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At least 577 records · Page 32

Clinical Decision Support - Concepts of Operation

We are entering a new era in space exploration to return to the moon and explore Mars. Crew members operating independently during long duration space exploration missions will require a clinical decision support system (CDSS) to increase autonomy by augmenting their knowledge, skills and abilities in different scenarios. Significant changes to in-flight and habitat medical care due to constraints on mass, volume, power, crew time and medical evacuation capabilities are needed to increase crew autonomy and self-reliance in decision making and task performance. The Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP) pushes the boundary of space medical systems to advance the care of astronauts on future exploration missions beyond low Earth orbit by identifying and testing next-generation medical care and crew health maintenance technologies. Clinical decision support (CDS) presents knowledge and data in a context aware manner to augment a crew members’ knowledge, skills and abilities during the process of observation, orientation, decisions and action. A comprehensive crew health and performance CDSS is required to augment crew capability and will be used in different scenarios for several reasons. In general, the CDSS’s role is to assist the crew in prevention, detection, diagnosis and treatment of crew health and performance related conditions that may arise in exploration spaceflight. For example, CDSS would assist a high acuity scenario such as a heart attack by supplying clear instructions, vital signs and treatment reminders. A lower severity scenario such as kidney stone risk could interface to vehicle systems and display more complex predictive data during a diagnosis. A CDSS needs to contribute to successful missions by maintaining a high performing crew who can potentially exhibit countless medical conditions related to derangements from the space environment (sleep, cognition, nutrition and exercise) as well as conditions intrinsic to humans anywhere. While supporting the crew’s ability to make sound clinical decisions is desirable in any mission, it is essential for exploration missions with significant communication delays, no evacuation capability, and extended exposure to the flight environment. Such missions correspond with medical Level of Care V (LOC V), the highest level specified in NASA-STD-3001. The project focuses on CDS implementation research to derive requirements for LOC V, where the need for increased autonomy results in new practices and the inclusion of non-clinical data, such as vehicle environmental measures and physical exercise results, from other human and vehicle domains and advanced analytics. The CDS project describes how the CDSS is intended to be used by defining concepts of operations (ConOps). The process to derive ConOps focuses on increased autonomy that reduces the likelihood and consequences of accepted medical conditions. These crew health and performance inputs are grouped by common datasets and analysis models. Use cases are derived to research new clinical scenarios, architectural development and workflows. Implementation research is conducted with protypes to inform assumptions and derive requirements. The project also establishes how externally developed analysis and approaches can be added to expand a clinical decision support system and thus highlight how a comprehensive system can be globally developed with collaborators. This presentation will cover example scenarios from the CDS ConOps and the method to derive them. One example scenario will be CDSS alerting an increased kidney stone risk during a mission, with diagnosis and treatment options provided during the intervention.

clinical decision support↗

Clinical Decision Support - Concepts of Operation

We are entering a new era in space exploration to return to the moon and explore Mars. Crew members operating independently during long duration space exploration missions will require a clinical decision support system (CDSS) to increase autonomy by augmenting their knowledge, skills and abilities in different scenarios. Significant changes to in-flight and habitat medical care due to constraints on mass, volume, power, crew time and medical evacuation capabilities are needed to increase crew autonomy and self-reliance in decision making and task performance. The Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP) pushes the boundary of space medical systems to advance the care of astronauts on future exploration missions beyond low Earth orbit by identifying and testing next-generation medical care and crew health maintenance technologies. Clinical decision support (CDS) presents knowledge and data in a context aware manner to augment a crew members’ knowledge, skills and abilities during the process of observation, orientation, decisions and action. A comprehensive crew health and performance CDSS is required to augment crew capability and will be used in different scenarios for several reasons. In general, the CDSS’s role is to assist the crew in prevention, detection, diagnosis and treatment of crew health and performance related conditions that may arise in exploration spaceflight. For example, CDSS would assist a high acuity scenario such as a heart attack by supplying clear instructions, vital signs and treatment reminders. A lower severity scenario such as kidney stone risk could interface to vehicle systems and display more complex predictive data during a diagnosis. A CDSS needs to contribute to successful missions by maintaining a high performing crew who can potentially exhibit countless medical conditions related to derangements from the space environment (sleep, cognition, nutrition and exercise) as well as conditions intrinsic to humans anywhere. While supporting the crew’s ability to make sound clinical decisions is desirable in any mission, it is essential for exploration missions with significant communication delays, no evacuation capability, and extended exposure to the flight environment. Such missions correspond with medical Level of Care V (LOC V), the highest level specified in NASA-STD-3001. The project focuses on CDS implementation research to derive requirements for LOC V, where the need for increased autonomy results in new practices and the inclusion of non-clinical data, such as vehicle environmental measures and physical exercise results, from other human and vehicle domains and advanced analytics. The CDS project describes how the CDSS is intended to be used by defining concepts of operations (ConOps). The process to derive ConOps focuses on increased autonomy that reduces the likelihood and consequences of accepted medical conditions. These crew health and performance inputs are grouped by common datasets and analysis models. Use cases are derived to research new clinical scenarios, architectural development and workflows. Implementation research is conducted with protypes to inform assumptions and derive requirements. The project also establishes how externally developed analysis and approaches can be added to expand a clinical decision support system and thus highlight how a comprehensive system can be globally developed with collaborators. This presentation will cover example scenarios from the CDS ConOps and the method to derive them. One example scenario will be CDSS alerting an increased kidney stone risk during a mission, with diagnosis and treatment options provided during the intervention.

clinical decision support↗

Autonomous Operations: Expectations vs. Reality (at NASA)

- Future deep-space exploration drives need for autonomy - Communication time delay between Earth and deep-space system precludes Earth-based remote-control - Autonomy is: - Acting separately from others (Webster’s Dictionary) - Able to independently choose how to act to achieve goals - Autonomy is a relative term: Autonomous from whom? for what purpose? and when? - Autonomous Operations is: - Automatically controlled operation of a system that replaces human effort - Able to perform a pre-specified set of instructions on its own - Automation is a tool that enables and supports autonomy

Autonomous Operation↗

Autonomous Ocean World Exploration: Advancement of a Software Testbed

The search for life signs and potentially habitable bodies in our solar system and beyond is one of NASA’s top priorities. The prime destinations for such exploration are bodies containing liquid water, such as Jupiter’s moon Europa and Saturn’s moon Enceladus. Initial missions to these “ocean worlds” will be robotic, and because of long communication lags and blackouts, harsh environments, and limited battery life, a high degree of onboard autonomy will be required. To this end NASA has developed the Ocean Worlds Autonomy Testbed for Exploration, Research, and Simulation (OceanWATERS), a software testbed for surface mission autonomy. Under grants from NASA’s Autonomous Robotics Research for Ocean Worlds (ARROW) and Concepts for Ocean worlds Life Detection Technology (COLDTech) programs, collectively 6 research teams at universities and companies across the United States have developed autonomy solutions using OceanWATERS, tackling a variety of surface mission challenges and employing state-of-the-art AI-based solutions. This paper provides a self-contained high-level description of OceanWATERS while detailing enhancements made since its 2020 release. It provides a high-level summary of the projects undertaken by participants in the ARROW and COLDTech programs and how these efforts have helped shape OceanWATERS. Finally, potential future work and directions for the testbed are listed.

K Michael Dalal↗

Validation and Calibration of Energy Models with Real Vehicle Data from Chassis Dynamometer Experiments

Accurate estimation of vehicle fuel consumption typically requires detailed modeling of complex internal powertrain dynamics, often resulting in computationally intensive simulations. However, many transportation applications-such as traffic flow modeling, optimization, and control-require simplified models that are fast, interpretable, and easy to implement, while still maintaining fidelity to physical energy behavior. This work builds upon a recently developed model reduction pipeline that derives physics-like energy models from high-fidelity Autonomie vehicle simulations. These reduced models preserve essential vehicle dynamics, enabling realistic fuel consumption estimation with minimal computational overhead. While the reduced models have demonstrated strong agreement with their Autonomie counterparts, previous validation efforts have been confined to simulation environments. This study extends the validation by comparing the reduced energy model's outputs against real-world vehicle data. Focusing on the MidSUV category, we tune the baseline Autonomie model to closely replicate the characteristics of a Toyota RAV4. We then assess the accuracy of the resulting reduced model in estimating fuel consumption under actual drive conditions. Our findings suggest that, when the reference Autonomie model is properly calibrated, the simplified model produced by the reduction pipeline can provide reliable, semi-principled fuel rate estimates suitable for large-scale transportation applications.

42 ENGINEERING↗

Towards Human-Friendly Efficient Control of Multi-Robot Teams

This paper explores means to increase efficiency in performing tasks with multi-robot teams, in the context of natural Human-Multi-Robot Interfaces (HMRI) for command and control. The motivating scenario is an emergency evacuation by a transport convoy of unmanned ground vehicles (UGVs) that have to traverse, in shortest time, an unknown terrain. In the experiments the operator commands, in minimal time, a group of rovers through a maze. The efficiency of performing such tasks depends on both, the levels of robots' autonomy, and the ability of the operator to command and control the team. The paper extends the classic framework of levels of autonomy (LOA), to levels/hierarchy of autonomy characteristic of Groups (G-LOA), and uses it to determine new strategies for control. An UGVoriented command language (UGVL) is defined, and a mapping is performed from the human-friendly gesture-based HMRI into the UGVL. The UGVL is used to control a team of 3 robots, exploring the efficiency of different G-LOA; specifically, by (a) controlling each robot individually through the maze, (b) controlling a leader and cloning its controls to followers, and (c) controlling the entire group. Not surprisingly, commands at increased G-LOA lead to a faster traverse, yet a number of aspects are worth discussing in this context.

multi-robot control↗

Workshop on Assurance for Autonomous Systems for Aviation

This report describes the workshop on Assurance for Autonomous Systems for Aviation that was held in January 2016 in conjunction with the SciTech 2016 conference held in San Diego, CA. The workshop explored issues related to assurance for autonomous systems and also the idea of trust in these systems. Specifically, we focused on discussing current practices for assurance of autonomy, identifying barriers specific to autonomy as related to assurance as well as operational scenarios demonstrating the need to address the barriers. Furthermore, attention was given to identifying verification techniques that may be applicable to autonomy, as well as discussing new research directions needed to address barriers, thereby involving potential shifts in current practices.

assurance↗

Artificial Intelligence: Powering Human Exploration of the Moon and Mars

Artificial Intelligence (AI) is a growing field of computa- tional science techniques designed to mimic functions per- formed by people. Advancements in autonomy will depend on a portfolio of AI technologies. Automated planning and scheduling is a venerable field of study in AI, and is needed for a variety of mission planning functions. Plan execution technology is less well studied, but important for auton- omy and robotics. Specialized forms of automated reason- ing and machine learning are key technologies to enable fault management. Over the past decade, the NASA Au- tonomous Systems and Operations (ASO) project has devel- oped and demonstrated numerous autonomy enabling tech- nologies employing AI techniques. Our work has employed AI in three distinct ways to enable autonomous mission op- erations capabilities. Crew Autonomy gives astronauts tools to assist in the performance of each of these mission oper-ations functions. Vehicle System Management uses AI tech- niques to turn the astronaut's spacecraft into a robot, allow- ing it to operate when astronauts are not present, or to reduce astronaut workload. AI technology also enables Autonomous Robots as crew assistants or proxies when the crew are not present. When these capabilities are used to enable astro- nauts to operate autonomously, they must be integrated with user interfaces, introducing numerous human factors con- siderations; when these capabilities are used to enable vehi- cle system management, they must be integrated with flight software, and run on embedded processors under the control of real-time operating systems.We first describe human spaceflight mission operations capabilities. The remainder of the paper will describe the ASO project, and the development and demonstration per- formed by ASO since 2011. We will describe the AI tech- niques behind each of these demonstrations, which include a variety of symbolic automated reasoning and machine learn- ing based approaches. Finally, we conclude with an assess- ment of future development needs for AI to enable NASA's future Exploration missions.

Mission Operations↗

LANDO: Developing Autonomous Surface Operations for Planetary Surfaces

The Lightweight Surface Manipulation System (LSMS) AutoNomy capabilities Development for surface Operations and construction (LANDO) project is an Early Career Initiative (ECI) selected for funding by the Space Technology Mission Directorate (STMD) beginning in fiscal year 2022. Over the two-year project duration, the LANDO project will deliver a general-purpose autonomy framework applicable to serial and tension-actuated manipulation agents, that has been validated using an existing prototype of the LSMS-L35 (35-kg wrist lift capacity on the lunar surface, sized for a Commercial Lunar Payload Services (CLPS) mission). Specific to the LANDO project, the autonomous LSMS-L35 will be used to demonstrate autonomous payload handling capabilities for Lunar and other planetary surfaces, directly addressing STMD capability gaps in autonomous surface construction (ASC) operations, advanced robotics and spacecraft autonomy technologies, and technologies supporting emerging space industries including the On-orbit Servicing, Assembly and Manufacturing (OSAM) National Initiative. In this paper, an overview of the LANDO ECI project is presented.

autonomy↗

LANDO: Developing autonomous surface operations for planetary surfaces

The Lightweight Surface Manipulation System (LSMS) AutoNomy capabilities Development for surface Operations and construction (LANDO) project is an Early Career Initiative (ECI) selected for funding by the Space Technology Mission Directorate (STMD) beginning in fiscal year 2022. Over the two-year project duration, the LANDO project will deliver a general-purpose autonomy framework applicable to serial and tension-actuated manipulation agents, that has been validated using an existing prototype of the LSMS-L35 (35-kg wrist lift capacity on the lunar surface, sized for a Commercial Lunar Payload Services (CLPS) mission). Specific to the LANDO project, the autonomous LSMS-L35 will be used to demonstrate autonomous payload handling capabilities for Lunar and other planetary surfaces, directly addressing STMD capability gaps in autonomous surface construction (ASC) operations, advanced robotics and spacecraft autonomy technologies, and technologies supporting emerging space industries including the On-orbit Servicing, Assembly and Manufacturing (OSAM) National Initiative. In this paper, an overview of the LANDO ECI project is presented.

autonomy↗

Autonomous In-space Construction, Maintenance, and Reconfiguration Using Programmable Meta-Material

NASA ARC's Coded Structures Laboratory (CSL) is developing autonomous construction, maintenance, and reconfiguration technologies to meet long-duration and deep space infrastructure needs, in accordance with long-term NASA goals of "in-space reliance" and "mass-less exploration." We seek to achieve these capabilities by utilizing a "programmable meta-material" approach that integrates emerging advances in materials (mechanical meta-materials), manufacturing (cooperative mobile robotics), and autonomy (multi-agent planning algorithms). Through the ARMADAS project, we have shown assembly of high-performance engineered cellular materials using multiple cooperating mobile robotic assemblers. In this paper, we describe how such a programmable meta-material architecture may shift the paradigm of how we design, build, manufacture, and operate future space infrastructure and assets. The core of a programmable meta-material architecture consists of 3 main technology sub-areas: the structure, the assembly agents, and the assembly algorithms. We co-design these systems to ensure an adaptable system that can create and reconfigure structures from a base set of building block components. From this core technology, we can branch out and expand the capability of the system through additional secondary component types and robotic agents to perform activities such as inspections, maintenance, repair, payload installation, or perform power and communications interconnect. As these technologies mature, future designers will be able to utilize the system to rapidly integrate and operate assets in space or on planetary surfaces from a set of well-tested part library, or create their own modules to integrate into the system. A core trait to the development of this system is the automation approach. Because of the modular and functional discrete (pixel-like) nature of the structural system, a diverse set of powerful algorithms for analysis, planning, and simulation can be adapted and leveraged to optimize construction, maintenance, and dynamic reorganization (as hardware with programmable form and function). With an ability to free the design space from launch vehicle constraints and fundamentally shift how a mission is designed and conducted, we discuss the influence of a programmable meta-material architecture on mission design, build, and operations. For the "design phase", we discuss project lifecycle effects, costs, time, and performance. For the "build phase", we discuss reusability, ISRU, manufacturing, material logistics, and scalability. And for "operations", we discuss autonomy, maintenance and upgrades, reliability, and reconfiguration. Autonomy and modularity are the primary enabling traits of this system. Engineering systems that utilize a modular and reconfiguration building block approach such as digital communication and computation systems, currently lead all other areas of technology in size and complexity scalability. NASA is extending the benefits and flexibility of digital systems to hardware systems, to optimize materials lifecycle management and expand our space exploration mission capabilities.

in space assembly↗

Challenges and Opportunities in Autonomous Flight

This talk discusses the challenges and opportunities for autonomy in aviation. We cover the autonomy drivers, what we consider fundamental building blocks for autonomous flight and success of assigned mission. We provide some examples from our work of integrating different algorithms to deal with contingencies that arise in flight. We also discuss a potential need to assess progress to autonomy across various aviation niches and evolving sectors and propose a framework to do so.

autonomy↗

Benchmark Problem for Autonomous Urban Air Mobility

This paper introduces a Community Benchmark Problem (CBP) for Intelligent Contingency Management (ICM) for Urban Air Mobility (UAM) aircraft. The CBP aims to provide a common framework for measuring and comparing the progress of autonomy solutions for UAM aircraft in handling emergency situations. The paper proposes a methodology for defining and quantifying five measures of complexity that capture the challenges and requirements of ICM for UAM: Mission, Environmental, Autonomy, Decision-Making, and Mission Fault. In addition, it proposes a methodology for defining and quantifying mission risk acceptability with the same goals: Contingency Management, Mission Success, Operational, Mission Redefinition, and Environmental. We describe how to use these measures to track progress of the development of ICM capability, as well as to create scenarios and evaluate the performance of different autonomy solutions.

autonomy↗

Community Benchmark Problem for Intelligent Contingency Management

This paper introduces a Community Benchmark Problem (CBP) for Intelligent Contingency Management (ICM) for Urban Air Mobility (UAM) aircraft. The CBP aims to provide a common framework for measuring and comparing the progress of autonomy solutions for UAM aircraft in handling emergency situations. The paper proposes a methodology for defining and quantifying five measures of complexity that capture the challenges and requirements of ICM for UAM: Mission, Environmental, Autonomy, Decision-Making, and Mission Fault. In addition, it proposes a methodology for defining and quantifying mission risk acceptability with the same goals: Contingency Management, Mission Success, Operational, Mission Redefinition, and Environmental. We describe how to use these measures to track progress of the development of ICM capability, as well as to create scenarios and evaluate the performance of different autonomy solutions.

autonomy↗

Autonomous Flight and Its Challenges

Aviation is undergoing a revolution and a paradigm change. New technologies are moving aviation towards on-demand transportation. To fully realize the promise of “anyone, anytime, anywhere” transportation, autonomy must play a key role. Our research team is focused on the intersection of new vehicle eVTOL configurations, popularly known as “air taxis”, and autonomous flight in complex urban environment. It has been widely recognized that dealing with contingencies, especially in safe, scalable and flexible way, is the most difficult challenge for autonomy. The presentation is intended to outline what we consider fundamental challenges and describe our current approaches. Moreover, we are working on establishing wide ranging collaborations to address these fundamental autonomy challenges in a relevant environment with real-world assumptions and constraints. Hence, we would like to take this opportunity to discuss open challenge problems with this research community.

autonomy↗

ObstacleSense: Low-Power Neuromorphic Vision for Corridor Obstacle Awareness in Low-Level ADAS

The automotive industry’s pursuit of Level 5 autonomy is constrained by substantial perception-compute power requirements, often reaching 1, 000 + watts in full autonomy stacks. Reducing this energy burden requires rethinking perception not only at the high-end autonomy level, but also at the foundational Advanced Driver Assistance Systems (ADAS) level where low-power, safety-critical sensing can have broad impact. Neuromorphic vision provides a promising starting point: HD Dynamic Vision Sensors (DVS) can operate below 100 mW at the sensor level by reporting only asynchronous brightness changes. However, low-power sensing alone is insufficient if downstream perception reintroduces dense, energy-intensive computation. In particular, many event-driven object-detection pipelines still rely on CNN backbones, while purely spiking alternatives often trade away accuracy or ignore deployment constraints. We introduce ObstacleSense, a highly compact, CNN-free hybrid ANN–SNN framework for Level 0–1 forward-corridor obstacle awareness. Instead of performing full-scene object detection with a convolutional feature backbone, ObstacleSense targets the safety-critical question of whether the ego corridor is occupied and how far the nearest obstacle is. The architecture combines polarity-conditioned event encoding, lightweight temporal spiking dynamics, axial spatial mixing, and coarse-to-fine range estimation within a regular fixed-grid compute pattern. This design avoids the dense CNN backbone commonly used in event-based detection while maintaining a small state footprint suitable for eventual small-FPGA deployment. Before hardware mapping, we evaluate the software implementation using a model-side power proxy derived from MACs, weight and activation traffic, and spiking state updates under shared FP16 assumptions. On simulated CARLA event corpora, the deployment-oriented model achieves 0.9464 objectness F1, 0.9978 grid-level mAP, and 0.8987 m distance Mean Absolute Error at an estimated 1.92 mW proxy cost, while maintaining performance on unseen generalization test sequences.

Johnson-Scott, Zac [ORNL]↗

Future Vision for Autonomous Ocean Observations

Autonomous platforms already make observations over a wide range of temporal and spatial scales, measuring salinity, temperature, nitrate, pressure, oxygen, biomass; and many other parameters. However, the observations are not comprehensive. Future autonomous systems need to be more affordable, more modular, more capable and easier to operate. Creative new types of platforms and new compact, low power, calibrated and stable sensors are under development to expand autonomous observations. Communications and recharging need bandwidth and power which can be supplied by standardized docking stations. In situ power generation will also extend endurance for many types of autonomous platforms, particularly autonomous surface vehicles. Standardized communications will improve ease of use, interoperability, and enable coordinated behaviors. Improved autonomy and communications will enable adaptive networks of autonomous platforms. Improvements in autonomy will have three aspects: hardware, control, and operations. As sensors and platforms have more onboard processing capability and energy capacity, more measurements become possible. Control systems and software will have the capability to address more complex states and sophisticated reactions to sensor inputs, which allows the platform to handle a wider variety of circumstances without direct operator control. Operational autonomy is increased by reducing operating costs. To maximize the potential of autonomous observations new standards and best practices are needed. In some applications, focus on common platforms and volume purchases could lead to significant cost reductions. Cost reductions could enable order-of-magnitude increases in platform operations and increase sampling resolution for a given level of investment. Energy harvesting technologies should be integral to the system design, for sensors, platforms, vehicles, and docking stations. Connections are needed between the marine energy and ocean observing communities to coordinate among funding sources, researchers, and end users. Regional teams should work with global organizations such as IOC/GOOS in governance development. International networks such as EGO for the emerging glider operations should also provide a forum for addressing governance. Networks of multiple vehicles can improve operational efficiencies and transform operational patterns. There is a need to develop operational architectures at regional and global scales to provide a backbone for active networking of autonomous platforms.

47 OTHER INSTRUMENTATION↗

A Sustainable Wind–Biogas Hybrid System for Remote Areas in Jordan: A Case Study of Mobile Hospital for a Zaatari Syrian Refugee Camp

Access to reliable and sustainable energy in remote areas remains a pressing global challenge, significantly affecting economic development and the quality of life. This study focuses on the implementation of fully off-grid wind–biogas hybrid power systems to address this issue, with a focus on remote healthcare camp facilities. This paper investigates the performance of a hybrid renewable energy system within the context of one of Jordan’s northern remote areas, the Zaatari Syrian Refugee Camp, assessing its efficiency and environmental impact by taking the Zaatari hospital as the case study. Simulations were conducted to evaluate system components, including wind turbines, biogas generators, and diesel generators. A comprehensive evaluation was conducted, encompassing both the operational efficiency of the system and its impact on the environment. This study also considered various scenarios (SC#), including grid availability and autonomy levels, to optimize system configurations. The techno-economic assessment employed the levelized cost of energy (LCOE) as a key performance indicator, and sensitivity analyses explored the impact of diesel costs and wind power fluctuations on the system. Additionally, environmental assessment was conducted to evaluate the environmental effects of hybrid systems, with a specific focus on reducing greenhouse gas emissions. This investigation involved an examination of emissions in three different scenarios. The results indicate that the lowest LCOE that could be achieved was 0.0734 USD/kWh in SC#1 with 72.42% autonomy, whereas achieving 100% autonomy increased the LCOE to 0.1756 USD/kWh. Additionally, the results reveal that in scenarios SC#2 and SC#3, which have a higher proportion of diesel generator usage, there were elevated levels of NO x and CO 2 emissions. Conversely, in SC#1, which lacks diesel generators, emissions were notably lower. The proposed hybrid system demonstrates its potential to provide a reliable energy supply to healthcare facilities in remote regions, emphasizing both economic feasibility and environmental benefits. These findings contribute to informed decision making for sustainable energy solutions in similar contexts, promoting healthcare accessibility and environmental sustainability.

09 BIOMASS FUELS↗