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NASA NTRSDate not supplied

Earth Independent Medical Operations (EIMO)

Inherent in interplanetary space travel are unprecedented challenges that could threaten mission success and negatively impact crew health and performance. Return to definitive care is essentially untenable and resources will be constrained with practically no re-supply capability. Access to ground-based medical expertise will be significantly delayed under nominal conditions with exacerbation during conjunction or prolonged dust storms. Taken together, these challenges necessitate the development of a progressively autonomous medical operational support system to assist the crew medical officer (CMO). While support from ground based medical experts will remain indispensable for pre-mission planning, the approach to management of acute/emergent medical contingencies will require a gradual transition of medical care and decision making from terrestrial to space-based assets, enabling support of astronaut health and performance and reducing overall mission risk. To progressively enable EIMO, a series of meetings were convened with subject matter experts from within NASA, academia and industry to facilitate mapping of the path to support autonomous medical operations. Topics explored in these meetings included the scope of data (storage capacity, usage, transmission rate and bandwidth, computing capacity), CMO training, supply and resource management and task load balance. Recommendations from these meetings will inform the EIMO Concept of Operations and definition of the associated requirements culminating in updates to the NASA 3001 standards. The EIMO project team will work with stakeholders to conceptualize a clinical decision support system (CDSS) to assist the CMO in response to medical contingencies when terrestrial support is delayed or otherwise unavailable. The CDSS will be a system of systems that will utilize data from numerous input vectors. Successful deployment of the CDSS will facilitate medical decision making while decreasing the cognitive load leading to an improvement in task load balancing. Additional benefits of the envisioned CDSS include assistance with inventory management, locating resources, storage/retrieval of medical records, highlighting trends in recorded data, in addition to providing a consult for diagnosis and treatment. More advanced features might include passive monitoring to identify early warning signs of behavioral or medical anomalies to possibly pre-empt onset of conditions that would compromise crew health and performance.

Benjamin Easter↗

NASA NTRSDate not supplied

A Queuing Theory Approach to Pilot-Controller Coordination for m:N Operations

In recent years, attention and interest by industry and researchers has grown in a control paradigm for remotely piloted aircraft termed “m:N operations.” In an m:N operation, a team of m remote pilots in command (RIPCs) collaboratively manage the flights of N aircraft. A consequence of an m:N concept of operations is that the RPICs will have to switch attention from one aircraft to another and from one task to another. Previous research in m:N operations has focused on the workload experienced by an RPIC and their level of situation awareness on their flights. Researchers have found that RPIC workload and situation awareness are generally sensitive to increasing N, although NASA’s Multi-Vehicle (m:N) Working Group has suggested that the driver of workload/situation awareness is the number of exceptions requiring human intervention as opposed to the value of N itself. In any case, a natural antecedent of workload is task load. In this paper, queueing theory is applied to a 1:N Urban Air Mobility (UAM) air taxi operation in order to estimate pilot task load for managing radio communications with air traffic controllers (ATCs) under increasing N. An M/M/1 queueing system is used to model the RIPC’s servicing of calls and clearance requests (e.g., departure, arrival, or airspace transition) to ATC for the N aircraft. Important parameters for the queueing model are the task arrival rate and the average service time for task completion. Radio communication times from past human-in-the-loop simulation studies are used to measure service times for a 1:4 and 1:12 UAM operation and to interpolate service times for 4 < N < 12. A Monte Carlo method is then employed, using the measured and interpolated service times, to estimate arrival rate and related queueing statistics. The paper concludes by considering the estimated queuing statistics, particularly the RPIC’s utilization (i.e., proportion of time actively servicing tasks), the length of the task queue over time, and the implications for task-balanced system design.

task load↗

NASA NTRS2011

A Human-in-the-Loop Evaluation of Multi-Sector Planning in Mixed Equipage Airspace (MSP III)

A human-in-the-loop (HITL) simulation was conducted in May 2010 to determine the feasibility and value 01 conducting multi-sector planning (MSP) operations in a mixed equipage environment. Aircraft were categorized as equipped or unequipped based on the presence or absence of an air-ground data communications (Data Comm) capability for receiving auto-loadable clearances and transfer of communication messages from the air navigation service provider (ANSP). The purpose of the study was to determine the feasibility and possible benefits of introducing multi-sector planning in a mixed equipage context, or whether Data Comm equipage was required for MSP operations. Each test scenario presented one of three different equipage levels to the controllers (10%, 50% or 90% equipped aircraft), so that the operational impact of different equipage levels could be observed. Operational feasibility assessment addressed two related questions: (1) are MSP operations feasible for unequipped aircraft, and (2) are they feasible in a mixed equipage context. Similarly, two categories of potential benefits were explored: (1) system performance improvements (e.g., throughput, workload) associated with MSP at different equipage levels, and (2) the possibility of providing differential service for equipage through MSP operations. Tool requirements (for both planning and controller stations), as well as planning and coordination procedures - within facility (traffic management unit/operational area) and within sector (R-Side/D-Side) - were two other topics addressed in the study. Overall, results suggested that MSP operations were feasible in a mixed equipage environment and that the tools were effective with both equipped and unequipped aircraft. Using the MSP tools, traffic management coordinators were able to manage controller task load, effectively balancing throughput with complexity and controller task load at each of the three equipage levels tested.

Smith, Nancy↗

NASA NTRS1985

Speech variability effects on recognition accuracy associated with concurrent task performance by pilots

In the present study of the responses of pairs of pilots to aircraft warning classification tasks using an isolated word, speaker-dependent speech recognition system, the induced stress was manipulated by means of different scoring procedures for the classification task and by the inclusion of a competitive manual control task. Both speech patterns and recognition accuracy were analyzed, and recognition errors were recorded by type for an isolated word speaker-dependent system and by an offline technique for a connected word speaker-dependent system. While errors increased with task loading for the isolated word system, there was no such effect for task loading in the case of the connected word system.

Simpson, C. A.↗

NASA NTRS1986

A performance evaluation of the software-implemented fault-tolerance computer

The results of a performance evaluation of the Software-Implemented Fault-Tolerance (SIFT) computer system conducted in the NASA Avionics Integration Research Laboratory are presented. The essential system functions are described and compared to both earlier design proposals and subsequent design improvements. Using SIFT's specimen task load, the executive tasks, such as reconfiguration, clock synchronization, and interactive consistency, are found to consume significant computing resources. Together with other system overhead (e.g., voting and scheduling), the operating system overhead is in excess of 60 percent. The authors propose specific design changes that reduce this overhead burden significantly.

Palumbo, D. L.↗

NASA NTRS2019

Why You Might Feel Drained at the End of the Day: Workload and the Anesthesiologist

Anesthesiology is a medical specialty with one of the highest workloads and stress levels compared to all others. It is critical that anesthesiologists understand and develop effective strategies for managing their workload to avoid professional burnout. In this presentation, I will first provide an overview and definition of concepts related to workload, including task load, multitasking, concurrent task management, and interleaving tasks, and will discuss common assumptions (that are typically incorrect) relative to workload and task management. I will review common ways that anesthesiologists might unwittingly "sabotage" their attempts to manage their workload and will briefly discuss workload management techniques and strategies that they can implement to more effectively manage their tasks.

anesthesiology↗

NASA NTRS1982

CDTI: Crew Function Assessment

Man machine interaction often requires the operator to perform a sterotyped scan of instruments to monitor and/or control a system. Situations in which this type of behavior exists, such as instrument flight, scan pattern has been shown to be altered by imposition of simultaneous verbal tasks. The relationship between pilot visual scan of instruments and mental workload was described. A verbal loading task of varying difficulty caused pilots to stare at the primary instrument as the difficulty increased and to shed looks at instruments of less importance. The verbal loading task affected rank ordering of scanning sequences. The behavior of pilots with widely varying skill levels suggested that these effects occur most strongly at lower skill levels and are less apparent at high skill levels. Graphical interpretation of the hypothetical relationship between skill, workload, and performance is introduced and modeling results are presented to support this interpretation.

Tole, J. R.↗

NASA NTRS1982

Visual scanning behavior and pilot workload

This paper describes an experimental paradigm and a set of results which demonstrate a relationship between the level of performance on a skilled man-machine control task, the skill of the operator, the level of mental difficulty induced by an additional task imposed on the basic control task, and visual scanning performance. During a constant, simulated piloting task, visual scanning of instruments was found to vary with the difficulty of a verbal mental loading task. The average dwell time of each fixation on the pilot's primary instrument increased with the estimated skill level of the pilots, with novices being affected by the loading task much more than experts. The results suggest that visual scanning of instruments in a controlled task may be an indicator of both workload and skill.

Harris, R. L., Sr.↗

NASA NTRS1982

Visual scanning behavior and mental workload in aircraft pilots

This paper describes an experimental paradigm and a set of preliminary results which demonstrate a relationship between the level of performance on a skilled man-machine control task, the skill of the operator, the level of mental difficulty induced by an additional task imposed on the basic control task, and visual scanning performance. During a constant, simulated piloting task, visual scanning of instruments was found to vary as a function of the level of difficulty of a verbal loading task. The average dwell time of each fixation on the pilot's primary instrument increased as a function of the loading. The scanning behavior was also a function of the estimated skill level of the pilots, with novices being affected by the loading task much more than experts. The results suggest that visual scanning of instruments in a controlled task may be an indicator of both workload and skill.

Tole, J. R.↗

NASA NTRS1981

Visual scanning behavior and pilot workload

An experimental paradigm and a set of results which demonstrate a relationship between the level of performance on a skilled man-machine control task, the skill of the operator, the level of mental difficulty induced by an additional task imposed on the basic control task, and visual scanning performance. During a constant, simulated piloting task, visual scanning of instruments was found to vary as a function of the level of difficulty of a verbal mental loading task. The average dwell time of each fixation on the pilot's primary instrument increased as a function of the estimated skill level of the pilots, with novices being affected by the loading task much more than the experts. The results suggest that visual scanning of instruments in a controlled task may be an indicator of both workload and skill.

Harris, R. L., Sr.↗

NASA NTRS1983

Visual scanning behavior and pilot workload

Sophisticated man machine interaction often requires the human operator to perform a stereotyped scan of various instruments in order to monitor and/or control a system. For situations in which this type of stereotyped behavior exists, such as certain phases of instrument flight, scan pattern was shown to be altered by the imposition of simultaneous verbal tasks. A study designed to examine the relationship between pilot visual scan of instruments and mental workload is described. It was found that a verbal loading task of varying difficulty causes pilots to stare at the primary instrument as the difficulty increases and to shed looks at instruments of less importance. The verbal loading task also affected the rank ordering of scanning sequences. By examining the behavior of pilots with widely varying skill levels, it was suggested that these effects occur most strongly at lower skill levels and are less apparent at high skill levels. A graphical interpretation of the hypothetical relationship between skill, workload, and performance is introduced and modelling results are presented to support this interpretation.

Tole, J. R.↗

NASA NTRS2023

Progressively Enabling Earth Independent Medical Operations (EIMO)

This panel presents the findings from a series of Technical Interchange Meetings (TIMs) hosted by the Exploration Medical Capability Element (ExMC) in NASA’s Human Research Program. The topics for the TIMs were derived from a 2-day conference of senior leaders and subject matters experts that collectively outlined a multi-faceted strategy designed to optimize crew health and performance through an increasingly autonomous medical approach. The first abstract in this panel outlines the scope of issues related to data collection, usage, transmission and computing capacity to facilitate EIMO. The second presentation provides an overview of the challenges in developing curricula and advanced training tools to baseline knowledge, skills and abilities (KSA), verify clinical competency and assure retention during prolonged durations inherent in exploration-class missions. An overview of the complicated medical supply and resource chain necessary to facilitate EIMO is provided in the third presentation of this panel. The final presentation in this EIMO panel surveys the breadth and depth of demands on cognitive load expected to be experienced by crew on an exploration mission and proposes strategies to mitigate the prospect of cognitive overload through methods to shift task load from the crew to multi-modal artificial intelligence based medical support systems. Taken together, these presentations summarize the challenges to be expected and potential solution spaces to be explored and developed to progressively enable increasing autonomous medical operations to support crewed missions beyond low earth orbit. Through EIMO focused pre-mission planning, integrated data architecture design, innovative training development and AI-assisted task load management, the gradual transition of medical care and decision making from terrestrial to space-based assets enabling support of astronaut health and performance and reducing overall mission risk is achievable.

Jay Lemery↗

NASA NTRSDate not supplied

Progressively Enabling Earth Independent Medical Operations (EIMO)

John Lemery↗

NASA NTRS1986

Descriptive Linear modeling of steady-state visual evoked response

A study is being conducted to explore use of the steady state visual-evoke electrocortical response as an indicator of cognitive task loading. Application of linear descriptive modeling to steady state Visual Evoked Response (VER) data is summarized. Two aspects of linear modeling are reviewed: (1) unwrapping the phase-shift portion of the frequency response, and (2) parsimonious characterization of task-loading effects in terms of changes in model parameters. Model-based phase unwrapping appears to be most reliable in applications, such as manual control, where theoretical models are available. Linear descriptive modeling of the VER has not yet been shown to provide consistent and readily interpretable results.

Levison, W. H.↗

NASA NTRSDate not supplied

Summary of Technical Interchange Meetings (TIMs) Designed to Enable Earth Independent Medical Operations (EIMO)

The Exploration Medical Capability Element (ExMC) in NASA’s Human Research Program hosted a series of TIMs in 2023-2024 designed to stimulate discussion around specific topics with the goal of enabling EIMO. In context of the thematic constituent elements of EIMO, namely pre-mission planning, acute/emergent/prolonged medical decision making, supply/resource management and task load management, subject matter experts from industry, academia and government (NASA and other Agencies) provided valuable and actionable guidance and recommendations. Earth-based medical experts will remain indispensable for pre-mission planning, however, management of acute/emergent medical contingencies will require a gradual transition of medical care and decision making from terrestrial to space-based assets to enable support of astronaut health and performance and reduce overall mission risk. Key to achieving these enhancements is providing an integrated data system platform capable of utilizing multiple data streams in concert with a variety of on-board databases and passive monitoring of video and wearable sensors to enable a multi-modal, agentic AI-based clinical decision support system (CDSS) to support crew medical officer (CMO) medical decision-making. The EIMO series of TIMs (I-V) have proven to be instructive and portend a significant paradigm shift will be necessary to maintain crew health and performance on exploration class missions. Importantly, since the expected paradigm shift will be significantly different from the methods of operation that have been employed for the majority of missions from the inception of human spaceflight to date, any proposed methods must be deployed in the setting of ongoing operations early and be “tested, reviewed and practiced” while reliable back-up is available to facilitate an Enterprise-wide level of comfort and acceptance. Serious constraints on data transmission coupled with a large and expanding universe of on-board medical informatics data streams will necessitate implementation of a CDSS to supplant the current reliance on support provided by ground-based SMEs. Establishment of trust in the system by CMO/crew and the ground-based medical support team will be essential. Co-development of a CDSS with industry partners will assure that state of the art tools can be employed, and industry efficiencies can be leveraged. Training regimens, materials and tools must evolve to be responsive (just-in-time training) and facilitate autonomous execution of procedures. Proficiency metrics should be established and be based on validated competencies or milestones as opposed to a prescribed number of training hours. Training should be prioritized for broad, translatable skills that have universal application across a variety of medical conditions. Repetition was deemed to be the key to achieving proficiency and emphasis should lie in procedural training which is known to extinguish more rapidly than diagnostic skills. Advanced tools, e.g., extended reality, can provide more realistic and effective training. Use of advanced probabilistic risk assessment tools will be essential to optimize the medical system capability while carefully balancing risk relative to mass/power/volume limitations. Importance of factoring use-life of medical supplies and maintaining awareness of redundancy and opportunity to re-purpose under off nominal situations was emphasized. Consideration of adopting optimized performance standards vs. “good-enough” performance thresholds is warranted. The use of legacy systems as opposed to creating new systems may be preferable. Managing task load and associated cognitive load will be essential to maintain operational safety and behavioral health. ExMC aspires to create a shared EIMO paradigm and strategic vision for advancing medical system design through novel technologies, training, protocols, and support capabilities, built upon the spirit of successful strategies and innovations over the past six decades of space medicine operations.

Jay Lemery↗

NASA NTRS1989

Comparison of joint space versus task force load distribution optimization for a multiarm manipulator system

It is often proposed that the redundancy in choosing a force distribution for multiple arms grasping a single object should be handled by minimizing a quadratic performance index. The performance index may be formulated in terms of joint torques or in terms of the Cartesian space force/torque applied to the body by the grippers. The former seeks to minimize power consumption while the latter minimizes body stresses. Because the cost functions are related to each other by a joint angle dependent transformation on the weight matrix, it might be argued that either method tends to reduce power consumption, but clearly the joint space minimization is optimal. A comparison of these two options is presented with consideration given to computational cost and power consumption. Simulation results using a two arm robot system are presented to show the savings realized by employing the joint space optimization. These savings are offset by additional complexity, computation time and in some cases processor power consumption.

Soloway, Donald I.↗

NASA NTRS2012

Flying Schedule-Matching Descents to Explore Flight Crews' Perceptions of Their Load and Task Feasibility

Multiple studies have investigated the development and use of ground-based (controller) tools to manage and schedule traffic in future terminal airspace. No studies have investigated the impacts that such tools (and concepts) could have on the flight-deck. To begin to redress the balance, an exploratory study investigated the procedures and actions of ten Boeing-747-400 crews as they flew eight continuous descent approaches in the Los Angeles terminal airspace, with the descents being controlled using speed alone. Although the study was exploratory in nature, four variables were manipulated: speed changes, route constraints, clearance phraseology, and winds. Despite flying the same scenarios with the same events and timing, there was at least a 50 second difference in the time it took crews to fly the approaches. This variation is the product of a number of factors but highlights potential difficulties for scheduling tools that would have to accommodate this amount of natural variation in descent times. The primary focus of this paper is the potential impact of ground scheduling tools on the flight crews performance and procedures. Crews reported "moderate to low" workload, on average; however, short periods of intense and high workload were observed. The non-flying pilot often reported a higher level of workload than the flying-pilot, which may be due to their increased interaction with the Flight Management Computer, when using the aircraft automation to assist with managing the descent clearances. It is concluded that ground-side tools and automation may have a larger impact on the current-day flight-deck than was assumed and that studies investigating this impact should continue in parallel with controller support tool development.

Martin, Lynne Hazel↗

NASA NTRS1982

Entropy, instrument scan, and pilot workload

Experimental results are presented from a set of experiments designed to explore the relationship between the performance, skill, and visual scanning behavior of pilots under varying levels of mental workload. Instrument fixations were recorded as groups of pilots with widely differing levels of skill simultaneously performed a continuous instrument flight task and a verbally presented loading task with four discrete levels. Pilot scanning patterns were found to be significantly affected by the level of mental workload in a manner that was dependent on skill. These scanning alterations were quantified by the methods of entropy and autocorrelation, where the former concerns visual scan path and the latter assesses the relations among scan periodicity, skill level and mental task periodicity.

Tole, J. R.↗