Browse Topic: Telemedicine

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The Future of Healthcare: Exploring the Impact of Telemedicine and Remote Monitoring DevicesTBMG-5103007/01/2024
The history of telemedicine goes back further than most people think. It has certainly blossomed in popularity in the last few years since the onset of the pandemic, but its beginnings date back to the 1950s
Magazine Article
The Impact of Video Compression on Remote Cardiac Pulse Measurement Using Imaging Photoplethysmography17AERP10_0710/01/2017
Remote physiological measurement technique leverages digital cameras to recover the blood volume pulse from the human body. Air Force Research Laboratory, Wright Patterson Air Force Base, Ohio Remote measurement of physiological signals has a number of advantages over traditional contact methods. It allows the measurement of vital signals unobtrusively and concomitantly. In recent years, a number of approaches for imaging-based measurement of physiology using digital cameras have been proposed. Imaging photoplethysmography (iPPG) captures variations in light reflected from the body due to blood volume changes in microvascular tissue. It has been demonstrated that sub-pixel variations in color channel measurements from a digital single lens reflex (DSLR) camera, when aggregated, could be used to recover the blood volume pulse. Subsequently, it was shown that iPPG methods can allow accurate measurement of heart rate, heart rate variability, breathing rate, blood oxygenation and pulse
Magazine Article
Tension Distribution in Tendon-Driven FingersTBMG-2537109/01/2016
Researchers at the NASA Johnson Space Center (JSC), in collaboration with General Motors and Oceaneering, have designed a state-of-the-art, highly dexterous, humanoid robot called Robonaut 2 (R2). R2 is made up of multiple component technologies and systems encompassing nearly 50 patented and patent-pending technologies with the potential to be game-changers in multiple industries, including the medical industry. R2 technologies can aid in a variety of medical applications, ranging from telemedicine to handling the logistics of medical procedures. These activities can be done in autonomous mode or in teleoperation mode, where the robot is controlled by a technician or physician. This type of operation would be advantageous in situations where a biomedical hazard poses risks to humans, such as a contagious outbreak or a combat situation. For more routine daily use, R2 could function as an assistant to the hospital staff
Magazine Article
Internet-Based Continuing Medical Education in Remote Areas of China: WebMEd: Economical PC-Based Tele-Education and Telemedicine1999-01-201907/12/1999
China and other areas of the planet share the unfortunate reality that their rural populations have limited or no access to specialty health care personnel, expertise or facilities. A simple, cost-effective web-based Continuing Medical Education program is presented that allows even some of the most remote areas of China virtual access to medical information, medical specialists and teams of medical consultants, regardless of their location. The proposed project suggests a grassroots approach in improving widespread medical education using the existing telecommunication infrastructure, with minimal equipment requirements that would act as a backup to future systems. For the purposes of this paper, the presented system is termed WebMEd (Web- based Medical Education) and hopefully will be considered for immediate implementation as a feasibility study for future satellite based systems. WebMEd is a simple, grassroots and sustainable project that can represent future advanced systems
Folio, Les Roger, Yancy, Wes, Yancy, Richard
Technical Paper
A Vision for Telemedicine Aboard the International Space Station1999-01-201407/12/1999
The practice of space medicine is fraught by several unique challenges, including limitations in spacecraft resources and limited medical training opportunities. The great distance separating the astronauts from their doctors on Earth further confounds managing their health. NASA uses computer and telecommunication technology to bridge this distance and practice telemedicine. Since the beginning of the U.S. space program, NASA flight surgeons have relied on two-way radio communication and limited biomedical telemetry to remotely assist the crew in managing crew health matters. More recently, the capability for bi-directional video transmission was added, to enable the crew to speak virtually face-to-face with their doctors. However, for the International Space Station (ISS), additional capabilities must be provided. This paper presents a vision for delivering telemedicine in the ISS era
Simmons, Scott C., Melton,, Shannon L., Johannesen,, John C., Kraus, Douglas P., Hamilton, Douglas R.
Technical Paper
Trauma Laparotomy in Space: A Discussion of the Potential Indications, Conduct of Operation, and Technical Support for the Treatment of Abdominal Trauma During Long Duration Space Exploration98160107/13/1998
As the construction of an International Space Station approaches reality, the next phases in the exploration of Space will require long duration missions to the Moon, Mars, and beyond. The risk of traumatic injury and death will be an ever present factor in near space (within our solar system). Reviews of trauma deaths have consistently found that the greatest reduction in preventable death will occur by addressing definitive airway management, treatment of hemothorax and pneumothorax, and control of intra-abdominal hemorrhage. On a long duration space voyage realistic capabilities exist to potentially manage the first two injuries of this triad. The ability to manage a patient requiring operative control of an abdominal injury represents a quantum leap in commitment, but provides a new standard to target in surgical support of the ongoing exploration of space. Advances and developments in surgery, telemedicine, telerobotics, and the acceptance of non-operative management and operative
Kirkpatrick, A.W., Campbell, M.R., Brenneman, F.D., Boulanger, B.R., Williams, D., Breeck, K.
Technical Paper
Advanced Telemedicine System Concepts for Planetary Exploration Missions98159607/13/1998
Human missions to Mars will represent not only a departure from the relative protection and proximity of low Earth orbit but also the way space missions are currently conducted. Traveling at 180,000 miles per second, radiofrequency communication will require up to 20 minutes to reach Mars from Earth. Extended periods of communication blackout may leave the Mars-nauts without Earth contact for weeks. Crews will be on their own to recover from mission complications, including serious crew member illness or injury. These conditions dictate unique applications of telemedicine
Simmons, Scott C., Butler, Douglas J., Johannesen, John C., Melton, Shannon L., Kraus, Douglas P., Hamilton, Douglas R.
Technical Paper
3-D Ultrasound for Medical Imaging in Space97228607/01/1997
Ultrasound is attractive for medical imaging in space because scanners can be small, lightweight, low power, and have minimal electromagnetic emissions. In addition, unlike conventional 2-D ultrasound. 3-D ultrasound allows an operator with no diagnostic skills to collect high-quality scans that can be interpreted by a remote expert. This allows 3-D ultrasound to be used effectively in remote locations. These capabilities are illustrated by the MUSTPAC-1, a portable 3-D ultrasound telemedicine system recently developed for the U.S. military. Design, implementation, and field experiences with the MUSTPAC-1 are discussed, and extensions for use in space are proposed
Littlefield, Richard J., Macedonia, Christian R.
Technical Paper
Development of a Telemedicine Workstation to Support NASA Medical Operations95161407/01/1995
NASA flight surgeons have routinely relied on telemedicine to augment inflight medical care since the Gemini program. The current telemedicine capability aboard the Space Shuttle is limited to two-way voice communication, one-way video, and telemetry of ECG and spacecraft parameters. This capability has been sufficient to manage the routine minor medical problems that have occurred in-flight, but long-duration Space Shuttle and International Space Station missions are likely to be accompanied by more serious medical contingencies. In the event of emergent crew health problems, NASA flight surgeons will require an improved capability to provide a rapid, accurate assessment of an ill or injured crewmember. Onboard systems will supply flight surgeons and medical specialty consultants with real-time voice communication, medical video, and data. The NASA Medical Operations Branch, in its effort to develop a complete telemedicine system, is developing a telemedicine workstation to enable the
Armstrong, Cheryl W., Simmons, Scott C., Rhorer, Kyle L.
Technical Paper
Telemedicine Between Australia and Antarctica: 1911-199595161607/01/1995
Telemedicine, in one form or another, has long been a cornerstone of Australian Antarctic medical practice. The extreme remoteness, difficulty of evacuation and inherent limitations of a sole doctor all mean that the ability to communicate with distant health professionals is extremely desirable. For many years such communication was achieved through the use of radio, but with the introduction of satellite communications to Antarctica in the 1980s a more sophisticated system became possible, with a much wider variety of applications. In spite of recent advances, written and oral communication remain the most important tools. However, the ability to transmit digital images has also proven of great value, especially in the field of radiology
Sullivan, Peter, Lugg, Desmond J.
Technical Paper
The Telemedicine Instrumentation Pack: A Portable Diagnostic Clinic95161507/01/1995
As a more permanent human presence in space is established during future missions, crew health issues will require additional attention. Since a physician will not be a part of most crews, the flight surgeons will require more clinical information than can currently be provided to regularly assess crew health status and direct medical treatment. The Telemedicine Instrumentation Pack (TIP) is being designed to enable the Crew Medical Officers (CMO) in space to acquire the necessary medical information for telemedical consultation with the flight surgeons in the Mission Control Center (MCC). To date, two prototypes of the TIP have been developed, with the first being clinically evaluated in a local telemedicine testbed in the Fall of 1994 and the second prototype being recently completed. The current system concept, progress in the development of the system, plans for future development, and the evolution of the system are described
Pohl, John R., Simmons, Scott C., Guess, Terrell M.
Technical Paper
Telemedicine: A Technology with Space Flight and Terrestrial Health Care Applications95161307/01/1995
During Space Shuttle missions, telemedicine is used daily to ensure the health and productivity of the crew. NASA has incorporated telemedicine into routine space operations since the beginning of the space program, utilizing its experience in advanced satellite communications to assist in providing terrestrial health care during several telemedicine projects. Telemedicine is a technology with promise for improving access to health care on Earth, and numerous terrestrial telemedicine programs are currently underway. NASA and the terrestrial health care community have important roles to play in telemedicine technology development, and each stand to benefit greatly from the other's telemedicine experiences
Simmons, Scott C.
Technical Paper
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