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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.↗
NASA NTRS2021

Teleoperation and Visualization Interfaces for Remote Intervention in Space

Approaches to robotic manufacturing, assembly, and servicing of in-space assets range from autonomous operation to direct teleoperation, with many forms of semi-autonomous teleoperation in between. Because most approaches require one or more human operators at some level, it is important to explore the control and visualization interfaces available to those operators, taking into account the challenges due to significant telemetry time delay. We consider one motivating application of remote teleoperation, which is ground-based control of a robot on-orbit for satellite servicing. This paper presents a model-based architecture that: 1) improves visualization and situation awareness, 2) enables more effective human/robot interaction and control, and 3) detects task failures based on anomalous sensor feedback. We illustrate elements of the architecture by drawing on 10 years of our research in this area. The paper further reports the results of several multi-user experiments to evaluate the model-based architecture, on ground-based test platforms, for satellite servicing tasks subject to round-trip communication latencies of several seconds. The most significant performance gains were obtained by enhancing the operators’ situation awareness via improved visualization and by enabling them to precisely specify intended motion. In contrast, changes to the control interface, including model-mediated control or an immersive 3D environment, often reduced the reported task load but did not significantly improve task performance. Considering the challenges of fully autonomous intervention, we expect that some form of teleoperation will continue to be necessary for robotic in-situ servicing, assembly, and manufacturing tasks for the foreseeable future. We propose that effective teleoperation can be enabled by modeling the remote environment, providing operators with a fused view of the real environment and virtual model, and incorporating interfaces and control strategies that enable interactive planning, precise operation, and prompt detection of errors.

space robotics↗
NASA NTRS1986

Analytical comparison of transient and steady state visual evoked cortical potentials

To better describe the linear-dynamic properties of the human visual-cortical response system, transient and steady state Visual Evoked Response Potentials (VERP) were observed. The stimulus presentation device provided both the evoking stimulus (flickering or pulsing lights) and a video task display. The steady state stimulus was modulated by a complex, ten frequency, sum-of-sines, wave. The transient VERP was the time-locked average of the EEG to a series of narrow light pulses (pulse width of 10 msec). The Fourier transform of the averaged pulses had properties that approximate band limited white noise, i.e., a flat spectrum over the frequency region spanned by the 10 summed sines. The Fourier transform of both the steady state and the transient evoked potentials resulted in transfer that are equivalent and therefore comparable. To investigate the effects of task loading on evoked potentials, a grammatical reasoning task was provided. Results support the relevancy of continued application of a systems engineering approach for describing neurosensory functioning.

Junker, A. M.↗
NASA NTRS2019

The Relationship between Workload, Performance and Fatigue in a Short-Haul Airline

Short-haul flights are associated with irregular work schedules and increased workload, due to frequent takeoffs and landings. We examined the relationship between pilot workload, performance and subjective fatigue during normal short-haul operations. Ninety airline pilots (8 female), mean age 33 (±8 years) completed a NASA-Task Load Index (NASA-TLX), a Psychomotor Vigilance Task (PVT; a reaction time test sensitive to sleep loss) and a Samn-Perelli (SP) fatigue scale, over a period of 20 duty days at top-of-descent on 2762 short-haul flights. The duty days included either 2 or 4 flights per day starting at different times as scheduled during normal operations. Workload was measured using the six NASA-TLX scales: mental demand, physical demand, temporal demand, effort, performance and frustration. Lapses (reaction times [RT] > 500ms) were calculated for the PVT. Spearman correlations were calculated to identify relationships between the NASA-TLX, PVT lapses, and SP. The six scales of NASA-TLX were positively correlated with the PVT lapses (p < 0.01) showing an increase in workload when lapses increased. There was a positive correlation between subjective fatigue as measured by the SP fatigue scale and each of the six scales of NASA-TLX (p < 0.001) suggesting that pilots reported higher workload when perceived levels of fatigue were higher. Of the six workload scales, mental demand and performance were rated the highest (mental: M = 40.99, SD = 20.32; performance: M = 41.61, SD = 20.71) and effort was rated the lowest (M = 15.59, SD = 8.98). Preliminary analyses suggest that high workload is associated with poorer PVT performance and increased self-reported fatigue in this population of short-haul pilots. Future studies should explore how other workload factors (i.e. flight hours, time of day) influence self-reported and objective fatigue measures.

TLX↗
NASA NTRS1983

SIFT - A preliminary evaluation

This paper presents the results of a performance evaluation of the SIFT computer system conducted in the NASA AIRLAB facility. The essential system functions are described and compared to both earlier design proposals and subsequent design improvements. The functions supporting fault tolerance are found to consume significant computing resources. With SIFT's specimen task load, scheduled at a 30-Hz rate, the executive tasks such as reconfiguration, clock synchronization and interactive consistency, require 55 percent of the available task slots. Other system overhead (e.g., voting and scheduling) use an average of 50 percent of each remaining task slot.

Palumbo, D. L.↗
NASA NTRSDate not supplied

Handling Qualities Assessment of Manual Lunar Landing with Display Augmentation

Research and development is being conducted to support data-driven design decisions for manual control and human involvement in the lunar landing task under the Human Landing System (HLS) program within the Artemis campaign. A human-in-the-loop simulator evaluation of the manual control of a lunar landing vehicle in the final approach and landing phase was conducted at NASA Langley Research Center in the Lunar Flight Deck simulator using the Altair Design and Analysis Cycle (DAC)-2 government reference vehicle. The objective was to perform a direct comparison of control law types with display aiding for various rotational control powers being considered under HLS. Ten subjects (four NASA test pilots and six current pilot astronauts) provided Cooper-Harper ratings, NASA Task Load Index workload ratings, and qualitative comments. The piloting task was to assume manual control of the vehicle (including vertical descent rate) at 150 m above the landing zone, fly to a redesignated landing target (which was up to 75 m radially from the center of the landing zone) and to touch down within a position accuracy of 5m. The data showed that the display augmentation in the form of a “hover cue” significantly improved the pilot’s ability to control translation and create satisfactory handling qualities for otherwise sluggish configurations; however, the investigation also showed that display augmentation is not a panacea. Handling qualities problems, including pilot-induced oscillations, and higher workload for the lowest control powers can still be evident.

Lynda J. Kramer↗
NASA NTRSDate not supplied

Handling Qualities Assessment of Manual Lunar Landing with Display Augmentation

Research and development is being conducted to support data-driven design decisions for manual control and human involvement in the lunar landing task under the Human Landing System (HLS) program within the Artemis campaign. A human-in-the-loop simulator evaluation of the manual control of a lunar landing vehicle in the final approach and landing phase was conducted at NASA Langley Research Center in the Lunar Flight Deck simulator using the Altair Design and Analysis Cycle (DAC)-2 government reference vehicle. The objective was to perform a direct comparison of control law types with display aiding for various rotational control powers being considered under HLS. Ten subjects (four NASA test pilots and six current pilot astronauts) provided Cooper-Harper ratings, NASA Task Load Index workload ratings, and qualitative comments. The piloting task was to assume manual control of the vehicle (including vertical descent rate) at 150 m above the landing zone, fly to a redesignated landing target (which was up to 75 m radially from the center of the landing zone) and to touch down within a position accuracy of 5m. The data showed that the display augmentation in the form of a “hover cue” significantly improved the pilot’s ability to control translation and create satisfactory handling qualities for otherwise sluggish configurations; however, the investigation also showed that display augmentation is not a panacea. Handling qualities problems, including pilot-induced oscillations, and higher workload for the lowest control powers can still be evident.

Lynda Kramer↗
NASA NTRS1989

The effects of control order, feedback, practice, and input device on tracking performance and perceived workload

The present experiment examined the influence of several task-related factors on tracking performance and concomitant workload. The manipulated factors included tracking order, the presence or absence of knowledge of performance, and the control device. Summed root mean square error (rmse) and perceived workload were measured at the termination of each trial. Perceived workload was measured using the NASA Task Load Index (TLX) and the Subjective Workload Assessment Technique (SWAT). Results indicated a large and expected effect for track order on both performance and the perception of load. In general, trackball input was more accurate and judged for lower load than input using a mouse. The presence or absence of knowledge of performance had little effect on either performance or workload. There were a number of interactions between factors shown in performance that were mirrored by perceived workload scores. Results from each workload scale were equivalent in terms of sensitivity to task manipulations. The pattern of results affirm the utility of these workload measures in assessing the imposed load of multiple task-related variables.

Hancock, P. A.↗
NASA NTRS1985

Evaluation of 16 measures of mental workload using a simulated flight task emphasizing mediational activity

As aircraft and other systems become more automated, a shift is occurring in human operator participation in these systems. This shift is away from manual control and toward activities that tap the higher mental functioning of human operators. Therefore, an experiment was performed in a moving-base flight simulator to assess mediational (cognitive) workload measurement. Specifically, 16 workload estimation techniques were evaluated as to their sensitivity and intrusion in a flight task emphasizing mediational behavior. Task loading, using navigation problems presented on a display, was treated as an independent variable, and workload-measure values were treated as dependent variables. Results indicate that two mediational task measures, two rating scale measures, time estimation, and two eye behavior measures were reliably sensitive to mediational loading. The time estimation measure did, however, intrude on mediational task performance. Several of the remaining measures were completely insensitive to mediational load.

Wierwille, W. W.↗
NASA NTRS1983

A comparison of rating scale, secondary-task, physiological, and primary-task workload estimation techniques in a simulated flight task emphasizing communications load

Sixteen potential metrics of pilot mental workload were investigated regarding their sensitivity to communication load and their intrusion on primary-task performance. A moving-base flight simulator was used to present three cross-country flights. The flights varied only in the difficulty of the communications requirements. Rating scale measures were obtained immediately postflight; all others were taken over a 7-min segment of the flight task. The results indicated that both the Modified Cooper-Harper Scale and the workload Multi-descriptor Scale were sensitive to changes in communications load. The secondary-task measure of time estimation and the physiological measure of pupil diameter were also sensitive. As expected, those primary-task measures that were direct measures of communicative performance were also sensitive to load, whereas aicraft control primary-task measures were not, attesting to the task specificity of such measures. Finally, the intrusion analysis revealed no differential interference between workload measures.

Casali, J. G.↗
NASA NTRS1983

Evaluation of 20 workload measures using a psychomotor task in a moving-base aircraft simulator

The sensitivity and intrusion of 20 pilot workload assessment techniques were compared using a psychomotor loading task in a three degree-of-freedom moving-base aircraft simulator. The primary task was an instrument landing system approach and landing, with measures taken between the outer and middle markers. Three levels of psychomotor load were obtained by combined manipulation of random wind-gust disturbance level and pitch stability. Two rating scale measures and one control movement measure demonstrated sensitivity to all levels of load. Additionally, one time estimation measure and one pulse rate measure demonstrated sensitivity to some levels of load. No intrusion was found. The results of this experiment indicate that the sensitivities of workload estimation techniques vary widely, and that only a few techniques appear sensitive to psychomotor load.

Wierwille, W. W.↗