Exploring the Limits of High Altitude GPS for Future Lunar Missions

An increasing number of spacecraft are relying on the Global Positioning System (GPS) for navigation at altitudes near or above the GPS constellation itself - the region known as the Space Service Volume (SSV). While the formal definition of the SSV ends at geostationary altitude, the practical limit of high-altitude space usage is not known, and recent missions have demonstrated that signal availability is sufficient for operational navigation at altitudes halfway to the moon. This paper presents simulation results based on a high-fidelity model of the GPS constellation, calibrated and validated through comparisons of simulated GPS signal availability and strength with flight data from recent high-altitude missions including the Geostationary Operational Environmental Satellite 16 (GOES-16) and the Magnetospheric Multiscale (MMS) mission. This improved model is applied to the transfer to a lunar near-rectilinear halo orbit (NRHO) of the class being considered for the international Deep Space Gateway concept. The number of GPS signals visible and their received signal strengths are presented as a function of receiver altitude in order to explore the practical upper limit of high-altitude space usage of GPS

Use and Protection of GPS Sidelobe Signals for Enhanced Navigation Performance in High Earth Orbit

The application of the Global Positioning System (GPS) for navigation of spacecraft in High and Geosynchronous Earth Orbit (HEO/GEO) has crossed a threshold and is now being employed in operational missions. Utilizing advanced GPS receivers optimized for these missions, space users have made extensive use of the sidelobe transmissions from the GPS satellites to realize navigation performance that far exceeds that predicted by pre-launch simulations. Unfortunately, the official specification for the GPS Space Service Volume (SSV), developed in 2006, assumes that only signals emanating from the main beam of the GPS transmit antenna are useful for navigation, which greatly under-estimates the number of signals available for navigation purposes. As a result, future high-altitude space users may be vulnerable to any GPS design changes that suppress the sidelobe transmissions, beginning with Block III space vehicles (SVs) 11-32. This paper presents proposed changes to the GPS system SSV requirements, as informed by data from recent experiments in the SSV and new mission applications that are enabled by GPS navigation in HEO/GEO regimes. The NASA/NOAA GOES-R series satellites are highlighted as an example of a mission that relies on this currently-unspecified GPS system performance to meet mission requirements

Laparoscopic-Assisted Ileocolic Resection for Crohn's Disease

BACKGROUND: This study reviews our experience with laparoscopic-assisted ileocolic resection in patients with Crohn\u27s disease. The adequacy and safety of this procedure as measured by intraoperative and postoperative complications were evaluated. Special attention was paid to the group in which laparoscopy was not feasible and conversion to laparotomy was necessary. METHODS: Between 1992 and 2005, 168 laparoscopic-assisted ileocolic resections were performed on 167 patients with Crohn\u27s ileal or ileocolic disease. Follow-up data were complete in 158 patients. RESULTS: In 38 patients (24%), conversion to laparotomy was necessary. Previous resection was not a predictor of conversion to laparotomy. Average ileal and colonic length of resected specimens was 20.9 cm and 6.5 cm, respectively, in the laparoscopic group, versus 24.9 cm and 10.6 cm in the converted group. Twenty of 120 specimens (16.6%) in the laparoscopic group were found to have margins microscopically positive for active Crohn\u27s disease. None of the 38 specimens in the converted group had positive ileal margins. CONCLUSIONS: Laparoscopic-assisted ileocolic resection can be safely performed in patients with Crohn\u27s disease ileitis. The finding of positive surgical margins following laparoscopic resections compared with none among conventional resections has to be thoroughly evaluated

Exploring the Limits of High Altitude GPS for Future Lunar Missions

An increasing number of spacecraft are relying on the Global Positioning System (GPS) for navigation at altitudes near or above the GPS constellation itself - the region known as the Space Service Volume (SSV). While the formal definition of the SSV ends at geostationary altitude, the practical limit of high-altitude space usage is not known, and recent missions have demonstrated that signal availability is sufficient for operational navigation at altitudes halfway to the moon. This paper presents simulation results based on a high-fidelity model of the GPS constellation, calibrated and validated through comparisons of simulated GPS signal availability and strength with flight data from recent high-altitude missions including the Geostationary Operational Environmental Satellite 16 (GOES-16) and the Magnetospheric Multiscale (MMS) mission. This improved model is applied to the transfer to a lunar near-rectilinear halo orbit (NRHO) of the class being con- sidered for the international Deep Space Gateway concept. The number of GPS signals visible and their received signal strengths are presented as a function of receiver altitude in order to explore the practical upper limit of high-altitude space usage of GPS

Multicenter, Prospective, Longitudinal Study of the Recurrence, Surgical Site Infection, and Quality of Life After Contaminated Ventral Hernia Repair Using Biosynthetic Absorbable Mesh: The COBRA Study

OBJECTIVE: The aim of the study was to evaluate biosynthetic absorbable mesh in single-staged contaminated (Centers for Disease Control class II and III) ventral hernia (CVH) repair over 24 months. BACKGROUND: CVH has an increased risk of postoperative infection. CVH repair with synthetic or biologic meshes has reported chronic biomaterial infections and high hernia recurrence rates. METHODS: Patients with a contaminated or clean-contaminated operative field and a hernia defect at least 9 cm had a biosynthetic mesh (open, sublay, retrorectus, or intraperitoneal) repair with fascial closure (n = 104). Endpoints included overall Kaplan-Meier estimates for hernia recurrence and postoperative wound infection rates at 24 months, and the EQ-5D and Short Form 12 Health Survey (SF-12). Analyses were conducted on the intent-to-treat population, and health outcome measures evaluated using paired t tests. RESULTS: Patients had a mean age of 58 years, body mass index of 28 kg/m, 77% had contaminated wounds, and 84% completed 24-months follow-up. Concomitant procedures included fistula takedown (n = 24) or removal of infected previously placed mesh (n = 29). Hernia recurrence rate was 17% (n = 16). At the time of CVH repair, intraperitoneal placement of the biosynthetic mesh significantly increased the risk of recurrences (P ≤ 0.04). Surgical site infections (19/104) led to higher risk of recurrence (P < 0.01). Mean 24-month EQ-5D (index and visual analogue) and SF-12 physical component and mental scores improved from baseline (P < 0.05). CONCLUSIONS: In this prospective longitudinal study, biosynthetic absorbable mesh showed efficacy in terms of long-term recurrence and quality of life for CVH repair patients and offers an alternative to biologic and permanent synthetic meshes in these complex situations

Use and Protection of GPS Sidelobe Signals for Enhanced Navigation Performance in High Earth Orbit

GPS (Global Positioning System) Space Service Volume (SSV) signal environment is from 3,000-36,000 kilometers altitude. Current SSV specifications only capture performance provided by signals transmitted within 23.5(L1) or 26(L2-L5) off-nadir angle. Recent on-orbit data lessons learned show significant PNT (Positioning, Navigation and Timing) performance improvements when the full aggregate signal is used. Numerous military civil operational missions in High Geosynchronous Earth Orbit (HEOGEO) utilize the full signal to enhance vehicle PNT performanc

Development of an Interoperable GNSS Space Service Volume

Global Navigation Satellite Systems (GNSS), now routinely used for navigation by spacecraft in low Earth orbit, are being used increasingly by high-altitude users in geostationary orbit and high eccentric orbits as well, near to and above the GNSS constellations themselves. Available signals in these regimes are very limited for any single GNSS constellation due to the weak signal strength, the blockage of signals by the Earth, and the limited number of satellites. But with the recent development of multiple GNSS constellations and ongoing upgrades to existing constellations, multi-GNSS signal availability is set to improve significantly. This will only be achieved if these signals are designed to be interoperable and are clearly documented and supported. All satellite navigation constellation providers are working together through the United Nations International Committee on GNSS (ICG) to establish an interoperable multi-GNSS Space Service Volume (SSV) for the benefit of all GNSS space users. The multi-GNSS SSV represents a common set of baseline definitions and assumptions for high-altitude service in space, documents the service provided by each constellation, and provides a framework for continued support for space users. This paper provides an overview of the GNSS SSV concept, development, status, and achievements within the ICG. It describes the final adopted definition and performance characteristics of the GNSS SSV, as well as the numerous benefits and use cases enabled by this development. Extensive technical analysis was also performed to illustrate these benefits in terms of signal availability, both on a global scale, and for multiple distinct mission types. This analysis is summarized here and presented in detail in a companion paper by Enderle, et al

Spatially Explicit Data: Stewardship and Ethical Challenges in Science

Scholarly communication is at an unprecedented turning point created in part by the increasing saliency of data stewardship and data sharing. Formal data management plans represent a new emphasis in research, enabling access to data at higher volumes and more quickly, and the potential for replication and augmentation of existing research. Data sharing has recently transformed the practice, scope, content, and applicability of research in several disciplines, in particular in relation to spatially specific data. This lends exciting potentiality, but the most effective ways in which to implement such changes, particularly for disciplines involving human subjects and other sensitive information, demand consideration. Data management plans, stewardship, and sharing, impart distinctive technical, sociological, and ethical challenges that remain to be adequately identified and remedied. Here, we consider these and propose potential solutions for their amelioration