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At least 145 records · Page 8

Results of a 3-day Pilot Study to Validate Planetary Prebreathe Protocols Using a 56.5 kPa 34% O2, 66% N2 Saturation Cabin Atmosphere

INTRODUCTION: Apollo missions used 100% O2 cabin atmospheres which effectively eliminated the risk of decompression sickness (DCS) during extravehicular activities (EVAs, ‘spacewalks’); however, this atmosphere presented a flammability risk that is no longer acceptable to NASA. Denitrogenation prebreathe protocols used to mitigate DCS risk for Space Shuttle and International Space Station EVAs are validated for the microgravity environment, but the significantly increased risk of DCS during equivalent ambulatory surface EVAs make these protocols inapplicable to planetary/Lunar missions. An “exploration atmosphere” of 56.5 kPa (8.2 psia), 34% O2, 66% N2 has been recommended by NASA for future Moon and Mars missions as a compromise that balances subsequent pre-EVA prebreathe duration, hypoxia, and flammability risk, assuming a 29.6 kPa (4.3 psi) spacesuit. Prebreathe validation studies was initiated utilizing a three-story 6m diameter hypobaric chamber at NASA’s Johnson Space Center. Here, we report the results of a 3-day human-in-the-loop system checkout. METHODS: Six volunteers acclimated to the 56.6kPa/34% O2 66% N2 environment for 48hrs prior to conducting a 20-minute prebreathe and a 6-hour simulated EVA at 34kPa/85% O2 / 15% N2. The EVA simulation was designed to include tasks that are physically and ergonomically representative of future planetary EVAs. Decompression stress was evaluated by serial doppler and echocardiographs, as well as by clinical features of DCS signs/symptoms. RESULTS AND DISCUSSION: Preliminary data analysis noted venous gas emboli (VGE) in 3 of 6 subjects, with peak Grade II VGE by Doppler and peak E-B score of 5 by cardiac ultrasonography. No volunteers were diagnosed with DCS during this initial test. No acute hypoxic symptoms were noted. Musculoskeletal and gastrointestinal complaints were noted, likely associated with the exercise load and the food system. Validation of exploration prebreathe protocols has since been initiated with an 11-day saturation test using the same facility and protocol.

Alejandro Garbino↗

A Global Aerosol Model Forecast for the ACE-Asia Field Experiment

We present the results of aerosol forecast during the Aerosol Characterization Experiment (ACE-Asia) field experiment in spring 2001, using the Georgia Tech/Goddard Global Ozone Chemistry Aerosol Radiation and Transport (GOCART) model and the meteorological forecast fields from the Goddard Earth Observing System Data Assimilation System (GEOS DAS). The aerosol model forecast provides direct information on aerosol optical thickness and concentrations, enabling effective flight planning, while feedbacks from measurements constantly evaluate the model, making successful model improvements. We verify the model forecast skill by comparing model predicted total aerosol extinction, dust, sulfate, and SO2 concentrations with those quantities measured by the C-130 aircraft during the ACE-Asia intensive operation period. The GEOS DAS meteorological forecast system shows excellent skills in predicting winds, relative humidity, and temperature for the ACE-Asia experiment area as well as for each individual flight, with skill scores usually above 0.7. The model is also skillful in forecast of pollution aerosols, with most scores above 0.5. The model correctly predicted the dust outbreak events and their trans-Pacific transport, but it constantly missed the high dust concentrations observed in the boundary layer. We attribute this missing dust source to the desertification regions in the Inner Mongolia Province in China, which have developed in recent years but were not included in the model during forecasting. After incorporating the desertification sources, the model is able to reproduce the observed high dust concentrations at low altitudes over the Yellow Sea. Two key elements for a successful aerosol model forecast are correct source locations that determine where the emissions take place, and realistic forecast winds and convection that determine where the aerosols are transported. We demonstrate that our global model can not only account for the large-scale intercontinental transport, but also produce the small-scale spatial and temporal variations that are adequate for aircraft measurements planning.

Chin, Mian↗

The Arctic-Boreal vulnerability experiment model benchmarking system

NASA's Arctic-Boreal Vulnerability Experiment (ABoVE) integrates field and airborne data into modeling and synthesis activities for understanding Arctic and Boreal ecosystem dynamics. The ABoVE Benchmarking System (ABS) is an operational software package to evaluate terrestrial biosphere models against key indicators of Arctic and Boreal ecosystem dynamics, i.e.: carbon biogeochemistry, vegetation, permafrost, hydrology, and disturbance. The ABS utilizes satellite remote sensing data, airborne data, and field data from ABoVE as well as collaborating research networks in the region, e.g.: the Permafrost Carbon Network, the International Soil Carbon Network, the Northern Circumpolar Soil Carbon Database, AmeriFlux sites, the Moderate Resolution Imaging Spectroradiometer, the Orbiting Carbon Observatory 2, and the Soil Moisture Active Passive mission. The ABS is designed to be interactive for researchers interested in having their models accurately represent observations of key Arctic indicators: a user submits model results to the system, the system evaluates the model results against a set of Arctic-Boreal benchmarks outlined in the ABoVE Concise Experiment Plan, and the user then receives a quantitative scoring of model strengths and deficiencies through a web interface. This interactivity allows model developers to iteratively improve their model for the Arctic-Boreal Region by evaluating results from successive model versions. We show here, for illustration, the improvement of the Lund–Potsdam–Jena-Wald Schnee und Landschaft (LPJwsl) version model through the ABoVE ABS as a new permafrost module is coupled to the existing model framework. The ABS will continue to incorporate new benchmarks that address indicators of Arctic-Boreal ecosystem dynamics as they become available.

ABoVE↗

Usability Evaluation Technical Report: A Usability Evaluation of the Communication Tool Prototype Prepared in Adobe XD for High Density Vertiplex (HDV) Team

Purpose: As cities get more crowded, the roadway infrastructure cannot keep up with the travel demands. Aviation can be a solution. Organizations supporting NASA’s Urban Air Mobility (UAM) concept are conducting studies on feasible concepts of operations for the new air traffic management system required to implement UAM. NASA’s High Density Vertiplex (HDV) team conducts studies using both live flights and simulations. Significance: The goal of this study is to evaluate the effectiveness of a communication tool developed for this team to enhance team situation awareness. Specifically, the study aims to determine if the communication tool is effective in allowing NASA-Langley and NASA-Ames team members playing different roles to understand what others are doing so that completed steps can be communicated to the whole team. Methods: This study asks participants to conduct four distinct scenarios using an Adobe XD prototype. Participants included five members of the target audience, who each received up to 15 minutes of training on how to use the Adobe XD prototype. The participants were NASA-Ames or NASA-Langley researchers, developers or tech leads who had 0 to 15 years of experience. Their ages ranged from 20 to 40 years old, and they were of both genders. After training, each participant was asked to do 4 tasks of varying difficulty, using the prototype testbed. After each task they reported on task difficulty and after all tasks were completed they were asked to fill out the System Usability Survey (SUS). Performance will be assessed through task completion time and accuracy rating. Results: User perception was evaluated by the SUS which showed a mean score over the six participants of 84. All the participants were above the acceptable range which was 70 and nobody was in the marginal usability zone between 50 and 70. In addition, most of the participants did well in terms of time on task, success rate and task difficulty on all the tasks except for Task 3. Participants had two minutes to do the task correctly to succeed at the task, otherwise it was marked as a failure. The geomean for Task 1 for completion time was 22.20; Task 2 was 58.28; Task 3 was 84.68 and Task 4 was 19.61. In Task 3, three out of six people failed this task but all five scored this with an average score 4.2 out of 5 for self-rating on task difficulty.

human factors↗

Examining Performance and Usability of Situation Awareness Communication Tool for NASA's High Density Vertiplex (HDV) Team

Purpose: As cities get more crowded, the roadway infrastructure cannot keep up with the travel demands. Aviation can be a solution. Organizations supporting NASA’s Urban Air Mobility (UAM) concept are conducting studies on feasible concepts of operations for the new air traffic management system required to implement UAM. NASA’s High Density Vertiplex (HDV) team conducts studies using both live flights and simulations. Significance: The goal of this study is to evaluate the effectiveness of a communication tool developed for this team to enhance team situation awareness. Specifically, the study aims to determine if the communication tool is effective in allowing NASA-Langley and NASA-Ames team members playing different roles to understand what others are doing so that completed steps can be communicated to the whole team. Methods: This study asks participants to conduct four distinct scenarios using an Adobe XD prototype. Participants included five members of the target audience, who each received up to 15 minutes of training on how to use the Adobe XD prototype. The participants were NASA-Ames or NASA-Langley researchers, developers or tech leads who had 0 to 15 years of experience. Their ages ranged from 20 to 40 years old, and they were of both genders. After training, each participant was asked to do 4 tasks of varying difficulty, using the prototype testbed. After each task they reported on task difficulty and after all tasks were completed they were asked to fill out the System Usability Survey (SUS). Performance will be assessed through task completion time and accuracy rating. Results: User perception was evaluated by the SUS which showed a mean score over the six participants of 84. All the participants were above the acceptable range which was 70 and nobody was in the marginal usability zone between 50 and 70. In addition, most of the participants did well in terms of time on task, success rate and task difficulty on all the tasks except for Task 3. Participants had two minutes to do the task correctly to succeed at the task, otherwise it was marked as a failure. The geomean for Task 1 for completion time was 22.20; Task 2 was 58.28; Task 3 was 84.68 and Task 4 was 19.61. In Task 3, three out of six people failed this task but all five scored this with an average score 4.2 out of 5 for self-rating on task difficulty.

human factors↗

Transfer of training on manual control systems differing in short period frequency and damping characteristics

Each of four groups of 16 subjects was trained on one of four compensatory tracking tasks that differed with regard to short period natural frequency and damping characteristics. After completion of the training sessions, the members of each group either transferred to a task on which they had not been trained or continued with their original task. Analysis of the training data indicated that relative task difficulty was largely determined by system damping which, however, had little effect on the amount of transfer during the transfer trials. The effect of system frequency was essentially reversed, and a marked interaction between training and transfer frequencies was observed in the transfer data. Similar results were obtained both with relative error scores and transinformation scores. Positive transfer was exhibited by most of the groups when they transferred to tasks on which they had not been trained.

Lincoln, R. S.↗

Users manual for the Automated Performance Test System (APTS)

The characteristics of and the user information for the Essex Automated Performance Test System (APTS) computer-based portable performance assessment battery are given. The battery was developed to provide a menu of performance test tapping the widest possible variety of human cognitive and motor functions, implemented on a portable computer system suitable for use in both laboratory and field settings for studying the effects of toxic agents and other stressors. The manual gives guidance in selecting, administering and scoring tests from the battery, and reviews the data and studies underlying the development of the battery. Its main emphasis is on the users of the battery - the scientists, researchers and technicians who wish to examine changes in human performance across time or as a function of changes in the conditions under which test data are obtained. First the how to information needed to make decisions about where and how to use the battery is given, followed by the research background supporting the battery development. Further, the development history of the battery focuses largely on the logical framework within which tests were evaluated.

Lane, N. E.↗

Development of an Objective Space Suit Mobility Performance Metric Using Metabolic Cost and Functional Tasks

Existing methods for evaluating EVA suit performance and mobility have historically concentrated on isolated joint range of motion and torque. However, these techniques do little to evaluate how well a suited crewmember can actually perform during an EVA. An alternative method of characterizing suited mobility through measurement of metabolic cost to the wearer has been evaluated at Johnson Space Center over the past several years. The most recent study involved six test subjects completing multiple trials of various functional tasks in each of three different space suits; the results indicated it was often possible to discern between different suit designs on the basis of metabolic cost alone. However, other variables may have an effect on real-world suited performance; namely, completion time of the task, the gravity field in which the task is completed, etc. While previous results have analyzed completion time, metabolic cost, and metabolic cost normalized to system mass individually, it is desirable to develop a single metric comprising these (and potentially other) performance metrics. This paper outlines the background upon which this single-score metric is determined to be feasible, and initial efforts to develop such a metric. Forward work includes variable coefficient determination and verification of the metric through repeated testing.

Norcross, J. R.↗

Development of an Objective Space Suit Mobility Performance Metric Using Metabolic Cost and Functional Tasks

Existing methods for evaluating EVA suit performance and mobility have historically concentrated on isolated joint range of motion and torque. However, these techniques do little to evaluate how well a suited crewmember can actually perform during an EVA. An alternative method of characterizing suited mobility through measurement of metabolic cost to the wearer has been evaluated at Johnson Space Center over the past several years. The most recent study involved six test subjects completing multiple trials of various functional tasks in each of three different space suits; the results indicated it was often possible to discern between different suit designs on the basis of metabolic cost alone. However, other variables may have an effect on real-world suited performance; namely, completion time of the task, the gravity field in which the task is completed, etc. While previous results have analyzed completion time, metabolic cost, and metabolic cost normalized to system mass individually, it is desirable to develop a single metric comprising these (and potentially other) performance metrics. This paper outlines the background upon which this single-score metric is determined to be feasible, and initial efforts to develop such a metric. Forward work includes variable coefficient determination and verification of the metric through repeated testing.

McFarland, Shane M.↗

Prediction of the Arctic Oscillation in Boreal Winter by Dynamical Seasonal Forecasting Systems

This study assesses the prediction skill of the boreal winter Arctic Oscillation (AO) in the state-of-the-art dynamical ensemble prediction systems (EPSs): the UKMO GloSea4, the NCEP CFSv2, and the NASA GEOS-5. Long-term reforecasts made with the EPSs are used to evaluate representations of the AO, and to examine skill scores for the deterministic and probabilistic forecast of the AO index. The reforecasts reproduce the observed changes in the large-scale patterns of the Northern Hemispheric surface temperature, upper-level wind, and precipitation according to the AO phase. Results demonstrate that all EPSs have better prediction skill than the persistence prediction for lead times up to 3-month, suggesting a great potential for skillful prediction of the AO and the associated climate anomalies in seasonal time scale. It is also found that the deterministic and probabilistic forecast skill of the AO in the recent period (1997-2010) is higher than that in the earlier period (1983-1996).

Coupled Models↗

A comparison of head and manual control for a position-control pursuit tracking task

Head control was compared with manual control in a pursuit tracking task involving proportional controlled-element dynamics. An integrated control/display system was used to explore tracking effectiveness in horizontal and vertical axes tracked singly and concurrently. Compared with manual tracking, head tracking resulted in a 50 percent greater rms error score, lower pilot gain, greater high-frequency phase lag and greater low-frequency remnant. These differences were statistically significant, but differences between horizontal- and vertical-axis tracking and between 1- and 2-axis tracking were generally small and not highly significant. Manual tracking results were matched with the optimal control model using pilot-related parameters typical of those found in previous manual control studies. Head tracking performance was predicted with good accuracy using the manual tracking model plus a model for head/neck response dynamics obtained from the literature.

Levison, W. H.↗

Evaluation of Planetary Extravehicular Activity Prebreathe Protocols using a 56.5 kPa, 34% O2, 66% N2 Saturation Cabin Atmosphere in an 11-day Hypobaric Hypoxia Study

INTRODUCTION: Apollo missions used 100% O2 cabin atmospheres which effectively eliminated the risk of decompression sickness (DCS) during Lunar extravehicular activities (EVAs, ‘spacewalks’); however, this atmosphere presented a flammability risk that is no longer acceptable to NASA. Denitrogenation prebreathe protocols used to mitigate DCS risk for Space Shuttle and International Space Station EVAs are validated for the microgravity environment, but the significantly increased risk of DCS during equivalent ambulatory surface EVAs make these protocols inapplicable to planetary/Lunar missions. A cabin/vehicle “Exploration Atmosphere” of 56.5 kPa (8.2 psia), 34% O2, 66% N2 has been recommended by NASA for future Moon and Mars missions as a compromise that balances subsequent pre-EVA prebreathe duration, hypoxia, and flammability risk, assuming a 29.6 kPa (4.3 psi) spacesuit. Prebreathe validation studies were initiated utilizing a three-story 6m diameter hypobaric chamber at NASA’s Johnson Space Center. Here, we report the results of a 11-day human-in-the-loop system checkout. METHODS: Six volunteers lived in a hyboparic chamber for 11 days with an ‘exploration atmosphere’ of 56.6kPa/34% O2 66% N2. Subjects acclimated to the exploration atmosphere for 48hrs and thereafter participated in five 6-hour simulated EVAs at 34kPa/85% O2 / 15% N2 over the course of 11 days. Prior to each simulated EVA, subjects underwent a 20-minute prebreathe at 85% O2. The EVA simulation was designed to include tasks that are physically and ergonomically representative of future planetary EVAs, proportionate to the subject’s VO2max. Decompression stress was evaluated during the simulated EVA by serial doppler and echocardiographs alternating every 15min, as well as clinical monitoring for DCS signs/symptoms. RESULTS AND DISCUSSION: Venous gas emboli (VGE) were present in 3 of 6 subjects during EVAs, with peak Grade II VGE as evaluated by Doppler and a peak Eftedal-Brubakk score of 5 by cardiac ultrasonography. Two cases of DCS were diagnosed during the 11-day test chamber. No acute hypoxic symptoms were noted. Musculoskeletal and gastrointestinal complaints were noted, likely associated with the exercise load and the food system. Two cases of DCS (8%) does not cross either accept or reject pre-test criterion, so an additional study is planned for 2023 to meet our pre-test thresholds.

Alejandro Garbino↗

NOAA-20 ATMS Status: ATMS SDR Team

Data quality looks better than Suomi-NPP (Suomi National Polar-orbiting Partnership): similar biases. Smaller standard deviation of first guess departures and diagnosed observation errors. Weaker striping signal than Suomi-NPP ATMS (Advanced Technology Microwave Sounder). Improved first guess fits to: temperature observations (AMSU-A (Advanced Microwave Sounding Unit-A), CrIS (Cross-track Infrared Sounder), GPSRO (Global Positioning System Radio Occultation)); Humidity observations (MHS (Microwave Humidity Sounder), GEO CSRs (Geostationary Orbit Clear Sky Radiances)). Indicates improved accuracy of short range temperature and humidity forecasts. Neutral to slightly positive forecast scores.

Sensor Data Record (SDR)↗

Sensitivity of the ACCP Value Framework Science Benefit Score

NASA’s priorities for Earth Science are informed by the 2017-2027 Decadal Survey for Earth Science and Applications from Space of the National Academies of Sciences, Engineering and Medicine. In that document, five Designated Observables are identified as priorities for implementation: Aerosols, Cloud-Convection-Precipitation, Surface Biology, Mass Change, and Surface Deformation Change. In 2019, NASA initiated four multi-year studies to formulate, assess, and recommend potential Observing System concepts that are responsive to the recommendations of the Earth Science Decadal Survey. The Aerosols, Clouds, Convection, and Precipitation (ACCP) study investigates opportunities for synergistic science resulting from implementations that combine both Aerosols science objectives and Clouds, Convection, and Precipitation science objectives. For the ACCP study, a Value Framework was designed to introduce structure, transparency, and traceability in the mission down-select decision process. This paper presents a sensitivity analysis that was conducted to characterize the behavior of the science benefit score of the ACCP Value Framework. it includes derivations of the sensitivity analysis equations, numerical analyses of the behavior of the combined benefit score, and the conclusions drawn from the results of the work that was conducted. The results of this analysis were key to ensuring that the aggregated science benefit scores would enable the team to differentiate and contrast across concepts.

John McLaughlan↗

Tethered Satellite System (TSS-1R)-Post Flight (STS-75) Engineering Performance Report

The first mission of the Tethered Satellite deployer was flown onboard Atlantis in 1992 during the Space Transportation System (STS) flight STS-46. Due to a mechanical interference with the level wind mechanism the satellite was only Deployed to 256 m rather than the planned 20,000 m. Other problems were also experienced during the STS-46 flight and several modifications were made to the Deployer and Satellite. STS-75 was a reflight of the Tethered Satellite System 1 (TSS-1) designated as Tethered Satellite System 1 Reflight (TSS-1 R) onboard Columbia. As on STS-46, the TSS payload consisted of the Deployer, the Satellite, 3 cargo bay mounted experiments: Shuttle Electrodynamic Tether System (SETS), Shuttle Potential and Return Electron Experiment (SPREE), Deployer Core Equipment (DCORE) 4 Satellite mounted experiments: Research on Electrodynamics Tether Effects (RETE), Research on Orbital Plasma Electrodynamics (ROPE), Satellite Core Instruments (SCORE), Tether Magnetic Field Experiment (TEMAG) and an aft flight deck camera: Tether Optical Phenomena Experiment (TOP). Following successful pre-launch, launch and pre-deployment orbital operations, the Deployer deployed the Tethered Satellite to 19,695 m at which point the tether broke within the Satellite Deployment Boom (SDB). The planned length for On-Station I (OST1) was 20,700 m The Satellite flew away from the Orbiter with the tether attached. The satellite was "safed" and placed in a limited power mode via the RF link. The Satellite was contacted periodically during overflights of ground stations. Cargo bay science activities continued for the period of time allocated to TSS-1 R operations.

Lavoie, Anthony R.↗

Voyager's Grand Tour

In the early days of the Space Age, scientists realized that given the right planetary alignments it might be possible to use the gravity of one planet to change the trajectory of a spacecraft and send it on to another planet without expending any fuel. This slingshot or gravity assist trajectory principle was first tested by Mariner 10, which used the gravity of Venus to slingshot its way to Mercury in 1974. A very rare planetary alignment would occur in the late 1970's allowing a spacecraft to visit all the outer planets (Jupiter, Saturn, Uranus, Neptune and Pluto) using gravity assists at each planet to send it on to the next. This unique alignment would not occur again for another 175 years! The initial ambitious plan, called the Grand Tour, was to send two pairs of spacecraft, one pair to visit Jupiter, Saturn and Pluto, the other to fly by Jupiter, Uranus and Neptune. However, the original plan was scaled back in the budget conscious early 1970's to just two less capable spacecraft visiting only Jupiter and Saturn, and Titan, Saturn's largest moon Taking advantage of this alignment would be two Voyager spacecraft, both beginning their long journeys in 1977. Voyager 2 launched first, on August 20, followed by Voyager 1 on September 5. Both spacecraft would first fly by Jupiter and use that planet's massive gravity to bend their trajectories to then fly by Saturn. Voyager 1 would also be targeted to fly by Saturn's moon Titan, which was known to have a dense atmosphere, a trajectory that would preclude any future planetary flybys. But the option was kept open, if Voyager 1's Titan flyby was successful, to retarget Voyager 2 to send it on to Uranus and maybe even Neptune - assuming it would survive that long! Just 13 days after its launch, Voyager 1 scored the first of its many firsts: at a distance of 7.25 million miles, it turned its camera back toward Earth and snapped the first ever photograph of the Earth-Moon system in a single frame, giving a sneak preview of the discoveries that lay ahead.

Uri, Joihn J.↗

Facilitating Navigation Through Large Archives

Automated Visual Access (AVA) is a computer program that effectively makes a large collection of information visible in a manner that enables a user to quickly and efficiently locate information resources, with minimal need for conventional keyword searches and perusal of complex hierarchical directory systems. AVA includes three key components: (1) a taxonomy that comprises a collection of words and phrases, clustered according to meaning, that are used to classify information resources; (2) a statistical indexing and scoring engine; and (3) a component that generates a graphical user interface that uses the scoring data to generate a visual map of resources and topics. The top level of an AVA display is a pictorial representation of an information archive. The user enters the depicted archive by either clicking on a depiction of subject area cluster, selecting a topic from a list, or entering a query into a text box. The resulting display enables the user to view candidate information entities at various levels of detail. Resources are grouped spatially by topic with greatest generality at the top layer and increasing detail with depth. The user can zoom in or out of specific sites or into greater or lesser content detail.

Shelton, Robert O.↗

Human Spaceflight Applications of Novel Miniature X-Ray Technologies

INTRODUCTION: Radiography (XR) has long been a cornerstone of terrestrial medical imaging, though it has not yet been used in the spaceflight environment. Medical systems for human spaceflight missions are constrained by mass, volume, and power, and until recently, XR systems have been considered too large and power-consuming for spaceflight diagnostic and therapeutic applications. However, the rise of commercial spaceflight and NASA’s refocused efforts on returning crews to the Moon for long-duration missions have introduced a higher degree of medical risk to human spaceflight and require a re-evaluation when optimizing medical system design. Over the last decade, XR devices have miniaturized while maintaining good diagnostic and therapeutic sensitivity and specificity, making new in-flight medical and non-medical XR applications a possibility. Initial research identified several medical conditions where miniature XR would be beneficial for the diagnosis and/or management of medical conditions arising in space, though a more in-depth analysis is required to identify whether XR may add value to the management of such conditions. With this presentation, we aim to introduce the potential utility of miniature XR, review prior work highlighting where XR may be beneficial, and evaluate how miniature XR may reduce medical risk in human spaceflight missions. METHODS: IMPACT (Informing Mission Planning via Analysis of Complex Tradespaces) is a risk assessment tool developed by NASA to advance exploration mission medical system design by quantitatively estimating mission medical risk. IMPACT v1.0 includes a novel evidence library baselined to exploration environments, an expanded list of 119 medical conditions, medical capabilities and resources critical for management of these medical conditions, and the ability for rapid and iterative analysis in the setting of modifiable design reference missions (DRMs). Our first analysis identified which of the 119 medical conditions XR had diagnostic or therapeutic utility for. Subject matter experts (SMEs) recorded which XR views would be performed under ideal terrestrial circumstances for diagnosis/management of each condition, as well as which views are pragmatic for spaceflight limitations. A second analysis utilized IMPACT to identify significant conditions that contribute greatest to medical risk during a notional long-duration Lunar orbit and Lunar surface DRM. Medical system risk estimates include loss of crew life (LOCL), need for return to definitive care (RTDC; medical evacuation), and an estimate of crew task time affected (TTA). Using a standardized semi-quantitative scoring methodology, a deeper evaluation of each of the most significant medical conditions was performed. Data from both of these separate analyses were used to hypothesize what ideal and pragmatic XR studies may impact clinical management of the most significant conditions predicted to lead to medical risk. RESULTS: Approximately 1/3 of the IMPACT conditions were identified as being more effectively or comprehensively assessed or treated with the addition of miniature XR technology. The resulting conditions benefitting diagnostically and therapeutically from XR are revealed, as well as the ideal and pragmatic XR views and medical procedures benefitting from XR. The conditions of clinical significance and those most contributing to risk are also displayed. Among the conditions that contribute greatest to LOCL, four conditions for which XR may improve the diagnosis and management of include: decompression sickness, traumatic shock, dental abscess, and respiratory failure. Among conditions that contributed to RTDC, the evaluation and management of wrist fracture is likely improved by XR. For conditions leading to crew TTA, evaluation and management of EVA shoulder injuries, upper and lower extremity strains, back strains, and EVA hand injuries are likely improved by XR. DISCUSSION: Miniature XR in spaceflight has the potential to improve the evaluation and management of a substantial portion of conditions that most contribute to medical risk. This presentation is an introduction to the possibilities miniature XR provides for future human spaceflight missions and subsequent presenters will expand on potential applications in more detail. LEARNING OBJECTIVES: 1) Understand the previous limitations of using radiography in the management of spaceflight medical conditions; 2) Evaluate the findings from the IMPACT tool analysis, which allows quantification of the benefit miniature XR could provide for managing high-risk medical conditions in long-duration lunar orbit and surface missions, focusing on improvements in crew health outcomes; 3) Analyze case studies where miniature XR technology could reduce the medical risks associated with spaceflight missions, specifically in diagnosing and managing conditions such as decompression sickness, traumatic shock, and EVA-related injuries.

A Anderson↗