Archive for July 2009

Who benefits from space medicine research?

Astronauts are not the only ones who benefit from space medicine research. Several medical products have been developed that are space spinoffs, that is practical applications for the field of medicine arising out of the space program. Because of joint research efforts between NASA, the National Institutes on Aging (a part of the National Institutes of Health), and other aging-related organizations, space exploration has benefitted a particular segment of society, seniors. Evidence of aging related medical research conducted in space was most publicly noticeable during STS-95 (See below).

Medical space spinoffs from the early space exploration years (pre-Mercury through Apollo projects)

  • Radiation therapy for the treatment of cancer. In conjunction with Cleveland Clinic,

the cyclotron at NASA’s center in Cleveland, Ohio—which had been utilized for testing nuclear propulsion systems for air and space craft—was used in the first clinical trials for the treatment and evaluation of neutron radiation therapy for cancer patients.

  • Foldable walkers. Made from a lightweight metal material developed by NASA for aircraft and spacecraft, foldable walkers are portable and easy to manage.
  • Personal alert systems. These are emergency alert devices that can be worn by individuals who may require emergency medical or safety assistance. When a button is pushed, the device sends a signal to a remote location for help. To send the signal, the device relies on telemetry technology developed at NASA.
  • CAT Scans and MRIs. These devices are used by hospitals to see inside the human body. Their development would not have been possible without the technology provided by NASA after it found a way to take better pictures of the Earth’s moon.
  • Muscle stimulator device. This device is used for ½ hour per day to prevent muscle atrophy in paralyzed individuals. It provides electrical stimulation to muscles which is equal to jogging three miles per week. Christopher Reeves used these in his therapy.
  • Orthopedic evaluation tools. Equipment to evaluate posture, gait, and balance disturbances was developed at NASA, along with a radiation-free way to measure bone flexibility using vibration.
  • Diabetic foot mapping. This technique was developed at NASA’s center in Cleveland, Ohio to help monitor the effects of diabetes in feet. These efforts helped
  • Foam cushioning. Special foam used for cushioning astronauts during liftoff is used in pillows and mattresses at many nursing homes and hospitals to help prevent ulcers, relieve pressure, and provide a better night’s sleep.
  • Kidney dialysis machines. These machines rely on technology developed by NASA in order to process and remove toxic waste from used dialysis fluid.
  • Talking wheelchairs. Paralyzed individuals who have difficulty speaking may use a talking feature on their wheelchairs which was developed by NASA to create synthesized speech for aircraft.
  • Collapsible, lightweight wheelchairs. These wheelchairs are designed for portability and can be folded and put into trunks of cars. They rely on synthetic materials that NASA developed for its air and space craft
  • Surgically implantable heart pacemaker. These devices depend on technologies developed by NASA for use with satellites. They communicate information about the activity of the pacemaker, such as how much time remains before the batteries need to be replaced.
  • Implantable heart defibrillator. This tool continuously monitors heart activity and can deliver an electric shock to restore heartbeat regularity.
  • EMS Communications. Technology used to communicate telemetry between Earth and space was developed by NASA to monitor the health of astronauts in space from the ground. Ambulances use this same technology to send information—like EKG readings—from patients in transport to hospitals. This allows faster and better treatment.
  • Weightlessness. While not an invention per se, the weightlessness of space one day may allow individuals with limited mobility on Earth–even those normally confined to wheelchairs–the freedom to move about with ease. A notable individual to take advantage of weightlessness in the “Vomit Comet” during 2007 was physicist Stephen Hawking.

Electroconvulsive therapy (ECT), also known as electroshock…

Electroconvulsive therapy (ECT), also known as electroshock, is a well established, albeit controversial, psychiatric treatment in which seizures are electrically induced in anesthetized patients for therapeutic effect.

Today, ECT is most often used as a treatment for severe major depression which has not responded to other treatment,[1] and is also used in the treatment of mania (often in bipolar disorder), catatonia and schizophrenia. It was first introduced in the 1930s[2] and gained widespread use as a form of treatment in the 1940s and 1950s; today, an estimated 1 million people worldwide receive ECT every year,[3] usually in a course of 6-12 treatments administered 2 or 3 times a week.

Electroconvulsive therapy can differ in its application in three ways: electrode placement, length of time that the stimulus is given, and the property of the stimulus. The variance of these three forms of application have significant differences in both adverse side effects and positive outcomes.

In a study, ECT was shown clinically to be the most effective treatment for severe depression, and to result in improved quality of life in both short- and long-term.[4] After treatment, drug therapy can be continued, and some patients receive continuation/maintenance ECT. The American Psychiatric Association and the British National Institute for Health and Clinical Excellence have concluded that the procedure does not cause brain damage in adults.[5][6] Certain types of ECT have been shown to cause persistent memory loss,[7] whereas confusion usually clears within hours of treatment. Informed consent is a standard of modern electroconvulsive therapy.[8]

Involuntary treatment is uncommon in countries that follow contemporary standards and is typically only used when the use of ECT is believed to be potentially life saving.[9]

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