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Research

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

editorial

Managing the 1.3-Second Delay: Telemedicine Protocol Optimization for Lunar Clinical Consultations: Emerging Concepts

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 · May 2024 · Lunar Telemedicine
editorial

Managing the 1.3-Second Delay: Telemedicine Protocol Optimization for Lunar Clinical Consultations: Emerging Concepts

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 · May 2024 · Lunar Telemedicine
editorial

Circadian Disruption in the 354-Hour Lunar Day: Sleep Architecture and Melatonin Dynamics: Emerging Concepts

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 · May 2024 · Lunar Sleep Medicine
editorial

Bionanotechnology in Hostile Environments: Speculative Applications for Lunar Medicine in 2050: Emerging Concepts

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

Dr. P. Kowalski · May 2024 · Lunar Medicine: Future Directions
editorial

Multi-Generational Physiological Adaptation in Lunar-Born Residents: Preliminary Data from the First Cohort: Emerging Concepts

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 · May 2024 · Journal of Lunar Medicine
editorial

EVA Suit Dermatitis: Clinical Characterization and Mitigation Strategies in 89 Cases: Emerging Concepts

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 · May 2024 · Lunar Dermatology
editorial

Vitamin D Deficiency in Lunar Residents: Paradox, Mechanism, and Supplementation Protocol: Emerging Concepts

Follow-up investigation building on prior work. Vitamin D deficiency is paradoxically prevalent in lunar residents despite the surface receiving unfil...

Dr. R. Novak · May 2024 · Lunar Nutrition and Metabolism
editorial

Antibiotic Stewardship in Closed Habitat Medicine: Preventing Resistance in a 50-Person Ecosystem: Emerging Concepts

Follow-up investigation building on prior work. Antibiotic resistance emergence in a closed habitat poses existential risk to the community. With a fi...

Dr. P. Kowalski · May 2024 · Lunar Infectious Disease
editorial

Vision Changes in Lunar Residents: A Prospective Registry of 214 Cases: Emerging Concepts

Follow-up investigation building on prior work. Vision changes affect approximately 40% of lunar residents at 12 months, with hyperopic shift being mo...

Dr. R. Novak · May 2024 · Lunar Ophthalmology Reports
editorial

Vision Changes in Lunar Residents: A Prospective Registry of 214 Cases: Emerging Concepts

Follow-up investigation building on prior work. Vision changes affect approximately 40% of lunar residents at 12 months, with hyperopic shift being mo...

Dr. R. Novak · May 2024 · Lunar Ophthalmology Reports
editorial

Fracture Mechanics in Low-Gravity: Biomechanical Analysis of 127 Lunar Mining Injuries: Emerging Concepts

Follow-up investigation building on prior work. Fracture patterns in lunar mining injuries differ systematically from Earth equivalents. Lower fall en...

Dr. P. Kowalski · May 2024 · Lunar Occupational Health
editorial

Room 42 Protocol: Psychosocial Support Framework for Serious Medical Diagnosis in Lunar Residents: Emerging Concepts

Follow-up investigation building on prior work. Receiving a serious medical diagnosis — cancer, progressive SANS, significant bone loss — in a lunar h...

Dr. R. Novak · May 2024 · Lunar Medical Ethics
editorial

Predictive Epidemiology in Closed Habitats: Mathematical Modeling of Respiratory Outbreak Propagation: Emerging Concepts

Follow-up investigation building on prior work. We present mathematical models for respiratory pathogen spread in closed lunar habitats, demonstrating...

Dr. P. Kowalski · May 2024 · Lunar Public Health Journal
editorial

Earth-Sickness Syndrome: Clinical Characterization and Treatment Outcomes in 200 Lunar Residents: Emerging Concepts

Follow-up investigation building on prior work. Terra Siderans — Earth-sickness syndrome — has emerged as the most prevalent mental health condition i...

Dr. R. Novak · May 2024 · Lunar Psychiatry and Behavioral Health
editorial

Mostly Harmless: Benign Conditions Systematically Overdiagnosed in Anxious Lunar Residents: Emerging Concepts

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

Dr. P. Kowalski · May 2024 · Lunar Medical Education
editorial

Evacuation Decision Criteria for Lunar Medical Emergencies: A Delphi Consensus from 47 Medical Officers: Emerging Concepts

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. R. Novak · May 2024 · Lunar Emergency Medicine
editorial

Regolith Chemical Toxicity: Silicate Reactivity and Oxidative Stress Mechanisms in EVA Workers: Emerging Concepts

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

Dr. P. Kowalski · May 2024 · Lunar Toxicology
editorial

Regolith Chemical Toxicity: Silicate Reactivity and Oxidative Stress Mechanisms in EVA Workers: Emerging Concepts

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

Dr. P. Kowalski · May 2024 · Lunar Toxicology
editorial

The Harsh Mistress Wing: Cooperative Healthcare Governance Models for Self-Sustaining Lunar Communities: Emerging Concepts

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

Dr. R. Novak · May 2024 · Lunar Health Policy
editorial

Haemostasis in Lunar Emergency Medicine: Blood Product Shelf Life and Trauma Protocol Adaptations: Emerging Concepts

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

Dr. P. Kowalski · May 2024 · Lunar Emergency Medicine