Anna Karahan European Space Foundation - ERC Coordinator & Inspiration Zone producer It’s 2077 We have been expanding our presence on Mars for several decades now, which involves trial missions, in-depth research, terrain checking, the first human landing on the surface of the Red Planet and the creation of a scientific base. Driven by curiosity and the desire to learn and expand the human possibilities of adapting to new living conditions, we decide to establish colonies on Mars. The inhabitants of the new Martian city-states are not accidental. They were selected based on their health, intellectual and psychological abilities as well as the skills they will contribute to building a new society, drawing on the lessons learned from the mistakes made on Earth... Warsaw, 4-6 March 2022 25 students, divided into interdisciplinary groups, begin working on the project of five Martian colonies. They include representatives of geology, law, architecture, design, and culture. Supported by mentors, they try to find answers to the following question: What location on Mars will be the most appropriate for their colony, considering the possibility of easy landing and take-off, access to a water source, as well as the scientific and soil-forming potential of the area? In terms of architecture and design, they must remember about the impact of temperature, sandstorms, harmful radiation, and meteorite strikes, but also make sure the colonies are self-sufficient and provide shelter for thousands of people. Also in the spotlight are such important questions as: How will our senses react on Mars? What do we, as humans, need to survive in an extreme environment? The Mars Colony Hackathon participants also discuss whether they want to transfer to Mars the current Earth culture as well as the economic and political status quo, or... on the contrary? Should they take the current trends in sustainability, climate change, inequality, diversity, and the impact of technology on people into account? What values, traditions and rituals will accompany them? Another sol of 2077 begins.
There are already five colonies on Mars: IGNIS, MARIS, MONADA, M.O.D. AND WEST COAST COLONY. They are all self-sufficient, but willingly cooperate with one another and with Earth in the exchange of goods, know-how as well as education and tourism. They all signed a non-aggression pact. Goods are transported by centrifugal force technology, and people move between colonies on sub-orbital rocket flights. In the close vicinity, inhabitants travel by rovers. We visit the IGNIS colony, located in the Athabasca Valley in the Elysium Planitia region. It arose from a research colony founded in the 2040s by the International Organisation whose inhabitants revolted and declared independence. The main IGNIS doctrine in international relations is not getting involved in the political affairs on Earth. Its inhabitants live in symbiosis with nature, and they base their sustainable development on science. They obtain water thanks from the nearby pingos, and their source of energy is a cosmic solar power plant in a geostationary orbit, sending energy in the form of high-frequency radio beams. The power plant has movable panels, which enable the plant to draw energy throughout the day and night. The inhabitants expect that at a later stage the development of the energy sector will be based on small modular reactors (SMR). The IGNIS system is a hybrid of the republic and direct democracy. Everything that is produced in the colony as well as all the tools and items that the inhabitants use belong to the republic and are used on a shared basis. 
We continue our journey to visit the MARIS colony, located in Valles Marineris.
As a result of human activities on Earth, the climate crisis deepened, natural resources were depleted, and biodiversity was disappearing. In the social field, we were affected by wars, social inequality, discrimination, and polarisation. The human condition was also deteriorating because of loneliness and civilisation diseases. The founders of MARIS wanted to change that, so they decided to create their Martian colony – a new community based on responsibility and integrity of human beings with the planet, community, and themselves. The local habitat is famous for its hydroponic crops and baths with saunas. The community cares about good mood and mental health of every citizen, which ensures the proper functioning of the entire colony. Therefore, apart from integration, a common dining room, kitchen, or medical, educational and laboratory space, it places great emphasis on providing the inhabitants with private space. As guests, we are invited to one of the capsule-rooms that function as bedrooms. We immediately experience thermal comfort and silence. We can also regulate the amount of light. The whole room is finished with a soft material and there is a pleasant smell in the air... 
Next sol we travel to the northernmost colony of MONADA, located between Mamers Valles and Deutronilus Mensae.
In some philosophical systems, a monad is a basic substance, on the one hand elemental, permeated with individuality, and on the other hand, rich in various types of capital. It gives almost unlimited development opportunities. The MONADA inhabitants treat their colony as an organism which, having a huge and varied potential, can not only develop independently, but also establish relationships with other entities in the world, which is a continuous collection of elementary substances. Its architectural solutions are also based on spherical units, which are self-sufficient and independent in a crisis, but for the sake of proper functioning of the society they connect with one another to form a network. Each unit has the necessary sectors located on different levels: industry, food production, public utilities, such as hospitals, schools, and religious places, as well as housing. Light runs through each sphere from above and cascades across the room. The radial layout of rooms and internal space can be modified by moving the walls. The colony has one of the largest deposits of magnesium-rich sulphur oxide and olivine as well as access to several rubble glaciers which constitute the source of water. MONADA sells its medicines, steel, solutions related to design and architecture, including modular furniture, “my personal sun” lamps, personalised “Martian wallpapers”, aromatic postcards from Mars as well as a patented circulation system and inter-colonial rover loading system both to the countries on Earth and the Martian colonies. 
The next stop on our Martian journey is M.O.D. (Martian allotments), located in Dao Vallis.
It is an international, democratic colony, still dependent on the Earth for the supply of certain raw materials and resources. It was built of modular segments created with a 3D printer and completely hidden under the surface of Martian regolith. The main element of the individual residential modules are internal allotments used for garden cultivation, experimenting, and relaxation. The colony focuses on simplicity and minimalism in limited Martian conditions, hence the white walls of the rooms and easy-to-modify segments. The virtual reality used in the colony, however, allows its inhabitants to create an environment that gives a sense of greater security, avatars, or everyday outfits to express themselves and their individual style. Special overalls worn by the inhabitants check their vital functions, hormone levels, and work-life balance simultaneously. M.O.D. conducts intensive research to increase recyclability and the best possible use of limited Martian resources as well as to develop production and plantations that provide the colony with food and vital products. The joint work of the M.O.D. inhabitants strengthen intergenerational ties, giving an opportunity for integration and talks. Each of the inhabitants undergoes compulsory training to be able to work in various sectors of the habitat if necessary. 
WEST COAST COLONY, located in the Olympus Mont region, is the last stop of our trip.
Separation of powers, peaceful space exploration, cognition and science, high level of education, cooperation between humans and artificial intelligence, transhumanism, and bionics – these are the bases of its functioning. The area chosen by the inhabitants for their colony is convenient not only in terms of living, but also for geological research. The magnesium- and iron-rich basalt rocks present here are a good raw material for construction and the production of soil fertilisers. The colony bases its economy and exports on them. The colony is highly automated. Robots are used in the transport of raw materials and products from/to factories, the production of modular elements for housing, cultivation, services, and even administration. The West Coast Colony inhabitants believe that as humans we have certain limitations, and we must constantly overcome our weaknesses. Therefore, they focus on transhumanism and gene improvement in such a way as to adapt the human body to the difficult Martian conditions. They also place great emphasis on inclusiveness, cultural and social life, common rituals as well as education and learning the truth about the universe. The colony also includes green zones for rest and recreation with plants brought from Earth... 
Warsaw, 6 March 2022 We are going back to Earth. There is a war going on across our eastern border and climate change brings us intense winds, rains, earthquakes, and volcanic eruptions... Some people question the sense of organising such design and humanist workshops or hackathons. But maybe travelling to Mars in our imagination will help us see and express what we do not like here on Earth, change the things that should be changed or even adopt a completely different approach to things we know? Is it not thanks to our dreams and imagination that we are able to look into the future and create the world we want to live in? Not only on Mars, but also here on our planet Earth... The Mars Colony Hackathon was organised by the US Embassy and the European Space Foundation in cooperation with the Polish Space Agency and Venture Café. The workshop took place on 4-6 March 2022 at the Cambridge Innovation Centre in Warsaw. Congratulations to the winning team members: MONADA – Julia Jeka, Karolina Kruszewska, Tomasz Leonik, Oliwia Mandrela and Kamil Serafin. *Blog also published on the European Space Foundation website This blog is promoted and supported by the:  Author: Chris YuanMember of the InnovaSpace Board of Advisors; CoFounder Planet Expedition Commander Academy (PECA), Explorers Club member, Space Dreamer... "Bang bang bang, bang bang," there was a knocking sound from the water. This is an 18-foot-deep pool in the diving hall of Nanning City Gymnasium in Guangxi. Two PECA (Planet Expedition Command Academy) trainees: Hannah and Selina, wearing scuba diving gear, are stitching together a satellite model underwater, which is designed with PVC pipes of different colours that are removable and can be spliced together. This training involves scuba divers simulating the role of space station EVA astronauts, capturing and repairing damaged satellites. The person under training must maintain neutral buoyancy during the whole process and retain sober analytical and hands-on ability under the conditions of maintaining air consumption, completing the assembly of the satellite model and bringing it out of the water.  Hannah & Selina working together to construct a model underwater Hannah and Selina are mother and daughter, and Selina had just graduated from college and planned to have a gap year. The pair chose to participate in the 3-month PECA general training course. The scene just described was their training subject for PECA's second physical space, Ocean Planet: astronauts completing space missions in a simulated weightless state. They started from scratch and had already successfully completed the first physical space: Earth-Mountain Exploration, in which they completed a 10-day cross-country horseback trek on the Qinghai-Tibet Plateau, and finally entered Tibet on horseback, after completing 235 kilometres of horseback riding.  Finally they arrived in Guangxi, China and experienced a lot of confined water training, cave diving, to adapt to the exploration of the underwater world, and simulate future space travel. Selina had no previous experience with such a wide range of different exploration types, and when asked if she worried about whether she would be up to the challenges of the training, she said: "I chose to take this step, that is, I chose to face the unknown changes." The PECA curriculum has been seeking a path that connects the ordinary person at one end, with at the other end the coming age of great sailing for civilian space exploration (see also previous blog). Space exploration in the minds of most people is a national strategy, a game for a few people financially supported by the government, and super-rich people. Several of my friends have asked me a similar question, a pointed question:
"How do you think that space travel can become a majority movement in the future? How is their training program different from official astronauts?" Allow me to start with a story. Fifteen years ago, I rode a mountain bike alone from the Ger-mud area of Qinghai to Lhasa, Tibet, and then continued on until I reached the base camp of Mount Everest. This is the highest road in the world. My journey lasted 40 days, was 2200km and ended at the highest altitude of the Everest Base Camp. I later wrote a book "Through Your Eyes, See My Soul - 40 Days of Everest Ride". Some readers asked me the same question: "What is the most important prerequisite for a beginner who will ride the Qinghai-Tibet line? Sufficient money or physical reserves?" After thinking carefully, I replied: Neither of the two you mentioned are the most important, the most important thing is the ambition you have to go, it's the determination, it's the emotion. With that first push, money and other things follow." Think about it, it took only 66 years from the Wright brothers first successful test flight of their plane to the landing of a man on the Moon! The Stellar Music project in summary - take musical notes generated mathematically from a star, arrange them into a beautiful tune, and then use your imagination to think of unique ways to illustrate the music. To discover how the music was created visit the blog: innovaspace.org/blog/stellar-music Music: - Star used = Delta Cephei, part of the constellation Cepheus - Music arrangement = Miko Mike Oliver Gimao Visuals: - AI-generated visuals = Elerias - Mermaids = Yanyue Lee; Jingfeng Liu; JingYi Lee; Surong Wang; Meijing Lee; & Xiao Qian Bai Enjoy the cosmic music 🌟🌟🌟 Author: Nelson VinagreAerospace Exercise Physiology & Rehabilitation Lead; Coordinator, Portuguese Hub - InnovaSpace Não sou tão velho assim nem tão novo, mas já vivi suficientemente para ter muitas experiências em ambientes extremos e radicais, onde pudéssemos observar a resposta fisiológica do corpo humano exposto a estas diferentes situações. Em minha história esportiva, trago a natação como base de meu treinamento fisiológico, onde durante anos treinei para competições e depois que me tornei educador físico, treinador, instrutor em salvamento aquático e pesquisador nas áreas do treinamento. Assim, pude compreender ainda melhor muitas reações que se passavam comigo e com as pessoas com quem eu trabalhava. Como hobby e amante do esporte, fiz parte de uma geração que ajudou a quebrar os tabus da imagem do surf, que era considerado esporte de malandro, e que hoje veio a se tornar esporte olímpico e modalidade profissional. Nos anos 90, além de ter realizados treinamentos de mergulho com garrafa, na famosa Escola Superior de Esportes de Colônia/Alemanha (Deutsche Sport Hochschule), pude realizar mergulhos na costa brasileira tanto com garrafa quanto com snorkel no Pantanal, em Bonito, no Mato Grosso do Sul, em meio as Piraputangas.  Paralelamente a vida acadêmica que se iniciava, a partir dos 17 anos me dedicava intensamente as lides aéreas, onde pretendia me tornar aeronauta e piloto profissional de linhas aéreas. Foram muitos anos de dedicação teórico-prática, fazendo minhas licenças de piloto planador, privado, comercial, instrumentos, multi-motor, rebocador e agrícola, que me remeteram a algumas centenas de horas de voo e ainda mais pousos e decolagens, especialmente pela operação de planadores, que exigia de mim, como rebocador, múltiplas subidas e descidas em curto espaço de tempo. Nessa situação, apesar de estarmos atuando dentro de uma altitude fisiológica, certamente impunha ao meu organismo um condicionamento físico razoável dado pela resposta hemodinâmica, proprioceptiva, vestibular...  Nos diferentes locais onde atuei profissionalmente, pude perceber que sou plenamente adaptável a distintos ambientes. Parti de Porto Alegre 1993 rumo a Serra Gaúcha, que além de ser uma das regiões mais frias do Brasil, encontra-se a 1000m de altitude, requerendo de nosso organismo certa adaptação em relação ao nível do mar. Na busca de novos desafios desportivos, inovadores e de interação com o meio, lá estávamos a descobrir nova modalidade que no Brasil ainda não havia ressonância, o rafting que pela primeira vez realizava uma competição no Vale do Paranhana.  Depois desse período de “treinamento e exposição a temperaturas mais baixas” por 14 meses, mudei-me para a Alemanha em função do estágio acadêmico no departamento de esportes de inverno da famosa Escola de Colônia, em pleno inverno, tendo que me adaptar abruptamente do auge do verão brasileiro para temperaturas constantemente abaixo de zero e uma realidade climática completamente diferente a encontrada no Brasil, ainda que viesse de uma região sub tropical. Na década seguinte e com novos desafios acadêmicos profissionais no Brasil, tive a incumbência de coordenar um curso na Amazônia Ocidental, mais precisamente no Estado de Rondônia, próximo à fronteira do Brasil com a Bolívia, onde as temperaturas se aproximavam da casa dos 44 graus Celsius e a umidade relativa média do ar era superior aos 70%, para não falarmos das questões da saturação de litometeoros no ar, ocasionado pela fumaça em excesso gerada por grandes queimadas. Novas fronteiras acadêmicas e desportivas surgiram e, de volta a Alemanha, tive a possibilidade de aprofundar minha carreira profissional junto à Agência Espacial Alemã (DLR) e ao Departamento de Medicina Desportiva da Universidade de Göttingen. Com ambas instituições, realizei meu aprofundamento cientifico junto aos desportos adaptados e inclusivos. Já são mais de 14 anos enxergando o movimento humano sobre outra perspectiva, seja do ponto de vista das limitações fisiológica e biomecânicas, seja psicossocial, seja das transferências tecnológicas, mas acima de tudo, partindo da percepção de um continuum desenvolvimental.  Novos ventos, literalmente, desta vez me levaram ao ponto mais Ocidental da Europa, de onde escrevo este mais recente relato de experiencia desportiva de minha vida, a regata marítima que, diga-se de passagem, em muito tem a ver com o voo à vela. Essa nova experiencia me remeteu a um novo ambiente, do qual se pode extrair inúmeras reações comportamentais (psycho-enviroment behavior) e fisiológicas, a partir uma vivência que em muito pode nos ajudar na realização de novos experimentos e a entender o que se passa fisiologicamente com nosso organismo nos processos de desorientação espacial e os efeitos indesejáveis por ela gerados.
Author: Dr K GanapathyHon Distinguished Professor The Tamilnadu Dr MGR Medical University; Emeritus Professor, National Academy of Medical Sciences; Past President, Telemedicine Society of India & Neurological Society of India; Director Apollo Telemedicine Networking Foundation & Apollo Tele Health Services, India Website: www.kganapathy.in When I was asked to write a blog on women from India who have made extraordinary contributions to society, I was very surprised. Being a desi, a totally “Made in India” product, I had in the last seven decades not thought twice about the gender of any super achiever in India. When I was an Asst Professor of Neurosurgery at the globally renowned 187-year-old Madras Medical College, my unit chief was Prof T S Kanaka, celebrated as Asia’s first neurosurgeon , while the dean was also a woman, as was the Director of Medical education, the Vice Chancellor, the Health Secretary, and even the Chief Minister of the state!  Prof T S Kanaka (1932 - 2018) From 1983 I have been part of Apollo Hospitals, one of the world’s largest corporate health care providers. Though founded by the patriarch Dr Prathap C Reddy, it is his four daughters (see images below) who have ensured that this mega conglomerate is setting standards for other countries to follow. I belong to the 1968 batch of the Madras Medical College. When one of our classmates, Dr Sherin Devaskar, was elected as President of the American Pediatric Society none of us even commented that she was of female gender. Indeed, most of the achievers in our batch are women. It is just taken for granted. We are gender agnostic !! As early as 1949, Hansa Mehtha was appointed as Vice chancellor of the Baroda University. I wonder how many countries had women Vice Chancellors back then, and we were called the “third world” ! It is only now that I realise that the rest of the world has a long way to go before they accept gender neutrality. Scores of women from India have been featured in global rankings, as entrepreneurs, CEO’s of Fortune 50 companies, in the Forbes list of world’s 100 most powerful women, as Heads of some of the world’s largest banks, Chief Justices of High Courts, Supreme Court judges, Governors and Chief Ministers of states larger than most countries of the world, as Deputy Governors of the Reserve Bank of India, Chief Economist of the World Bank, and as Chief Scientist of the WHO, and so the list goes on. Indian women have gone to the Artic and Antarctic. Recently UK-based Captain Harpreet Chandi, of Indian origin, reached the South Pole after a 700 mile trek in 40 days.  Captain Harpreet Chandi trekking solo across the Antarctic (Image credit: Harpreet Chandi/www.polarpreet.com)  Indian-born NASA astronaut Kalpana Chawla (Image: NASA) Lucknow-born Hashima Hasan played a major role in the design and launch of the $10bn James Webb Space Telescope. The landing of the Perseverance rover on the Red Planet following its perilous descent through the Martian atmosphere was facilitated by two women of Indian origin, Vandi Verma and Swati Mohan. Yet another, Bhavya Lal, recently took over as Associate Administrator for the Office of Technology, Policy and Strategy NASA, one of the highest posts in NASA. Nearer home there are several Director level women scientists heading critical teams dealing with human and interplanetary missions, including Ritu Karidhal, Nandini Harinath, TK Anuradha, and VR Lalithambika. And Kalpana Chawla (1962 – 2003) was the first Indian-American astronaut and first Indian woman in space. Sadly, on February 1, 2003, the U.S. space shuttle Columbia with a seven-member crew that included Chawla, disintegrated in flames over central Texas shortly before it was scheduled to land at Cape Canaveral in Florida.
Virtualmente em Marte - Minha Experiência como Astronauta Análogo na Estação Habitat Marte24/2/2022
Author: Maurício PontesOperational Safety & Crisis Manager, Pilot, Air Accident Investigator Encerramos após 11 dias (ou 11 sois, como denominamos o dia em Marte) a missão análoga (virtual) #96, celebrando quatro anos do estabelecimento da Estação Habitat Marte. Tive o privilégio de representar a InnovaSpace nessa experiência, que se revelou produtiva e instigante. As missões virtuais foram criadas em função da pandemia de COVID-19, como forma de manter a estação operando e fomentando o intercambio de experiências e informações sobre Marte e os desafios de se chegar ao planeta vermelho. A pioneira estrutura análoga, entretanto, é muito mais que isso. Localizado no agreste do Rio Grande do Norte, na cidade de Caiçara do Rio do Vento, o Habitat Marte é uma base física onde as condições inóspitas do terreno e algumas características relacionadas ao solo local propiciam um sítio ideal ao estabelecimento de missões com variados focos de pesquisa. Uma palavra que está sempre presente é sustentabilidade.  Numa missão virtual, um clima de imersão e interação entre os cinco tripulantes é estimulado pela rotina de atividades como coleta de dados, apresentação de relatórios sobre o estado físico e mental e, ao longo dessa jornada, vai se criando uma atmosfera de imaginação coletiva acerca da presença no planeta vermelho, com o benefício da dinâmica das relações por interações remotas. Cada tripulante recebeu a incumbência de ser responsável por uma das estruturas críticas da estação (Estação Central e Centros de Engenharia, Saneamento, Saúde e Lançamento). Ao final, cada membro da missão fez uma apresentação sobre sua área de responsabilidade, encerrando a missão. Minha experiência pessoal na missão virtual foi ser o responsável pelo Centro de Lançamento (e retorno). Além de estar comprometido com a operacionalidade dessa área, incluí na rotina de relatórios o status “go & no go”, em função das condições técnicas ou meteorológicas, de modo a manter a estação ciente da viabilidade de um lançamento emergencial. A rotina de envio de relatórios é o grande gerador de valor para a simulação e vai ao encontro dos aspectos humanos: discutíamos situações que não decorreram de inputs do simulacro. Trocávamos informações e fotos, fomos inspirados a viver uma realidade paralela e a explorar nossa criatividade.
Conversas sobre a missão e até pessoais foram constantes através de plataforma de mensagens e me mantiveram em constante “presença” naquela estação. Os dois relatórios de rotina diários (meteorologia e condições pessoais, como saúde, motivação, estado mental e satisfação com a missão e suas especificidades) eram enviados por um aplicativo e nos lembravam da nossa responsabilidade na jornada. Há potencial para ainda mais integração, pois nenhuma missão é igual à outra. Quem sabe, no futuro, um ambiente visual via aplicativo que possa até ser compartilhado com óculos de realidade virtual e celular não elevem ainda mais esses efeitos?  Minha conclusão foi a de que estímulo ao pensamento, diversidade e o fator lúdico já são uma ferramenta de integração e compromisso com a missão de grande valor.
Parabéns aos tripulantes da Missão 96 e em especial ao Prof. Julio Rezende, pelo pioneirismo, determinação e criatividade. Próximo passo: a missão presencial! Author: Chris YuanCoFounder Planet Expedition Commander Academy, Explorers Club member, and Space Dreamer... 
  Os autores são membros do time da InnovaSpace e possuem vasta experiência profissional em medicina de aviaçāo e fisiologia aeroespacial - ensino, pesquisa e inovaçāo.
 O Problema Emergências médicas durante voos comerciais de curta ou longa duração, nacionais ou internacionais, estão se tornando cada vez mais comuns. Isso se deve a fatores já conhecidos, como a expansão da indústria da aviação, a popularização dos voos comerciais e a maior diversidade do perfil do viajante, incluindo passageiros idosos, portadores de doenças crônicas ou usuários de medicações. Junta-se aqui o próprio ambiente de cabine, que impõe, por exemplo, o estresse da hipóxia hipobárica, dos disbarismos pela expansão de gases de cavidades corporais, da exposição ao ar frio e seco, a ruídos, a vibrações e a acelerações, da alteração do ciclo circadiano, da fadiga e da imobilidade. Esses fatores afetam pouco ou nada os organismos sadios, mas podem ser danosos em diferentes graus ao passageiro idoso e/ou portador de doenças crônicas. A Situação Exemplo 1 – Uma avaliação clínica ou pré-operatória - Quando o motivo de uma consulta médica é uma avaliação clínica ou pré-operatória, deve-se questionar e considerar vários aspectos durante a anamnese, o exame físico e os exames laboratoriais, para se chegar a melhor decisão clínico-cirúrgica possível, reduzindo ao máximo possíveis eventos adversos, minimizando desfechos não desejados e otimizando a segurança do paciente no voo. Assim, uma pergunta não deve faltar na anamnese - “Existe o plano de uma viagem aérea num futuro próximo?”. Para que esse questionamento, no entanto, produza um impacto positivo na tomada de decisão, é mandatório que o médico assistente detenha conhecimento sobre as condições estressantes do ambiente de cabine de uma aeronave e as condições do passageiro enfermo, objetivando discutir o planejamento de um voo seguro ou até mesmo o cancelamento ou postergação do mesmo.  Exemplo 2 – Médico a bordo? – Incidentes médicos com passageiros em voos comerciais vêm se tornando mais comuns. No entanto, o ambiente de cabine e os recursos médicos disponíveis a bordo de aeronaves são quase sempre de total desconhecimento dos médicos que se tornam voluntários no atendimento a um passageiro durante um voo comercial. Sistemas de auxílio às tripulações a ao médico voluntário incluem o uso da saúde digital e da telemedicina, as quais, nem sempre estão disponíveis para orientação num incidente médico a bordo. Ainda, muitos casos poderiam ter sido evitados, se, durante a avaliação pré-voo por parte do médico clínico, especialista ou cirurgião, fosse incluído na anamnese do paciente questionamentos relativos a planos de viagens de avião. A Solução A InnovaSpace vem adovagar em favor do ensino da Medicina de Aviação e da Fisiologia Aeroespacial na formação de estudantes de faculdades de medicina, através da inserção de uma série de aulas constituindo disciplinas curriculares novas ou integrando disciplinas já existentes no currículo acadêmico. Esta iniciativa é apoiada pelas Sociedade Brasileira de Medicina Aeroespacial (SBMA) e Sociedade Portuguesa de Medicina Aeronáutica (SMAPor)   Author: Karin Brünnemann, PMP®Karin Brünnemann is PMI Slovakia’s first interplanetary project manager. Karin has more than 25 years of experience managing global strategic projects. She helps companies during phases of cultural change and digital transformation. Apart from being a PMP®, Karin is also a certified trainer for intercultural management. She is currently using her project management expertise in her work as a Flight Planner for the Austrian Space Forum’s AMADEE-20 analog Mars mission.  The Hydronaut project is an underwater habitat that started operations in 2020 and is currently the scene for analog space research. Dr. Miroslav Rozloznik, a Flight Planner for the Austrian Space Forum, conducted an underwater analog space mission in 2021 that was fully dedicated to science. The week-long mission, in which three analog astronauts participated, included a two-day underwater stay, and featured an EVA. Scientist-on-Board, Dr. Miroslav Rozloznik from Slovakia, conducted numerous experiments in the areas of physiology, microbiology, medicine, and space psychology. Dr. Rozloznik explained “Conducting underwater analog missions complements Moon or Mars simulations in land-based habitats. While we might not be able to test rovers, drones, or rock sampling procedures, the feeling in the underwater habitat is much more space-like. I felt very detached from Earth, even the support diver appeared like an alien, when he was looking into our porthole, dressed in his diving suit. The underwater habitat also offers the possibility to simulate more complex conditions like long periods of darkness, or variation in temperature and humidity. Furthermore, the ‘psychological safety net’ of being able to open the door and get help in case something happens, is not there. We can leave the habitat but will face several hours of decompression in cold water before we are back in a safe environment.”  A diver during EVA. Image credit: @Hydronautproject Part of the underwater experiments focused on the internal environment of the habitat, gathering data relating to air quality, temperature, humidity, and the microbiology of the habitat. Another area of research was dedicated to the medical and physiological well-being of the divers. Dr. Rozloznik tested novel diagnostic instruments, for example, a remote stethoscope that transmitted real-time heartbeat and breathing rates to a doctor located in the mission control center. Such equipment will be very useful for future space exploration and also has many applications for telemedicine on Earth. The crew also tested various biosensors, allowing for comparison and cross-link between physiological, neurophysiological, and psychological measurements.
The InnovaSpace team welcome this contribution from Prof. Ganapathy and we send huge congratulations to the team at Apollo Telehealth Services on achieving ISO 13131 certification - a great achievement! Prof. Krishnan GanapathyPast President, Telemedicine Society of India & Neurological Society of India | Hon Distinguished Professor The Tamilnadu Dr MGR Medical University | Emeritus Professor, National Academy of Medical Sciences | Formerly Adjunct Professor IIT Madras & Anna University | Director Apollo Telemedicine Networking Foundation &, Apollo Tele Health Services | URL: www.kganapathy.in  December 10th 2021 was indeed a Red letter day for Indian Telehealth. On this day the ISO 13131-2021, certification for Telehealth Services was obtained for the first time anywhere, by Apollo Telehealth Services. This brief note points out the necessity for raising the bar and setting high standards, so that the world will strive to achieve India class. For decades, Telemedicine/Telehealth services were not centre stage in the healthcare delivery system. COVID-19 changed this. The world has now accepted that the forced lockdown- enforced acceptance of Remote Health Care - will become the new normal even after the pandemic is de notified. Universal acceptance increases the responsibility of all health care providers deploying technology, to ensure constant high quality while bridging the urban-rural health divide.  Quality is never an accident. It is always the result of deliberate intention, sincere effort, intelligent direction and skilful execution. Though Henry Ford opined that quality means doing it right when no one is looking, in the real world this is difficult to implement. ISO certification ensures that “Big Brother” is watching all the time. The necessity for re certification is like the Sword of Damocles hanging above us. However, it drives home the message that Quality is everyone’s responsibility at all times and not during the audit alone. One has to keep running to stay where you are. To maintain the initial global recognition, maintaining quality needs to become a habit, a unique opportunity to transform one’s DNA if necessary!! Success is the sum of small efforts, repeated day-in and day-out. Standardising systems, processes, documentation and re documentation alone will ensure providing quality remote healthcare for anyone, anytime anywhere.
International Organization for Standardization (ISO) – An OVERVIEW The, International Standards Organization, TC 215 Health Informatics Committee developed a Technical Specification, ISO/TS 13131 Telehealth services, based on a risk and quality management approach. This standard supports healthcare planning, service and workforce planning, organization responsibilities, financial and IT management. ISO was established in 1947 in Geneva, Switzerland. An Independent, non-governmental international organization it develops standards that are recognized and respected globally. It brings experts together to improve quality and provide world-class healthcare services. Experts are from 166 national standard bodies. ISO standards are developed by various advisory groups. Presently ISO has 255 technical committees, 515 subcommittees, and 2498 working bodies. Since 1947, ISO’s technical experts have created more than 18,800 standards for all possible business. ISO standards ensure that administration and product/workflow systems are carried out legally, safely and effectively. ISO technical experts have developed several assessment protocols to ensure that certified organizations apply these guidelines in their workplace. The approved protocols aid organisations to ensure that their frameworks, devices and workforce are actually in compliance with ISO standards. ISO 13131 provides recommendations on guidelines for Telehealth services deploying Information and Communication Technology (ICT) to deliver quality healthcare services. |
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