human diseases as training data categories, then identified existing RNASeq disease datasets from GEO as potential training data. In addition, we classified existing Genelab mouse differential gene expression datasets for use as experimental data.
The NASA Goddard Earth Sciences Data and Information Services Center (GES DISC) is home to major NASA satellite precipitation measurement missions including the Tropical Rainfall Measuring Mission (TRMM) and the Global Precipitation Measurement (GPM) as well as other NASA projects. Accurate and timely available global and regional precipitation products play an important role in research and applications around the world. The GES DISC provides near-real-time, near-global precipitation products (e.g.IMERG) to support a wide variety of interdisciplinary research and operational activities including flood modeling, landslides, crop monitoring and assessment, vector-borne diseases, etc. Climate data record products (e.g.GPCP3) are essential for climate research, assessment, model evaluation and applications. To facilitate data access and exploration, the GES DISC has developed data services such asGiovanni, an online visualization and analysis tool for easy access to over 2000 satellite- and model-based variables. Established in the mid 1980s, the GES DISC also distributes data in other disciplines including hydrology, atmospheric chemistry, atmospheric dynamics, etc. In this presentation, we will present an update on global precipitation products and data services including the new IMERG V06B suite, the latest version of GPCP (Version 3) and value-added data subsetting services (L34RS, L2S).
Nearly three decades of space flight research have suggested that there are subclinical diabetogenic changes that occur in microgravity. Alterations in insulin secretion, insulin sensitivity, glucose tolerance, and metabolism of protein and amino acids support the hypothesis that insulin plays an essential role in the maintenance of muscle mass in extended-duration space flight. Experiments in flight and after flight and ground-based bedrest studies have associated microgravity and its experimental paradigms with manifestations similar to those of diabetes, physical inactivity, and aging. We propose that these manifestations are characterized best by an etiology that falls into the clinical category of "other" causes of diabetes, including, but not restricted to, genetic beta-cell defects, insulin action defects, diseases of the endocrine pancreas, endocrinopathies, drug or chemically induced diabetes, infections, immune-mediated metabolic alteration, and a host of genetic related diseases. We present data showing alterations in tumor necrosis factor-alpha production, insulin secretion, and amino acid metabolism in pancreatic islets of Langerhans cultured in a ground-based cell culture bioreactor that mimics some of the effects of microgravity. Taken together, space flight research, ground-based studies, and bioreactor studies of pancreatic islets of Langerhans support the hypothesis that the pancreas is unable to overcome peripheral insulin resistance and amino acid dysregulation during space flight. We propose that measures of insulin secretion and insulin action will be necessary to design effective countermeasures against muscle loss, and we advance the "disposition index" as an essential model to be used in the clinical management of space flight-induced muscle loss.
Since the launch of Landsat-1 28 years ago, remotely sensed data have been used to map features on the earth's surface. An increasing number of health studies have used remotely sensed data for monitoring, surveillance, or risk mapping, particularly of vector-borne diseases. Nearly all studies used data from Landsat, the French Systeme Pour l'Observation de la Terre, and the National Oceanic and Atmospheric Administration's Advanced Very High Resolution Radiometer. New sensor systems are in orbit, or soon to be launched, whose data may prove useful for characterizing and monitoring the spatial and temporal patterns of infectious diseases. Increased computing power and spatial modeling capabilities of geographic information systems could extend the use of remote sensing beyond the research community into operational disease surveillance and control. This article illustrates how remotely sensed data have been used in health applications and assesses earth-observing satellites that could detect and map environmental variables related to the distribution of vector-borne and other diseases.
The city of Stockton, California, located within the San Joaquin Valley (SJV), is a major hub for agricultural production and has endured the continuous threat to community health from nitrogen dioxide (NO 2 ) and increasing temperatures. The convergence of these issues occurs within historically segregated communities that are disproportionately facing health risks related to heat and air quality. Little Manila Rising (LMR), a social and environmental justice (EJ) advocacy non-profit, partnered with NASA DEVELOP for a second term project to evaluate county wide urban heat islands, sociodemographic vulnerability, landcover classification, and the convergence of these variables. We utilized Landsat 8 Thermal Infrared Sensor (TIRS) and Operational Land Imager (OLI) data to produce a land surface temperature (LST) and Normalized Difference Vegetation Index map. They added Centers for Disease Control (CDC) socioeconomic data from 2020 to identify which communities in Stockton were more susceptible to these environmental factors. Additionally, we used NAIP imagery to create a landcover map differentiating developed infrastructure from tree canopy cover. We discovered that south Stockton, where LMR resides, had the worst convergence of heat, air pollution, low canopy coverage and sociodemographic vulnerability compared to northern and rural parts of the city. This was further substantiated by statistical analysis showing a strong positive relationship between areas of high LST and low vegetation. The results provided LMR with compelling evidence to use in their EJ advocacy, and in their efforts to inform state officials of the discriminatory issues they face.
This presentation discusses the processes from data collection and processing to analysis involved in unraveling patterns between disease outbreaks and the surrounding environment and meteorological conditions. We used these patterns to estimate when and where disease outbreaks will occur. As a case study, we will present our work on assessing the relationship between meteorological conditions and influenza in Central America. Our work represents the discovery, prescriptive and predictive aspects of data analytics.
Asheville, North Carolina experiences the urban heat island effect, where temperatures in the city are higher than in surrounding rural areas. This effect intensifies with increased urbanization and less vegetative cover. Asheville’s urban heat island was exacerbated by population increases and tree cover decline, escalating the need for heat mitigation. We partnered with the City of Asheville’s Sustainability Department and Asheville GreenWorks whose actions prioritize sustainable city planning and equitable climate resilience. Using NASA Earth observations and ancillary datasets we spatially mapped urban heat, heat vulnerability, and cooling and adaptive capacity from 2019-2023. To map urban heat, we used Landsat 8 and 9 Operational Land Imager and Thermal Infrared Sensor for land surface temperature and albedo data and the ECOsystem Spaceborne Thermal Radiometer Experiment on Space Station for evapotranspiration data. We assessed heat vulnerability using the urban heat data andthe Centers for Disease Control and Prevention’s Social Vulnerability Index. To evaluate cooling and adaptive capacity we used the InVEST Urban Cooling Model, integrating our heat vulnerability analysis with land use and cover data from Sentinel-1 Synthetic Aperture Rada rand Sentinel-2 Multispectral Instrument. Our results revealed distinct spatial patterns of urban heat, heat vulnerability, and cooling and adaptive capacity in Asheville with downtown as the focal hotspot and an outward decreasing radial pattern. These findings highlight targeted need for interventions to reduce heat impacts, address environmental injustices, and enhance climate resilience. Our project provided research to local organizations that can be used for heat mitigation in the greater Asheville area.
The COSMIC program FITLOS is used regularly by the Centers for Disease Control (CDC), for analyzing data from radioimmunoassays, which involve testing human body substances to provide information on how deficits or excesses of those substances affect a body's ability to ward off disease. A liquid scintillation counter's data is analyzed by the FITLOS program. FITLOS data, then aids in establishing reference methods for hospitals and other health laboratories in their radioimmunoassays. CDC's use of this program enabled them to avoid the cost of designing and developing a new program.
There has been an increasing demand by the health community for improved data on many different environmental factors relevant to the links between the environment and disease occurrence and transmission. These data are important for GIS-based monitoring, risk mapping, and surveillance of epidemiological parameters on a large number of different spatial, temporal, and spectral resolutions. Accordingly, NASA is developing new approaches to data collection and distribution in order to improve access to multiple sources of data streams to increase spatial and temporal coverage. Methods are being developed to incorporate different, scalable capabilities to handle multiple data sources by adding, deleting and replacing components as required as well as associated tools for their management. An approach has been to search for innovative solutions focused on the creation, use and manipulation of data stored in many different archives. These include data transformation and combination as well as data and information tools that can assist the public health and science community to use existing and anticipated products in new and flexible ways. This presentation will provide an inventory of geophysical parameters derived from satellite remote sensing sensors that are useful for GIS-based public health studies. The presentation will also discuss the physical and scientific limitations of access to and use of these data for health applications such as resolution and format differences, lack of software interoperability, data access problems. Finally, there will be a summary of the recent steps the NASA program has taken to bring NASA-generated satellite products to a wider range of users in the GIS community.
The relationship between El Nino and non-El Nino and the patterns of vector-borne disease can be viewed at a variety of spatial and temporal scales. At one extreme are long term predictions of changing precipitation and temperature patterns at continental and global scales. At the opposite extreme are the local or site specific ecological changes associated with the long term events. In order to understand and address the human health consequences of El Nino events, especially the patterns of vector-borne diseases, it is necessary to combine both scales of observation. At a local or regional scale the patterns of vector-borne diseases are determined by temperature, precipitation, and habitat availability. These factors, as well as disease incidence can be altered by El Nino events. Remote sensing data such as that acquired by the NOAA AVHRR and Landsat TM sensors can be used to characterize and monitor changing ecological conditions and therefore predict vector-borne disease patterns. The authors present the results of preliminary work on the analysis of historical AVHRR and TM data acquired during El Nino and nonfatal Nino years to characterize ecological conditions in Peru on a monthly basis. This information will then be combined with disease data to determine the relationship between changes in ecological conditions and disease incidence. Our goal is to produce a sequence of remotely sensed images which can be used to show the ecological and disease patterns associated with long term El Nino events and predictions.