Telemedicine: The assessment of an evolving health care technology
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Cocoon is made from Teflon film. It includes full-length, pressure zipper on top side and bottom part is rigid pad constructed of burn-resistant material. Cocoon includes oxygen supply port with exhaust port at opposite end.
A manual is presented that provides basic technical documentation to support the operation and utilization of the Portable Ambulance Module (PAM) in the field. The PAM is designed to be used for emergency resuscitation and victim monitoring. The functions of all the controls, displays, and stowed equipment of the unit are defined. Supportive medical and physiological data in those areas directly related to the uses of the PAM unit are presented.
A mathematical model used to calculate the reliability of any dual-mode, spare-switching computer system was described, and some illustrative examples were presented. The possibility of extending the resultant computer program further was also examined, enabling it, in particular, to accommodate computer configurations involving more than two modes of operation.
A progress report is given on various systems, noting conformity to schedule or changes in design. The Orbiter thermal protection system, the Space Shuttle main engine, the intertank for the structural test article (STA), thrust vector control systems, the Kennedy Space Center launch processing system, and Orbiters No. 1 and No. 2 are discussed.
A numerical study of the flowfield about symmetrical external axial corners formed by the juncture of swept compressive wedges is presented. The geometrical configuration under investigation allows a unified treatment of external corners typical of delta wings and of rectangular inlets. Comparisons are made with other numerical results. For the delta wing configuration, the occurrence of an anomalous shock behavior predicted by Gonor is discussed. A parametric study shows the singular behavior of the pressure at the corner as a function of the external corner angle, and a second parametric study shows the effect of finite corner radius on the location of the crossflow stagnation point. Previous theoretical predictions of certain flow features typical of corner flows agree well with present numerical results.
A computer program to aid in accessing the reliability of fault tolerant avionics systems was developed. A simple mathematical expression was used to evaluate the reliability of any redundant configuration over any interval during which the failure rates and coverage parameters remained unaffected by configuration changes. Provision was made for convolving such expressions in order to evaluate the reliability of a dual mode system. A coverage model was also developed to determine the various relevant coverage coefficients as a function of the available hardware and software fault detector characteristics, and subsequent isolation and recovery delay statistics.
A computer program was developed as a general purpose reliability tool for fault tolerant avionics systems. The computer program requirements, together with several appendices containing computer printouts are presented.
A numerical study of the flowfield about asymmetrical external axial corners formed by the juncture of swept compressive wedges is presented. The geometrical configuration allows a unified treatment of external corners typical of delta wings and rectangular inlets. The study investigates how the flow transitions from a symmetrical flowfield with a cross-flow stagnation point at the corner to an asymmetrical flowfield for which the flow spills over the corner. The effects of leading-edge sweep, wedge compression, and corner radius are investigated.
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The paper describes the optical, mechanical, and electronic properties of the TI and RCA CCDs which have been applied to two-dimensional photometry and spectroscopy at Palomar. The drive, processing, and recording techniques are also discussed, and consideration is given to a focal conversion optical system, the Prime Focus Universal Extragalactic Instrument (PFUEI), which is used to more optimally match the Hale 5 meter plate scale. Calibration and data analysis are also examined.
Specific requirements for medical support of a long-duration manned facility in a low earth orbit derive from inflight medical experience, projected medical scenarios, mission related spacecraft and environmental hazards, health maintenance, and preventive medicine. A sequential buildup of medical capabilities tailored to increasing mission complexity is proposed. The space station health maintenance facility must provide preventive, diagnostic, and therapeutic medical support as immediate rescue capability may not exist.
The present computerized reliability predictor for digital fault-tolerant systems whose sizes are of the order of one million Markovian equivalent states, employs advanced stochastic modeling techniques and implements a mixed Markov model that enables it to drastically reduce the state size of hitherto computationally unobtainable models. Attention is given to the concepts of failure, fault, and error, in the context of the novel system's fault/error-handling models. Examples are drawn from the system's user-friendly interface dialog.
This paper discusses the issues involved with establishing an integrated satellite health network in West Africa based on currently available technology. The system proposed makes use of a central national facility capable of transmitting and receiving voice/data and video signals from the entire country. Regional, field and local facilities provides timely epidemiologic information, sharing of medical expertise through telemedical consultations, enhances optimized resource distribution and builds a framework for telecommunications for the entire country.
The conventional method of imposing time dependent boundary conditions for Runge-Kutta (RK) time advancement reduces the formal accuracy of the space-time method to first order locally, and second order globally, independently of the spatial operator. This counter intuitive result is analyzed in this paper. Two methods of eliminating this problem are proposed for the linear constant coefficient case: (1) impose the exact boundary condition only at the end of the complete RK cycle, (2) impose consistent intermediate boundary conditions derived from the physical boundary condition and its derivatives. The first method, while retaining the RK accuracy in all cases, results in a scheme with much reduced CFL condition, rendering the RK scheme less attractive. The second method retains the same allowable time step as the periodic problem. However it is a general remedy only for the linear case. For non-linear hyperbolic equations the second method is effective only for for RK schemes of third order accuracy or less. Numerical studies are presented to verify the efficacy of each approach.
This report summarizes the work done on the contract NAG9-567, which was activated at the New Jersey Medical School-UMDNJ in April 1992 and carried on during the 1992-93 year to the present 1993-94 year which was terminated in May 1994. The initial examination stage was completed of an interactive program for the recording of physical and physiologic injury information obtained from examination of an injured person, who might be an astronaut sustaining traumatic injury, due to a burn or physical trauma, either in space or in an earth bound training environment. In this report three aspects will be discussed: 1) a description of the system of diagnostic examination graphics, 2) a description of the organization of the therapeutic advisory systems with a demonstration of two specific modules, and 3) a brief technical description of the organization of the programming system carried out on a UNIX based work station using a WINDOWS environment.
This paper discusses the issues involved with establishing an integrated satellite health network in West Africa based on currently available technology. The system proposed makes use of a central national facility capable of transmitting and receiving voice/data and video signals from the entire country. Regional, field and local facilities provide timely epidemiologic information, sharing of medical expertise through telemedical consultations, enhance optimized resource distribution and build a framework for telecommunications for the entire country.
The objective of the first project involving the HYDRA laser system was to determine what effects, if any, could been seen in the system's measurements when testing was done with objects composed of different materials. Ideally we would like to have seen that the range of measurements were all within the accepted 0.4 millimeter accuracy of the system. Unfortunately our results were not as we had hoped, and there did appear to be some significant difference in the measurements made on objects composed of different materials. The second project is a continuing project at Old Dominion University. The ultimate goal is to develop a medical database that allows a doctor or hospital to keep medical records on line. The current data of the system consisted of one patient whose medical data had been hard coded to allow for a demonstration of the potentials of the system. The short term goal for this summer was to add additional patients to the system for testing, and to eliminate the hard coding of data by creating a database where data could be stored and queried to produce the results seen in the current state.