Bone Risk Narrative DAG CM Final Errata - 20220411 dag { bb="0,0,1,1" "Altered Gravity" [exposure,pos="0.054,0.304"] "Astronaut Selection" [pos="0.052,0.743"] "Bone Density" [pos="0.371,0.551"] "Bone Formation" [pos="0.219,0.690"] "Bone Fracture" [pos="0.679,0.368"] "Bone Resorption" [pos="0.221,0.517"] "Bone Structure" [pos="0.366,0.740"] "Cartilage Defect" [pos="0.368,0.898"] "Chondrocyte Metabolism" [pos="0.185,0.895"] "Crew Capability" [pos="0.761,0.214"] "Crew Health and Performance System" [pos="0.449,0.044"] "DCS (Risk)" [latent,pos="0.699,0.875"] "Detect Bone Density Changes" [pos="0.558,0.480"] "Detect Bone Structure Changes" [pos="0.535,0.752"] "Detect Long Term Health Outcomes" [pos="0.881,0.837"] "Distance from Earth" [exposure,pos="0.054,0.159"] "Dynamic Loads (Risk)" [latent,pos="0.465,0.116"] "Endocrine Factors" [pos="0.050,0.532"] "Flight Recertification" [outcome,pos="0.918,0.553"] "Food and Nutrition (Risk)" [latent,pos="0.158,0.387"] "HSIA (Risk)" [latent,pos="0.124,0.039"] "Individual Factors" [pos="0.108,0.646"] "Individual Readiness" [pos="0.722,0.298"] "Long Term Health Clinical Decisions" [pos="0.729,0.754"] "Long Term Health Outcomes" [outcome,pos="0.901,0.672"] "Loss of Crew Life" [outcome,pos="0.919,0.446"] "Loss of Mission Objectives" [outcome,pos="0.827,0.057"] "Loss of Mission" [outcome,pos="0.944,0.055"] "Medical Treatment Capability" [pos="0.676,0.041"] "Muscle (Risk)" [latent,pos="0.398,0.294"] "Musculoskeletal Loads" [pos="0.338,0.409"] "Pharm (Risk)" [latent,pos="0.142,0.791"] "Resistive Exercise" [pos="0.222,0.301"] "Sensorimotor, Aerobic (Risks)" [latent,pos="0.425,0.205"] "Skeletal Fragility" [pos="0.730,0.563"] "Suit Design" [pos="0.221,0.166"] "Task Performance" [outcome,pos="0.775,0.151"] "Vehicle Design" [pos="0.276,0.038"] DXA [pos="0.469,0.425"] Evacuation [outcome,pos="0.840,0.364"] MRI [pos="0.464,0.827"] Osteoarthritis [pos="0.617,0.896"] QCT [pos="0.470,0.602"] Radiation [exposure,pos="0.050,0.889"] Surveillance [pos="0.759,0.932"] Ultrasound [pos="0.653,0.183"] "Altered Gravity" -> "Chondrocyte Metabolism" "Altered Gravity" -> "Musculoskeletal Loads" "Astronaut Selection" -> "Individual Factors" "Bone Density" -> "Detect Bone Density Changes" "Bone Density" -> "Skeletal Fragility" "Bone Formation" -> "Bone Density" "Bone Formation" -> "Bone Structure" "Bone Fracture" -> "Individual Readiness" "Bone Fracture" -> "Long Term Health Outcomes" "Bone Fracture" -> Evacuation "Bone Fracture" -> Osteoarthritis "Bone Resorption" -> "Bone Density" "Bone Resorption" -> "Bone Structure" "Bone Structure" -> "Detect Bone Structure Changes" "Bone Structure" -> "Long Term Health Outcomes" "Bone Structure" -> "Skeletal Fragility" "Cartilage Defect" -> Osteoarthritis "Chondrocyte Metabolism" -> "Cartilage Defect" "Crew Capability" -> "Task Performance" "Crew Health and Performance System" -> "Medical Treatment Capability" "Crew Health and Performance System" -> "Resistive Exercise" "Crew Health and Performance System" -> Ultrasound "DCS (Risk)" -> "Long Term Health Outcomes" "Detect Bone Density Changes" -> "Detect Long Term Health Outcomes" "Detect Bone Density Changes" -> "Flight Recertification" "Detect Bone Density Changes" -> "Long Term Health Clinical Decisions" "Detect Bone Structure Changes" -> "Detect Long Term Health Outcomes" "Detect Bone Structure Changes" -> "Long Term Health Clinical Decisions" "Distance from Earth" -> "Vehicle Design" "Dynamic Loads (Risk)" -> "Bone Fracture" "Endocrine Factors" -> "Bone Formation" "Endocrine Factors" -> "Bone Resorption" "Food and Nutrition (Risk)" -> "Bone Resorption" "HSIA (Risk)" -> "Suit Design" "HSIA (Risk)" -> "Vehicle Design" "Individual Factors" -> "Bone Formation" "Individual Factors" -> "Bone Resorption" "Individual Readiness" -> "Crew Capability" "Long Term Health Clinical Decisions" -> "Long Term Health Outcomes" "Long Term Health Outcomes" -> "Detect Long Term Health Outcomes" "Loss of Mission Objectives" -> "Loss of Mission" "Medical Treatment Capability" -> "Individual Readiness" "Muscle (Risk)" -> "Bone Fracture" "Muscle (Risk)" -> "Musculoskeletal Loads" "Musculoskeletal Loads" -> "Bone Formation" "Musculoskeletal Loads" -> "Bone Fracture" "Musculoskeletal Loads" -> "Bone Resorption" "Pharm (Risk)" -> "Bone Formation" "Pharm (Risk)" -> "Bone Resorption" "Resistive Exercise" -> "Muscle (Risk)" "Resistive Exercise" -> "Musculoskeletal Loads" "Sensorimotor, Aerobic (Risks)" -> "Bone Fracture" "Skeletal Fragility" -> "Bone Fracture" "Skeletal Fragility" -> "Long Term Health Outcomes" "Suit Design" -> "Bone Fracture" "Suit Design" -> "Dynamic Loads (Risk)" "Task Performance" -> "Loss of Crew Life" "Task Performance" -> "Loss of Mission Objectives" "Vehicle Design" -> "Bone Fracture" "Vehicle Design" -> "Crew Health and Performance System" "Vehicle Design" -> "Dynamic Loads (Risk)" DXA -> "Detect Bone Density Changes" Evacuation -> "Loss of Crew Life" Evacuation -> "Loss of Mission Objectives" MRI -> "Detect Bone Structure Changes" Osteoarthritis -> "Individual Readiness" Osteoarthritis -> "Long Term Health Outcomes" QCT -> "Detect Bone Density Changes" QCT -> "Detect Bone Structure Changes" Radiation -> "Bone Resorption" Radiation -> "Chondrocyte Metabolism" Surveillance -> "Detect Long Term Health Outcomes" Ultrasound -> "Detect Bone Structure Changes" }