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space station freedom

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space station freedom
 

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space station freedom
the next step in our continuing effort

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the next step in our continuing effort
 

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the next step in our continuing effort
to explore beyond earth's boundaries

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to explore beyond earth's boundaries
 

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to explore beyond earth's boundaries
as we establish a permanent presence in

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as we establish a permanent presence in
 

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as we establish a permanent presence in
space

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space
 

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space
new medical challenges will have to be

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new medical challenges will have to be
 

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new medical challenges will have to be
met

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met
 

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met
with longer missions

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with longer missions
 

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with longer missions
larger cruise

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larger cruise
 

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larger cruise
and the complexities of a medical rescue

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and the complexities of a medical rescue
 

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and the complexities of a medical rescue
the health of freedom's international

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the health of freedom's international
 

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the health of freedom's international
crew will be essential for the success

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crew will be essential for the success
 

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crew will be essential for the success
of this program

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the crew health care system

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the crew health care system
 

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the crew health care system
or checks is currently being designed

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or checks is currently being designed
 

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or checks is currently being designed
and developed primarily at nasa's

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and developed primarily at nasa's
 

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and developed primarily at nasa's
johnson space center

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distributed throughout the space station

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distributed throughout the space station
 

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distributed throughout the space station
this system will provide the total

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this system will provide the total
 

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this system will provide the total
spectrum of crew health healthcare with

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spectrum of crew health healthcare with
 

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spectrum of crew health healthcare with
three distinct but interconnected

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three distinct but interconnected
 

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three distinct but interconnected
components

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the exercise countermeasures facility

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the exercise countermeasures facility
 

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the exercise countermeasures facility
the environmental health system

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the environmental health system
 

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the environmental health system
and the health maintenance facility

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following is a description of the health

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following is a description of the health
 

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following is a description of the health
maintenance facility or hmf component

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the hmf will provide necessary in-flight

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the hmf will provide necessary in-flight
 

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the hmf will provide necessary in-flight
medical care including prevention

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medical care including prevention
 

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medical care including prevention
diagnosis

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diagnosis
 

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diagnosis
treatment

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treatment
 

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treatment
and care during transport if the patient

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and care during transport if the patient
 

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and care during transport if the patient
must be evacuated

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must be evacuated
 

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must be evacuated
in building the hmf current off the

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in building the hmf current off the
 

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in building the hmf current off the
shelf equipment will be used as much as

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shelf equipment will be used as much as
 

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shelf equipment will be used as much as
possible

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possible
 

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possible
however existing technology must be

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however existing technology must be
 

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however existing technology must be
adapted in order to operate in

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adapted in order to operate in
 

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adapted in order to operate in
microgravity

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microgravity
 

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microgravity
and conform to space station weight and

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and conform to space station weight and
 

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and conform to space station weight and
size constraints

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the

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the
 

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the
kc-135 provides a testing environment

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kc-135 provides a testing environment
 

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kc-135 provides a testing environment
for equipment and procedures to be used

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for equipment and procedures to be used
 

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for equipment and procedures to be used
in space

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using a parabolic flight path the kc-135

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using a parabolic flight path the kc-135
 

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using a parabolic flight path the kc-135
can simulate weightlessness for a few

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can simulate weightlessness for a few
 

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can simulate weightlessness for a few
valuable seconds

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here a prototype of the patient

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here a prototype of the patient
 

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here a prototype of the patient
restraint system is analyzed

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this piece of equipment must be both

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this piece of equipment must be both
 

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this piece of equipment must be both
flexible and portable

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flexible and portable
 

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flexible and portable
on space station it will be used as a

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on space station it will be used as a
 

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on space station it will be used as a
stretcher

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stretcher
 

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stretcher
a treatment area

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a treatment area
 

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a treatment area
a dental chair

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a dental chair
 

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a dental chair
and an x-ray table

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the health maintenance facility has been

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the health maintenance facility has been
 

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the health maintenance facility has been
divided into flight subsystems as well

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divided into flight subsystems as well
 

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divided into flight subsystems as well
as ground support

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as ground support
 

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as ground support
these subsystems are similar to the

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these subsystems are similar to the
 

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these subsystems are similar to the
medical services found in a large

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medical services found in a large
 

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medical services found in a large
hospital

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for example the hmf will be designed to

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for example the hmf will be designed to
 

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for example the hmf will be designed to
provide emergency medical care for

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provide emergency medical care for
 

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provide emergency medical care for
injuries

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medical life support with patient

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medical life support with patient
 

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medical life support with patient
monitoring capabilities

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respiratory support

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intravenous or iv fluid and nutritional

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intravenous or iv fluid and nutritional
 

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intravenous or iv fluid and nutritional
support

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a variety of physicians instruments

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imaging for diagnostics and therapeutic

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imaging for diagnostics and therapeutic
 

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imaging for diagnostics and therapeutic
procedures

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a clinical laboratory to provide tests

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a clinical laboratory to provide tests
 

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a clinical laboratory to provide tests
and analysis in areas such as

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and analysis in areas such as
 

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and analysis in areas such as
microbiology

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a pharmacy containing necessary

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a pharmacy containing necessary
 

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a pharmacy containing necessary
medications and a computerized inventory

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medications and a computerized inventory
 

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medications and a computerized inventory
control system

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control system
 

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control system
central supply

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and a hyperbaric facility for treatment

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and a hyperbaric facility for treatment
 

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and a hyperbaric facility for treatment
of decompression sickness

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although each of these capabilities will

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although each of these capabilities will
 

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although each of these capabilities will
be needed on space station freedom

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be needed on space station freedom
 

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be needed on space station freedom
it isn't feasible to launch a large

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it isn't feasible to launch a large
 

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it isn't feasible to launch a large
hospital facility into orbit

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hospital facility into orbit
 

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hospital facility into orbit
as a result the entire health

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as a result the entire health
 

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as a result the entire health
maintenance facility must be designed to

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maintenance facility must be designed to
 

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maintenance facility must be designed to
fit into a very limited space

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in a hospital a large staff of highly

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in a hospital a large staff of highly
 

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in a hospital a large staff of highly
trained professionals provides health

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trained professionals provides health
 

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trained professionals provides health
care services

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care services
 

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care services
the space station will not have those

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the space station will not have those
 

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the space station will not have those
resources

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resources
 

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resources
because of limited medical personnel the

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because of limited medical personnel the
 

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because of limited medical personnel the
hmf equipment will be user friendly and

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hmf equipment will be user friendly and
 

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hmf equipment will be user friendly and
easily maintained

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in order to provide maximum flexibility

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in order to provide maximum flexibility
 

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in order to provide maximum flexibility
the hmf will have a modular design

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the hmf will have a modular design
 

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the hmf will have a modular design
each piece of equipment will be

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each piece of equipment will be
 

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each piece of equipment will be
self-contained and will be held in

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self-contained and will be held in
 

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self-contained and will be held in
standard space station equipment racks

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unlike a hospital with its mounds of

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unlike a hospital with its mounds of
 

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unlike a hospital with its mounds of
forms and stacks of paper

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forms and stacks of paper
 

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forms and stacks of paper
the hmf will use freedom's computer

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the hmf will use freedom's computer
 

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the hmf will use freedom's computer
resources to integrate all the

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resources to integrate all the
 

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resources to integrate all the
information from each sub-system

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dr james logan of nasa headquarters

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dr james logan of nasa headquarters
 

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dr james logan of nasa headquarters
explains this innovative approach

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explains this innovative approach
 

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explains this innovative approach
one of the things that we're developing

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one of the things that we're developing
 

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one of the things that we're developing
at johnson space center is a concept

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at johnson space center is a concept
 

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at johnson space center is a concept
known as the medical information bus or

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known as the medical information bus or
 

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known as the medical information bus or
mib

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mib
 

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mib
the mib would enable all the medical

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the mib would enable all the medical
 

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the mib would enable all the medical
devices on the health maintenance

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devices on the health maintenance
 

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devices on the health maintenance
facility to not only interact with each

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facility to not only interact with each
 

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facility to not only interact with each
other but also interact with the hmf

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other but also interact with the hmf
 

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other but also interact with the hmf
computer

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computer
 

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computer
additional things that would be housed

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additional things that would be housed
 

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additional things that would be housed
in the health maintenance facility

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in the health maintenance facility
 

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in the health maintenance facility
computer would be things like diagnostic

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computer would be things like diagnostic
 

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computer would be things like diagnostic
and treatment protocols or inventory

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and treatment protocols or inventory
 

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and treatment protocols or inventory
management for the hmf

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management for the hmf
 

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management for the hmf
if there was an illness on board the

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if there was an illness on board the
 

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if there was an illness on board the
space station after the crew medical

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space station after the crew medical
 

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space station after the crew medical
officer did a diagnostic physical exam

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officer did a diagnostic physical exam
 

255
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officer did a diagnostic physical exam
he would enter the results of that

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he would enter the results of that
 

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he would enter the results of that
physical exam on a keyboard which would

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physical exam on a keyboard which would
 

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physical exam on a keyboard which would
put those results in an electronic

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put those results in an electronic
 

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put those results in an electronic
medical record

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medical record
 

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medical record
however all the laboratory data and the

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however all the laboratory data and the
 

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however all the laboratory data and the
radiographic data and the

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radiographic data and the
 

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radiographic data and the
electrophysiologic data such as an

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electrophysiologic data such as an
 

269
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electrophysiologic data such as an
electrocardiogram would automatically be

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00:06:58,150 --> 00:06:58,160
electrocardiogram would automatically be
 

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00:06:58,160 --> 00:07:00,830
electrocardiogram would automatically be
entered into an electronic medical

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00:07:00,830 --> 00:07:00,840
entered into an electronic medical
 

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00:07:00,840 --> 00:07:03,029
entered into an electronic medical
record this is the mission control

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00:07:03,029 --> 00:07:03,039
record this is the mission control
 

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00:07:03,039 --> 00:07:05,110
record this is the mission control
center in houston texas this is the

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00:07:05,110 --> 00:07:05,120
center in houston texas this is the
 

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00:07:05,120 --> 00:07:07,350
center in houston texas this is the
nerve center for the entire mission the

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00:07:07,350 --> 00:07:07,360
nerve center for the entire mission the
 

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00:07:07,360 --> 00:07:08,710
nerve center for the entire mission the
flight director and all the flight

280
00:07:08,710 --> 00:07:08,720
flight director and all the flight
 

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00:07:08,720 --> 00:07:11,110
flight director and all the flight
controllers stay in this room throughout

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00:07:11,110 --> 00:07:11,120
controllers stay in this room throughout
 

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00:07:11,120 --> 00:07:12,629
controllers stay in this room throughout
the duration of the mission

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00:07:12,629 --> 00:07:12,639
the duration of the mission
 

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00:07:12,639 --> 00:07:14,469
the duration of the mission
this is also where the mission surgeon

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00:07:14,469 --> 00:07:14,479
this is also where the mission surgeon
 

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00:07:14,479 --> 00:07:15,589
this is also where the mission surgeon
sits

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00:07:15,589 --> 00:07:15,599
sits
 

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sits
after the crew medical officer on the

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00:07:17,670 --> 00:07:17,680
after the crew medical officer on the
 

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00:07:17,680 --> 00:07:19,510
after the crew medical officer on the
space station gathers all the medical

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00:07:19,510 --> 00:07:19,520
space station gathers all the medical
 

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00:07:19,520 --> 00:07:21,990
space station gathers all the medical
data and the data is

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00:07:21,990 --> 00:07:22,000
data and the data is
 

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00:07:22,000 --> 00:07:24,469
data and the data is
collated by the medical information bus

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00:07:24,469 --> 00:07:24,479
collated by the medical information bus
 

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00:07:24,479 --> 00:07:26,390
collated by the medical information bus
that information is down linked to the

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00:07:26,390 --> 00:07:26,400
that information is down linked to the
 

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00:07:26,400 --> 00:07:28,870
that information is down linked to the
earth and reconstructed at this console

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00:07:28,870 --> 00:07:28,880
earth and reconstructed at this console
 

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00:07:28,880 --> 00:07:30,790
earth and reconstructed at this console
here in mission control

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here in mission control
 

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00:07:30,800 --> 00:07:32,710
here in mission control
when the information is reconstructed

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00:07:32,710 --> 00:07:32,720
when the information is reconstructed
 

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00:07:32,720 --> 00:07:34,550
when the information is reconstructed
the mission surgeon has to make several

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00:07:34,550 --> 00:07:34,560
the mission surgeon has to make several
 

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the mission surgeon has to make several
key decisions

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00:07:36,070 --> 00:07:36,080
key decisions
 

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00:07:36,080 --> 00:07:37,749
key decisions
the first decision here she would have

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00:07:37,749 --> 00:07:37,759
the first decision here she would have
 

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00:07:37,759 --> 00:07:41,430
the first decision here she would have
to make is whether or not to activate a

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00:07:41,430 --> 00:07:41,440
to make is whether or not to activate a
 

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00:07:41,440 --> 00:07:43,189
to make is whether or not to activate a
group of consultants which would be

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00:07:43,189 --> 00:07:43,199
group of consultants which would be
 

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00:07:43,199 --> 00:07:45,029
group of consultants which would be
other physicians and surgeons located

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00:07:45,029 --> 00:07:45,039
other physicians and surgeons located
 

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00:07:45,039 --> 00:07:46,710
other physicians and surgeons located
all across the country

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00:07:46,710 --> 00:07:46,720
all across the country
 

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00:07:46,720 --> 00:07:48,790
all across the country
to have them actually look at the data

320
00:07:48,790 --> 00:07:48,800
to have them actually look at the data
 

321
00:07:48,800 --> 00:07:51,029
to have them actually look at the data
with him or her

322
00:07:51,029 --> 00:07:51,039
with him or her
 

323
00:07:51,039 --> 00:07:52,950
with him or her
the next decision that the doctor would

324
00:07:52,950 --> 00:07:52,960
the next decision that the doctor would
 

325
00:07:52,960 --> 00:07:54,550
the next decision that the doctor would
have to make is whether or not the

326
00:07:54,550 --> 00:07:54,560
have to make is whether or not the
 

327
00:07:54,560 --> 00:07:56,830
have to make is whether or not the
medical condition can be treated

328
00:07:56,830 --> 00:07:56,840
medical condition can be treated
 

329
00:07:56,840 --> 00:07:59,350
medical condition can be treated
definitively at the hmf onboard the

330
00:07:59,350 --> 00:07:59,360
definitively at the hmf onboard the
 

331
00:07:59,360 --> 00:08:02,469
definitively at the hmf onboard the
space station or whether a rescue needs

332
00:08:02,469 --> 00:08:02,479
space station or whether a rescue needs
 

333
00:08:02,479 --> 00:08:04,629
space station or whether a rescue needs
to be even considered

334
00:08:04,629 --> 00:08:04,639
to be even considered
 

335
00:08:04,639 --> 00:08:06,230
to be even considered
it becomes obvious then when you

336
00:08:06,230 --> 00:08:06,240
it becomes obvious then when you
 

337
00:08:06,240 --> 00:08:08,309
it becomes obvious then when you
consider the mission and the cost of

338
00:08:08,309 --> 00:08:08,319
consider the mission and the cost of
 

339
00:08:08,319 --> 00:08:10,710
consider the mission and the cost of
medical rescue that one of the prime

340
00:08:10,710 --> 00:08:10,720
medical rescue that one of the prime
 

341
00:08:10,720 --> 00:08:12,390
medical rescue that one of the prime
goals of having a health maintenance

342
00:08:12,390 --> 00:08:12,400
goals of having a health maintenance
 

343
00:08:12,400 --> 00:08:14,869
goals of having a health maintenance
facility on board the space station is

344
00:08:14,869 --> 00:08:14,879
facility on board the space station is
 

345
00:08:14,879 --> 00:08:17,589
facility on board the space station is
to be able to treat as many medical

346
00:08:17,589 --> 00:08:17,599
to be able to treat as many medical
 

347
00:08:17,599 --> 00:08:20,790
to be able to treat as many medical
conditions as possible in flight without

348
00:08:20,790 --> 00:08:20,800
conditions as possible in flight without
 

349
00:08:20,800 --> 00:08:26,070
conditions as possible in flight without
having a rescue

350
00:08:26,070 --> 00:08:26,080

 

351
00:08:26,080 --> 00:08:28,230

on previous space flights there was

352
00:08:28,230 --> 00:08:28,240
on previous space flights there was
 

353
00:08:28,240 --> 00:08:31,430
on previous space flights there was
nothing comparable to the hmf

354
00:08:31,430 --> 00:08:31,440
nothing comparable to the hmf
 

355
00:08:31,440 --> 00:08:33,430
nothing comparable to the hmf
during those missions the need for

356
00:08:33,430 --> 00:08:33,440
during those missions the need for
 

357
00:08:33,440 --> 00:08:35,589
during those missions the need for
in-flight health care was not as great

358
00:08:35,589 --> 00:08:35,599
in-flight health care was not as great
 

359
00:08:35,599 --> 00:08:41,430
in-flight health care was not as great
as it will be on space station freedom

360
00:08:41,430 --> 00:08:41,440

 

361
00:08:41,440 --> 00:08:44,389

as part of the crew healthcare system

362
00:08:44,389 --> 00:08:44,399
as part of the crew healthcare system
 

363
00:08:44,399 --> 00:08:46,310
as part of the crew healthcare system
the health maintenance facility will

364
00:08:46,310 --> 00:08:46,320
the health maintenance facility will
 

365
00:08:46,320 --> 00:08:49,110
the health maintenance facility will
provide a necessary tool in maintaining

366
00:08:49,110 --> 00:08:49,120
provide a necessary tool in maintaining
 

367
00:08:49,120 --> 00:08:52,150
provide a necessary tool in maintaining
the crew's health as we begin to live

368
00:08:52,150 --> 00:08:52,160
the crew's health as we begin to live
 

369
00:08:52,160 --> 00:08:54,949
the crew's health as we begin to live
and work in space for longer

370
00:08:54,949 --> 00:08:54,959
and work in space for longer
 

371
00:08:54,959 --> 00:08:59,480
and work in space for longer
and longer periods of time