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Augmenting Crew Autonomy with Clinical Decision Support
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Overview of MERRA-2 for Applications, Decision-making, and Climate Assessment
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Predictive Modeling to Assess and Address Challenges and Limitations Associated with Clinical Care and Decision Support in Deep Space
Probabilistic risk assessment (PRA) is a method for assessing and integrating the risk of failure in a multivariate system. While it is often applied by engineers designing complex machines, it could also be applied to humans to assess the probability of a health “failure” treating diseases as the multiple “variables” and the human as the “complex machine.” The Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT) was developed to apply PRA to assess medical risk for exploration spaceflight and inform the design of medical systems for space flight. The NASA engineering community utilizes event-driven and fault tree probabilistic techniques to classify risk in the space flight environment by leveraging the inherent knowledge of complex space flight system design and testing to quantify risk. However, in harmonizing the risk of human space flight, answering the question of “How do we balance astronaut health, performance and resource risks with other engineering risks on exploration space missions?” remains a profoundly challenging and largely qualitative practice. The Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT) is one aspect of the Human Research Program’s efforts to represent space fight human health and performance risks quantitatively.
Assessing Urban Heat in the Cincinnati and Covington Area to Inform Local Decision-Makers and Environmental Justice Initiatives
The Urban Heat Island effect is a phenomenon characterized by urban areas experiencing temperatures that are, on average, warmer than surrounding suburban and rural regions. Urban Heat Islands are fueled by expansive impervious surfaces, vehicle emissions, and insufficient urban green space. Densely populated urban centers like the Cincinnati, Ohio and Covington, Kentucky area can experience negative health impacts due to the Urban Heat Island. NASA DEVELOP partnered with Groundwork USA and Groundwork Ohio River Valley to combine environmental education and outreach with technical capacity building in NASA Earth observations. The DEVELOP team used Landsat 5 TM and ISS ECOSTRESS to calculate daytime and nighttime land surface temperature anomalies. The team found that the Cincinnati and Covington area was 8.32°F warmer during the day and 4.97°F warmer at night compared to non-urban areas. The team also ran the Natural Capital Project InVEST Urban Cooling Model to map a heat mitigation index for the study area. The heat mitigation index models the cooling capacity of each pixel and the effect of green spaces on the pixel’s ability to mitigate heat. Results show which communities are most vulnerable to impacts of increased urban heat. The team also assessed alternative tree canopy scenarios with the InVEST model to better understand the effectiveness of potential heat mitigation strategies. Increasing tree canopy cover by 25% in urbanized land cover types was found to reduce mean temperature across the study area by 0.87°F. Combining these results with work from Groundwork’s Climate Safe Neighborhoods program highlights the relationship between extreme heat and historical-race based housing practices in the region. Results provide partners at Groundwork with refined methodologies to support future education and outreach, as well as increase future capacity to NASA Earth observations.
MAGE: Alleviating Uncertainty in Real-Time Decision-Making as a Function of Problem Complexity
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Impact, a Tool Suite for Crew Health and Performance System Trade Analyses and Decision Support - Status of Development
Mission planners, systems engineers, and clinicians that support crew health and performance face very difficult choices on upcoming exploration missions. Given that there will be a heavily constrained mass and volume allocation for a medical system on these missions, what medical capability should be manifested to minimize both medical risk and mission risk? Given that not all promising research and technology proposals can be funded, how can proposals be prioritized so that those funded research investments produce the maximum benefit in reducing overall medical risk? The Informing Mission Planning via Analysis of Complex Tradespaces (IMPACT) project seeks to answer these kinds of questions and others to support upcoming exploration missions. IMPACT enables risk-informed and evidence-based trade space analysis for future space vehicles, missions, and systems. This presentation will discuss the long-term HRP and ExMC vision for the larger ecosystem of tools, which include an updated medical database (consisting of an Evidence Library for medical conditions and a medical item database (MedID) for medical resources), dynamic Probabilistic Risk Assessment (PRA) capabilities, System Modeling Language (SysML) models, and contextual data visualizations of output data. IMPACT is the result of a multi-center collaborative effort. The trade space analyses performed by IMPACT can directly inform mission, vehicle, and habitat development by quantifying medical risk, given a design reference mission, crew attributes and a set of medical capabilities. This presentation will update the audience on the development status of the tool suite, its constituent parts and the plans for when it will deploy as an operational product, currently scheduled for the end of FY22. Recent development successes on the IMPACT project include the ability to cluster medical resources into medical capabilities and mutually-dependent bundles, the ability to perform trade analyses on different medical sets, different DRMs, and different crew complements, and the ability to specify mission segments as periods of time assigned to one or more members of the crew during which unique mission events occur (e.g., extravehicular activities, surface operations, gravity well adaptations, etc.). IMPACT is gearing up for its verification and validation phase to compile the data package necessary for a successful Transition to Operations (TtO), per the guidance in NPR 8900.1B .
Decision Framework for Classifying the State of Knowledge for Pharmaceutical Stability in Spaceflight
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CLINICAL DECISION SUPPORT SOFTWARE: MODELING AND CAPABILITIES
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How Environmental and Operational Considerations Guide Requirements Development for Clinical Decision Support Beyond Low Earth Orbit
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Clinical Decision Support for Exploration Space Flight: Software Augmentation to Enhance Progressively Earth-Independent Medical Operations
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Predictive Modeling to Assess and Address Challenges and Limitations Associated with Clinical Care and Decision Support in Deep Space
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Supporting Local Government Public Health and Air Quality Decision-Making with A Sub-City Scale Air Quality Forecasting System from Data Fusion of Models, Satellite, In-Situ Measurements, and Low-Cost Sensors
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NASA Earth Observations and the NASA Earth Science Disasters Program: Providing Data, Services and Science Expertise to Inform End User Decision-Making Throughout the Disaster Management Cycle
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NASA Earth Observations and the NASA Earth Science Disasters Program: providing data, services and science expertise to inform end user decision-making throughout the disaster management cycle
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