A Framework for Multinational Medical Support for the International Space Station: A Model for Exploration.
A Framework for Multinational Medical Support for the International Space Station: A Model for Exploration.
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国际空间站跨国医疗支持框架：探索模型。
DOI：
10.3357/amhp.5771.2021
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发表时间：
2021
影响因子：
0.9
通讯作者：
A. Sargsyan
中科院分区：
文献类型：
--
作者：
C. Doarn;J. D. Polk;A. Grigoriev;J. Comtois;K. Shimada;G. Weerts;Joseph P. Dervay;Terrance A. Taddeo;A. Sargsyan
简介：20世纪90年代，加拿大、欧洲航天局成员国、日本、俄罗斯联邦和美国签署了一项关于民用国际空间站合作的国际协定。在众多独特的基础设施挑战中，合作伙伴将开发一个全面的国际医疗系统和相关流程，以便在支持规模、范围和一体化程度前所未有的多边太空计划的框架内，为任务的所有阶段提供机组人员医疗认证和医疗支持。在航天飞机/和平号方案期间，来自美国和俄罗斯的医生和专业专家研究了原型系统，并开发和操作了协作机制。1998年，美国航天局与其他四个合作伙伴中的每一个合作伙伴达成谅解备忘录，设立了多边医疗政策委员会、多边空间医学委员会和多边医疗业务小组，作为确保国际空间站乘员健康和工作表现的医疗权威机构。自1998年以来，国际空间站方案的医疗系统确保了国际机组人员的健康和出色表现，这是国际空间站建造和运行的必要先决条件，并防止了影响任务的医疗事件和不良健康后果。随着国际空间站即将完成其载人运行的第二个十年，评估其既定的医疗框架，以推动其在新的太空探索倡议中的效用，是谨慎的。不仅国际空间站计划的参与者，而且其他国家和航天机构，伴随着人类航天的商业努力，可以从未来人类探索计划的证据中受益。国际空间站多国医疗支助框架：探索模式。Aerosp医疗器械执行。2021; 92（2）：129134.
INTRODUCTION: In the 1990s, Canada, member states of the European Space Agency, Japan, the Russian Federation, and the United States entered into an international agreement Concerning Cooperation on the Civil International Space Station. Among the many unique infrastructure challenges, partners were to develop a comprehensive international medical system and related processes to enable crew medical certification and medical support for all phases of missions, in a framework to support a multilateral space program of unprecedented size, scope, and degree of integration. During the Shuttle/Mir Program, physicians and specialized experts from the United States and Russia studied prototype systems and developed and operated collaborative mechanisms. The 1998 NASA Memoranda of Understanding with each of the other four partners established the Multilateral Medial Policy Board, the Multilateral Space Medicine Board, and the Multilateral Medical Operations Panel as medical authority bodies to ensure International Space Station (ISS) crew health and performance. Since 1998, the medical system of the ISS Program has ensured health and excellent performance of the international crewsan essential prerequisite for the construction and operation of the ISSand prevented mission-impacting medical events and adverse health outcomes. As the ISS is completing its second decade of crewed operation, it is prudent to appraise its established medical framework for its utility moving forward in new space exploration initiatives. Not only the ISS Program participants, but other nations and space agencies as well, concomitant with commercial endeavors in human spaceflight, can benefit from this evidence for future human exploration programs.Doarn CR, Polk JD, Grigoriev A, Comtois J-M, Shimada K, Weerts G, Dervay JP, Taddeo TA, Sargsyan A. A framework for multinational medical support for the International Space Station: a model for exploration. Aerosp Med Hum Perform. 2021; 92(2):129134.