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At least 1,279 records · Page 71

Objective Structured Clinical Evaluation (OSCE) of an Artificial Intelligence (AI) Clinical Decision Support System (CDSS) Tool

BACKGROUND Objective Structured Clinical Evaluations (OSCEs) have long been established as a robust methodology for summative assessment of clinical skills and decision-making during medical education. The recent integration of Artificial Intelligence (AI) into clinical decision-making processes has prompted the need for novel evaluation frameworks to assess the efficacy and reliability of AI clinical decision support system (CDSS) tools. This abstract outlines the process of quantitatively evaluating a novel CDSS (“Doc in a Box” Google 2024) trained on curated medical spaceflight data in the psychomotor domain as it interfaces with a human volunteer acting as the crew medical officer (CMO). PURPOSE The AI CDSS under review was developed as part of the Lunar Command and Control Interoperability (LuCCI) project, which is intended to address a gap in how Lunar Surface Systems (LSS) would interoperate across multiple programs, commercial partners, and international partners. The project objective is to define, prototype, integrate, and evaluate an interoperable lunar command, control, data, and software reference architecture to enable autonomy and informatics capability through common standards across LSS. A multi-modal AI-based CDSS compatible with Federated LSS will assist clinicians in diagnosing and managing complex medical conditions by providing evidence-based recommendations through predictive analytics. Given the critical role of decision-support as NASA continues to evolve its Earth-independent medical operations (EIMO), it is imperative to ensure that such AI tools perform reliably and align with clinical standards during progressive lunar and Martian exploration class missions. METHODS The OSCE framework, traditionally used for evaluating human clinicians, was adapted to assess the AI tool's decision-making capabilities in simulated clinical scenarios. In this adapted OSCE, the AI CDSS was tested across a series of structured clinical scenarios designed to mimic real-life spaceflight patient cases. These scenarios included a range of conditions and complexities, allowing for comprehensive assessment of the tool's performance. Key evaluation metrics included accuracy of diagnosis, timeliness of decision-making, and appropriate recommendations for therapies. The OSCE was scored by human physician evaluators who assessed the AI's recommendations in comparison with expert clinicians' medical decision making to ensure alignment with best practices and the standard of care. RESULTS Preliminary results indicate that the AI CDSS demonstrated high accuracy in diagnostic recommendations and decision support across various scenarios. However, certain limitations were noted, such as occasional discrepancies in handling complex or nuanced cases that required a more contextual understanding. Additionally, the tool scored higher on the diagnostic portion of the rubric, with lower scores in the therapeutic recommendations. These findings highlight the importance of continuous refinement and validation of AI tools through rigorous evaluation frameworks like the OSCE. The adaptation of OSCEs for AI tools presents several advantages, including a structured and reproducible approach to evaluation, the ability to test AI systems in diverse clinical scenarios, and the opportunity to benchmark AI performance against established clinical standards to permit charting of future progress as aerospace medicine evolves as a discipline. Remaining challenges include ensuring that these evaluations capture the full spectrum of clinical decision-making scenarios that will be confronted by CMOs during missions and adequately reflecting real-world variability of the austere spaceflight environment. CONCLUSION Employing OSCEs to evaluate AI clinical decision support tools offers a promising approach to validating their clinical utility and efficacy. This methodology not only provides insights into the tool's performance but also fosters ongoing improvement and alignment with standard of care practices. Future research should focus on refining these evaluation processes and addressing limitations to enhance the integration of AI tools in clinical spaceflight settings. REFERENCES Scott S, Hearns V, Barker MA. Testing Clinical Skills: A Look at the OSCE and USMLE Clinical Skills Exams. S D Med. 2019 Oct;72(10):451-453. Majumder MAA, Kumar A, Krishnamurthy K, Ojeh N, Adams OP, Sa B. An evaluative study of objective structured clinical examination (OSCE): students and examiners perspectives. Adv Med Educ Pract. 2019 Jun 5;10:387-397. Karam VY, Park YS, Tekian A, Youssef N. Evaluating the validity evidence of an OSCE: results from a new medical school. BMC Med Educ. 2018 Dec 20;18(1):313.

Ariana M Nelson↗

Adaptive Numerical Dissipation Control in High Order Schemes for Multi-D Non-Ideal MHD

The required type and amount of numerical dissipation/filter to accurately resolve all relevant multiscales of complex MHD unsteady high-speed shock/shear/turbulence/combustion problems are not only physical problem dependent, but also vary from one flow region to another. In addition, proper and efficient control of the divergence of the magnetic field (Div(B)) numerical error for high order shock-capturing methods poses extra requirements for the considered type of CPU intensive computations. The goal is to extend our adaptive numerical dissipation control in high order filter schemes and our new divergence-free methods for ideal MHD to non-ideal MHD that include viscosity and resistivity. The key idea consists of automatic detection of different flow features as distinct sensors to signal the appropriate type and amount of numerical dissipation/filter where needed and leave the rest of the region free from numerical dissipation contamination. These scheme-independent detectors are capable of distinguishing shocks/shears, flame sheets, turbulent fluctuations and spurious high-frequency oscillations. The detection algorithm is based on an artificial compression method (ACM) (for shocks/shears), and redundant multiresolution wavelets (WAV) (for the above types of flow feature). These filters also provide a natural and efficient way for the minimization of Div(B) numerical error.

Yee, H. C.↗

Statistical analysis of astronomical data containing upper bounds - General methods and examples drawn from X-ray astronomy

Statistical procedures taken from the field of survival analysis have been adapted to astronomical usage and have been applied to a sample of stars in the B-V color range between 0.1 and 0.5 with measured soft X-ray luminosities and projected equatorial velocities. The two-sample problem and linear regression problem with arbitrarily censored data were studied. A new method for determining the linear regression between two random variables in the presence of arbitrary censoring has been developed which can also be used for a likelihood-ratio test for the independence of two random variables and for principal-component analysis in the presence of arbitrary censoring. The required numerical computations can be carried out straightforwardly and rapidly.

Schmitt, J. H. M. M.↗

Sea Ice Thickness, Freeboard, and Snow Depth products from Operation IceBridge Airborne Data

The study of sea ice using airborne remote sensing platforms provides unique capabilities to measure a wide variety of sea ice properties. These measurements are useful for a variety of topics including model evaluation and improvement, assessment of satellite retrievals, and incorporation into climate data records for analysis of interannual variability and long-term trends in sea ice properties. In this paper we describe methods for the retrieval of sea ice thickness, freeboard, and snow depth using data from a multisensor suite of instruments on NASA's Operation IceBridge airborne campaign. We assess the consistency of the results through comparison with independent data sets that demonstrate that the IceBridge products are capable of providing a reliable record of snow depth and sea ice thickness. We explore the impact of inter-campaign instrument changes and associated algorithm adaptations as well as the applicability of the adapted algorithms to the ongoing IceBridge mission. The uncertainties associated with the retrieval methods are determined and placed in the context of their impact on the retrieved sea ice thickness. Lastly, we present results for the 2009 and 2010 IceBridge campaigns, which are currently available in product form via the National Snow and Ice Data Center

sea ice thickness↗

Shifting Data Collection from a Fixed to an Adaptive Sampling Paradigm

For domains where data are difficult to obtain due to human or resource limitations, an emphasis is needed to efficiently explore the dimensions of information spaces to acquire any given response of interest. Many disciplines are still making the transition from brute force, dense, full factorial exploration of their information spaces to a more efficient design of experiments approach; the latter being in use successfully for many decades in agricultural and automotive applications. Although this transition is still incomplete, groundwork must be laid for incorporating the next generation of algorithms to adaptively explore the information space in response to data collected, as well as any resulting empirical models (i.e., metamodels). The methodology in the present work was to compare metamodel quality using a fixed sampling technique compared to an adaptive sampling technique based on metamodel variance. In order to quantify metamodeling errors, a delta method was used to provide quantitative model variance estimates. The present methodology was applied to a design space with an air-breathing engine performance response. It was shown that competitive metamodel quality with lower associated error could be achieved for an adaptive sampling technique for the same level of effort as a fixed, a priori sampling technique.

Axdahl, Erik L.↗

An enhanced sine dwell method as applied to the Galileo core structure modal survey

An incremental modal survey performed in 1988 on the core structure of the Galileo spacecraft with its adapters with the purpose of assessing the dynamics of the new portions of the structure is considered. Emphasis is placed on the enhancements of the sine dwell method employed in the test. For each mode, response data is acquired at 32 frequencies in a narrow band enclosing the resonance, utilizing the SWIFT technique. It is pointed out that due to the simplicity of the data processing involved, the diagnostic and modal-parameter data is available within several minutes after data acquisition; however, compared with straight curve-fitting approaches, the method requires more time for data acquisition.

Smith, Kenneth S.↗

Analysis and design of an adaptive multi-loop controlled two winding buck/boost regulator

Small signal low frequency linear average model is derived for a multi-loop controlled two-winding buck/boost converter employing average techniques and the describing function method. The model reveals that a well-designed multi-loop control can provide a second-order zero adaptive to output filter parameter changes due to component tolerances, temperature changes, aging, and the effect of duty cycle modulation. It also can provide stabilization effect by shifting the positive zero to the left-half S-plane. Design guidelines are formulated to optimize regulator-loop dependent characteristics.

Mahmoud, M. F.↗

Validation of an Impedance Education Method in Flow

This paper reports results of a research effort to validate a method for educing the normal incidence impedance of a locally reacting liner, located in a grazing incidence, nonprogressive acoustic wave environment with flow. The results presented in this paper test the ability of the method to reproduce the measured normal incidence impedance of a solid steel plate and two soft test liners in a uniform flow. The test liners are known to be locally react- ing and exhibit no measurable amplitude-dependent impedance nonlinearities or flow effects. Baseline impedance spectra for these liners were therefore established from measurements in a conventional normal incidence impedance tube. A key feature of the method is the expansion of the unknown impedance function as a piecewise continuous polynomial with undetermined coefficients. Stewart's adaptation of the Davidon-Fletcher-Powell optimization algorithm is used to educe the normal incidence impedance at each Mach number by optimizing an objective function. The method is shown to reproduce the measured normal incidence impedance spectrum for each of the test liners, thus validating its usefulness for determining the normal incidence impedance of test liners for a broad range of source frequencies and flow Mach numbers. Nomenclature

Watson, Willie R.↗

Radiation shielding methods

System aids in charged-particle radiation transport analysis and shielding design. System can be adapted for shielding design and analysis in any charged-particle radiation environment.

Davis, H. S.↗

User-Centered Indexing for Adaptive Information Access

We are focusing on information access tasks characterized by large volume of hypermedia connected technical documents, a need for rapid and effective access to familiar information, and long-term interaction with evolving information. The problem for technical users is to build and maintain a personalized task-oriented model of the information to quickly access relevant information. We propose a solution which provides user-centered adaptive information retrieval and navigation. This solution supports users in customizing information access over time. It is complementary to information discovery methods which provide access to new information, since it lets users customize future access to previously found information. It relies on a technique, called Adaptive Relevance Network, which creates and maintains a complex indexing structure to represent personal user's information access maps organized by concepts. This technique is integrated within the Adaptive HyperMan system, which helps NASA Space Shuttle flight controllers organize and access large amount of information. It allows users to select and mark any part of a document as interesting, and to index that part with user-defined concepts. Users can then do subsequent retrieval of marked portions of documents. This functionality allows users to define and access personal collections of information, which are dynamically computed. The system also supports collaborative review by letting users share group access maps. The adaptive relevance network provides long-term adaptation based both on usage and on explicit user input. The indexing structure is dynamic and evolves over time. Leading and generalization support flexible retrieval of information under similar concepts. The network is geared towards more recent information access, and automatically manages its size in order to maintain rapid access when scaling up to large hypermedia space. We present results of simulated learning experiments.

Chen, James R.↗

Nonlinear transonic Wall-Interference Assessment/Correction (WIAC) procedures and application to cast-10 airfoil results from the NASA 0.3-m TCT 8- by 24-inch Slotted Wall Test Section (SWTS)

From the time that wind tunnel wall interference was recognized to be significant, researchers have been developing methods to alleviate or account for it. Despite the best effort so far, it appears that no method is available which completely eliminates the effects due to the wind tunnel walls. This report discusses procedures developed for slotted wall and adaptive wall test sections of the Langley 0.3-m Transonic Cryogenic Tunnel (TCT) to assess and correct for the residual interference by methods consistent with the transonic nature of the tests.

Gumbert, Clyde R.↗

Structural system reliability under multiple failure modes

This paper describes a computational method for system reliability estimation of propulsion structures. The failure domain of the entire structural system is computed through the union of failure regions for various critical system failure modes. The effect of non-critical progressive damage is incorporated through structural reanalysis, resulting in the construction of several linear segments to approximately cover the system failure domain. An adaptive damage imposition scheme is outlined for the sake of computational efficiency. The proposed method is used to construct the system survival cdf (cumulative distribution function) of a two-rotor system.

Mahadevan, S.↗

POSTMAN: Point of Sail Tacking for Maritime Autonomous Navigation

Waves apply significant forces to small boats, in particular when such vessels are moving at a high speed in severe sea conditions. In addition, small high-speed boats run the risk of diving with the bow into the next wave crest during operations in the wavelengths and wave speeds that are typical for shallow water. In order to mitigate the issues of autonomous navigation in rough water, a hybrid controller called POSTMAN combines the concept of POS (point of sail) tack planning from the sailing domain with a standard PID (proportional-integral-derivative) controller that implements reliable target reaching for the motorized small boat control task. This is an embedded, adaptive software controller that uses look-ahead sensing in a closed loop method to perform path planning for safer navigation in rough waters. State-of-the-art controllers for small boats are based on complex models of the vessel's kinematics and dynamics. They enable the vessel to follow preplanned paths accurately and can theoretically control all of the small boat s six degrees of freedom. However, the problems of bow diving and other undesirable incidents are not addressed, and it is questionable if a six-DOF controller with basically a single actuator is possible at all. POSTMAN builds an adaptive capability into the controller based on sensed wave characteristics. This software will bring a muchneeded capability to unmanned small boats moving at high speeds. Previously, this class of boat was limited to wave heights of less than one meter in the sea states in which it could operate. POSTMAN is a major advance in autonomous safety for small maritime craft.

Huntsberger, Terrance L.↗

Efficient Fluid Dynamic Design Optimization Using Cartesian Grids

This report is subdivided in three parts. The first one reviews a new approach to the computation of inviscid flows using Cartesian grid methods. The crux of the method is the curvature-corrected symmetry technique (CCST) developed by the present authors for body-fitted grids. The method introduces ghost cells near the boundaries whose values are developed from an assumed flow-field model in vicinity of the wall consisting of a vortex flow, which satisfies the normal momentum equation and the non-penetration condition. The CCST boundary condition was shown to be substantially more accurate than traditional boundary condition approaches. This improved boundary condition is adapted to a Cartesian mesh formulation, which we call the Ghost Body-Cell Method (GBCM). In this approach, all cell centers exterior to the body are computed with fluxes at the four surrounding cell edges. There is no need for special treatment corresponding to cut cells which complicate other Cartesian mesh methods.

Dadone, A.↗

Algebraic grid generation with boundary orthogonality control

This paper presents a new approach in applying the blending function method to the generation of structured finite-difference meshes. It is shown that the surface equation developed by Coons (1967) can be easily adapted to generate two-dimensional meshes, and its extension to hyperspace allows the construction of three-dimensional meshes. The robust method in its basic form blends among the boundary curves/surfaces conforming to their intrinsic slopes. When parameter-controlled boundary-slope corrections are introduced, it is possible to establish varying degrees of orthogonality along the boundaries. Additional controls are made possible by moving points in the parameter space, which affects the movement of points in the physical space. The combination of these controls provides a simple and yet powerful means for exploiting the blending-function method to satisfy the needs of practical CFD applications. Results from a validation program for two-dimensions are shown for a variety of geometries.

Luh, Raymond Ching-Chung↗

NASA Astronauts on Soyuz: Experience and Lessons for the Future

The U. S., Russia, and, China have each addressed the question of human-rating spacecraft. NASA's operational experience with human-rating primarily resides with Mercury, Gemini, Apollo, Space Shuttle, and International Space Station. NASA s latest developmental experience includes Constellation, X38, X33, and the Orbital Space Plane. If domestic commercial crew vehicles are used to transport astronauts to and from space, Soyuz is another example of methods that could be used to human-rate a spacecraft and to work with commercial spacecraft providers. For Soyuz, NASA's normal assurance practices were adapted. Building on NASA's Soyuz experience, this report contends all past, present, and future vehicles rely on a range of methods and techniques for human-rating assurance, the components of which include: requirements, conceptual development, prototype evaluations, configuration management, formal development reviews (safety, design, operations), component/system ground-testing, integrated flight tests, independent assessments, and launch readiness reviews. When constraints (cost, schedule, international) limit the depth/breadth of one or more preferred assurance means, ways are found to bolster the remaining areas. This report provides information exemplifying the above safety assurance model for consideration with commercial or foreign-government-designed spacecraft. Topics addressed include: U.S./Soviet-Russian government/agency agreements and engineering/safety assessments performed with lessons learned in historic U.S./Russian joint space ventures

Source record↗

Nonlinear filtering and limiting in high order methods for ideal and non-ideal MHD

The various filtering mechanisms and base scheme options of the newly developed adaptive numerical dissipation control in spatially high order filter schemes for the ideal and non-ideal magnetohydrodynamics (MHD) equations are investigated. These filter schemes are applicable to complex unsteady MHD high-speed shock/shear/turbulence problems. They also provide a natural and efficient way for the minimization of Div(B) numerical error. The type of spatial base scheme to be used in conjunction with our filter idea is very general. For example, spectral, compact and non-compact spatially central finite difference schemes are possible candidates. The adaptive numerical dissipation mechanism consists of automatic detection of different flow features as distinct sensors to signal the appropriate type and amount of numerical dissipation/filter where needed and to leave the rest of the region free from numerical dissipation contamination. The numerical dissipation considered consists of high order linear dissipation for the suppression of high frequency oscillation and the nonlinear dissipative portion of high-resolution shock-capturing methods for discontinuity capturing. The applicable nonlinear dissipative portion of high-resolution shock-capturing methods is also very general. The objective of this paper is to investigate the performance of using compact and non-compact central base schemes in conjunction with three commonly used types of nonlinear numerical dissipation for both the ideal and non-ideal MHD. This extended abstract shows the performance of three nonlinear filters in conjunction with a sixth-order non-compact spatial central base scheme. In the final paper, the high order compact spatial central base scheme will be illustrated and compared with the non-compact base scheme. The reason for the investigation of the high order compact spatial central base scheme over the non-compact base scheme is to evaluate if additional accuracy can be gained in regions of fine scale turbulence that are away from shocks/shears.

Yee,H. C.↗

Optimized bandpasses for the Habitable Worlds Observatory's exoEarth survey

A primary scientific goal of the future Habitable Worlds Observatory will be the direct detection and characterization of Earth-like planets. Estimates of the exoplanet yields for this concept will help guide mission design through detailed trade studies. It is therefore critical that yield estimation codes optimally adapt observations to the mission’s performance parameters to ensure accurate trade studies. To aid in this, we implement wavelength optimization in yield calculations for the first time, allowing the yield code to determine the ideal detection and characterization bandpasses. We use this capability to confirm the observational wavelength assumptions made for the large UV/Optical/IR surveyor, design B (LUVOIR-B) study, namely that the optimum detection wavelength is 500 nm for the majority of targets and the optimum wavelength to detect water is near 1000 nm, given LUVOIR-B’s assumed instrument performance parameters. We show that including the wavelength-dependent albedo of an Earth twin as a prior provides no significant benefit to the yields of exoEarth candidates and caution against tuning observations to modern Earth twins. We also show that coronagraphs whose inner working angles are similar to step functions may benefit from wavelength optimization and demonstrate how wavelength-dependent instrument performance can impact the optimum wavelengths for detection and characterization. The optimization methods we implement automate wavelength selection and remove uncertainties regarding these choices, helping to adapt the observations to the instrument’s performance parameters.

telescopes↗