Conditions Medications Procedures Anatomy Research

Research

Clinical case studies, equipment reviews, policy papers, and journal articles from the Lunar Medical Research Cooperative.

clinical trial

Mostly Harmless: Benign Conditions Systematically Overdiagnosed in Anxious Lunar Residents: Long-Term Follow-Up

Follow-up investigation building on prior work. In a medical environment characterized by heightened awareness and limited diagnostic capability, beni...

Dr. R. Novak · Jan 2026 · Lunar Medical Education
clinical trial

Evacuation Decision Criteria for Lunar Medical Emergencies: A Delphi Consensus from 47 Medical Officers: Long-Term Follow-Up

Follow-up investigation building on prior work. Medical evacuation from the Moon requires 3–5 days minimum and carries its own significant risk. The d...

Dr. P. Kowalski · Jan 2026 · Lunar Emergency Medicine
clinical trial

Regolith Chemical Toxicity: Silicate Reactivity and Oxidative Stress Mechanisms in EVA Workers: Long-Term Follow-Up

Follow-up investigation building on prior work. Lunar regolith is chemically reactive in ways that distinguish it from terrestrial silicates. Unweathe...

Dr. R. Novak · Jan 2026 · Lunar Toxicology
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The Harsh Mistress Wing: Cooperative Healthcare Governance Models for Self-Sustaining Lunar Communities: Long-Term Follow-Up

Follow-up investigation building on prior work. As lunar settlements mature from corporate outposts to self-governing communities, healthcare governan...

Dr. P. Kowalski · Jan 2026 · Lunar Health Policy
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Haemostasis in Lunar Emergency Medicine: Blood Product Shelf Life and Trauma Protocol Adaptations: Long-Term Follow-Up

Follow-up investigation building on prior work. Trauma management in lunar habitats is constrained by blood product shelf life and resupply intervals....

Dr. R. Novak · Jan 2026 · Lunar Emergency Medicine
clinical trial

CO₂ Accumulation in Sleeping Quarters: A Silent Cognitive Hazard in Lunar Habitats: Long-Term Follow-Up

Follow-up investigation building on prior work. CO₂ accumulation in closed sleeping quarters creates measurable cognitive impairment at levels that fa...

Dr. P. Kowalski · Jan 2026 · Lunar Environmental Medicine
clinical trial

CO₂ Accumulation in Sleeping Quarters: A Silent Cognitive Hazard in Lunar Habitats: Long-Term Follow-Up

Follow-up investigation building on prior work. CO₂ accumulation in closed sleeping quarters creates measurable cognitive impairment at levels that fa...

Dr. P. Kowalski · Jan 2026 · Lunar Environmental Medicine
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Grokking Pain: Mindfulness-Based Pain Management in Long-Duration Lunar Residents: Long-Term Follow-Up

Follow-up investigation building on prior work. Chronic musculoskeletal pain is the leading cause of prescription opioid use in lunar residents. Opioi...

Dr. R. Novak · Jan 2026 · Lunar Behavioral Medicine
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The Golden Apples of the Sun: Radiation Dose Aesthetics and the Psychology of Dosimetry in Lunar Workers: Long-Term Follow-Up

Follow-up investigation building on prior work. Radiation exposure is ubiquitous in the lunar environment, yet residents consistently underestimate th...

Dr. P. Kowalski · Jan 2026 · Lunar Radiation Medicine
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Space-Associated Neuro-Ocular Syndrome in Lunar Residents: Intracranial Pressure Dynamics in 1/6g: Long-Term Follow-Up

Follow-up investigation building on prior work. SANS presents in lunar residents at rates lower than microgravity but higher than Earth controls. The...

Dr. R. Novak · Jan 2026 · Lunar Neurology
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Cardiac Output Adaptation in Long-Duration Lunar Residents: Echocardiographic Findings at 6, 12, and 24 Months: Long-Term Follow-Up

Follow-up investigation building on prior work. Serial echocardiography in 83 lunar residents demonstrates progressive left ventricular mass reduction...

Dr. P. Kowalski · Jan 2026 · Lunar Cardiology
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Improvised Medical Protocol Development for Multi-Day EVA Operations: The Botanical First Aid Framework: Long-Term Follow-Up

Follow-up investigation building on prior work. Extended EVA operations in remote lunar surface areas may require managing medical emergencies without...

Dr. R. Novak · Jan 2026 · Lunar Emergency Medicine
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Regolith Dust Inhalation: Early Respiratory Outcomes in 350 EVA Workers: Long-Term Follow-Up

Follow-up investigation building on prior work. Lunar regolith presents a unique respiratory hazard combining the physical risks of ultrafine particle...

Dr. P. Kowalski · Jan 2026 · Lunar Occupational Health
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Longitudinal Study of Bone Mineral Density in Lunar Residents: A 24-Month Follow-Up: Long-Term Follow-Up

Follow-up investigation building on prior work. We present longitudinal DXA data from 47 lunar residents over 24 months, comparing bone mineral densit...

Dr. R. Novak · Jan 2026 · Journal of Lunar Medicine
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Longitudinal Study of Bone Mineral Density in Lunar Residents: A 24-Month Follow-Up: Long-Term Follow-Up

Follow-up investigation building on prior work. We present longitudinal DXA data from 47 lunar residents over 24 months, comparing bone mineral densit...

Dr. R. Novak · Jan 2026 · Journal of Lunar Medicine
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Managing the 1.3-Second Delay: Telemedicine Protocol Optimization for Lunar Clinical Consultations: Long-Term Follow-Up

Follow-up investigation building on prior work. Earth-Moon telemedicine consultations are complicated by a 2.6-second round-trip communication delay,...

Dr. P. Kowalski · Jan 2026 · Lunar Telemedicine
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Circadian Disruption in the 354-Hour Lunar Day: Sleep Architecture and Melatonin Dynamics: Long-Term Follow-Up

Follow-up investigation building on prior work. The lunar day (29.5 Earth days) imposes a light-dark cycle incompatible with human circadian biology....

Dr. R. Novak · Jan 2026 · Lunar Sleep Medicine
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Bionanotechnology in Hostile Environments: Speculative Applications for Lunar Medicine in 2050: Long-Term Follow-Up

Follow-up investigation building on prior work. Bionanotechnology — programmable molecular machines operating at the cellular level — represents the m...

Dr. P. Kowalski · Jan 2026 · Lunar Medicine: Future Directions
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Multi-Generational Physiological Adaptation in Lunar-Born Residents: Preliminary Data from the First Cohort: Long-Term Follow-Up

Follow-up investigation building on prior work. The first cohort of individuals born and raised in lunar partial gravity is approaching adulthood. Ear...

Dr. R. Novak · Jan 2026 · Journal of Lunar Medicine
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EVA Suit Dermatitis: Clinical Characterization and Mitigation Strategies in 89 Cases: Long-Term Follow-Up

Follow-up investigation building on prior work. Prolonged contact with EVA suit materials causes a spectrum of dermatological conditions in frequent E...

Dr. P. Kowalski · Jan 2026 · Lunar Dermatology