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Challenges of and Opportunities for a Large Diverse Software Team

A large software team consisting of members with different expertise, skillsets, personalities, ethnicities, and involving collaboration on a large and complex software product presents many technical and cultural challenges, but also provides unique opportunities. In this article, we discuss the essential issues we faced when successfully transforming a collection of various independently developed software libraries into one large integrated product: the eXtreme-scale scientific Software Development Kit (xSDK). Furthermore, we argue it is just as important to pay attention to cultural challenges, such as establishment of reliable communication channels that considers, among others, differences in personalities and backgrounds as well as overcoming geographical separation and time-zone distribution when collaborating, as technical challenges. Finally, we discuss opportunities stemming from participating in a large diverse software team, such as increased internal expertise, variety of skillsets, broadened connections to external experts, and access to a larger pool of ideas or solutions.

97 MATHEMATICS AND COMPUTING↗

Design Process of Flight Vehicle Structures for a Common Bulkhead and an MPCV Spacecraft Adapter

Design and manufacturing space flight vehicle structures is a skillset that has grown considerably at NASA during that last several years. Beginning with the Ares program and followed by the Space Launch System (SLS); in‐house designs were produced for both the Upper Stage and the SLS Multipurpose crew vehicle (MPCV) spacecraft adapter. Specifically, critical design review (CDR) level analysis and flight production drawing were produced for the above mentioned hardware. In particular, the experience of this in‐house design work led to increased manufacturing infrastructure for both Marshal Space Flight Center (MSFC) and Michoud Assembly Facility (MAF), improved skillsets in both analysis and design, and hands on experience in building and testing (MSA) full scale hardware. The hardware design and development processes from initiation to CDR and finally flight; resulted in many challenges and experiences that produced valuable lessons. This paper builds on these experiences of NASA in recent years on designing and fabricating flight hardware and examines the design/development processes used, as well as the challenges and lessons learned, i.e. from the initial design, loads estimation and mass constraints to structural optimization/affordability to release of production drawing to hardware manufacturing. While there are many documented design processes which a design engineer can follow, these unique experiences can offer insight into designing hardware in current program environments and present solutions to many of the challenges experienced by the engineering team.

Aggarwal, Pravin↗

DEVELOP’s Approach to Experiential Learning

The NASA DEVELOP Program addresses environmental decision making needs and geoscience workforce development through 10-week feasibility studies that apply Earth observations to environmental issues at hand. The program builds capacity to use geospatial information in both its participants (students, recent graduates, early career professionals, and transitioning career professionals) and partner organizations (federal agencies, state & local governments, non-profits, and private industry). This is accomplished through a structured project execution model that provides opportunities for participants to have autonomy, learn “on the job,” and gain new skillsets for working with remote sensing data. A pipeline of leadership positions enhances opportunities for individuals engaged in the program to get hands-on experience conducting data analyses, communicating their work, leading technical projects, and building their knowledge bank of Earth-observing satellite capabilities. These skillsets and knowledge are then transferred to partners through the projects. This panel contribution will introduce the DEVELOP model, highlight experiences of participants, and share the program’s insights into good practices for effective experiential learning.

Capacity Building↗

Assembling an Effective Team for Renewable Generation and Storage Projects

On-site renewable generation and storage systems have piqued the interest of facility owners to substantially reduce their energy costs and environmental footprint. Assembling an effective team before the project begins can streamline the implementation of these systems and ensure that the design, installation, and operation of the system are well aligned with the needs of the facility owner. To inform this process, this resource will provide three specific guidelines: Guideline 1: Identify common skillsets in renewable energy and storage projects; Guideline 2: Decide who will fill these skillsets, internally and externally; and Guideline 3: Recognize additional project considerations to ensure cost-effectiveness, increased resiliency, and contribution to both electrification and decarbonization goals.

ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATION↗

Implementing interdisciplinary sustainability education with the food-energy-water (FEW) nexus

Growth in the green jobs sector has increased demand for college graduates who are prepared to enter the workforce with interdisciplinary sustainability skills. Simultaneously, scholarly calls for interdisciplinary collaboration in the service of addressing the societal challenges of enhancing resilience and sustainability have also increased in recent years. However, developing, executing, and assessing interdisciplinary content and skills at the post-secondary level has been challenging. The objective of this paper is to offer the Food-Energy-Water (FEW) Nexus as a powerful way to achieve sustainability competencies and matriculate graduates who will be equipped to facilitate the transformation of the global society by meeting the targets set by the United Nations Sustainable Development Goals. The paper presents 10 curricular design examples that span multiple levels, including modules, courses, and programs. These modules enable clear evaluation and assessment of key sustainability competencies, helping to prepare graduates with well-defined skillsets who are equipped to address current and future workforce needs.

54 ENVIRONMENTAL SCIENCES↗

Integration of Pumped Heat Energy Storage with Fossil-Fired Power Plant (Final Report)

The project team of Southwest Research Institute ® (SwRI ® ), Malta Inc. (Malta), and Luminant Generation Company LLC (Luminant) completed a feasibility study for the integration of a 100-MW, 10-hour (1000-MWh) Malta Pumped Heat Energy Storage (MPHES) system with multiple full-sized fossil-fired electricity generation units (EGU) in Luminant portfolio. MPHES is a long-duration, molten-salt-energy storage technology that uses turbomachinery and heat exchangers to transfer energy to a thermal storage media when charging, and removes the heat in a similar fashion when discharging. With high round trip efficiency (60-65%) and long lifespan (30+ years), MPHES provides economic benefits to the fossil-asset owners that can be scaled to integrate with assets across their portfolio. This technology uses hardware components, workforce personnel, and skillsets similar to those used by fossil EGUs, allowing for synergy when co-locating the two technologies. Luminant has approximately 39,000 megawatts of generation across 12 states, operating in six of the seven competitive markets in the U.S. and powered by a diverse portfolio of natural gas, nuclear, coal, and solar facilities. The DeCordova plant in Granbury, Texas, a simple cycle natural gas peaker power plant, was used as the fossil-fired asset in this project. The local market in Granbury, Texas has many influences, including several nearby power plants, a Luminant-owned nuclear plant (Comanche Peak), and substantial wind energy, which causes both negative pricing at night and high market volatility. Reducing false starts of the DeCordova plant and better responding to market volatility would be an economic advantage. Luminant is currently integrating battery storage plant on site to begin addressing these challenges. Integrating long-duration storage, like MPHES, would expand this capability beyond one hour of storage and have the potential to greatly reduce the total number of gas turbine starts. The MPHES charging requirement could help offset the overnight operating costs of Comanche Peak, which cannot load follow, and the nearby Luminant-owned Wise County combined cycle plant that cycles too often. Following the assessment of Luminant’s ERCOT-based portfolio for integration compatibility with Malta’s PHES system and the project tasks of conceptual study, technoeconomic analysis, technology gap assessment, and commercialization plan, the project team effort has resulted in several key outcomes: (1) Identification of market trends in a high-wind penetration market outside a major metropolitan area; (2) Creation of a dispatching model for the MPHES system and the pairing of Li-ion battery with a gas turbine in a real time market; (3) Revenue and cost estimations for operating MPHES alongside a gas peaker plant with real dispatching considerations and comparison with variations in the Malta implementation, including doubling the storage capacity and using two discharge drivetrains; (4) Potential carbon emission reductions possible by replacing gas turbine operation with Malta PHES operation; and (5) Summary of literature-based future market predictions for Texas.

20 FOSSIL-FUELED POWER PLANTS↗

SULI Research Report Paper

The Intelligence and Space Research Group 4 (ISR-4) at the Los Alamos National Laboratory focuses on signal processing and developing space electronics for various national security missions. The Space and Atmospheric Burst Reporting System (SABRS) is a sensing payload designed for nuclear detonation detection. As the sensors from previous payloads become obsolete, the requirement for a novel payload design increases. SABRS Prime is the successor to the previous SABRS payloads and is scheduled for delivery in 2028. As part of the SABRS Prompt Gamma Instrument Interface Board, high frequency signals from silicon photomultiplier tubes need to be split and subsequently transmitted to the Analog to Digital Converter. Prior to developing the Space Grade Instrument Interface Board, evaluation modules with Commercial off-the-shelf (COTS) components are evaluated and tested under rigorous conditions. Verification of power levels and gain specifications are some of the important steps taken during the evaluation stage. Working on the Signal Splitting Board has enabled me to work with various schematic software applications and learn more about the processes behind designing space grade electronic components. In addition, I conducted research on efficiency improvements for space-based power systems. Changes in design approaches were found to be the most significant sources of improvement. Being able to interact with researchers and peers across various scientific disciplines has given me a better insight into my future pursuits. Working in a R&D environment has cemented my decision to work on space applications for Quantum Sensing and pursue a PhD in Electrical Engineering. The SULI internship program at the Los Alamos National Laboratory has helped me develop the skillset of a researcher, understand the rigorous processes behind developing space grade hardware, and improve my critical thinking abilities to support the development of reliable instrumentation for deep space missions.

45 MILITARY TECHNOLOGY, WEAPONRY, AND NATIONAL DEF↗

The Geothermal Entrepreneurship Organization (GEO) Accelerating Technology Transfer, Testing and Adoption of Cutting-edge Extreme Environment Drilling

The Geothermal Entrepreneurship Organization launched in 2019 with the goal of building a geothermal innovation ecosystem at the University of Texas at Austin (UT Austin), and in the State of Texas at large. The theses underlying the work of GEO were 1) that with targeted advocacy, recruitment, organization, and coalition building, research institutions with legacy excellence in petroleum and geosystems engineering could become engines of geothermal innovation, research and development; 2) that startups were the appropriate vehicle to speed these innovations from the lab into the field, and building a geothermal startup ecosystem in Texas would not only advance next generation geothermal concepts into the field, but also help spur oil and gas engagement in the space, and 3) that with targeted engagement, education, and recruitment across stakeholders in the oil and gas industry and the State of Texas generally, the oil and gas industry, and other legacy oil and gas entities in the State could become sources of large scale deployment of geothermal energy. The overall goal was to create a ‘snowball’ effect, where targeted impactful actions would catalyze self-sustaining, organic growth of a new geothermal ecosystem in the State of Texas. That goal was achieved through GEO’s work. To test its theses, GEO began work by interviewing and recruiting UT Austin faculty and alumni into geothermal. At the beginning of the GEO project, there was no geothermal activity ongoing within the UT Austin Petroleum and Geosystems Engineering Department, the Bureau of Economic Geology, or the Jackson School of Geoscience, and many faculty approached had not before considered how their skillsets might apply in the space. By the end of the project period, three major research consortia focused on geothermal were launched as a result of GEO’s work, one at the Bureau of Economic Geology, one within the Petroleum and Geosystems Engineering Department, and another organized by GEO across six research institutions across the State of Texas, called the Texas Geothermal Institute. Geothermal curricula was launched at UT Austin, and UT Austin began attracting new geothermal enthusiasts into its faculty, including Dr. Silviu Livescu, former Chief Scientist of Baker Hughes. Startups recruited and mentored by GEO launched, raised funding, and deployed (or are currently deploying) their concepts in the field. By the end of the project period, the GEO concept expanded to faculty beyond UT Austin to other institutions, like Texas A&M, the University of Houston, and Rice University, and geothermal engagement began at those institutions as well. Multiple faculty members and alumni across these institutions launched geothermal startup companies, launched geothermal research consortia, and/or began teaching geothermal courses. In 2020, GEO launched what was to become the largest geothermal conference in the world by its second year, ‘PIVOT – From Hydrocarbons to Heat’, and the resulting momentum catalyzed the Society of Petroleum Engineers to launch a geothermal technical section, drove more startups to launch out of the ecosystem, and drove actors in the State of Texas, NGOs, and stakeholders globally to become engaged. Riding this momentum, the Texas Geothermal Energy Alliance was launched, the first ever industry association dedicated to advancing geothermal energy in the State of Texas. The Texas geothermal ecosystem after only two years of building and support is now robust, quickly growing, and self-sustaining. By 2021, the Texas geothermal ecosystem had attracted the attention of philanthropists, funding entities, media, and influencers outside of Texas, and GEO’s executive director was invited to give a TED talk about oil and gas engagement in building the future of geothermal energy, which elevated the success of the ecosystem to a global audience.

15 GEOTHERMAL ENERGY↗

Observations and Lessons Learned From Installing Residential Roofing-Integrated Photovoltaics

Building-sited solar photovoltaics (PV) could play a key role in decarbonizing the building sector either through racked and mounted PV or through Building-integrated PV (BIPV). BIPV is installed into the building envelope itself, with solar cells and/or modules forming the outer layer of a building structure, thus transforming a single-purpose structure into one that serves the dual purposes of the building envelope and electricity. BIPV can be applied to building roofs, facades, awnings, pergolas, windows, skylights, balustrades, and other external surfaces. Given BIPV products vary widely, the focus of this research is residential roofing integrated PV (RIPV), where solar is incorporated into or otherwise replaces the roofing material. Previous research suggests that residential RIPV could reduce customer acquisition, labor, supply chain, and equipment costs. These products have yet to realize these cost savings and deployment remains significantly less than conventional rooftop PV as a relative share of the addressable market in the US. One potential barrier to broader residential roofing integrated PV deployment may be higher costs relative to conventional rooftop PV, primarily because the design and installation of these products is still evolving. Here, we explore residential RIPV cost-reduction opportunities by analyzing installation processes. Our study documents residential RIPV installations at 2 reroofing sites and the equivalent of 9 new construction sites in California through a methodology known as time and motion study. We also conducted interviews with subject-matter experts to identify barriers and solutions to maximize these products' market penetration. Our time and motion study breaks the RIPV installation process into four steps: 1) staging, unloading, and roof preparation; 2) fire resistant underlayment(s) (synthetic material laid between roof shingles and roof deck); 3) flashings and PV installation; and 4) wiring and monitoring. We measure the time required for each step in terms of worker-hours, representing an hour of labor from a single worker. We further normalize process time by dividing worker-hours by kilowatt (kW) of system capacity. The most time-intensive step was flashings and PV installation, taking around 2.4 worker-hours per kW on average and accounting for around 60% of the process time for an average installation. The total installation process took on average about 6.4 and 3.5 worker-hours per kW at the reroofing sites and new construction sites, respectively. For comparison, a previous time and motion study documented a time of 6.9 worker-hours per kW for conventional rooftop PV. The shorter RIPV installation times are consistent with previous studies suggesting that RIPV could be installed faster than conventional rooftop PV. The time and motion results and feedback from interviewees provide insights into potential residential RIPV cost reduction opportunities. Several interviewees suggested that these products would be more efficient if PV installation was more fully integrated into the roofing/construction industries, which currently use separate supply chains and skillsets. Further integration could reduce supply chain delays and labor force redundancies. Future research could explore specific ways to integrate these industries to help realize the cost savings potential of RIPV.

14 SOLAR ENERGY↗

Multi-Sector Solar Career Training for Native Americans and Veterans

The “Multi-Sector Solar Career Training for Native Americans and Veterans” program (DE-EE0008575; Blue Lake Rancheria Tribe, with GRID Alternatives), was a job training and capacity-building project for Native American people and tribal communities. The project adds to understanding by identifying potential solutions to barriers that individuals and tribes may face as they seek to build 1) individual skillsets as solar technicians, and 2) staff capacity to develop solar energy projects.

14 SOLAR ENERGY↗

Hydrodynamic Test Requirements Process Improvements

Hydrodynamic testing at Los Alamos National Laboratory would benefit from a process improvement for the requirements process. Cameo was used as a digital solution for requirements management to allow Lead Engineers to track requirements more effectively. This was identified as a process improvement throughout this Capstone project. This report includes a project proposal, business case, literature review, methodology, project plan, data analysis, decision-making report, financial analysis report, discussion, and conclusion. Initially, this project focused on figuring out a solution for the hydrotest requirement process improvements. The scope narrowed to focus on the use of Cameo for requirement capture and management. During this Capstone, four tests had digital models produced for requirements management in Cameo. The initial model was the baseline, with core requirements used across the tests. Commonalities in tests were used and the core requirements allowed for process efficiencies. In the data analysis, it was seen that overall, the implementation of using Cameo for requirements resulted in a decreasing trend for both schedule and normalized cost. Tests have different complexity levels which is also a factor in how long the requirements process will take. Additional data is needed to continue analyzing process improvements. Through decisionmaking and financial analysis, the recommendation was to use Cameo for requirements process improvement. Multiple experts provided feedback for requirements that were then captured within models. Numerous tangible and intangible benefits were identified with this process improvement. For return on investment, the metric of success was schedule reduction, which was overall seen. Four tests were analyzed, so future analysis will be needed. There is also not a great financial risk because the main cost would be purchasing more licenses. Individuals must generate requirements whether using this software or not. Overall, training is needed to help improve the skillsets of Lead Engineers but is already being supported on a regular frequency. A desktop guide was started associated with explaining the process, however, it is a work in progress. The team plans on adding additional information in the digital models to help status when requirements are met using verification methods and artifacts. From working on this project an improved understanding of Cameo and requirements was the result. There are future opportunities to extend the usage for requirements management and progress will continue after this project.

99 GENERAL AND MISCELLANEOUS↗

Preliminary Workforce Development and Environmental and Co-use Management Plans for a Floating Offshore Wind Platform - CRADA 609 (Final Report)

Pacific Northwest National Laboratory (PNNL) provided technical assistance to Glosten, Inc. and its affiliate, PelaStar, LLC to advance the development of their floating offshore wind (FOSW) platform. PNNL provided guidance and assessment in two areas that are important to address in the development of FOSW platforms: (1) workforce development and (2) environmental impacts and ocean co-use considerations. This work was funded by the U.S. Department of Energy’s (DOE) Wind Energy Technologies Office (WETO) through Phase 2 of the FLoating Offshore Wind ReadINess (FLOWIN) Prize. It should be noted that the Plans presented in this report are specific to the PelaStar tension-leg platform (TLP) and may not be applicable to all FOSW platforms. Workforce development and environmental/co-use impacts are highly dependent on the geographical region in which activities take place. At the request of PelaStar, PNNL focused on two regions where development may take place: the Gulf of Maine and Northern California. PNNL generated a preliminary Workforce Development Plan for PelaStar, which includes estimated job numbers and skillsets required to establish a workforce to manufacture, install, and operate their platform as part of FOSW projects. The Plan offers methods to increase diversity, equity, and inclusion practices when developing a new workforce and includes colleges and training centers for potential recruitment. Both positive and negative impacts to communities are evaluated, with potential mitigation strategies for reducing negative impacts. The structure of Community Benefit Agreements and Project Labor Agreements are discussed, noting the limitations of the role of a platform manufacturer versus the offshore wind developer. PNNL also drafted a preliminary Environmental and Co-Use Management Plan that serves as a guide to preparing an environmental assessment related to the installation and operation of PelaStar’s unique TLP design, including its potential ecological, socioeconomic, and emissions impacts. The Plan summarizes information on relevant regulatory requirements, potential impact producing factors, monitoring and mitigation measures, and physical and biological resources in the Gulf of Maine and Northern California. One of the primary perceived benefits of the PelaStar TLP is its reduced footprint due to its tensioned tendons versus catenary or taut moorings, but more research must be done as there are no studies on PelaStar’s TLP system to-date. The section also highlights ocean co-use considerations for PelaStar’s TLP system, specifically for fisheries, including existing perspectives, methods, examples, and limitations. The PNNL team established through this preliminary work and review of available literature and resources that there is not yet much research or planning around FOSW. With FOSW being a new industry, many of the findings and planning are adapted from fixed bottom offshore wind, which itself is only just taking off in the United States. More research is needed to establish best practices for workforce development and to assess environmental and ocean co-use impacts and mitigation approaches.

17 WIND ENERGY↗

Construction Methodology Transformation for the Benefit of Workforce Development

Construction is a key economic engine driving both national and global economies. While manual, onsite construction methods dominate the U.S. construction industry, a major shift towards offsite methods has been underway due to its efficiency, speed, and potential cost savings. The workforce necessary for offsite construction growth does not exist in its current form because of the focus on onsite methodologies and the lack of exposure to offsite building methods at all levels of a student’s learning journey. The growth of the U.S. construction industry and competitiveness in an increasingly global construction market over the coming decades can only be supported by a dramatic increase in the use of offsite methods, which requires ramping up workforce training for certain skillsets. The goal of Construction Methodology Transformation for the Benefit of Workforce Development was to understand the opportunities and barriers in both education and industry and to identify best practices for offering curriculum and training to educators, industry, and students that would support skills needed for careers in offsite construction. Our team proposed combining three offsite construction workforce development needs: content development, exposure and training, and job placement - under a single Platform model that would increase experience and career opportunities for students and help match them with potential industry members. Through our proposed solution we expected to see: developed offsite curriculum being utilized by educators and students; an increase in the identification of construction technology and offsite construction methods; an average increase in knowledge gain of at least 25% after participation in pilots; better equipped candidates who are prepared for jobs in offsite construction; and a beta workforce development platform that helps build more pathways for students looking for careers in offsite construction. The two pilots included almost 250 students and resulted in an average knowledge gain of 37 percent. Our research has identified areas of opportunity, for both education and industry to make collaborative training programs more efficient and successful. The chosen techniques for this program are extremely effective when both the school and factory have solid processes and cultures in place to accept students into training programs. This project serves as an important stepping stone to industrywide collaboration to move workforce development for offsite construction forward across the country. With continued collaboration programs like this can provide much needed early exposure and training in offsite construction and we can begin to fill important positions for the future of construction.

99 GENERAL AND MISCELLANEOUS↗

National Laboratories for Environmental Management and Stewardship (NNLEMS) National Lab Capabilities in Unmanned Aerial Systems (UAS) (Revision 1)

The Network of National Laboratories for Environmental Management and Stewardship (NNLEMS) formed an Unoccupied Aircraft Systems (UAS) topical team in spring 2025 for the purpose of documenting the capabilities of the National Laboratories relevant to the goals and needs of the Department of Energy (DOE) Office of Legacy Management (LM). The team was comprised of representatives from eight National Laboratories (Table 1), thereby bringing diverse skillsets from across the DOE complex. Recognizing that LM has extensive experience working with UAS contractors and using data collected from UAS, the topical team focused on the National Laboratories’ unique capabilities and types of scientific investigations that are not yet commercially available or easily contracted as services.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

International Space Station (ISS) Anomalies Trending Study: Appendices - Volume II

The NASA Engineering and Safety Center (NESC) set out to utilize data mining and trending techniques to review the anomaly history of the International Space Station (ISS) and provide tools for discipline experts not involved with the ISS Program to search anomaly data to aid in identification of areas that may warrant further investigation. Additionally, the assessment team aimed to develop an approach and skillset for integrating data sets, with the intent of providing an enriched data set for discipline experts to investigate that is easier to navigate, particularly in light of ISS aging and the plan to extend its life into the late 2020s. This document contains the Appendices to the Volume I report.

Beil, Robert J.↗

International Space Station (ISS) Anomalies Trending Study

The NASA Engineering and Safety Center (NESC) set out to utilize data mining and trending techniques to review the anomaly history of the International Space Station (ISS) and provide tools for discipline experts not involved with the ISS Program to search anomaly data to aid in identification of areas that may warrant further investigation. Additionally, the assessment team aimed to develop an approach and skillset for integrating data sets, with the intent of providing an enriched data set for discipline experts to investigate that is easier to navigate, particularly in light of ISS aging and the plan to extend its life into the late 2020s. This report contains the outcome of the NESC Assessment.

Beil, Robert J.↗

Medical Optimization Network for Space Telemedicine Resources

INTRODUCTION: Long-duration missions beyond low Earth orbit introduce new constraints to the space medical system. Beyond the traditional limitations in mass, power, and volume, consideration must be given to other factors such as the inability to evacuate to Earth, communication delays, and limitations in clinical skillsets. As NASA develops the medical system for an exploration mission, it must have an ability to evaluate the trade space of what resources will be most important. The Medical Optimization Network for Space Telemedicine Resources (MONSTR) was developed over the past year for this reason, and is now a system for managing data pertaining to medical resources and their relative importance when addressing medical conditions. METHODS: The MONSTR web application with a Microsoft SQL database backend was developed and made accessible to Tableau v9.3 for analysis and visualization. The database was initially populated with a list of medical conditions of concern for an exploration mission taken from the Integrated Medical Model (IMM), a probabilistic model designed to quantify in-flight medical risk. A team of physicians working within the Exploration Medical Capability Element of NASA's Human Research Program compiled a list diagnostic and treatment medical resources required to address best- and worst-case scenarios of each medical condition using a terrestrial standard of care and entered this data into the system. This list included both tangible resources (e.g. medical equipment, medications) and intangible resources (e.g. clinical skills required to perform a procedure). The physician team then assigned criticality values to each instance of a resource, representing the importance of that resource to diagnosing or treating its associated condition(s). Medical condition probabilities of occurrence during a Mars mission were pulled from the IMM and imported into the MONSTR database for use within a resource criticality-weighting algorithm. DISCUSSION: The MONSTR tool is a novel approach to assess the relative value of individual resources needed for the diagnosis and treatment of medical conditions. Future work will add resources for prevention and long term care of these conditions. Once data collection is complete, MONSTR will provide the operational and research communities at NASA with information to support informed decisions regarding areas of research investment, future crew training, and medical supplies manifested as part of any exploration medical system.

Rubin, D.↗

Medical Optimization Network for Space Telemedicine Resources

INTRODUCTION: Long-duration missions beyond low Earth orbit introduce new constraints to the space medical system such as the inability to evacuate to Earth, communication delays, and limitations in clinical skillsets. NASA recognizes the need to improve capabilities for autonomous care on such missions. As the medical system is developed, it is important to have an ability to evaluate the trade space of what resources will be most important. The Medical Optimization Network for Space Telemedicine Resources was developed for this reason, and is now a system to gauge the relative importance of medical resources in addressing medical conditions. METHODS: A list of medical conditions of potential concern for an exploration mission was referenced from the Integrated Medical Model, a probabilistic model designed to quantify in-flight medical risk. The diagnostic and treatment modalities required to address best and worst-case scenarios of each medical condition, at the terrestrial standard of care, were entered into a database. This list included tangible assets (e.g. medications) and intangible assets (e.g. clinical skills to perform a procedure). A team of physicians working within the Exploration Medical Capability Element of NASA's Human Research Program ranked each of the items listed according to its criticality. Data was then obtained from the IMM for the probability of occurrence of the medical conditions, including a breakdown of best case and worst case, during a Mars reference mission. The probability of occurrence information and criticality for each resource were taken into account during analytics performed using Tableau software. RESULTS: A database and weighting system to evaluate all the diagnostic and treatment modalities was created by combining the probability of condition occurrence data with the criticalities assigned by the physician team. DISCUSSION: Exploration Medical Capabilities research at NASA is focused on providing a medical system to support crew medical needs in the context of a Mars mission. MONSTR is a novel approach to performing a quantitative risk analysis that will assess the relative value of individual resources needed for the diagnosis and treatment of various medical conditions. It will provide the operational and research communities at NASA with information to support informed decisions regarding areas of research investment, future crew training, and medical supplies manifested as part of the exploration medical system.

Shah, R. V.↗