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  1. Balasingam, M.
    MyJurnal
    Researchers have in recent years pointed to microgravity as presenting a unique opportunity for better disease prevention and treatments. Spaceflight can induce many changes in human physiological systems. In particular, the cardiovascular system is especially affected by spaceflight due to changes at the cellular level. Endothelial cells are very sensitive to microgravity. Morphological and functional changes in endothelial cells have been extensively studied since they are believed to be the source of many cardiovascular diseases. Studies have also shown that endothelial cells play a key role in angiogenesis, which can be stimulated in a clinostat-induced microgravity environment. This is a review of studies, based on different research approaches, on human umbilical vein endothelial cells. The myriad molecular cascades and signalling pathways involving gene regulation, proteins, inflammatory response activation, alteration of endothelial behaviour, and cell senescence are highlighted. Age-related disorders experienced on earth are very similar to the changes induced in space by microgravity. As we seek solutions to medical problems, the most innovative and beneficial at present are in space medicines and therapies.
  2. Balasingam M
    Int J Clin Pract, 2017 Sep;71(9).
    PMID: 28851081 DOI: 10.1111/ijcp.12989
    This is a medical kitty hawk moment. Drones are pilotless aircrafts that were initially used exclusively by the military but are now also used for various scientific purposes, public safety, and in commercial industries. The healthcare industry in particular can benefit from their technical capabilities and ease of use. Common drone applications in medicine include the provision disaster assessments when other means of access are severely restricted; delivering aid packages, medicines, vaccines, blood and other medical supplies to remote areas; providing safe transport of disease test samples and test kits in areas with high contagion; and potential for providing rapid access to automated external defibrillators for patients in cardiac arrest. Drones are also showing early potential to benefit geriatric medicine by providing mobility assistance to elderly populations using robot-like technology. Looking further to the future, drones with diagnostic imaging capabilities may have a role in assessing health in remote communities using telemedicine technology. The Federal Aviation Administration (FAA) in the United States and the European Aviation Safety Agency (EASA) in the European Union are some examples of legislative bodies with regulatory authority over drone usage. These agencies oversee all technical, safety, security and administrative issues related to drones. It is important that drones continue to meet or exceed the requirements specified in each of these regulatory areas. The FAA is challenged with keeping pace legislatively with the rapid advances in drone technology. This relative lag has been perceived as slowing the proliferation of drone use. Despite these regulatory limitations, drones are showing significant potential for transforming healthcare and medicine in the 21st century.
  3. Balasingam M, Ebrahim J, Ariffin IA
    Indian Heart J, 2017 Mar-Apr;69(2):252-254.
    PMID: 28460775 DOI: 10.1016/j.ihj.2017.01.010
    Telemedicine, ie 'the delivery of healthcare and sharing of medical knowledge using telecommunication systems' has penetrated every field of medicine. As a result, tele-echocardiography, the study of the heart via telemedicine started expanding. Ironically, space became the next frontier for mankind's new innovations and technology pursuit. However, the microgravity environment of space is known to be challenging to astronauts hearts. As such, new tele-echocardiography techniques have evolved. The main aim was to research a system that can be operated by a layperson but still be able to provide high yield diagnostic information in real time to specialists on earth. This spin-off space technology is recognized to have a positive impact, especially in developing countries with vast terrain. It is now utilized in hospitals and other terrestial locations where patients in remote regions can have their hearts analysed and data relayed to specialists in bigger centres for interpretation and further management.
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