Monitoring and telemedicine support in remote environments and in human space flight.
Identifieur interne : 000495 ( Ncbi/Merge ); précédent : 000494; suivant : 000496Monitoring and telemedicine support in remote environments and in human space flight.
Auteurs : M. Cermack [France]Source :
- British journal of anaesthesia [ 0007-0912 ] ; 2006.
Descripteurs français
- KwdFr :
- MESH :
- instrumentation : Communications par satellite, Humains, Monitorage physiologique, Télémesure, Télémédecine, Vol spatial, Zone médicalement sous-équipée.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Monitoring, Physiologic, Telemedicine.
- methods : Monitoring, Physiologic, Telemedicine, Telemetry.
- Humans, Medically Underserved Area, Satellite Communications, Space Flight.
Abstract
The common features of remote environments are geographical separation, logistic problems with health care delivery and with patient retrieval, extreme natural conditions, artificial environment, or combination of all. The exposure can have adverse effects on patients' physiology, on care providers' performance and on hardware functionality. The time to definite treatment may vary between hours as in orbital space flight, days for remote exploratory camp, weeks for polar bases and months to years for interplanetary exploration. The generic system architecture, used in any telematic support, consists of data acquisition, data-processing and storage, telecommunications links, decision-making facilities and the means of command execution. At the present level of technology, a simple data transfer and two-way voice communication could be established from any place on the earth, but the current use of mobile communication technologies for telemedicine applications is still low, either for logistic, economic and political reasons, or because of limited knowledge about the available technology and procedures. Criteria for selection of portable telemedicine terminals in remote terrestrial places, characteristics of currently available mobile telecommunication systems, and the concept of integrated monitoring of physiological and environmental parameters are mentioned in the first section of this paper. The second part describes some aspects of emergency medical support in human orbital spaceflight, the limits of telemedicine support in near-Earth space environment and mentions some open issues related to long-term exploratory missions beyond the low Earth orbit.
DOI: 10.1093/bja/ael132
PubMed: 16731572
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pubmed:16731572Le document en format XML
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Cermack</name><affiliation wicri:level="3"><nlm:affiliation>International Space University, Central Campus, 67400 Illkirch-Strasbourg, France. mcermack@ast-space.net</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>International Space University, Central Campus, 67400 Illkirch-Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Illkirch-Strasbourg</settlement></placeName></affiliation></author></analytic><series><title level="j">British journal of anaesthesia</title><idno type="ISSN">0007-0912</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Medically Underserved Area</term><term>Monitoring, Physiologic (instrumentation)</term><term>Monitoring, Physiologic (methods)</term><term>Satellite Communications</term><term>Space Flight</term><term>Telemedicine (instrumentation)</term><term>Telemedicine (methods)</term><term>Telemetry (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Communications par satellite</term><term>Humains</term><term>Monitorage physiologique ()</term><term>Monitorage physiologique (instrumentation)</term><term>Télémesure ()</term><term>Télémédecine ()</term><term>Télémédecine (instrumentation)</term><term>Vol spatial</term><term>Zone médicalement sous-équipée</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Monitoring, Physiologic</term><term>Telemedicine</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Monitoring, Physiologic</term><term>Telemedicine</term><term>Telemetry</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Medically Underserved Area</term><term>Satellite Communications</term><term>Space Flight</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Communications par satellite</term><term>Humains</term><term>Monitorage physiologique</term><term>Télémesure</term><term>Télémédecine</term><term>Vol spatial</term><term>Zone médicalement sous-équipée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The common features of remote environments are geographical separation, logistic problems with health care delivery and with patient retrieval, extreme natural conditions, artificial environment, or combination of all. The exposure can have adverse effects on patients' physiology, on care providers' performance and on hardware functionality. The time to definite treatment may vary between hours as in orbital space flight, days for remote exploratory camp, weeks for polar bases and months to years for interplanetary exploration. The generic system architecture, used in any telematic support, consists of data acquisition, data-processing and storage, telecommunications links, decision-making facilities and the means of command execution. At the present level of technology, a simple data transfer and two-way voice communication could be established from any place on the earth, but the current use of mobile communication technologies for telemedicine applications is still low, either for logistic, economic and political reasons, or because of limited knowledge about the available technology and procedures. Criteria for selection of portable telemedicine terminals in remote terrestrial places, characteristics of currently available mobile telecommunication systems, and the concept of integrated monitoring of physiological and environmental parameters are mentioned in the first section of this paper. The second part describes some aspects of emergency medical support in human orbital spaceflight, the limits of telemedicine support in near-Earth space environment and mentions some open issues related to long-term exploratory missions beyond the low Earth orbit.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16731572</PMID><DateCreated><Year>2006</Year><Month>06</Month><Day>13</Day></DateCreated><DateCompleted><Year>2006</Year><Month>07</Month><Day>31</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0007-0912</ISSN><JournalIssue CitedMedium="Print"><Volume>97</Volume><Issue>1</Issue><PubDate><Year>2006</Year><Month>Jul</Month></PubDate></JournalIssue><Title>British journal of anaesthesia</Title><ISOAbbreviation>Br J Anaesth</ISOAbbreviation></Journal><ArticleTitle>Monitoring and telemedicine support in remote environments and in human space flight.</ArticleTitle><Pagination><MedlinePgn>107-14</MedlinePgn></Pagination><Abstract><AbstractText>The common features of remote environments are geographical separation, logistic problems with health care delivery and with patient retrieval, extreme natural conditions, artificial environment, or combination of all. The exposure can have adverse effects on patients' physiology, on care providers' performance and on hardware functionality. The time to definite treatment may vary between hours as in orbital space flight, days for remote exploratory camp, weeks for polar bases and months to years for interplanetary exploration. The generic system architecture, used in any telematic support, consists of data acquisition, data-processing and storage, telecommunications links, decision-making facilities and the means of command execution. At the present level of technology, a simple data transfer and two-way voice communication could be established from any place on the earth, but the current use of mobile communication technologies for telemedicine applications is still low, either for logistic, economic and political reasons, or because of limited knowledge about the available technology and procedures. Criteria for selection of portable telemedicine terminals in remote terrestrial places, characteristics of currently available mobile telecommunication systems, and the concept of integrated monitoring of physiological and environmental parameters are mentioned in the first section of this paper. The second part describes some aspects of emergency medical support in human orbital spaceflight, the limits of telemedicine support in near-Earth space environment and mentions some open issues related to long-term exploratory missions beyond the low Earth orbit.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cermack</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>International Space University, Central Campus, 67400 Illkirch-Strasbourg, France. mcermack@ast-space.net</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>05</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Anaesth</MedlineTA><NlmUniqueID>0372541</NlmUniqueID><ISSNLinking>0007-0912</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D008507">Medically Underserved Area</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008991">Monitoring, Physiologic</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017215">Satellite Communications</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013026">Space Flight</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017216">Telemedicine</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013686">Telemetry</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading></MeshHeadingList><NumberOfReferences>37</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="aheadofprint"><Year>2006</Year><Month>5</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>5</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>8</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>5</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">ael132</ArticleId><ArticleId IdType="doi">10.1093/bja/ael132</ArticleId><ArticleId IdType="pubmed">16731572</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li></region><settlement><li>Illkirch-Strasbourg</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Cermack, M" sort="Cermack, M" uniqKey="Cermack M" first="M" last="Cermack">M. 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