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Directed Acyclic Graphs: A Tool for Understanding the NASA Human Spaceflight System Risks - Human System Risk Board

For over a decade, the National Aeronautics and Space Administration (NASA) has tracked and configuration-managed approximately 30 risks to astronaut health and performance that occur before, during and after spaceflight. The Human System Risk Board (HSRB), a Health and Medical Technical Authority (HMTA) Board at NASA Johnson Space Center, is the entity responsible for identifying, assessing, analyzing, and monitoring the official understanding of the risk or risk posture for each of the Human System Risks and determining – based on evaluation of the available evidence – when that risk posture changes. The ultimate purpose of tracking and researching these risks is to find ways to reduce the risk that astronaut crews face during spaceflight. Historically, research, development and operations relevant to one risk have been conducted in isolation from other risks; these individual risk ‘silos’ enabled initial characterization of each specific risk. In spaceflight however, the impact of exposure to risk for astronaut crews is cumulative, and not independent of exposures or other risks, as all the adverse effects of the spaceflight environment begin at launch, continue throughout the duration of the mission and in some cases across the lifetime of the crews. In January of 2020, the HSRB at NASA embarked on a pilot project designed to assess the potential value of causal diagramming as a tool to facilitate understanding of these cumulative and interdependent effects as applied within Human System Risk management. This process uses directed acyclic graphs as a means of formalizing a shared mental model of the causal flow of risk among Risk Board stakeholders. Initially this model was to improve communication among those stakeholders, but the potential value exceeds communication alone. The causal diagrams are formulated as directed acyclic graphs (DAGs) to function as a type of knowledge graph for reference for the board and its stakeholders. This document is a sister document to NASA/TM 20220006812 Directed Acyclic Graph Guidance Documentation (1). In that document, the basic guidance for creating and standardizing directed acyclic graphs as tools for cross-risk analysis is provided. This document contains the initial configuration managed DAGs that were created as a result of applying those principles. These initial versions were accepted by the HSRB in January of 2022. Each of the Human System Risks are represented by a DAG that has been reviewed by the larger Human Health and Performance community at NASA including life scientists, physical scientists, physicians, nurses, pharmacists, exercise specialists and more. These results show the starting point for Human System Risk DAGs as shared mental models and communication aids across the boundaries of the various expertise needed to understand and mitigate the human risks in spaceflight. Because they are a starting point, each of these DAGs can be expected to change over time as new or refined evidence becomes available. The process for updating these DAGs can be found in the JSC-66705 Human System Risk Management Plan (2) that is publicly available on the NASA Technical Reports Server.

Erik L. Antonsen↗

Exercise Responses after Inactivity

The exercise response after bed rest inactivity is a reduction in the physical work capacity and is manifested by significant decreases in oxygen uptake. The magnitude of decrease in maximal oxygen intake V(dot)O2max is related to the duration of confinement and the pre-bed-rest level of aerobic fitness; these relationships are relatively independent of age and gender. The reduced exercise performance and V(dot)O2max following bed rest are associated with various physiological adaptations including reductions in blood volume, submaximal and maximal stroke volume, maximal cardiac output, sceletal muscle tone and strength, and aerobic enzyme capacities, as well as increases in venous compliance and submaximal and maximal heart rate. This reduction in physiological capacity can be partially restored by specific countermeasures that provide regular muscular activity or orhtostatic stress or both during the bed rest exposure. The understanding of these physiological and physical responses to exercise following bed rest inactivity has important implications for the solution to safety and health problems that arise in clinical medicine, aerospace medicine, sedentary living, and aging.

Convertino, Victor A.↗

LEAVES: Lofted Environmental and Atmospheric Venus Sensors

LEAVES (Lofted Environmental Atmospheric Venus Sensors) is a design exercise with the goal of dramatically decreasing the cost of obtaining prioritized chemical and physical data in planetary atmospheres. Through the application of a swarm approach this concept parallelizes atmospheric exploration, with geographic coverage far exceeding what is possible with conventional monolithic platforms or sondes. Each unit in the swarm is exceptionally compact, with a powered payload mass of only a few tens of grams and a high-drag, semi-rigid structure that acts to slow each probe as it descends through the atmosphere. This structural design can collapse into a planar form to allow for efficient stowage prior to arrival at the target body. With a total per-unit mass of only 120 g, a fleet of 100 (or more) units can be very reasonably accommodated on a carrier spacecraft.Science operations, which begin when the LEAVES probes reach an altitude of 100 km, are targeted for the cloud-bearing region of Venus' atmosphere. During the roughly 9 hour, terminal velocity descent through the atmosphere, LEAVES collects data of the state and composition of the atmosphere in parallel across multiple units. These data would represent an unprecedented constraint on the distribution and concentration of targeted chemical species, and the detection of local and regional variations in both chemistry and physical properties.A novel and compelling result of this exercise was that the same optimization that produced a structure with an exceptionally low areal mass density (0.126 kg/m2) also resulted in a probe that can be deployed directly from an aerobraking orbit (~140 km at 5 km/s) without the need for aeroshell protection. This translates to a tremendous mass savings and gives LEAVES the flexibility to be carried as a secondary payload aboard either a descending surface probe or an orbital radar mapper. Because such missions are under active development or have already been proposed (but not flown), we infer that LEAVES is well positioned as a technology

Swarm↗

Quantifying Caloric Expenditure During Zero-G Exercise

BACKGROUND: Exercise is a fundamental component of maintaining astronaut health on long-duration space missions, where the microgravity environment poses unique challenges to physiological homeostasis. Accurate quantification of energy expenditure during such exercises is crucial for optimizing nutritional and physical health strategies for spacefarers. OBJECTIVE: This study aims to develop a comprehensive model to estimate caloric expenditure during exercise in a microgravity environment, employing a combination of spirometry, heart rate data, and other relevant parameters. By assessing energy utilization under these conditions, we seek to facilitate enhanced health management protocols for astronauts in space. METHODS & OUTCOMES: A multivariate predictive model will be constructed, utilizing spirometry and heart rate data, coupled with additional physiological and environmental parameters. A systematic approach will be applied to analyze the relationship between these variables and energy expenditure during various exercises. The proposed model will subsequently undergo rigorous validation to ensure accuracy and reliability. This research is expected to yield a precise and reliable predictive model, contributing to improved strategies for exercise prescription and nutritional intake, addressing the unique challenges presented by microgravity environments. We anticipate that our findings will support the development of more effective health maintenance protocols for astronauts during extended space missions, mitigating the adverse effects of space travel on the human body. SIGNIFICANCE: The development of an accurate and adaptable model to quantify caloric expenditure during exercise in space represents a pivotal advancement in space medicine. The insights gained from this study have the potential to inform the design of enhanced health and wellness strategies, ensuring the well-being and operational effectiveness of astronauts in long-duration space missions.

Calorie↗

Effects Of Exercise During Bed Rest

Pair of reports adds to growing body of knowledge of physical deconditioning caused by prolonged bed rest and effectiveness of various exercise regimens in preserving or restoring fitness. Major objective to determine what regimens to prescribe to astronauts before flight, during prolonged weightlessness, and immediately before returning to Earth. Knowledge also benefits patients confined by illness or injury. First report discusses experiment on effects of two types of periodic, intense, short-duration exercise during bed rest. Experiment also discussed in documents "Effects Of Exercise During Prolonged Bed Rest" (ARC-12190), and "Isotonic And Isokinetic Exercise During Bed Rest" (ARC-12180). Second report reviews knowledge acquired with view toward development of protocols for exercise regimens.

Greenleaf, John E.↗

Articulating Support for Horizontal Resistive Exercise

A versatile mechanical device provides support for a user engaged in any of a variety of resistive exercises in a substantially horizontal orientation. The unique features and versatility of the device promise to be useful in bedrest studies, rehabilitation, and specialized strength training. The device affords a capability for selectively loading and unloading of portions of the user s body through its support mechanisms, so that specific parts of the body can be trained with little or no effect on other parts that may be disabled or in the process of recovery from injury. Thus, the device is ideal for rehabilitation exercise programs prescribed by physicians and physical therapists. The capability for selective loading and support also offers potential benefits to strength and conditioning trainers and athletes who wish to selectively strengthen selected parts. The principal innovative aspect of the device is that it supports the subject s weight while enabling the subject, lying substantially horizontally, to perform an exercise that closely approximates a full standing squat. The device includes mechanisms that support the subject in such a way that the hips are free to translate both horizontally and vertically and are free to rotate about the line connecting the hips. At the same time, the shoulders are free to translate horizontally while the upper back is free to rotate about the line connecting the shoulders. Among the mechanisms for hip motion and support is a counterbalance that offsets the weight of the subject as the subject s pelvis translates horizontally and vertically and rotates the pelvis about the line connecting the hips. The counterbalance is connected to a pelvic support system that allows these pelvic movements. The subject is also supported at the shoulder by a mechanism that can tilt to provide continuous support of the upper back while allowing the rotation required for arching the back as the pelvis is displaced. The shoulder support also affords a capability for horizontal motion, and acts as the point of attachment of a load that is provided for squat and heel-raise exercises. The device is compatible with any resistive-exercise machine that provides bilateral loading via a moving cable or other mechanical linkage. The hip-translation and shoulder-translation and -rotation degrees of freedom of the supports can be locked individually or in combination in order to support the subject as necessary for exercises other than the standing squat. If necessary, for such exercises, the load can be applied directly to the subject by use of various attachments. In addition to the aforementioned heel raise, such exercises include the upright row, leg press, curls, extension of the triceps, front raise, lateral raise, and rear raise.

Gundo, Daniel↗

Astronaut training manual

Scientific information from previous space flights, space medicine, exercise physiology, and sports medicine was used to prepare a physical fitness manual suitable for use by members of the NASA astronaut population. A variety of scientifically valid exercise programs and activities suitable for the development of physical fitness are provided. Programs, activities, and supportive scientific data are presented in a concise, easy to read format so as to permit the user to select his or her mode of training with confidence and devote time previously spent experimenting with training routines to preparation for space flight. The programs and activities included were tested and shown to be effective and enjoyable.

Coleman, E. A.↗

Exercise thermoregulation after 6 h of chair rest, 6 degrees head-down bed-rest, and water immersion deconditioning in men

The purpose was to investigate the mechanism for the excessive exercise hyperthermia following deconditioning (reduction of physical fitness). Rectal (Tre) and mean skin (Tsk) temperatures and thermoregulatory responses were measured in six men [mean (SD) age, 32 (6) years; mass, 78.26 (5.80) kg; surface area, 1.95 (0.11) m2; maximum oxygen uptake (VO2max), 48 (6) ml.min-1.kg-1; whilst supine in air at dry bulb temperature 23.2 (0.6) degree C, relative humidity 31.1 (11.1)% and air speed 5.6 (0.1) m.min-1] during 70 min of leg cycle exercise [51 (4)% VO2max] in ambulatory control (AC), or following 6 h of chair rest (CR), 6 degree head-down bed rest (BR), and 20 degree (WI20) and 80 degree (WI80) foot-down water immersion [water temperature, 35.0 (0.1) degree C]. Compared with the AC exercise delta Tre [mean (SD) 0.77 (0.13) degree C (*P < 0.05), after WI80 0.96 (0.13) degree C*, and after WI20 1.03 (0.09) degree C*. All Tsk responded similarly to exercise: they decreased (NS) by 0.5-0.7 degree C in minutes 4-8 and equilibrated at +0.1 to +0.5 degree C at 60-70. Skin heat conductance was not different among the five conditions (range = 147-159 kJ.m-2.h-1.degree C-1). Results from an intercorrelation matrix suggested that total body sweat rate was more closely related to Tre at 70 min (Tre70) than limb sweat rate or blood flow. Only 36% of the variability in Tre70 could be accounted for by total sweating, and less than 10% from total body dehydration. It would appear that multiple factors are involved which may include change in sensitivity of thermo- and osmoreceptors.

NASA Discipline Regulatory Physiology↗

Inter-Individual Variability in Astronaut Strength Response to Long-Duration Spaceflight May Be Dictated by In-Flight Exercise

Deconditioning induced by prolonged microgravity exposure during spaceflight hinders physical capacity. Examination of pre- to post-flight isokinetic strength measures shows that strength decreases; however, considerable variability between crewmembers exists. As in-flight exercise differs between crew, an examination of exercise training variables contributing to strength preservation is necessary. The purpose of this analysis was to examine in-flight exercise of astronauts who maintain strength compared to those with the greatest decrements in strength from pre- to post-flight.

Alyssa N. Varanoske↗

Program development for exercise countermeasures

The concern of NASA's Exercise Countermeasures Project (ECP) is to ensure crew physical effectiveness for flight- or mission-related tasks, and encompasses postflight as well as preflight and inflight exercise components. Attention is given to the implementation of ECP via the Space Shuttle Orbiter's treadmill, rower, cycle ergometer, and lower body negative pressure apparatus.

Hayes, J. C.↗

Exercise Thermoregulation After 6 hours of Chair Rest, 6 deg Head-Down Bed-Rest, and Water Immersion Deconditioning in Men

The purpose was to investigate the mechanism for the excessive exercise hyperthermia following deconditioning (reduction of physical fitness). Rectal (T(sub re)) and mean skin (T(bar)(sub sk)) temperatures and thermoregulatory responses were measured in six men [mean (SD) age, 32 (6) years; mass, 78.26 (5.80) kg; surface area, 1.95 (0.11) sq m; maximum oxygen uptake (VO2max), 48 (6) ml/min/kg; whilst supine in air at dry bulb temperature 23.2 (0.6)C, relative humidity 31.1 (11.1)% and air speed 5.6 (0.1) m/min] during 70 min of leg cycle exercise [51 (4)% VO2max] in ambulatory control (AC), or following 6 h of chair rest (CR), 6deg head-down bed rest (BR), and 20deg (W120) and 80deg (W180) foot-down water immersion [water temperature, 35.0 (0.1) C]. Compared with the AC exercise (Delta)T(sub re) [mean (SD) 0.77 (0.13)C], (Delta)T(sub re), after CR was 0.83 (0.08)C (NS), after BR 0.92 (0.13)C (*P <0.05), after W180 0.96 (0.13)C*, and after W120 1.03 (0.09)C*. All T(sub sk) responded similarly to exercise: they decreased (NS) by 0.5-0.7 C in minutes 4-8 and equilibrated at +0.1 to +0.5 C at 60-70. Skin heat conductance was not different among the five conditions (range = 147-159 kJ/sq/C. Results from an intercorrelation matrix suggested that total body sweat rate was more closely related to T(sub re) at 70 min (T(sub re70)) than limb sweat rate or blood flow. Only 36% of the variability in T(sub re70) could be accounted for by total sweating, and less than 10% from total body dehydration. It would appear that multiple factors are involved which may include change in sensitivity of thermo- and osmoreceptors.

Greenleaf, J. E.↗

Evaluation of Aerobic Capacity in Relation to Simulated Lunar Surface Extravehicular Activities

INTRODUCTION Astronauts will need to be physically prepared to successfully execute strenuous Extravehicular Activities (EVA)on the Lunar surface. Compared to Apollo missions, Artemis missions will include EVAs of increased physical demand, frequency, and duration, thus requiring adequate fitness to successfully and safely complete mission objectives and potential contingency scenarios. Currently, aerobic fitness standards for partial gravity (g)surface EVAs are not well supported by high-fidelity EVA analog data. This investigation aims to characterize metabolic demands from Lunar analog EVA simulations in relation to the current NASA standards for celestial partial-g aerobic fitness(aerobic capacity (VO2pk) ≥36.5ml/kg/min). METHODS To evaluate current Lunar EVA aerobic fitness requirements, a pilot study was performed to characterize metabolic ratesduring6 hour simulated EVAs. The EVAs were performed in pressurized MKIII (n=2male) and xEMU (n=3 female) spacesuits offloaded to 1/6 g in the NASA Active Response Gravity Offload System. VO2pk was assessed via graded exercise testing on acycle ergometer and physical workload was quantified as percent ofVO2pk. RESULTS Four out of five subjects did not meet the current NASA celestial surface EVA aerobic standard (3 xEMU, 1MKIII;35.1±0.9 ml/kg/min). During simulated EVAs, subjects (xEMU: 35±1ml/kg/min; MKIII: 44±10ml/kg/min) worked at an average 36%VO2pk(xEMU) and 31% VO2pk(MKIII). For xEMU subjects, the tasks with the greatest average metabolic rates were 2km treadmill traverse(0% grade: 47.2%VO2pk[max 69.1%]), object relocation (45.2%VO2pk[max 60.5%]), and 1.5km traverse (0% grade: 45%VO2pk[max 59.7%]). For MKIII subjects, the tasks with the greatest average metabolic rates were 0.5km treadmill traverse (30% grade: 35.4% VO2pk[max 45.5%]), object relocation(31% VO2pk[max 40.8%]), and treadmill traverse (0% grade: 29.9%VO2pk[max 45.9%]). CONCLUSIONS While average metabolic rates for simulated Lunar EVA fall within sustainable work ranges of30–40% VO2pkand life support system limitations, task-specific metabolic rates exceed this range and may indicate that greater fitness is necessary for more strenuous tasks expected to be performed on the Lunar surface. As few subjects met the standard, more data is needed to adequately evaluate the NASA 3001 standard.

N C Strock↗

An open-source hybrid unstructured mesh - CAD fusion multiphysics analysis workflow in SALAMANDER

Plasma facing components in fusion devices will endure extreme neutron and heat fluxes. To facilitate their design using simulation tools, the open-source Fusion Module, Fusion ENergy Integrated multiphys-X (FENIX) framework is being developed to model these components with a high-fidelity multi-physics multi-dimensional approach. It can iteratively resolve couplings between all the physics at play, from neutron radiation, to thermomechanics, to near-wall plasma dynamics. This framework is based on the Multiphysics Object Oriented Simulation Environment (MOOSE), which is developed by a collaboration of US National Laboratories since 2008, for advanced nuclear, geomechanics simulations and other applications. FENIX couples numerous simulation tools, including OpenMC, the Tritium Migration Analysis Program v8, the NekRS CFD software, and most MOOSE modules. For the coupling of radiation transport and other physics, FENIX supports a hybrid workflow between Computer Assisted Design (CAD) and unstructured mesh geometries. The CAD can be generated from skinning the unstructured mesh, to enable a coarse geometry for efficient particle transport, but still resolving the local material compositions and temperature gradients. Neutron transport is performed using DAGMC on the CAD, and Cardinal, integrated in FENIX, maps tallied quantities, such as the heat deposition or the tritium generation rates, from a tally volumetric mesh to the other physics’ unstructured mesh. This coupling was exercised on a simplified tokamak geometry, coupling neutron transport with the heat conduction equation, and on a monoblock divertor problem, coupling additionally with tritium migration. Mesh convergence studies highlight the importance of the mapping conservativeness. Coupling with thermo-mechanics is further enabled by the generalization of the approach to moving meshes. The presentation will include these coupled analysis as well as an update on status of the FENIX framework.

70 - PLASMA PHYSICS AND FUSION TECHNOLOGY↗

An Exercise in Ion Beam Analysis

Scattering phenomena are taught in introductory physics classes, and concepts such as conservation of energy and momentum are used at all levels of physics. However, applications of scattering are often not included as part of an education. Rutherford scattering, a topic of any modern physics course, is now used as a tool for materials science applications. In the absence of lab equipment for students to perform such experiments, an exercise in the analysis of scattering data may accent the useful concepts given in lectures. The objective of this exercise is to analyze data from Rutherford backscattering experiments in order to determine elemental composition.

Kern, Kristen T.↗

Inter-Individual Variability in Astronaut Strength Response to Long-Duration Spaceflight May Be Dictated by In-Flight Exercise

BACKGROUND: Deconditioning induced by prolonged microgravity exposure during spaceflight hinders physical capacity. Examination of pre- to post-flight isokinetic strength measures shows that strength decreases; however, considerable variability between crewmembers exists. As in-flight exercise differs between crew, an examination of exercise training variables contributing to strength preservation is necessary. The purpose of this analysis was to examine in-flight exercise of astronauts who maintain strength compared to those with the greatest decrements in strength from pre- to post-flight. METHODS: The database of NASA International Space Station (ISS) crew who completed pre- and post-flight knee isokinetic testing (n = 87) was used to identify “responders” (R) and “non-responders” (NR) to in-flight exercise (≥ 90-day flight duration). R were those that maintained or improved strength (mean of knee extension and flexion at 60°/sec) (n = 14; 5.6 ± 7.8%), and NR were those with the most severe decrements (n = 14; -32.8 ± 4.1%) from pre- to post-flight. In-flight daily exercise records (cycle ergometer, treadmill, resistance exercise) were aggregated on a weekly basis. Independent t-tests or Mann-Whitney U tests were used to compare groups for in-flight exercise variables (i.e., frequency, time, intensity, volume). RESULTS: In-flight cycle ergometer frequency (2.4 ± 0.8 vs. 3.3 ± 1.0 days/wk; p = 0.021), total time (78.5 ± 20.4 vs. 114.0 ± 49.3 min/wk; p = 0.021), and active time (59.3 ± 17.2 vs. 86.9 ± 44.1 min/wk; p = 0.050) were greater in NR than R, but no differences for cycle intensity were observed. Treadmill distance traveled per session was greater in R than NR (4.6 ± 0.8 vs 3.6 ± 1.3 km/sess, p = 0.031), but no differences for treadmill frequency, total time, or active time were observed. Lower body resistance exercise intensity relative to pre-flight body weight was greater in R than NR (110.0 ± 16.5 vs 88.7 ± 25.0%; p = 0.012), but no differences in upper body or core resistance exercise intensity, volume, or frequency existed. CONCLUSIONS: The unique musculoskeletal loading provided by treadmill running at the expense of cycle ergometry, combined with using higher relative lower body loads during resistance training, may contribute to preserving strength in ISS crewmembers during long-duration spaceflight.

Alyssa N. Varanoske↗

Training with the International Space Station interim resistive exercise device

A unique, interim elastomer-based resistive exercise device (iRED) is being used on the International Space Station. PURPOSE: This study characterized iRED training responses in a 1-g environment by: 1) determining whether 16 wk of high-intensity training with iRED produces increases in muscle strength and volume and bone mineral density (BMD), 2) comparing training responses with iRED to free weights, and 3) comparing iRED training responses at two training volumes. METHODS: Twenty-eight untrained men were assigned to four groups of seven subjects each: a no exercise control group (CON), an iRED group who trained with three sets/exercise (iRED3), a free-weight group (FW) who trained with three sets/exercise, and an iRED group who trained with six sets/exercise (iRED6). Training exercises included squat (SQ), heel raise (HR), and dead lift (DL) exercises, 3 d.wk(-1) for 16 wk. RESULTS: For CON, no changes occurred pre- to posttraining. For iRED3, increases (P< or =0.05) in one-repetition maximum (1-RM) strength (SQ 21 +/- 4%, HR 17 +/- 4%, DL 29 +/- 5%), leg lean mass (3.1 +/- 0.5%) by dual energy x-ray absorptiometry (DXA), and thigh (4.5 +/- 0.9%) and calf (5.9 +/- 0.7%) muscle volume (by magnetic resonance imaging) occurred after training with no changes in BMD (DXA). For FW, increases in 1-RM strength (SQ 22 +/- 5%, HR 24 +/- 3%, DL 41 +/- 7%), whole body (3.0 +/- 1.1%) and leg lean mass (5.4 +/- 1.2%), thigh (9.2 +/- 1.3%) and calf (4.2 +/- 1.0%) muscle volumes, and lumbar BMD (4.2 +/- 0.7%) occurred after training. For iRED6, all responses were similar to iRED3. CONCLUSION: High-intensity training with the iRED produced muscle responses similar to FW but was not effective in stimulating bone. Bed rest and spaceflight studies are needed to evaluate the effectiveness of the iRED to prevent microgravity deconditioning.

Weight-Bearing/physiology↗