Journal of the Australasian Society of Aerospace Medicine最新文献

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SIMULATOR SICKNESS IN AIRFOX® DISORIENTATION SIMULATOR airfox®定向障碍模拟器中的模拟器病
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-12-01 DOI: 10.21307/asam-2018-005
Piush Renjhen
{"title":"SIMULATOR SICKNESS IN AIRFOX® DISORIENTATION SIMULATOR","authors":"Piush Renjhen","doi":"10.21307/asam-2018-005","DOIUrl":"https://doi.org/10.21307/asam-2018-005","url":null,"abstract":"ABSTRACT Use of flight simulators has consistently increased over the years, a phenomenon known as simulator sickness upon simulator exposure (SE) has been of concern in aircrew. This Simulator Sickness (SS) has been largely considered to be a persistent limiting factor in continuing flying training. It is classically characterized by nausea, dizziness, postural instability, fatigue and general malaise. On cessation of SE, few symptoms may persist up to several hours and these may have an adverse impact on post-simulator training activities. AirFox® DISO, is widely used in Indian Air Force (IAF) to train aircrew on spatial disorientation. The paper presents a study carried out in IAF on the aircrew reporting to IAM, IAF Bangalore for training. The results are presented based on the Simulator Sickness Questionnaire (SSQ) administered to the aircrew.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125123024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
WHITE MATTER HYPERINTENSITIES IN ASTRONAUTS: POSSIBLE IMPLICATIONS FOR FUTURE SPACE OPERATIONS 宇航员体内的白质高强度:对未来太空行动的可能影响
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-12-01 DOI: 10.21307/asam-2018-001
Toby Zerner, G. Cable
{"title":"WHITE MATTER HYPERINTENSITIES IN ASTRONAUTS: POSSIBLE IMPLICATIONS FOR FUTURE SPACE OPERATIONS","authors":"Toby Zerner, G. Cable","doi":"10.21307/asam-2018-001","DOIUrl":"https://doi.org/10.21307/asam-2018-001","url":null,"abstract":"INTRODUCTION White matter hyperintensities (WMH) are lesions in the brain that show up as areas of increased brightness when visualised by T2-weighted or fluidattenuated inversion recovery (FLAIR) magnetic resonance imaging (MRI). WMH commonly form in normal aging, increasing in prevalence from 11-21 percent at 64 years of age to 94 percent at 82 years of age.1,2 They are more common in those with small vessel disease and cardiovascular risk factors, and they display heritability of up to 76 percent.3","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128874191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PREDIABETES AND THE NEED FOR CARDIOVASCULAR RISK ASSESSMENT IN AVIATION 航空中前驱糖尿病与心血管风险评估的必要性
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-12-01 DOI: 10.21307/asam-2018-007
Sanjiv Sharma, Michael Drane
{"title":"PREDIABETES AND THE NEED FOR CARDIOVASCULAR RISK ASSESSMENT IN AVIATION","authors":"Sanjiv Sharma, Michael Drane","doi":"10.21307/asam-2018-007","DOIUrl":"https://doi.org/10.21307/asam-2018-007","url":null,"abstract":"ABSTRACT Obesity, the disease of the twenty-first century, has a range of serious consequences to health. These are related in part to abnormal glucose levels, resulting in inflammatory and atherogenic response, hypertension and abnormal lipid profile. This increases the risk of cardiovascular disease significantly besides developing diabetes later. Hyperglycaemia is diagnosed with impaired fasting glucose and/or impaired glucose tolerance or elevated glycated haemoglobin (HbA1c). The Royal Australian College of General Practitioners (RACGP) guidelines for diagnosis using oral glucose tolerance test (or HbA1c) recognise the importance of extending diagnosis beyond simply identifying diabetes. This is relevant in view of the risk of composite cardiovascular events, coronary heart disease, stroke, and all-cause mortality associated with abnormal blood glucose. Since the pilot population mirrors this morbidity, the aviation regulator has an obligation to consider the impact in terms of aviation safety. Furthermore, although primary care literature predominantly focusses on the importance of diagnosing diabetes, from a regulator’s perspective there are incapacitation risks originating outside that narrow diagnosis. They arise once the control of glucose has begun to deteriorate. This article considers the regulatory importance of pilots and controllers who present with hyperglycaemia, or what is sometimes termed “prediabetes”. This includes the evidence for the risk assessment to help minimise the likelihood of an adverse event due to atherosclerotic cardiovascular disease among those holding aviation medical certificates, in turn promoting aviation safety.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130853669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE MIND CRAFT PROJECT – HEALTHY MINDS, HEALTHY PILOTS: A LITERATURE REVIEW ON MINDFULNESS MEDITATION PROGRAMS FOR COMMERCIAL AIRLINES PILOTS 心灵工艺项目——健康的心灵,健康的飞行员:关于商业航空公司飞行员正念冥想项目的文献综述
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-12-01 DOI: 10.21307/asam-2018-004
Anita Vandyke
{"title":"THE MIND CRAFT PROJECT – HEALTHY MINDS, HEALTHY PILOTS: A LITERATURE REVIEW ON MINDFULNESS MEDITATION PROGRAMS FOR COMMERCIAL AIRLINES PILOTS","authors":"Anita Vandyke","doi":"10.21307/asam-2018-004","DOIUrl":"https://doi.org/10.21307/asam-2018-004","url":null,"abstract":"ABSTRACT Following the 2015 Germanwings crash, aviation agencies around the world have drawn up new policies relating to management and monitoring of the mental health of pilots. The Mind Craft Project is a literature review that provides an overview of current practices in mindfulness meditation programs in the aviation industry and propose new mind-body programs for pilots for implementation. Mental health is an important issue for the aviation industry as it directly impacts on the wellbeing of pilots. Moreover, a pilot’s mental health can directly affect the safety of passengers and needs to be treated as a public safety issue. This literature review has demonstrated that the implementation of a mindfulness training program could be a feasible and acceptable method for implementation in a commercial aviation environment to help ease stress, increase concentration and assist in mental health risk management. A few potential limitations to mindfulness interventions were uncovered such as the effectiveness of mindfulness for suicidal tendencies, and cultural behaviors in regards to mental health issues in the aviation industry. However, further research needed as there has been little research conducted on mind-body programs for commercial airline pilots. Recommendations were provided for a follow-up long term study.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121479214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PLEOMORPHIC SARCOMA IN A PILOT 飞行员多形性肉瘤
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-12-01 DOI: 10.21307/asam-2018-002
K. Franke
{"title":"PLEOMORPHIC SARCOMA IN A PILOT","authors":"K. Franke","doi":"10.21307/asam-2018-002","DOIUrl":"https://doi.org/10.21307/asam-2018-002","url":null,"abstract":"ABSTRACT Sarcomas are rare malignant soft tissue tumours. This case report outlines a 45 year old pilot, presenting with a non-tender mass in his left medial thigh, subsequently diagnosed with a pleomorphic sarcoma. His management consisted of radiotherapy and surgical removal. Grading was considered FNCLCC grade 3 and there were no metastases. Surgery was followed by a structured rehabilitation program. The paper discusses aeromedical considerations for return to flying duties, regarding the natural history of the condition and recurrence risk as well as the operational mitigations to flight incapacitation risk.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120958955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SEDATION IN MEDICAL RETRIEVAL – CHALLENGES AND FUTURE PRACTICE 镇静在医疗检索-挑战和未来的实践
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-12-01 DOI: 10.21307/asam-2018-003
M. Stewart
{"title":"SEDATION IN MEDICAL RETRIEVAL – CHALLENGES AND FUTURE PRACTICE","authors":"M. Stewart","doi":"10.21307/asam-2018-003","DOIUrl":"https://doi.org/10.21307/asam-2018-003","url":null,"abstract":"ABSTRACT Anaesthetic Awareness is the recall of events that occur during sedation and is a serious complication thought to occur in 0.1 to 0.2 % of the general surgical population. Sedation is an important tool used in medical retrieval, however its use in the aerospace environment is unique in its challenges for clinicians. Many of the patients carry risk factors for anaesthetic awareness and the mode of anaesthesia appropriate for the aerospace environment, total intravenous anaesthesia, also carries a higher risk compared to other methods. In addition the aerospace environment has other challenges not specific to sedation including noise distractions and the physiological effects of high altitude on patients which can impact on the ability to provide adequate sedation. Given all this, patients receiving sedation during medical retrieval would seem to be at a higher risk of anaesthetic awareness than many of their counterparts on the ground. For many high risk patients in hospitals technology such as brain monitoring has been shown to be effective in reducing awareness. Therefore as patients in the air are as likely, if not more likely to be at risk of awareness the use of this aid in medical retrieval is raised for consideration. However this technology will only ever be an adjunct to clinical expertise and an overall understanding of the flight environment and its challenges will allow for best patient care possible and the reduction of awareness during sedation.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123923689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SUDDEN VISUAL DISTURBANCE IN AN AIRCREWMAN – INVESTIGATION AND DIFFERENTIAL DIAGNOSIS 空勤人员突发性视觉障碍的调查与鉴别诊断
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-06-01 DOI: 10.21307/asam-2015-005
Wolfgang Seckler
{"title":"SUDDEN VISUAL DISTURBANCE IN AN AIRCREWMAN – INVESTIGATION AND DIFFERENTIAL DIAGNOSIS","authors":"Wolfgang Seckler","doi":"10.21307/asam-2015-005","DOIUrl":"https://doi.org/10.21307/asam-2015-005","url":null,"abstract":"Abstract This case report is about an Australian Army aircrewman who developed a sudden incapacitating visual disturbance. The case study explores the investigation pathway, differential diagnoses and the aeromedical implications. Although not all cases of visual disturbance have an underlying ophthalmological or neurological cause, and in fact might be quite benign, there is a possibility of a serious pathology of vascular or ischaemic aetiology affecting fitness to fly and recertification. History, signs, symptoms and investigation results are discussed in the context of the aeromedical handling of the case, and eventual return to flying duties after a restriction period. Unusual facets and possible contributors in this case study are the exposure to noxious fumes and vaporised nicotine (e-cigarettes). The implications of the latter are still unexplored in the aviation environment.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131867616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ESSENTIAL TRAVEL MEDICINE. ZUCKERMAN J, BRUNETTE G, LEGGAT P 旅行必备药品。朱克曼,黑发,长腿
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-06-01 DOI: 10.21307/asam-2015-009
Ian Cheng
{"title":"ESSENTIAL TRAVEL MEDICINE. ZUCKERMAN J, BRUNETTE G, LEGGAT P","authors":"Ian Cheng","doi":"10.21307/asam-2015-009","DOIUrl":"https://doi.org/10.21307/asam-2015-009","url":null,"abstract":"","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115892862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CRYPTOGENIC STROKE IN AN AIRLINE TRANSPORT PILOT 航空运输飞行员的隐蔽性中风
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-06-01 DOI: 10.21307/asam-2015-004
S. May
{"title":"CRYPTOGENIC STROKE IN AN AIRLINE TRANSPORT PILOT","authors":"S. May","doi":"10.21307/asam-2015-004","DOIUrl":"https://doi.org/10.21307/asam-2015-004","url":null,"abstract":"Abstract This case presentation discusses an airline captain who suffered a cerebrovascular event. Despite extensive investigation, no underlying cause or contributing factors could be identified. He went on to make a full recovery from his stroke, and after two years applied for renewal of his medical certificate. This presentation discusses the aeromedical certification process, including the restrictions and health surveillance measures put in place once he was recertified.","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"740 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116994329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HIGH G FLIGHT: PHYSIOLOGICAL EFFECTS AND COUNTER-MEASURES. DAVID G NEWMAN. 高空飞行:生理效应及对策。。大卫·纽曼。
Journal of the Australasian Society of Aerospace Medicine Pub Date : 2018-06-01 DOI: 10.21307/asam-2015-011
Adrian M Smith
{"title":"HIGH G FLIGHT: PHYSIOLOGICAL EFFECTS AND COUNTER-MEASURES. DAVID G NEWMAN.","authors":"Adrian M Smith","doi":"10.21307/asam-2015-011","DOIUrl":"https://doi.org/10.21307/asam-2015-011","url":null,"abstract":"","PeriodicalId":417349,"journal":{"name":"Journal of the Australasian Society of Aerospace Medicine","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116095528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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