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NASA NTRS2006

Operational and Research Musculoskeletal Summit: Summit Recommendations

The Medical Informatics and Health Care Systems group in the Office of Space Medicine at NASA Johnson Space Center (JSC) has been tasked by NASA with improving overall medical care on the International Space Station (ISS) and providing insights for medical care for future exploration missions. To accomplish this task, a three day Operational and Research Musculoskeletal Summit was held on August 23-25th, 2005 at Space Center Houston. The purpose of the summit was to review NASA#s a) current strategy for preflight health maintenance and injury screening, b) current treatment methods in-flight, and c) risk mitigation strategy for musculoskeletal injuries or syndromes that could occur or impact the mission. Additionally, summit participants provided a list of research topics NASA should consider to mitigate risks to astronaut health. Prior to the summit, participants participated in a web-based pre-summit forum to review the NASA Space Medical Conditions List (SMCL) of musculoskeletal conditions that may occur on ISS as well as the resources currently available to treat them. Data from the participants were compiled and integrated with the summit proceedings. Summit participants included experts from the extramural physician and researcher communities, and representatives from NASA Headquarters, the astronaut corps, JSC Medical Operations and Human Adaptations and Countermeasures Offices, Glenn Research Center Human Research Office, and the Astronaut Strength, Conditioning, and Reconditioning (ASCR) group. The recommendations in this document are based on a summary of summit discussions and the best possible evidence-based recommendations for musculoskeletal care for astronauts while on the ISS, and include recommendati ons for exploration class missions.

Scheuring, Richard A.↗
NASA NTRS2010

Atrial Arrhythmia Summit: Post Summit Report

The Atrial Arrhythmia Summit brought together nationally and internationally recognized experts in cardiology, electrophysiology, exercise physiology, and space medicine in an effort to elucidate the mechanisms, risk factors, and management of atrial arrhythmias in the unique occupational cohort of the U.S. astronaut corps.

Barr, Yael↗
NASA NTRS2010

Atrial Arrhythmias in Astronauts - Summary of a NASA Summit

Background and Problem Definition: To evaluate NASA s current standards and practices related to atrial arrhythmias in astronauts, Space Medicine s Advanced Projects Section at the Johnson Space Center was tasked with organizing a summit to discuss the approach to atrial arrhythmias in the astronaut cohort. Since 1959, 11 cases of atrial fibrillation, atrial flutter, or supraventricular tachycardia have been recorded among active corps crewmembers. Most of the cases were paroxysmal, although a few were sustained. While most of the affected crewmembers were asymptomatic, those slated for long-duration space flight underwent radiofrequency ablation treatment to prevent further episodes of the arrhythmia. The summit was convened to solicit expert opinion on screening, diagnosis, and treatment options, to identify gaps in knowledge, and to propose relevant research initiatives. Summit Meeting Objectives: The Atrial Arrhythmia Summit brought together a panel of six cardiologists, including nationally and internationally renowned leaders in cardiac electrophysiology, exercise physiology, and space flight cardiovascular physiology. The primary objectives of the summit discussions were to evaluate cases of atrial arrhythmia in the astronaut population, to understand the factors that may predispose an individual to this condition, to understand NASA s current capabilities for screening, diagnosis, and treatment, to discuss the risks associated with treatment of crewmembers assigned to long-duration missions or extravehicular activities, and to discuss recommendations for prevention or management of future cases. Summary of Recommendations: The summit panel s recommendations were grouped into seven categories: Epidemiology, Screening, Standards and Selection, Treatment of Atrial Fibrillation Manifesting Preflight, Atrial Fibrillation during Flight, Prevention of Atrial Fibrillation, and Future Research

Barr, Yael R.↗
NASA NTRS2002

Mapping Lithologic Units Exposed on the Summit of Mauna Kea Using AVIRIS Hyperspectral Reflectance Data

The Mauna Kea summit region is largely comprised of cinder cones and lava flows that form the cap of the Mauna Kea Volcano. The cones and flows at the summit are part of the Laupahoehoe Volcanic series. The Laupa hoehoe volcanism occurred both during and after the late Pleistocene Makanaka glacial episode at the summit. In addition, a few Laupahoehoe cones have been glacially eroded as evidenced by oversteepened slopes, which suggests that they predate the Makanaka glacial period. Two notable examples of possible preglacial cones are Puu Waiau and Puu Poliahu. These two cones are also significantly altered, most likely by hydrothermal activity that has weakly cemented the materials on the cones. Well-crystalline sulfates (alunite and jarosite), phyllosilicates, and zeolites, have been found in samples collected from altered cones at the summit. In addition, palagonitic tephra, which have nanophase ferric oxide, allophane, and other poorly crystalline forms of weakly altered basaltic glass (i.e., no phyllosilicates), have been described at several locations on Mauna Kea. While several studies have discussed the occurrence of alteration products on Mauna Kea, the distribution of these materials exposed at the summit has not been extensively mapped. Hyperspectral imaging can provide information for identifying and mapping lithologic units containing alteration minerals, such as are found on Mauna Kea. The Airborne Visible Infrared Imaging Spectrometer (AVIRIS) is a hyperspectral imaging instrument that covers the wavelength range from about 0.4 to 2.5 micron in 224 bands, with a band spacing of 10 nm and average band width of 10 nm

Guinness, E. A.↗
NASA NTRS2006

Recommendations from NASA's Operational and Research Musculoskeletal Summit

Introduction: Continuously evolving medical standards of care, limited crew training time, and the inherent constraints of space flight necessitate regular revisions of the mission medical support infrastructure and methodology. A three-day Operational and Research Musculoskeletal Summit was held to review NASA s current strategy for preflight health maintenance and injury screening, risk mitigation for musculoskeletal injuries or syndromes, treatment methods during flight, and research topics to mitigate risks to astronaut health. The Summit also undertook consideration of the best evidence-based terrestrial musculoskeletal practices to recommend their adaptation for use in space. Methods: The types and frequencies of musculoskeletal injuries sustained by short- and long-duration astronauts were obtained from the Longitudinal Study of Astronaut Health. The Summit panel was comprised of experts from the clinical and research communities, as well as representatives from NASA Headquarters, the Astronaut corps, and the offices of JSC Medical Operations, JSC Human Adaptation and Countermeasures, Glenn Research Center Human Research, and Astronaut Strength Conditioning and Rehabilitation. Before the summit, panelists participated in a Web-based review of NASA s Space Medical Conditions List (SMCL). Results: The Summit generated seventy-five operational and research recommendations to the NASA Office of Space Medicine, including changes to the SMCL and to the musculoskeletal section of the ISS debrief questionnaire. From these recommendations, seven were assigned highest value and priority, and could be immediately adopted for the exploration architecture. Discussion: Optimized exercise and conditioning to improve performance and forestall musculoskeletal damage on orbit were the primary area of focus. Special attention was paid to exercise timing and muscle group specificity. The panel s recommendations are currently in various stages of consideration or integration into the ISS and Exploration programs. This effort serves to enhance the on-orbit system so comprehensive treatment can be delivered in a more effective and standardized manner.

Jones, J. A.↗
NASA NTRS1982

Late-stage summit activity of Martian shield volcanoes

The preservation of morphologically fresh lava flows which pre-date the most recent episodes of caldera collapse at the summits of Ascraeus, Arsia and Olympus Montes indicates that explosive eruptions were not associated with this stage of Tharsis shield volcanism. The existence of resurfaced floor segments, complex wrinkle ridges, and lava terraces within the summit craters suggests that lava lakes comprised the dominant form of the intra-caldera activity. Multiple collapse episodes on Ascraeus and Olympus Montes are indicated by the nested summit craters. The most plausible cause of caldera collapse appears to be large-scale sub-terminal effusive activity, which is corroborated by the previously recognized existence of large lava flows on the flanks of these volcanoes. Due to the implied sequence of large-scale explosive (silicic) volcanism followed by effusive (basaltic) activity, it appears highly unlikely that ignimbrites or other forms of pyroclastic flows (previously proposed as possible deposits within the Olympus Mons aureole material) were ever erupted from the Tharsis Montes.

Mouginis-Mark, P. J.↗
NASA NTRS2009

Winter Camp: A Blog from the Greenland Summit, Part II

An earlier issue presents the first half of the author's experience living and working at the National Science Foundation's (NSF) Greenland Summit Camp. The author is a remote-sensing glaciologist at NASA s Goddard Space Flight Center. She took measurements that will be used to validate data collected by NASA s Aqua, Terra, and Ice, Clouds, and land Elevation Satellite (ICESat) satellites with ground-truth measurements of the Greenland Ice Sheet she made at Summit Camp from November 2008-February 2009. This article presents excerpts from the second half of her stay and work at the Greenland Summit.

Koenig, Lora↗
NASA NTRS2009

Winter Camp: A Blog from the Greenland Summit

This article presents the first half of the author's experience living and working at the National Science Foundation's (NSF) Greenland Summit Camp. The author is a remote-sensing glaciologist at NASA's Goddard Space Flight Center. She took measurements that will be used to validate data collected by NASA s Aqua, Terra, and Ice, Clouds, and land Elevation Satellite (ICESat) satellites with ground-truth measurements of the Greenland Ice Sheet she made at Summit Camp from November 2008-February 2009. This article presents excerpts from the second half of her stay and work at the Greenland Summit. The second half of the story is presented in another issue of this journal

Koenig, Lora↗
NASA NTRS2003

Determination of Mercury Content in a Shallow Firn Core from Summit, Greenland by Isotope Dilution Inductively Coupled Plasma Mass Spectrometry

The total mercury Hg content was determined in 6 cm sections of a near-surface 7 m firn core and in surrounding surface snow from Summit, Greenland (elevation: 3238 m, 72.58 N, 38.53 W) in May 2001 by isotope dilution cold-vapor inductively coupled plasma mass spectrometry (ID-CV-ICP-MS). The focus of this research was to evaluate the capability of the ID-CV-ICPMS technique for measuring trace levels of Hg typical of polar snow and firn. Highly enriched Hg-201 isotopic spike is added to approximately 10 ml melted core and thoroughly mixed. The Hg(+2) in the sample is reduced on line with tin (II) chloride (SnCl2) and the elemental Hg (Hg(0)) vapor pre-concentrated on to gold gauze using a commercial amalgam system. The Hg is then thermally desorbed and introduced into a quadrupole ICP-MS. The blank corrected Hg concentrations determined for all samples ranged from 0.25 ng/L to 1.74 ng/L (ppt) (average 0.59 ng/L plus or minus 0.28 ng/L) and fall within the range of those previously determined by Boutron et al., 1998 (less than or equal to 0.05 ng/L to 2.0 ng/L) for the Summit site. The average blank value was 0.19 ng/L plus or minus 0.045 ng/L (n=6). The Hg values specifically for the firn core range from 0.25 ng/L to 0.87 ng/L (average 0.51 ng/L plus or minus 0.13 ng/L) and show both values declining with time and larger variability in concentration in the top 1.8 m.

Mann, Jacqueline L.↗
NASA NTRS2017

Assessment of NASA Airborne Laser Altimetry Data Using Ground-Based GPS Data near Summit Station, Greenland

A series of NASA airborne lidars have been used in support of satellite laser altimetry missions. These airbornelaser altimeters have been deployed for satellite instrument development, for spaceborne data validation, and to bridge the data gap between satellite missions. We used data from ground-based Global Positioning System (GPS) surveys of an 11 km long track near Summit Station, Greenland, to assess the surface elevation bias and measurement precision of three airborne laser altimeters including the Airborne Topographic Mapper (ATM), the Land, Vegetation, and Ice Sensor (LVIS), and the Multiple Altimeter Beam Experimental Lidar (MABEL). Ground-based GPS data from the monthly ground-based traverses, which commenced in 2006, allowed for the assessment of nine airborne lidar surveys associated with ATM and LVIS between 2007 and 2016. Surface elevation biases for these altimeters over the flat, ice-sheet interior are less than 0.12 m, while assessments of measurement precision are 0.09 m or better. Ground-based GPS positions determined both with and without differential post-processing techniques provided internally consistent solutions. Results from the analyses of ground-based and airborne data provide validation strategy guidance for the Ice, Cloud, and land Elevation Satellite 2 (ICESat-2) elevation and elevation-change data products.

Summit Station↗
NASA NTRS1993

Mineralogy of three slightly palagonitized basaltic tephra samples from the summit of Mauna Kea, Hawaii

The paper characterizes the mineralogy and spectral properties of three slightly palagonitized basaltic tephra samples collected near the summit of Mauna Kea in order to contribute to the basis for inferring mineralogy and processes for Martian surface materials. The mineralogy of size fractions of these samples is examined by diffuse reflectance and FIR spectroscopy, optical microscopy, X-ray diffraction, Moessbauer spectroscopy, magnetic analysis, EMPA, TEM, and SEM. For the 20-1000 micron size fraction, sample HWMK11 (red) is essentially completely oxidized and has a hematite (Ti-hematite) pigment dispersed throughout the silicate matrix. Sample HWMK12 (black) has the lowest proportion of ferric-bearing phases and is thus least weathered. For HWMK11, the amount of hematite is essentially constant, and mica is present only in the coarse clay-sized fraction; smectites are low in structural Fe.

Golden, D. C.↗
NASA NTRS2001

Seasonal and Interannual Variations of Ice Sheet Surface Elevation at the Summit of Greenland: Observed and Modeled

Observed seasonal and interannual variations in the surface elevation over the summit of the Greenland ice sheet are modeled using a new temperature-dependent formulation of firn-densification and observed accumulation variations. The observed elevation variations are derived from ERS (European Remote Sensing)-1 and ERS-2 radar altimeter data for the period between April 1992 and April 1999. A multivariate linear/sine function is fitted to an elevation time series constructed from elevation differences measured by radar altimetry at orbital crossovers. The amplitude of the seasonal elevation cycle is 0.25 m peak-to-peak, with a maximum in winter and a minimum in summer. Inter-annually, the elevation decreases to a minimum in 1995, followed by an increase to 1999, with an overall average increase of 4.2 cm a(exp -1) for 1992 to 1999. Our densification formulation uses an initial field-density profile, the AWS (automatic weather station) surface temperature record, and a temperature-dependent constitutive relation for the densification that is based on laboratory measurements of crystal growth rates. The rate constant and the activation energy commonly used in the Arrhenius-type constitutive relation for firn densification are also temperature dependent, giving a stronger temperature and seasonal amplitudes about 10 times greater than previous densification formulations. Summer temperatures are most important, because of the strong non-linear dependence on temperature. Much of firn densification and consequent surface lowering occurs within about three months of the summer season, followed by a surface build-up from snow accumulation until spring. Modeled interannual changes of the surface elevation, using the AWS measurements of surface temperature and accumulation and results of atmospheric modeling of precipitation variations, are in good agreement with the altimeter observations. In the model, the surface elevation decreases about 20 cm over the seven years due to more compaction driven by increasing summer temperatures. The minimum elevation in 1995 is driven mainly by a temporary accumulation decrease and secondarily by warmer temperatures. However, the overall elevation increase over the seven years is dominated by the accumulation increase in the later years.

Zwally, H. Jay↗
NASA NTRS2001

Interannual Variations of Shallow Firn Temperature at Greenland Summit

Firn-temperature profiles are calculated in a thermal model using continuous surface temperatures derived from Automatic Weather Station (AWS) data and passive microwave data in the Greenland Summit region during the period 1987-1999. The results show that significant interannual variations of mean summer (June to August) and annual temperatures occur in the top 15 m, in addition to the normal seasonal cycle of firn temperature. At 5 m depth, the seasonal cycle is damped to 13% of the surface seasonal amplitude, but even at 15 m about 1% or 0.6 C of the seasonal cycle persists. Both summer and mean annual temperatures decrease from 1987 to 1992, followed by a general increasing trend. Interannual variability is 5 C at the surface, but only is only dampened to 3.2 C at 10 m depth and 0.7 C at 15 m depth. Dampening of the interannual variability with depth is slower than dampening of the seasonal cycle, because of the longer time constant of the interannual variation. The warmer spring and summer temperatures experienced in the top 5 m, due to both the seasonal cycle and interannual variations, affect the rate of firn densification, which is non-linearly dependent on temperature. During the 12 year period 1987-1999, the mean annual surface temperature is -29.2 C, and the mean annual 15 m temperature is -30. 1 C, which is more than 1 C warmer than a 15-m borehole temperature representing the period of about 1959 and warmer than the best-fit temperature history by Alley and Koci back to 1500 A.D..

Jun, Li↗
NASA NTRS2000

Olympus: The Ultimate Summit for Science

High above the world-class observatories that dot Hawaii's dormant Mauna Kea volcano, floating farther yet over the hostile and nearly inaccessible peaks of Mt. Everest, lies a summit waiting to be conquered. Here above the clouds and city lights and over 99.7% of the atmosphere is a platform on the edge of space, home to a broad range of astronomy and physics experiments. Today, balloons are lifting experiments longer, higher and more inexpensively than ever before, and returning them safely to Earth for reuse. Week-long flights at altitudes of approximately 35 kilometers carrying payloads in excess of several tons are the norm. NASA now plans to extend this platform and create a new generation of balloons capable of staying afloat with such cargo for 100 days and ultimately 1,000 days. What do some scientists hope to accomplish with 100 or even 1,000 days at the edge of space? To name but a few proposals on the table: Jupiter-size planet searches, large-aperture solar astronomy, large-aperture infrared astronomy, cosmic-ray investigations, long-duration Earth science missions, and hard x-ray imaging experiments. Olympus defines a new era in scientific ballooning. Advances in material science and trajectory control are enabling revolutionary capabilities. Very large scientific payloads can now be reliably launched and retrieved for reflight at a range of altitudes. Balloon flight still remains a fraction of the cost of a rocket launch. The ultra long duration balloon, with its 100-day maiden flight planned for 2001, provides a long-term facility in a near-space environment for many types of science. This is a stratospheric mountaintop well worth the climb.

Kelly, Darrell↗
NASA NTRS2005

A WOUND CARE AND INTRAVENOUS ACCESS SUMMIT FOR ON-ORBIT CARE

Wound care issues and the ability to establish intravenous (IV) access among injured or ill crew members are a source of concern for NASA flight surgeons. Indeed, the microgravity environment and the remote nature of the International Space Station (ISS) pose unique challenges in diagnosing and treating an injured astronaut. Therefore, it is necessary to identify and adapt the best evidence based terrestrial practices regarding wound care, hemostasis, and IV access for use on the ISS. Methods: A panel of consultants was convened to evaluate the adequacy of the current ISS in-flight medical system for diagnosis and treatment of wounds and establishing IV access by a nonclinician crew medical officer. Participants were acknowledged experts in terrestrial wound care and/or operational medicine. Prior to the meeting, each panelist was encouraged to participate in a pre-summit online forum. Results: Eight external experts participated in a face-to-face meeting held at NASA-Johnson Space Center. Recommendations were made to augment the space station pharmacopoeia, as well as current wound care diagnostic, therapeutic, and deorbit criteria protocols. Additionally, suggestions were offered regarding IV access techniques and devices for use in the microgravity environment. Discussion: The results of the expert panel provide an evidence-based approach to the diagnosis and care of wounds in an injured astronaut on aboard the ISS. The results of the panel underscored the need for further research in wound therapy and IV access devices.

Scheuring, R.↗
NASA NTRS2010

Comparison of Satellite, Thermochron and Air Temperatures at Summit, Greenland, During the Winter of 2008/09

Current trends show rise in Arctic surface and air temperatures, including over the Greenland ice sheet where rising temperatures will contribute to increased sea-level rise through increased melt. We aim to establish the uncertainties in using satellite-derived surface temperature for measuring Arctic surface temperature, as satellite data are increasingly being used to assess temperature trends. To accomplish this, satellite-derived surface temperature, or land-surface temperature (LST), must be validated and limitations of the satellite data must he assessed quantitatively. During the 2008/09 boreal winter at Summit, Greenland, we employed data from standard US National Oceanic and Atmospheric Administration (NOAA) air-temperature instruments, button-sized temperature sensors called thermochrons and the Moderate Resolution Imaging Spectroradiometer (MODIS) satellite instrument to (1) assess the accuracy and utility of thermochrons in an ice-sheet environment and (2) compare MODIS-derived LSTs with thermochron-derived surface and air temperatures. The thermochron-derived air temperatures were very accurate, within 0.1+/-0.3 C of the NOAA-derived air temperature, but thermochron-derived surface temperatures were approx. 3 C higher than MODIS-derived LSTs. Though the surface temperature is largely determined by air temperature, these variables can differ significantly. Furthermore, we show that the winter-time mean air temperature, adjusted to surface temperature was approx. 11 C higher than the winter-time mean MODIS-derived LST. This marked difference occurs largely because of satellite-derived LSTs cannot be measured through cloud cover, so caution must be exercised in using time series of satellite LST data to study seasonal temperature trends.

Koenig, Lora S.↗
NASA NTRS2014

Comparison of Near-Surface Air Temperatures and MODIS Ice-Surface Temperatures at Summit, Greenland (2008-2013)

We have investigated the stability of the MODerate resolution Imaging Spectroradiometer (MODIS) infrared-derived ice surface temperature (IST) data from Terra for use as a climate quality data record. The availability of climate quality air temperature data (TA) from a NOAA Global Monitoring Division observatory at Greenlands Summit station has enabled this high temporal resolution study of MODIS ISTs. During a 5 year period (July 2008 to August 2013), more than 2500 IST values were compared with 3-minute average TA values derived from the 1-minute data from NOAAs primary 2 m air temperature sensor. These data enabled an expected small offset between air and surface temperatures at this the ice sheet location to be investigated over multiple annual cycles.

Greenland↗