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Estimating the Risk of Renal Stone Events During Long-Duration Spaceflight

Introduction: Given the bone loss and increased urinary calcium excretion in the microgravity environment, persons participating in long-duration spaceflight may have an increased risk for renal stone formation. Renal stones are often an incidental finding of abdominal imaging studies done for other reasons. Thus, some crewmembers may have undiscovered, asymptomatic stones prior to their mission. Methods: An extensive literature search was conducted concerning the natural history of asymptomatic renal stones. For comparison, simulations were done using the Integrated Medical Model (IMM). The IMM is an evidence-based decision support tool that provides risk analysis and has the capability to optimize medical systems for missions by minimizing the occurrence of adverse mission outcomes such as evacuation and loss of crew life within specified mass and volume constraints. Results: The literature of the natural history of asymptomatic renal stones in the general medical population shows that the probability of symptomatic event is 8% to 34% at 1 to 3 years for stones < 7 mm. Extrapolated to a 6-month mission, for stones < 5 to 7 mm, the risk for any stone event is about 4 to 6%, with a 0.7% to 4% risk for intervention, respectively. IMM simulations compare favorably with risk estimates garnered from the terrestrial literature. The IMM forecasts that symptomatic renal stones may be one of the top drivers for medical evacuation of an International Space Station (ISS) mission. Discussion: Although the likelihood of a stone event is low, the consequences could be severe due to limitations of current ISS medical capabilities. Therefore, these risks need to be quantified to aid planning, limit crew morbidity and mitigate mission impacts. This will be especially critical for missions beyond earth orbit, where evacuation may not be an option.

Reyes, David

Estimating the Risk of Renal Stone Events during Long-Duration Spaceflight

Introduction: Given the bone loss and increased urinary calcium excretion in the microgravity environment, persons participating in long-duration spaceflight may have an increased risk for renal stone formation. Renal stones are often an incidental finding of abdominal imaging studies done for other reasons. Thus, some crewmembers may have undiscovered, asymptomatic stones prior to their mission. Methods: An extensive literature search was conducted concerning the natural history of asymptomatic renal stones. For comparison, simulations were done using the Integrated Medical Model (IMM). The IMM is an evidence-based decision support tool that provides risk analysis and has the capability to optimize medical systems for missions by minimizing the occurrence of adverse mission outcomes such as evacuation and loss of crew life within specified mass and volume constraints. Results: The literature of the natural history of asymptomatic renal stones in the general medical population shows that the probability of symptomatic event is 8% to 34% at 1 to 3 years for stones < 7 mm. Extrapolated to a 6-month mission, for stones < 5 to 7 mm, the risk for any stone event is about 4 to 6%, with a 0.7% to 4% risk for intervention, respectively. IMM simulations compare favorably with risk estimates garnered from the terrestrial literature. The IMM forecasts that symptomatic renal stones may be one of the top drivers for medical evacuation of an International Space Station (ISS) mission. Discussion: Although the likelihood of a stone event is low, the consequences could be severe due to limitations of current ISS medical capabilities. Therefore, these risks need to be quantified to aid planning, limit crew morbidity and mitigate mission impacts. This will be especially critical for missions beyond earth orbit, where evacuation may not be an option.

Reyes, David

A Quantitative Risk-Benefit Analysis of Prophylactic Surgery Prior to Extended-Duration Spaceflight

INTRODUCTION: Among otherwise healthy astronauts undertaking deep space missions, the risks for acute appendicitis (AA) and cholecystitis (AC) are not zero. If these conditions were to occur during spaceflight they may require surgery for definitive care. The proposed study quantifies and compares the risks of developing de novo AA and AC in-flight to the surgical risks of prophylactic laparoscopic appendectomy (LA) and cholecystectomy (LC) using NASA's Integrated Medical Model (IMM). METHODS: The IMM is a Monte Carlo simulation that forecasts medical events during spaceflight missions and estimates the impact of these medical events on crew health. In this study, four Design Reference Missions (DRMs) were created to assess the probability of an astronaut developing in-flight small-bowel obstruction (SBO) following prophylactic 1) LA, 2) LC, 3) LA and LC, or 4) neither surgery (SR# S-20160407-351). Model inputs were drawn from a large, population-based 2011 Swedish study that examined the incidence and risks of post-operative SBO over a 5-year follow-up period. The study group included 1,152 patients who underwent LA, and 16,371 who underwent LC. RESULTS: Preliminary results indicate that prophylactic LA may yield higher mission risks than the control DRM. Complete analyses are pending and will be subsequently available. DISCUSSION: The risk versus benefits of prophylactic surgery in astronauts to decrease the probability of acute surgical events during spaceflight has only been qualitatively examined in prior studies. Within the assumptions and limitations of the IMM, this work provides the first quantitative guidance that has previously been lacking to this important question for future deep space exploration missions.

Carroll, Danielle

Forecasting the Change of Renal Stone Occurrence Rates in Astronauts

Changes in urine chemistry, during and post flight, potentially increases the risk of renal stones in astronauts. Although much is known about the effects of space flight on urine chemistry, no inflight incidences of renal stones in US astronauts exists and the question How much does this risk change with space flight? remains difficult to accurately quantify. In this discussion, we tackle this question utilizing a combination of deterministic and probabilistic modeling that implements the physics behind free stone growth and agglomeration, speciation of urine chemistry and published observations of population renal stone incidences to estimate changes in the rate of renal stone occurrence.

physiological response

Unraveling TeV halos with the Cherenkov Telescope Array

Pulsars are observed to emit bright and spatially extended gamma-ray emission at multi-TeV energies. These so-called "TeV halos" are now understood to be a nearly universal feature of middle-aged pulsars. However, many of the key physical processes that govern these systems, particularly those affecting particle diffusion, remain poorly constrained. We aim to evaluate the ability of the Cherenkov Telescope Array (CTA) to probe the physical properties of TeV halos, with a focus on the nearby and well-studied case of the Geminga pulsar. We simulate gamma-ray emission from various TeV halo models, incorporating different assumptions for the injected electron spectrum, spin-down evolution, and energy-dependent diffusion. These models are then used to forecast CTA's sensitivity to spectral and spatial differences, based on realistic mock observations and instrument response simulations. We find that CTA will be able to distinguish between a wide range of TeV halo models that are currently consistent with existing data. In particular, CTA observations can constrain the normalization, energy dependence, and spatial extent of the diffusion coefficient surrounding Geminga, as well as the spectral shape of the injected electron population.

79 ASTRONOMY AND ASTROPHYSICS

State of the Carbon Cycle - Consequences of Rising Atmospheric CO2

The rise of atmospheric CO2, largely attributable to human activity through fossil fuel emissions and land-use change, has been dampened by carbon uptake by the ocean and terrestrial biosphere. We outline the consequences of this carbon uptake as direct and indirect effects on terrestrial and oceanic systems and processes for different regions of North America and the globe. We assess the capacity of these systems to continue to act as carbon sinks. Rising CO2 has decreased seawater pH; this process of ocean acidification has impacted some marine species and altered fundamental ecosystem processes with further effects likely. In terrestrial ecosystems, increased atmospheric CO2 causes enhanced photosynthesis, net primary production, and increased water-use efficiency. Rising CO2 may change vegetation composition and carbon storage, and widespread increases in water use efficiency likely influence terrestrial hydrology and biogeochemical cycling. Consequences for human populations include changes to ecosystem services including cultural activities surrounding land use, agricultural or harvesting practices. Commercial fish stocks have been impacted and crop production yields have been changed as a result of rising CO2. Ocean and terrestrial effects are contingent on, and feedback to, global climate change. Warming and modified precipitation regimes impact a variety of ecosystem processes, and the combination of climate change and rising CO2 contributes considerable uncertainty to forecasting carbon sink capacity in the ocean and on land. Disturbance regime (fire and insects) are modified with increased temperatures. Fire frequency and intensity increase, and insect lifecycles are disrupted as temperatures move out of historical norms. Changes in disturbance patterns modulate the effects of rising CO2 depending on ecosystem type, disturbance frequency, and magnitude of events. We discuss management strategies designed to limit the rise of atmospheric CO2 and reduce uncertainty in forecasts of decadal and centennial feedbacks of rising atmospheric CO2 on carbon storage.

Carbon Cycle

Studying the 2019 Australian Bushfires Disaster using NASA Data: A Data-Driven Storytelling Approach

The 2019-2020 Australian fire season was particularly devastating, with millions of acres of land burned and impacts affecting Australian ecology, local populations and air quality, and the atmosphere. Australia saw unprecedented heat waves, with temperatures reaching 120 F (49.1 C) in January across central and eastern Australia. The fires gave rise to a host of atmospheric phenomenon, including smoke transport and lofting generated by storm-induced by fires, known as pyrocumulonimbus, reaching the stratosphere. NASA’s satellites not only tracked the event in real time, but also gathered data to further inform forecasting and response methods in the future. To better assist the public in understanding the lead up, impacts, and aftermath effects of these fires, the Science Outreach Team at NASA Langley Research Center’s Atmospheric Science Data Center (ASDC) Distributed Active Archive Center (DAAC) used Esri’s storymap tool to guide users through understanding relevant phenomenon, contributing factors, the effects this event has had on global atmospheric composition, and the science behind researching the tie between disasters and public health. The storymap uses data from the ASDC-supported NASA missions Measurements Of Pollution In The Troposphere (MOPITT), Cloud-Aerosol and Infrared Pathfinder Satellite Observation (CALIPSO), Clouds and the Earth’s Radiant Energy System (CERES), the Stratospheric Aerosol and Gas Experiment (SAGE III), and Multi-angle Imaging SpectroRadiometer (MISR). By using data-driven storytelling to communicate impacts of a large fire event, we hope to provide an accessible, engaging science outreach tool format.

Sanjana Paul

LIS-Hydro: Authoritative Source for OCONUS Hydro-Intelligence

U.S. military forces are often tasked to participate in a variety of transboundary water-related decision-making activities, including humanitarian assistance operations through Department of State tasking, support of in-country infrastructure development activities that help develop or improve diplomatic relationships, and support of transboundary water treaty negotiations or disputes to reduce risk of conflict caused by water security issues. The U.S. intelligence communities have identified the coordination over shared water resources as an area of significant concern to U.S. national security (U.S. National Defense Strategy, 2018). Such transboundary water issues are projected to intensify in the future under increasingly complex population dynamics, political tensions due to parallel issues, and a changing climate. A 2017 joint NASA, USACE/RDC, and U.S. Air Force co-sponsored workshop revealed a lack of sufficient decision support tools and access to timely technical and contextual information needed to assess and respond to potential water-related threats around the world. The need for an integrated operational service, with the capacity to combine and synthesize hydrological modeling, assimilation, forecasting, and visualization capabilities across the U.S. Government, was highlighted as a key recommendation. In direct response, a subset of the U.S. Department of Defense, National Intelligence Community, and Oak Ridge National Laboratory are collaborating on the development of a fully integrated hydro-modeling and streamflow prediction system (i.e., LIS-Hydro). Completion of the project and sustainment of the operational capability by Air Force Weather will establish a national asset to assist federal agencies implement government-wide strategies around water resources (U.S. Global Water Strategy, 2017). The hydrological products and services will, for the very first time, establish a routinely available authoritative source of global water intelligence information supporting war-fighters, planners, and decision makers at all echelons and services of the U.S. military, Federal government, and intelligence community. A summary of the interagency scientific collaboration in addressing some of the key gaps and needs identified during the 2017 workshop will be presented.

Land Information System

Pre-Aerosol, Clouds, and Ocean Ecosystem (PACE) Mission Science Definition Team Report: PACE Technical Report Series - Volume 2

We live in an era in which increasing climate variability is having measurable impact on marine ecosystems within our own lifespans. At the same time, an ever-growing human population requires increased access to and use of marine resources. To understand and be better prepared to respond to these challenges, we must expand our capabilities to investigate and monitor ecological and bio geo chemical processes in the oceans. In response to this imperative, the National Aeronautics and Space Administration (NASA) conceived the Pre-Aerosol, Clouds, and ocean Ecosystem (PACE) mission to provide new information for understanding the living ocean and for improving forecasts of Earth System variability. The PACE mission will achieve these objectives by making global ocean color measurements that are essential for understanding the carbon cycle and its inter-relationship with climate change, and by expanding our understanding about ocean ecology and biogeochemistry. PACE measurements will also extend ocean climate data records collected since the 1990s to document changes in the function of aquatic ecosystems as they respond to human activities and natural processes over short and long periods of time. These measurements are pivotal for differentiating natural variability from anthropogenic climate change effects and for understanding the interactions between these processes and various human uses of the ocean. PACE ocean science goals and measurement capabilities greatly exceed those of our heritage ocean color sensors, and are needed to address the many outstanding science questions developed by the oceanographic community over the past 40 years.

Cetinic, Ivona

Effects of Low Activity Solar Cycle on Orbital Debris Lifetime

Long duration of low solar activity in the last solar minimum has an undesirable consequence of extending the lifetime of orbital debris. The AFRL TacSat-2 satellite decommissioned in 2008 has finally re-entered into the atmosphere on February 5th after more than one year overdue. Concerning its demise we have monitored its orbital decay and monthly forecasted Tacsat-2 re-entry since September 2010 by using the Orbital Element Prediction (OEP) model developed by the AFRL Orbital Drag Environment program. The model combines estimates of future solar activity with neutral density models, drag coefficient models, and an orbit propagator to predict satellite lifetime. We run the OEP model with solar indices forecast by the NASA Marshall Solar Activity Future Estimation model, and neutral density forecast by the MSIS-00 neutral density model. Based on the two line elements in 2010 up to mid September, we estimated at a 50% confidence level TacSat-2's re-entry time to be in early February 2011, which turned out to be in good agreement with Tacsat-2's actual re-entry date. The potential space weather effects of the coming low activity solar cycle on satellite lifetime and orbital debris population are examined. The NASA long-term orbital debris evolutionary model, LEGEND, is used to quantify the effects of solar flux on the orbital debris population in the 200-600 km altitude environment. The results are discussed for developing satellite orbital drag application product.

Cable, Samual B.

Integration of Airborne Aerosol Prediction Systems and Vegetation Phenology to Track Pollen for Asthma Alerts in Public Health Decision Support Systems

The residual signal indicates that the pollen event may influence the seasonal signal to an extent that would allow detection, given accurate QA filtering and BRDF corrections. MODIS daily reflectances increased during the pollen season. The DREAM model (PREAM) was successfully modified for use with pollen and may provide 24-36 hour running pollen forecasts. Publicly available pollen forecasts are linked to general weather patterns and roughly-known species phenologies. These are too coarse for timely health interventions. PREAM addresses this key data gap so that targeting intervention measures can be determined temporally and geospatially. The New Mexico Department of Health (NMDOH) as part of its Environmental Public Health Tracking Network (EPHTN) would use PREAM a tool for alerting the public in advance of pollen bursts to intervene and reduce the health impact on asthma populations at risk.

Luvall, Jeffrey C.

Public Health Data Applications Using the CDC Tracking Network: Augmenting Environmental Hazard Information with Lower-latency NASA Data

Exposure to environmental hazards is an important determinant of health, and the frequency and severity of exposures is expected to be impacted by climate change. Through a partnership with the U.S. National Aeronautics and Space Administration, the U.S. Centers for Disease Control and Prevention’s National Environmental Public Health Tracking Network is integrating timely observations and model data of priority environmental hazards into its publicly accessible Data Explorer (https://ephtracking.cdc.gov/DataExplorer/). Newly integrated datasets over the contiguous U.S. (CONUS) include: daily 5-day forecasts of air quality based on the Goddard Earth Observing System Composition Forecast (GEOS-CF), daily historical (1980-present) concentrations of speciated PM2.5 based on the Modern Era Retrospective analysis for Research and Applications, version 2 (MERRA-2), and Moderate Resolution Imaging Spectroradiometer (MODIS) daily near real-time maps of flooding (MCDWD). Data integrated into the CDC Tracking Network are broadly intended to improve community health through action by informing both research and early warning activities, including (1) describing temporal and spatial trends in disease and potential environmental exposures, (2) identifying populations most affected, (3) generating hypotheses about associations between health and environmental exposures, and (4) developing, guiding, and assessing environmental public health policies and interventions aimed at reducing or eliminating health outcomes associated with environmental factors.

air quality

Uncertainties in the effects of organic aerosol coatings on polycyclic aromatic hydrocarbon concentrations and their estimated health effects

We used the CAM5 model to examine how different particle-bound polycyclic aromatic hydrocarbon (PAH) degradation approaches affect the spatial distribution of benzo(a)pyrene (BaP). Three approaches were evaluated: NOA (no effect of OA coatings state on BaP), shielded (viscous OA coatings shield BaP from oxidation under cool and dry conditions) and ROI-T (viscous OA coatings slow BaP oxidation in response to temperature and humidity). Results show that BaP concentrations vary seasonally, influenced by emissions, deposition, transport and degradation approach, all of which are influenced by meteorological conditions. All simulations predict higher population-weighted global average (PWGA) fresh BaP concentrations during December–January–February (DJF) compared to June–July–August (JJA), due to increased emissions from household activities and reduced removal processes during colder months. The shielded and ROI-T approaches, which account for OA coatings, result in 2–6 times higher BaP concentrations in DJF compared to NOA. The shielded simulation predicts the highest PWGA fresh BaP concentration (1.3 ng m −3 ), with 90 % of BaP protected from oxidation. In contrast, the ROI-T approach forecasts lower concentrations in middle to low latitudes, as it assumes less effective OA coatings under warmer, more humid conditions. Evaluations against observed BaP concentrations show the shielded approach performs best, with a normalized mean bias (NMB) within ± 20 %. The combined incremental lifetime cancer risk (ILCR) for both fresh and oxidized PAHs is similar across simulations, emphasizing the importance of considering both forms in health risk assessments. This study highlights the critical role of accurate degradation approaches in PAH modeling.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN

Global Landslide Hazard Assessment for Situational Awareness (LHASA) Version 2: New Activities and Future Plans

A remote sensing-based system has been developed to characterize the potential for rainfall-triggered landslides across the globe in near real-time. The Landslide Hazard Assessment for Situational Awareness (LHASA) model uses a decision tree framework to combine a static susceptibility map derived from information on slope, rock characteristics, forest loss, distance to fault zones and distance to road networks with satellite precipitation estimates from the Global Precipitation Measurement (GPM) mission. Since 2016, the LHASA model has been providing near real-time and retrospective estimates of potential landslide activity. Results of this work are available at https://landslides.nasa.gov. In order to advance LHASA’s capabilities to characterize landslide hazards and impacts dynamically, we have implemented a new approach that leverages machine learning, new parameters, and new inventories. LHASA 2.0 uses the XGBoost machine learning model to bring in dynamic variables as well as additional static variables to better represent landslide hazard globally. Global rainfall forecasts are also being evaluated to provide a 1-3 day forecast of potential landslide activity. Additional factors such as recent seismicity and burned areas are also being considered to represent the preconditioning or changing interactions with subsequent rainfall over affected areas. A series of parameters are being tested within this structure using NASA’s Global Landslide Catalog as well as many other event-based and multi-temporal inventories mapped by the project team or provided by project partners. In addition to estimates of landslide hazard, LHASA Version 2 will incorporate dynamic estimates of exposure including population, roads and infrastructure to highlight the potential impacts that rainfall-triggered landslides. The ultimate goal of LHASA Version 2.0 is to approximate the relative probabilities of landslide hazard and exposure across different space and time scales to inform hazard assessment retrospectively over the past 20 years, in near real-time, and in the future. In addition to the hazard. This presentation will outline the new activities for LHASA Version 2.0 and present some next steps for this system.

Dalia Kirschbaum

Elucidating Processes Controlling Arctic Atmospheric Aerosol Sources, Aging, and Mixing States (Final Report)

Atmospheric aerosols play critical roles in the Earth’s energy budget, directly by scattering or absorbing solar and terrestrial radiation and indirectly by serving as seeds (nuclei) for cloud droplet and ice crystal formation and by depositing on snow and ice surface, thereby changing the surface albedo. These effects are dependent on aerosol particle size and chemical composition and impact the hydrological cycle as well. This project provided single-particle size and chemical composition measurements across the entire annual cycle in the high Arctic and in the Alaskan Arctic during fall – winter, addressing the most significant gaps in Arctic aerosol observational data. These needs were based on recent rapid sea ice loss across the entire Arctic, as well as the major annual delays in sea ice freeze-up during fall in the Chukchi Sea and increased wintertime sea ice fracturing in the Beaufort Sea, both off the North Slope of Alaska. Two DOE Atmospheric Radiation Measurement (ARM) field campaigns were conducted for atmospheric aerosol sampling. The Aerosols during the Polar Utqiagvik Night (APUN – ‘snow on ground’ in Iñupiaq) ARM field campaign at Utqagivik, Alaska was conducted from Oct. 28 – Dec. 22, 2018. Aerosol sizing instrumentation and a single-particle mass spectrometer were successfully deployed for size-resolved number concentration measurements and measurements of individual particle size and chemical composition, respectively. These results show the influence of locally-produced sea spray aerosol, with high cloud-forming potential, due to delayed sea ice freeze-up in the fall. During the 2019‐2020 international Multidisciplinary drifting Observatory for the Study of Arctic Climate (MOSAiC) expedition, daily atmospheric aerosol particles were collected aboard the German icebreaker Polarstern in the Central Arctic from Nov. 2019 – Oct. 2020. Sea salt aerosol and marine organics were observed year-round during MOSAiC with varying morphologies and sources. These findings are important because most Arctic models do not include a sea spray aerosol source, despite this source increasing with declining sea ice extent. In addition to collecting new samples and data, this project also conducted further analysis of previously collected single-particle chemical composition measurements within the North Slope of Alaska oil fields and at Utqiaġvik, AK, during Aug. – Sep. 2015 and 2016 field campaigns. This work resulted in the discovery of chemical reactions of oil field combustion emissions occurring within fog droplets across the North Slope of Alaska and forming secondary aerosol, showing the impact of Arctic oil field emissions beyond black carbon aerosol and greenhouse gases. In addition, the distribution of chemical species across the aerosol population within the oil fields was quantified, using these data and a previously development framework. We also presented the first ambient evidence of the collision of two atmospheric particles resulting in formation of an organic-coated ammonium sulfate particle of marine origin, which has implications for cloud formation with declining sea ice extent. Overall, this project has elucidated connections between seawater biogeochemistry, resource extraction activities, atmospheric composition, clouds, and the energy budget of the Arctic region. The results of this project are expected to improve weather and sea ice forecasting for security and development in the Arctic and beyond.

54 ENVIRONMENTAL SCIENCES

Numerical simulation of advection fog formation on multi-disperse aerosols due to combustion-related pollutants

The effects of multi-disperse distribution of the aerosol population are presented. Single component and multi-component aerosol species on the condensation/nucleation processes which affect the reduction in visibility are described. The aerosol population with a high particle concentration provided more favorable conditions for the formation of a denser fog than the aerosol population with a greater particle size distribution when the value of the mass concentration of the aerosols was kept constant. The results were used as numerical predictions of fog formation. Two dimensional observations in horizontal and vertical coordinates, together with time-dependent measurements were needed as initial values for the following physical parameters: (1)wind profiles; (2) temperature profiles; (3) humidity profiles; (4) mass concentration of aerosol particles; (5) particle size distribution of aerosols; and (6) chemical composition of aerosols. Formation and dissipation of advection fog, thus, can be forecasted numerically by introducing initial values obtained from the observations.

Hung, R. J.

Hourly Load Profile Dataset for Electric Transit Bus Depots in the United States

Transit buses operate primarily in dense urban areas, where nearby populations face increased exposure to fine particulates, nitrogen oxides, and other harmful pollutants. Electrifying transit buses presents a clear opportunity to reduce greenhouse gas emissions and improve urban air quality. However, widespread adoption may pose significant energy and infrastructure challenges, which can be mitigated through proactive planning and investment. This report presents a robust modeling framework and an initial estimation of the hourly electricity demand at transit bus depots across the United States. The resulting depot-level dataset, available at data.nrel.gov/submissions/282, provides valuable insights for infrastructure planning and electricity demand forecasting, supporting the scalable electrification of transit bus fleets nationwide.

33 ADVANCED PROPULSION SYSTEMS