میحرلا نمحرلا الله مسب
Ali Yoonessi, MD, PhD
School of Advanced Medical Technologies
Tehran University of Medical Sciences

 A 68 year old man suffering from parkinson’s disease falls while walking in the park.
 An accelerometer embedded in his stick senses a fall and sends a help signal
 A global network alerts the nearby people of an emergency situation

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Telehealth Practice Recommendations for Diabetic
Retinopathy, M Winchester, American Telemedicine … -
Telemedicine and e- …, 2011
Stroke telemedicine, BM Demaerschalk, ML Miley… -
Mayo Clinic …, 2009
Evaluating telemedicine in the ICU, EJ Yoo… - JAMA: the journal of the American Medical …, 2009
Managing heart failure care using an internet-based telemedicine system, A Kashem, MT Droogan, WP
Santamore… - Journal of Cardiac …, 2008
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Combining technologies to achieve a better health situation
 EHR
 Biosensors
 Space Technology

First Piece of Information
An electronic health record (EHR)
 an evolving concept defined as a systematic collection of electronic health information about individual patients or populations.
 It is a record in digital format that is capable of being shared across different health care settings, by being embedded in network-connected enterprise-wide information systems.

 Demographics
 Medical history
 Medications
 Allergies
 immunization status
 Laboratory test results
 Radiology images
 Vital signs
 Personal stats like age and weight
 Billing information.

Second Piece of Information
Biosensors
 A biosensor is an analytical device for the detection of an analyte that combines a biological component with a physicochemical detector component.
 Photometric
 Electrochemical
 Piezoelectric
 Thermometric
 Magnetic

 A wrist mounted remote sensor pulse oximeter with plethysmogram.

 Optical
 Electrical
 Sound

Third Piece of Information
But….What about the role of space technology?
 The Global Positioning System
(GPS) is a space-based global navigation satellite system (GNSS) that provides location and time information in all weather, anywhere on or near the Earth, where there is an unobstructed line of sight to four or more GPS satellites. It is maintained by the
United States government and is freely accessible by anyone with a
GPS receiver.
The Russian GLObal NAvigation Satellite
System (GLONASS) , European Union
Galileo positioning system, Chinese
Compass navigation system, and Indian
Regional Navigational Satellite System

• Ground Data Storage and Processing Center integrated with a GPS-like network
Data
Device
• A cell phone (-like) device that can connect to several types of biosensors
Sensors
• Spatial location
• Pulse oximeter, ECG, EEG, heart rate, accelerometer, thermometer, glucometer, Heart and lung sounds, camera

 Portable wireless ECG monitor
 Wearable blood pressure monitor
 Portable Spirometer

Current Situation
Electronic Health Record
 Electronic Health Record has been tried in several countries, but none of them has achieved a national system of EHR.
 Iran is in the process of embedding an EHR system, particularly in the insurance industry (1392)

Current Situation
Biosensors
 Biosensors are widely available, are cheap and many more types are in the development phase
 New models may also include nanosensors, sensors based on protein and other biological materials, and non-invasive chemical sensors
 Iran is heavily investing in nanosciences, neuroscience, and other new medical technologies

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Current Situation
Space Technology
Iran is in a rapidly progressive phase
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Omid (hope): The launch of Omid made Iran the ninth country to develop an indigenous satellite launch capability.
Sinah-1
Omid
Rasad-1
Mesbah
Mesbah-2
Navid-Elmo-Sannat
Environment 1 ,
Qaem
Pars Sepehr
Pars-2
Zohreh
Fajr ,
Zafar-1
AUT-SAT
Besharat

 Heart section receives an automatic text message from processing center that a suspicious activity in the ECG of patient X is detected, which is different from his past-year average ECG. On-call doctor looks at the data from his BP,
ECG and Oximeter and decides that it is fine.
 Thermometer from patient Y detects a higher-than-normal temperature from around the surgery site of the last week.
Doctor calls the patient and asks him to take a picture and decides that it is in the initial stage of infection and needs immediate antibiotic.

 Diabetes
 Heart Failures
 Stroke
 Other neurological conditions such as MS, parkinson, and alzheimer
 High blood pressure
 Cancer
 Addictions (senses craving and alerts the patient to evacuate from that environment)

 Space Technology
 Microelectronics Technology
 Data gathering and automatic information processing

 Professor Reza Malekzadeh, Head of DDRI
 Tehran University of Medical Sciences
 Iranian Space Agency
 United Nation
 National Research Institute of Tuberculosis and Lung
Disease