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Medical Lessons Learned from the Exploration Atmospheres Study

Background: The National Aeronautics and Space Administration’s (NASA) Exploration Atmospheres study (EA) was done to evaluate alternative cabin atmospheres for future spacecraft designs and planetary surface exploration of the Moon, Mars and beyond. Deep space exploration involves creating habitats and environments safe for human occupancy and means to explore the outside environment (extravehicular activities, EVA). In order to validate alternative atmospheres and pre-spacewalk procedures, the EA study was conducted to evaluate factors such as hypoxia risks, denitrogenation protocols, food limitations, medications, and the impact of other factors on human performance. Overview: Space travel is constrained by mass, volume, power and the cost of vehicle development, which creates tradeoffs in various capabilities, including breathing gasses. Higher atmospheric pressure in a vehicle means more gas, and a stronger containment vessel/habitat; while lower pressure requires higher oxygen partial pressure, which may increase fire risk. NASA’s EA study evaluated a proposed alternative cabin environment (8.2 psia, 34% Oxygen), for future spacecraft habitat, and planetary EVAs. EA included both a 3-day and a 11-day trial. These trials included a depressurization and saturation to 8.2psi at 34% O2 with additional depresses to 4.3 psia at 85% O2 for simulated EVAs, (1 EVA during the 3-day and 5 during the 11-day trials). Discussion: Planning for and executing the medical monitoring and response plan for a trial of this scope was a huge undertaking with no prior practice to fall back on. Food obstacles, sleeping issues, medications, joint injury, equipment limitations, medical privacy, multiple cases of decompression sickness, and even a COVID outbreak among the support team proved challenging. Conclusion: Testing of this nature is an essential part NASA’s preparation for the upcoming Lunar Artemis missions. As spaceflight transitions beyond low earth orbit, to planetary, even more trials of this nature will be required to learn what are the optimal atmospheric and associated operational constraints to maintain the optimal health of the crew and achieve mission objectives.

R Sanders↗

Science, Exploration and the Human Experience.

Dr. Darlene S. Lim is a research scientist at NASA's Ames Research Center in California's Silicon Valley, and the Deputy Project Scientist and Science Operations Lead for NASA's Volatiles Investigating Polar Exploration Rover (VIPER) Lunar Mission. The VIPER lunar rover mission is a mobile robot that will go to the South Pole of the Moon to get a close-up view of the location and concentration of water ice that could eventually be harvested to sustain human exploration on the Moon, Mars — and beyond. VIPER represents the first resource mapping mission on another celestial body and presents a unique operational paradigm within the history of robotic spaceflight. Throughout her career, Darlene has led several NASA-funded programs that have been focused on blending field science research with the development of capabilities and concepts for future human-robotic spaceflight to the Moon and Mars. These research activities have taken her around the world, from pole to pole, land to sea, and to many lakes in between, where she has studied life in extreme environments, the way people conduct science, and how they need to be supported in their work of discovery and exploration. At the center of each of these endeavors is the human - the person who must interact with others, with technology, and with the environment of interest, to apply the scientific method towards the accrual and expansion of knowledge about the planet that we live on and beyond. Darlene has been working with teams of scientists and engineers from a variety of disciplines to hone her understanding of the process by which their interactions and research needs can be supported and enabled under intense operational conditions such as those associated with Moon and Mars exploration. Darlene’s presentation will take the audience through the arc of her research over the past two decades culminating in her on-going work with the NASA VIPER lunar rover mission.

Darlene Sze Shien Lim↗

Exploration Medical Capability Clinical Decision Support System Concept of Operations

The Clinical Decision Support (CDS) project supports the Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP). Specifically, the CDS project addresses the ExMC gap, Medical-701: Enhance medical capabilities within an exploration medical system. For long-duration, deep space missions, computational and data resources will play an important role in maintaining crew health, wellness and performance where the crew will need to be more self-reliant as we enter a new era in space exploration to return to the moon and explore Mars. These ambitious goals will require significant change in in-flight medical care due to constraints on mass, volume, power, crew time, skills reduction over time and medical evacuation capabilities. These constraints make it absolutely necessary to develop transformative solutions using new technologies. Unlike the current paradigm for crew health in low-Earth orbit missions that rely on constant communication with Mission Control, the deep space missions will experience communication delays and possibly, no communications for finite periods of time. Hence, crew health management will benefit from analytics’ capabilities to augment decision support. A comprehensive, multi-functional on-board clinical decision support system (CDSS) will help crews assess and diagnose conditions, decide appropriate responses, and guide the provision of tailored and evidence-based treatments, while reflecting contextual factors and constraints. The context may include present and historical data, viable diagnostic equipment, available supplies and medications, and vehicle and environmental health. Communication time with ground-based personnel is delayed or non-existent during significant portions of the mission so the crew will need to autonomously respond to health, performance and medical situations, particularly those that are unplanned. The CDSS must also provide additional capabilities as complex as training for an emergency situation while augmenting non-expert practitioner skillsets if the Crew Medical Officer (CMO) is incapacitated, and as routine as facilitating delayed communication with flight surgeons on the ground. The CDSS must connect complex issues involving health, wellness, task performance and environmental domains. Furthermore, CDSS functionality will focus on semi-autonomous and autonomous decision-making by the crew that is necessary to address challenges in executing a self-contained medical system that enables health care without assistance from ground clinical experts. The document, ExMC CDSS Architecture Recommendation, (HRP- 48032) establishes a description of the envisioned CDSS architecture. The analytics, descriptive or advanced, contained in a CDSS will interface with the integrated crew health and performance architecture that provides the appropriate data sets. The aim of the CDS project is to develop requirements for a CDSS through a series of test-bed prototype developments and demonstrations.

HRP↗

To Biocide or not to Biocide? Exploring the "No Biocide" Option in Spacecraft Potable Water Systems

Residual biocide has been used to protect against microbial growth in spacecraft potable water systems since the Gemini program. Iodine, the biocide currently used on the International Space Station (ISS) has a long history of use but presents a few challenges for exploration: it must be removed using a consumable absorbent before crew consumption and is known to lose its biocidal concentration due to interactions with wetted components, especially during periods of dormancy. Biocidal silver is being considered for exploration missions as it is safe for crew consumption, but it too has challenges with proper material design to maintain sufficient disinfection residuals. An idea proposed by some in the Environmental Control and Life Support System (ECLSS) community has been that the biocide does not provide a true barrier against microbial growth, and therefore, perhaps the challenges of maintaining a residual biocide in the system could be best overcome by removing the biocide altogether. In this argument, they point to the regenerative water treatment system on the ISS which produces high purity water that theoretically meets the microbiological requirements before the iodine is added. Exploration water processing systems are expected to have similar water processing capabilities. This paper will discuss the role that residual biocide may play in controlling microbial growth and presents perspectives on the potential risks associated with removing it from exploration water systems.

biocide↗

Exploration Medical Capability Medical Scenarios

Medical systems supporting exploration class missions to cislunar space, the lunar surface, and the vicinity of Mars require an evolution in medical capability beyond that available for today’s low Earth orbit centric paradigm. Progress in developing more capable medical systems will be driven by the requirements of prolonged mission duration, increasing distance from Earth, and the realities of orbital mechanics, all necessitating a concomitant need for progressively Earth independent medical decision-making capabilities. These medical systems (which include the crewmembers) are expected to be capable of evaluating, diagnosing, treating and managing a defined list of medical conditions as well as addressing unanticipated medical conditions that may arise. The prioritized medical capabilities and associated resources needed to treat these medical conditions and support anticipated inflight medical events provide robust content that informs system designers and allows for a more complete evaluation of both medical and overall mission risk. Communication of these medical capabilities to system, vehicle, and mission designers can be enhanced using scenarios that characterize the system’s operations. Carefully considered scenarios provide the context needed to explore expected human and system interfaces, roles of ground and inflight crew (including periods of interrupted or delayed communications), identify training needs, assess data needs, etc. Mission-based scenario content varies dependent upon the needs, medical capabilities, conditions and context they are intended to illustrate. This document explicitly seeks to capture and codify those scenarios that have been useful to the Exploration Medical Capability Element of the Human Research Program in defining the enhanced medical systems required for future space exploration. It is expected that this document will continue to evolve through the refinement and characterization of current and future scenarios, respectively, as our knowledge grows, and requirements increasingly focus on Earth independent spaceflight operations.

Derek M Nusbaum↗

To Biocide or Not to Biocide? Exploring the "No Biocide" Option in Spacecraft Potable Water Systems

Residual biocide has been used to protect against microbial growth in spacecraft potable water systems since the Gemini program. Iodine, the biocide currently used on the International Space Station (ISS) has a long history of use but presents a few challenges for exploration: it must be removed using a consumable absorbent before crew consumption and is known to lose its biocidal concentration due to interactions with wetted components, especially during periods of dormancy. Biocidal silver is being considered for exploration missions as it is safe for crew consumption, but it too has challenges with proper material design to maintain sufficient disinfection residuals. An idea proposed by some in the Environmental Control and Life Support System (ECLSS) community has been that the biocide does not provide a true barrier against microbial growth, and therefore, perhaps the challenges of maintaining a residual biocide in the system could be best overcome by removing the biocide altogether. In this argument, they point to the regenerative water treatment system on the ISS which produces high purity water that theoretically meets the microbiological requirements before the iodine is added. Exploration water processing systems are expected to have similar water processing capabilities. This paper will discuss the role that residual biocide may play in controlling microbial growth and presents perspectives on the potential risks associated with removing it from exploration water systems.

biocide↗

To Biocide or Not to Biocide? Exploring the "No Biocide" Option in Spacecraft Potable Water Systems

Residual biocide has been used to protect against microbial growth in spacecraft potable water systems since the Gemini program. Iodine, the biocide currently used on the International Space Station (ISS) has a long history of use but presents a few challenges for exploration: it must be removed using a consumable absorbent before crew consumption and is known to lose its biocidal concentration due to interactions with wetted components, especially during periods of dormancy. Biocidal silver is being considered for exploration missions as it is safe for crew consumption, but it too has challenges with proper material design to maintain sufficient disinfection residuals. An idea proposed by some in the Environmental Control and Life Support System (ECLSS) community has been that the biocide does not provide a true barrier against microbial growth, and therefore, perhaps the challenges of maintaining a residual biocide in the system could be best overcome by removing the biocide altogether. In this argument, they point to the regenerative water treatment system on the ISS which produces high purity water that theoretically meets the microbiological requirements before the iodine is added. Exploration water processing systems are expected to have similar water processing capabilities. This paper will discuss the role that residual biocide may play in controlling microbial growth and presents perspectives on the potential risks associated with removing it from exploration water systems.

biocide↗

Architectural Framework for Conceptualizing Exploration Class Medical Operations

Currently, discrete projects within NASA’s Human Research Program (HRP) take aim at providing future exploration missions with the capabilities necessary to operate within a progressively Earth-independent operative environment. Realizing an entire ecosystem that can accomplish these goals requires a clear visualization on how each project contributes to the overall objectives of Human Health and Performance (HH&P) in that context. The Exploration Medical Capability (ExMC) Element has developed an architectural framework for exploration class medical operations by utilizing a systems engineering approach using model-based systems engineering (MBSE). This model, a System of Systems Architecture (SoSA), captures a means of integrating various independent but related efforts into a comprehensive view associated with HRP’s goal of providing progressively Earth-Independent Medical Operations (EIMO). This level of visibility is realized by identifying interfaces between development efforts and existing programs that contribute to the overall mission of EIMO even if those extend past the traditional boundary of HRP. Potential interfaces that are considered important when constructing an architecture include program/project Needs, Goals, and Objectives (NGOs), capabilities, envisioned use cases/scenarios, and system/subsystem structure. This presentation will focus on the processes that were used to generate the SoSA along with a means to realize its utility amongst other MBSE products from ExMC. Evaluation of the best architecture moving forward can then be achieved that promotes cohesion between various functional areas of HH&P. Additionally, the SoSA is developed with a long-term vision for the dynamic integration of novel technological developments that may be implemented in the future. The SoSA is intended to enable Stakeholders the ability to view the broader interconnections that exist and begin to create avenues of communication between various efforts. The benefits of a SoSA provide an essential step towards addressing the unique challenges of attaining the goals of broader exploration class medical missions of the future.

Systems engineering↗

Architectural Framework for Conceptualizing Exploration Class Medical Operations

Currently, discrete projects within NASA’s Human Research Program (HRP) take aim at providing future exploration missions with the capabilities necessary to operate within a progressively Earth-independent operative environment. Realizing an entire ecosystem that can accomplish these goals requires a clear visualization on how each project contributes to the overall objectives of Human Health and Performance (HH&P) in that context. The Exploration Medical Capability (ExMC) Element has developed an architectural framework for exploration class medical operations by utilizing a systems engineering approach using model-based systems engineering (MBSE). This model, a System of Systems Architecture (SoSA), captures a means of integrating various independent but related efforts into a comprehensive view associated with HRP’s goal of providing progressively Earth-Independent Medical Operations (EIMO). This level of visibility is realized by identifying interfaces between development efforts and existing programs that contribute to the overall mission of EIMO even if those extend past the traditional boundary of HRP. Potential interfaces that are considered important when constructing an architecture include program/project Needs, Goals, and Objectives (NGOs), capabilities, envisioned use cases/scenarios, and system/subsystem structure. This presentation will focus on the processes that were used to generate the SoSA along with a means to realize its utility amongst other MBSE products from ExMC. Evaluation of the best architecture moving forward can then be achieved that promotes cohesion between various functional areas of HH&P. Additionally, the SoSA is developed with a long-term vision for the dynamic integration of novel technological developments that may be implemented in the future. The SoSA is intended to enable Stakeholders the ability to view the broader interconnections that exist and begin to create avenues of communication between various efforts. The benefits of a SoSA provide an essential step towards addressing the unique challenges of attaining the goals of broader exploration class medical missions of the future.

Systems engineering↗

TOC Calibration Method for Exploration Application

Total organic carbon (TOC) is the amount of carbon associated with organic compounds in solution and is often used as a non-specific indicator for water quality or cleanness. Currently, the Total Organic Carbon Analyzer (TOCA) is being used onboard the International Space Station (ISS) for water recovery system process control. An exploration-class TOCA is now being developed to close the technology gaps between the State-of-the-Art ISS TOCA and the emerging requirements of future exploration missions. One of the technical gaps for an exploration TOC analyzer is the development of suitable methods for on-orbit calibration. While the ISS TOCA uses pre-packaged ground-supplied TOC calibration standards, there is limited stability data. Other options include preparing calibration standards in space, which can be challenging due to the lack of low TOC reagent water. This paper explores the practice of the standard addition method and passive dosing approaches as potential solutions to overcome this problem.

Wenyan Li↗

Ensuring Safe Decision-Making on the Moon and Mars: Cognitive Performance Assessment for Exploration Class Mission EVA

Extravehicular activity (EVA) is one of the most dangerous and cognitively demanding actions that astronauts can execute, and the cognitive demands associated with future partial gravity EVA on the Moon and Mars are expected to be higher compared to microgravity EVA currently conducted from the International Space Station (ISS). Decrements in cognitive performance present an important risk to crew safety during exploration mission class EVA. Yet there is currently insufficient data to characterize cognitive performance prior to, during, and following EVA. Furthermore, it is still unclear which cognitive domains are most important for conducting mission critical decisions with crew safety implications. To address this gap, we conducted a cognitive task analysis (CTA) of EVA to characterize the procedures, the cognitive demands required, and the critical safety decisions associated with decrements in cognitive performance. We used the applied cognitive task analysis method as outlined by Militello and Hutton (1998) and conducted interviews with subject matter experts (SMEs) in EVA at NASA Johnson Space Center in summer 2024. Interviews focused on exploration EVA and elicited feedback from SMEs on the cognitive skills required for specific EVA tasks including cognitive strategies, critical cues, and decision-making strategies. A cognitive demands table was assembled to consolidate and synthesize the information from all interviews. The information from this cognitive task analysis will inform ongoing work to identify the key cognitive domains for safe decision-making during exploration mission class EVA on the Moon and Mars. This work will importantly provide a link between cognitive domains identified in the cognitive task analysis and operationally-relevant performance metrics collected during spaceflight and simulation EVA that can be tracked and assessed by NASA mission operations. Ultimately, this work will aid in the development and application of exploration class cognitive performance monitoring capabilities to improve safe decision-making and inform EVA planning on future spaceflight missions to the Moon and Mars.

Steven R Anderson↗

Ensuring Safe Decision-Making on the Moon and Mars: Cognitive Performance Assessment for Exploration Class Mission EVA

Extravehicular activity (EVA) is one of the most dangerous and cognitively demanding actions that astronauts can execute, and the cognitive demands associated with future partial gravity EVAs on the Moon and Mars are expected to be higher compared to microgravity EVAs currently conducted from the International Space Station. Decrements in cognitive performance present an important risk to crew safety during exploration mission class EVA. Yet there is currently insufficient data to characterize cognitive performance prior to, during, and following EVA. Furthermore, it is still unclear which cognitive domains are most important for conducting mission critical decisions with crew safety implications. To address this gap, we conducted a cognitive task analysis (CTA) of EVA to characterize the procedures, the cognitive demands required, and the critical safety decisions associated with decrements in cognitive performance. We conducted a cognitive task analysis with 15 astronauts and subject matter experts in EVA operations and research. Interviews focused on surface exploration EVA and elicited feedback from experts on the cognitive skills required for specific EVA tasks, including cognitive strategies, critical cues, and decision-making strategies. A cognitive demands table was assembled to consolidate and synthesize the information from all interviews. The information from this cognitive task analysis informs ongoing exploration EVA for Moon to Mars. This work identifies the specific cognitive challenges that astronauts are likely to encounter during surface exploration EVA, and provides the foundation for: (1) prioritized and targeted cognitive performance measurement and functional performance tests, (2) EVA simulation design at varying levels of cognitive workload, and (3) the development of training and other technologies that can improve safe decision-making and inform EVA planning on future spaceflight missions to the Moon and Mars.

Steven R Anderson↗

Play-fairway analysis for geothermal exploration: Examples from the Great Basin, western USA

Elevated permeability within fault systems provides pathways for circulation of geothermal fluids. Future geothermal development depends on precise and accurate location of such fluid flow pathways in order to both accurately assess geothermal resource potential and increase drilling success rates. The collocation of geologic characteristics that promote permeability in a given geothermal system define the geothermal ‘fairway’, the location(s) where upflow zones are probable and where exploration efforts including drilling should be focused. We define the geothermal fairway as the collocation of 1) fault zones that are ideally oriented for slip or dilation under ambient stress conditions, 2) areas with a high spatial density of fault intersections, and 3) lithologies capable of supporting dense interconnected fracture networks. Areas in which these characteristics are concomitant with both elevated temperature and fluids are probable upflow zones where economic-scale, sustainable temperatures and flow rates are most likely to occur. Employing a variety of surface and subsurface data sets, we test this ‘play-fairway’ exploration methodology on two Great Basin geothermal systems, the actively producing Brady’s geothermal system and a ‘greenfield’ geothermal prospect at Astor Pass, NV. These analyses, based on 3D structural and stratigraphic framework models, reveal subsurface characteristics about each system, well beyond the scope of standard exploration methods. At Brady’s, the geothermal fairways we define correlate well with successful production wells and pinpoint several drilling targets for maintaining or expanding production in the field. In addition, hot-dry wells within the Brady’s geothermal field lie outside our defined geothermal fairways. At Astor Pass, our play-fairway analysis provides for a data-based conceptual model of fluid flow within the geothermal system and indicates several targets for exploration drilling.

15 GEOTHERMAL ENERGY↗

Geothermal Exploration Policy Mechanisms: Lessons for the United States from International Applications

This report focuses on five of the policy types that are most relevant to the U.S. market and political context for the exploration and confirmation of conventional hydrothermal (geothermal) resources in the United States: (1) drilling failure insurance, (2) loan guarantees, (3) subsidized loans, (4) capital subsidies, and (5) government-led exploration. It describes each policy type and its application in other countries and regions. It offers policymakers a guide for drafting future geothermal support mechanisms for the exploration-drilling phase of geothermal development.

15 GEOTHERMAL ENERGY↗

Geothermal Exploration Policy Mechanisms: Lessons for the United States from International Applications

This report focuses on five of the policy types that are most relevant to the U.S. market and political context for the exploration and confirmation of conventional hydrothermal (geothermal) resources in the United States: (1) drilling failure insurance, (2) loan guarantees, (3) subsidized loans, (4) capital subsidies, and (5) government-led exploration. It describes each policy type and its application in other countries and regions. It offers policymakers a guide for drafting future geothermal support mechanisms for the exploration-drilling phase of geothermal development.

15 GEOTHERMAL ENERGY↗

Human Exploration of Mars Design Reference Architecture 5.0

This paper provides a summary of the Mars Design Reference Architecture 5.0 (DRA 5.0), which is the latest in a series of NASA Mars reference missions. It provides a vision of one potential approach to human Mars exploration. The reference architecture provides a common framework for future planning of systems concepts, technology development, and operational testing as well as Mars robotic missions, research that is conducted on the International Space Station, and future lunar exploration missions. This summary the Mars DRA 5.0 provides an overview of the overall mission approach, surface strategy and exploration goals, as well as the key systems and challenges for the first three human missions to Mars.

Mars exploration↗

Low-Latency Teleoperations for Human Exploration and Evolvable Mars Campaign

NASA has been analyzing a number of mission concepts and activities that involve low-latency telerobotic (LLT) operations. One mission concept that will be covered in this presentation is Crew-Assisted Sample Return which involves the crew acquiring samples (1) that have already been delivered to space, and or acquiring samples via LLT from orbit to a planetary surface and then launching the samples to space to be captured in space and then returned to the earth with the crew. Both versions of have key roles for low-latency teleoperations. More broadly, the NASA Evolvable Mars Campaign is exploring a number of other activities that involve LLT, such as: (a) human asteroid missions, (b) PhobosDeimos missions, (c) Mars human landing site reconnaissance and site preparation, and (d) Mars sample handling and analysis. Many of these activities could be conducted from Mars orbit and also with the crew on the Mars surface remotely operating assets elsewhere on the surface, e.g. for exploring Mars special regions and or teleoperating a sample analysis laboratory both of which may help address planetary protection concerns. The operational and technology implications of low-latency teleoperations will be explored, including discussion of relevant items in the NASA Technology Roadmap and also how previously deployed robotic assets from any source could subsequently be used by astronauts via LLT.

crew autonomy↗

On the competitive antagonism effect in combined chloride-sulfate attack: A numerical exploration

Highlights: • A chemo-physical-mechanical method based on thermodynamic modelling is implemented. • The contradicting findings from reported experiments are numerically explored. • The competitive antagonism effect is time-dependent rather than a conclusive term. • The competitive antagonism effect is quantifiable with a novel assessment criterion. It is of tremendous difficulty to draw a conclusive verdict on the complex process of mutual interference regarding the combined chloride-sulfate attack on concrete, where many have explored the topic, but contradicting results have been reported. In this paper, by taking advantages of the chemo-physical-mechanical method, based on the robust technique of thermodynamic modelling, the competitive antagonism effect in combined chloride-sulfate attack is investigated. Firstly, a range of reported tests are numerically modelled to demonstrate the effectiveness of the employed method in interpreting those opposing and diverse experimental outcomes. More importantly, a fresh conjecture incorporating a novel assessment criterion for the competitive antagonism effect is proposed and supported through a carefully designed illustrative example. Based on the numerical exploration, unique findings and implications for future engineering practices are revealed.

36 MATERIALS SCIENCE↗