Aerospace medicine and human performance最新文献_第2页

August Executive Committee Meeting. 八月执行委员会会议。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-10-01 DOI: 10.3357/AMHP.PP9610.2025

Warren Silberman

引用次数: 0

Prevalence and Risk Factors of Metabolic-Associated Fatty Liver Disease in the Korean Air Force. 韩国空军代谢性脂肪肝患病率及危险因素

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-10-01 DOI: 10.3357/AMHP.6646.2025

Du Hyun Song, Boncho Ku

{"title":"Prevalence and Risk Factors of Metabolic-Associated Fatty Liver Disease in the Korean Air Force.","authors":"Du Hyun Song, Boncho Ku","doi":"10.3357/AMHP.6646.2025","DOIUrl":"https://doi.org/10.3357/AMHP.6646.2025","url":null,"abstract":"Introduction: This study investigated the prevalence and risk factors of metabolic-associated fatty liver disease (MAFLD) in the Korean Air Force population (2020-2022), comparing nonpilot and pilot groups.Methods: Participants over 40 yr were classified into MAFLD or non-MAFLD groups. MAFLD was defined as hepatic steatosis on ultrasonography plus one of the following: overweight/obesity, type II diabetes, or metabolic deregulations. Variables analyzed included body mass index (BMI), alanine aminotransferase (ALT), uric acid, fasting plasma glucose, lipid profile, triglycerides, albumin, and exercise habits.Results: Among 1044 participants (667 pilots, 377 nonpilots), MAFLD prevalence was 30.3%, significantly lower in pilots (27.7%) than in nonpilots (34.7%). For nonpilots, BMI [odds ratio (OR) = 3.41], diabetes (OR = 8.32), and ALT (OR = 1.91) were significant factors, although the small sample size limited broader conclusions. Among pilots, BMI (OR = 3.77), uric acid (OR = 1.83), ALT (OR = 1.98), triglycerides (OR = 1.50), and dyslipidemia (OR = 7.97) were strongly associated with MAFLD. Uric acid levels had a greater association with MAFLD in pilots compared to nonpilots.Discussion: This study highlights the distinct prevalence and risk factors of MAFLD in pilots vs. nonpilots. Uric acid, in particular, emerged as a significant risk factor for pilots, suggesting its potential use for targeted risk assessment in this group. The findings underscore the importance of tailored preventive strategies for MAFLD in occupational groups. Song DH, Ku B. Prevalence and risk factors of metabolic-associated fatty liver disease in the Korean Air Force. Aerosp Med Hum Perform. 2025; 96(10):894-902.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 10","pages":"894-902"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Reporting Behavior of Military, Commercial, and General Aviation Pilots. 军事、商业和通用航空飞行员的医疗报告行为。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-10-01 DOI: 10.3357/AMHP.6621.2025

Panagiotis Kioulepoglou, Ilias Makris

{"title":"Medical Reporting Behavior of Military, Commercial, and General Aviation Pilots.","authors":"Panagiotis Kioulepoglou, Ilias Makris","doi":"10.3357/AMHP.6621.2025","DOIUrl":"https://doi.org/10.3357/AMHP.6621.2025","url":null,"abstract":"Introduction: Pilots are undoubtedly among employees who undergo rigorous medical evaluations to ensure they are fit to fly. However, accidents like the Germanwings Flight 9525 highlight that medically unfit individuals can still end up in the cockpit.Methods: This study sought to investigate Greek pilots' attitudes toward medical reporting, given that the available national research is very limited. Semistructured interviews were conducted and analyzed through Thematic Analysis with subjects (N = 18) from general, military, and commercial aviation in Greece during the first quarter of 2024. Cross-sectoral differences were identified through Content Analysis.Results: The primary barrier to medical reporting, identified by 16 out of 18 subjects (88% of the sample), was the fear of losing their pilot license, which would have major consequences for their income and way of life. Additionally, concerns about the perceived damage to professional identity and a deep passion for flying contributed to their reluctance to disclose medical issues. A general tendency to conceal medical problems from the Aeromedical Examiner during the annual medical certificate renewal was identified, particularly when such issues were considered of minor importance (61% of the sample).Discussion: Although the findings align with international research, this study identified a more pronounced tendency among subjects to conceal medical issues they perceived as unimportant. The establishment of compulsory loss-of-pilot-license insurance was the major mitigation measure proposed by the interviewees. Nonetheless, its effectiveness remains questionable according to the literature, and further research is recommended in this area. Kioulepoglou P, Makris I. Medical reporting behavior of military, commercial, and general aviation pilots. Aerosp Med Hum Perform. 2025; 96(10):903-910.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 10","pages":"903-910"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive Engagement Profiling of Pilots in High-Speed, High-Threat Scenarios. 高速、高威胁情景下飞行员的认知参与特征分析。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.6664.2025

Matthew D'Alessandro, Ryan Mackie, Tom Berger, Carl Ott, Christopher Sullivan, James Barnett, Ian Curry

{"title":"Cognitive Engagement Profiling of Pilots in High-Speed, High-Threat Scenarios.","authors":"Matthew D'Alessandro, Ryan Mackie, Tom Berger, Carl Ott, Christopher Sullivan, James Barnett, Ian Curry","doi":"10.3357/AMHP.6664.2025","DOIUrl":"https://doi.org/10.3357/AMHP.6664.2025","url":null,"abstract":"Introduction: This study investigated pilot cognitive engagement patterns across diverse flight conditions using electroencephalography (EEG)-based measurements in a high-fidelity rotary-wing simulation environment.Methods: A total of 8 experienced U.S. Army test pilots completed 24 flights across 3 distinct route designs using the National Aeronautics and Space Administration Ames Vertical Motion Simulator, with airspeeds ranging from 120 to 240 kn. Analysis focused on EEG Beta/(Alpha + Theta) ratios as indicators of changing cognitive engagement over time.Results: Analyses revealed distinct cognitive engagement patterns across routes: highly variable individual responses in routes with changing navigation demands, more consistent cognitive engagement in systematic route designs, and intermediate variability in mixed-demand routes. Airspeed effects on cognitive engagement became particularly pronounced above 200 kn, though these effects varied significantly by route and individual pilot. Temporal analysis demonstrated evolving patterns of cognitive adaptation, with routes eliciting different progression patterns over extended flight periods. Regression analysis showed that EEG Beta/(Alpha+Theta) values increased significantly during all three routes, with mean increases ranging from 0.0051-0.0146.Discussion: These findings provide quantifiable metrics for optimizing route design, developing personalized training approaches, and implementing real-time monitoring systems for enhanced aviation safety and performance. D'Alessandro M, Mackie R, Berger T, Ott C, Sullivan C, Barnett J III, Curry I. Cognitive engagement profiling of pilots in high-speed, high-threat scenarios. Aerosp Med Hum Perform. 2025; 96(9):819-828.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 9","pages":"819-828"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.6644.2025

William Hoffman, Diederik De Rooy, Aedrian Bekker, Robert Bor, David Fielding, Quay Snyder

{"title":"Recommended Practices Related to Data Collection in Aviation Peer Support Programs.","authors":"William Hoffman, Diederik De Rooy, Aedrian Bekker, Robert Bor, David Fielding, Quay Snyder","doi":"10.3357/AMHP.6644.2025","DOIUrl":"https://doi.org/10.3357/AMHP.6644.2025","url":null,"abstract":"Introduction: Aviation peer support programs (PSPs)-comprised of trained volunteers of the same professional background who offer confidential, nonjudgmental support to fellow aviation personnel dealing with stress from any source-have been forwarded as a solution to address mental healthcare avoidance based on expert opinion that PSPs are of sufficient safety and effectiveness. There is a growing interest in data collection in PSPs for a range of reasons as driven by European Union Aviation Safety Agency regulation requirements and an international interest in incorporating mental health functions into an aviation safety management system as outlined in the Federal Aviation Administration Aviation Rulemaking Committee on Mental Health. The current commentary provides recommended practices for data collection in aviation peer support programs guided by a novel bioethical framework. Hoffman W, De Rooy D, Bekker A, Bor R, Fielding D, Snyder Q. Recommended practices related to data collection in aviation peer support programs. Aerosp Med Hum Perform. 2025; 96(9):857-860.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 9","pages":"857-860"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real-Flight Observations of Head and Trunk Movements of Fast Jet Pilots. 快速喷气机飞行员头部和躯干运动的真实飞行观察。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.6631.2025

Rene Lingscheid, Kirsten Albracht, Fabian Goell, Roland Nuesse, Robert Rein, Bjoern Braunstein

{"title":"Real-Flight Observations of Head and Trunk Movements of Fast Jet Pilots.","authors":"Rene Lingscheid, Kirsten Albracht, Fabian Goell, Roland Nuesse, Robert Rein, Bjoern Braunstein","doi":"10.3357/AMHP.6631.2025","DOIUrl":"10.3357/AMHP.6631.2025","url":null,"abstract":"Introduction: Military fast jet pilots face significant physical challenges, including high Gz accelerations during dynamic maneuvers. The objectives of this study were threefold: 1) to record pilot movements during real flights, 2) to quantify head and trunk movements under standardized Gz conditions and during basic fighter maneuvers (BFMs), and 3) to categorize compensatory strategies used to mitigate physical strain.Methods: A total of 20 Eurofighter pilots (mean age: 28.2 ± 1.4 yr, all men) with >500 h EF2000 flight experience participated in the study. Video footage collected during the execution of a standardized mission card, including predetermined head movements and jet parameters (5, 7, 9 Gz), and free basic fighter maneuvers were analyzed.Results: During scripted high-Gz maneuvers, 38.5% of pilots prepositioned their head for the up-max movement at 9 Gz. During check six, coping strategies were applied in 35.7% (5 Gz), 30.8% (7 Gz), and 33.3% (9 Gz) of the flights. During basic fighter maneuvers, an average of 63.6 ± 32.1 head movements per session and 27.2 ± 13.7 per set were performed by the pilots. It was observed that end-range movements (e.g., check six) were associated with a greater usage of coping strategies. The most commonly included strategies were the use of support points such as canopy rails.Discussion: This real-flight study reveals frequent use of anticipatory head positioning and compensatory strategies under high Gz loads, especially during end-range movements. These behaviors appear to serve the purpose of reducing cervical strain and injury risk. The findings underscore the necessity for targeted training and the optimization of ergonomic design in pilot equipment. Lingscheid R, Albracht K, Goell F, Nuesse R, Rein R, Braunstein B. Real-flight observations of head and trunk movements of fast jet pilots. Aerosp Med Hum Perform. 2025; 96(9):810-818.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 9","pages":"810-818"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aerospace Medicine Clinic. 航空航天医学诊所。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.6709.2025

Joseph J Pavelites, Shelby L Dean, Jelaun K Newsome, Joseph J Pavelites

引用次数: 0

Letter to the Editor re: Beard Length and the Efficacy of an Aviator Oxygen Mask. 致编辑的信：胡须长度和飞行员氧气面罩的功效。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.6707.2025

Desmond M Connolly, John French

引用次数: 0

Pilot Ultraviolet A Exposures in the Cockpit of Flying Commercial Aircraft. 商用飞机驾驶舱内飞行员紫外线暴露。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.6647.2025

Nicola A Emslie, J Ben Liley, Paul Johnston

{"title":"Pilot Ultraviolet A Exposures in the Cockpit of Flying Commercial Aircraft.","authors":"Nicola A Emslie, J Ben Liley, Paul Johnston","doi":"10.3357/AMHP.6647.2025","DOIUrl":"10.3357/AMHP.6647.2025","url":null,"abstract":"Introduction: Pilots have an increased incidence of cutaneous melanoma compared to the general population; occupational exposure to ultraviolet (UV) radiation is one of several potential risk factors. Cockpit windshields effectively block UVB (280-315 nm) but further analysis is needed for UVA (315-400 nm). The objective of this observational study was to assess transmission of UVA through cockpit windshields and to measure doses of UVA at pilots' skin under daytime flying conditions.Methods: A spectrometer was used to measure in-flight spectral transmission through each of the 6 cockpit windshields in 15 Airbus A320/A321 jets, across 39 flights, most originating in or destined for Auckland, New Zealand. UVA- and UVA1-weighted dose rates were calculated from the recorded data.Results: All front windshields blocked UVA effectively. Several cockpit side and rear windshields allowed transmission of UVA above approximately 350 nm. Diffuse, scattered light in the cockpit contributed negligible levels of UVA, but direct light through a poorly attenuating windshield allowed UVA1 (340-400 nm) doses of up to 2.29 mW · cm-2 on exposed skin. The use of shielding blinds on side windshields blocked UVA transmission effectively.Discussion: Aircraft windshield manufacturers should ensure consistent UVA blocking capability of all cockpit windshields. Pilots should be encouraged to wear sunscreen on exposed skin and use side windshield visors if skin is in the direct light beam. Given the variable performance of cockpit windshields, and increased rates of skin cancer among pilots, further research on other commercial jet aircraft types is recommended. Emslie NA, Liley JB, Johnston P. Pilot ultraviolet A exposures in the cockpit of flying commercial aircraft. Aerosp Med Hum Perform. 2025; 96(9):803-809.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 9","pages":"803-809"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gleaning from Diaries in Long-Duration Isolation. 从长期隔离的日记中收集。

IF 0.9 4区医学

Aerospace medicine and human performance Pub Date : 2025-09-01 DOI: 10.3357/AMHP.5802.2025

James R Kass, Raye Kass

{"title":"Gleaning from Diaries in Long-Duration Isolation.","authors":"James R Kass, Raye Kass","doi":"10.3357/AMHP.5802.2025","DOIUrl":"https://doi.org/10.3357/AMHP.5802.2025","url":null,"abstract":"Introduction: A 264-d isolation simulation, SFINCSS-99, was conducted in Moscow to replicate typical scenarios on an orbital space station. One long-term group of four Russian crewmembers occupied the isolation complex for most of the duration (240 d), while two international groups of four each spent 110 d successively at the complex. Additionally, there were several short visits by medical personnel. The main objective of this paper is to investigate group and individual behavioral dynamics, particularly the intercultural challenges faced during long-duration isolation, using insights from crewmembers' diaries.Methods: A variety of instruments and training activities, employed before, during, and after the mission, formed this multifaceted experiment. One key component, crewmembers' diaries, is the primary data source for this analysis.Results: While unstructured instruments can be challenging to analyze, these diaries proved especially useful for studying group dynamics and identifying behavioral and intercultural issues. The crewmembers found our unstructured formats, such as these journals and post-mission interviews, to be a more effective means of expressing themselves compared to structured instruments.Discussion: Personal journals, open-ended questions, and the freedom from constraints typically imposed by feedback instruments used for quantitative analysis are invaluable for observing and expressing crewmembers' psychological status, as well as inter-crew and intercultural dynamics. Personal journals can also provide a basis for constructive intervention by ground personnel, researchers, or psychologists. Insights from this study can be applied to current challenges, such as the adoption of self-isolation as prevention against spread of COVID-19. Kass JR, Kass R. Gleaning from diaries in long-duration isolation. Aerosp Med Hum Perform. 2025; 96(9):829-840.","PeriodicalId":7463,"journal":{"name":"Aerospace medicine and human performance","volume":"96 9","pages":"829-840"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0