Abstract:
:INTRODUCTION: Hypertension, also known as high blood pressure, is the "silent killer" and may lead to more severe conditions if left unmanaged. Hypertension in service members of the U.S. military has the potential to negatively impact readiness. The aim of this study was to assess the potential impact to readiness of active duty Naval aviators and aircrew under the new 2017 ACC/AHA blood pressure guidelines.METHODS: This cross-sectional study used the Military Health System Data Repository for 2015. The population included all active duty Naval aviators and aircrew. The absolute number and proportion of those with hypertension were compared based on previous Joint National Committee 7 and 2017 ACC/AHA guidelines. Impact to readiness was calculated based on lost work days and the number of individuals with hypertension that fit the criteria to be medically grounded according to the U.S Naval Aeromedical Reference and Waiver Guide.RESULTS: Hypertension diagnoses will increase by 2904 individuals (599%) in the 23,492 Naval aviators and aircrew included in the population. Impact to readiness will result in an estimate of 510 lost work days.CONCLUSION: The 2017 ACC/AHA hypertension guidelines will lead to a dramatic increase in hypertension diagnoses in this population. Depending on the U.S. Navy disposition on hypertension, the impact can be minor or substantial, but the early opportunity for care made available with the 2017 ACC/AHA guidelines may provide long-term benefits of a healthy fighting force worth the immediate impact to readiness.Johnson MC, Banaag AL, Condie KJ, Servies TE, Pérez Koehlmoos TL. New ACC/AHA blood pressure guidelines and the operational readiness of Naval aviators and aircrew. Aerosp Med Hum Perform. 2019; 90(4):409-414.
journal_name
Aerosp Med Hum Performjournal_title
Aerospace medicine and human performanceauthors
Johnson MC,Banaag AL,Condie KJ,Servies TE,Pérez Koehlmoos TLdoi
10.3357/AMHP.5229.2019subject
Has Abstractpub_date
2019-04-01 00:00:00pages
409-414issue
4eissn
2375-6314issn
2375-6322journal_volume
90pub_type
杂志文章abstract:INTRODUCTION:Medical Emergency Response Team (MERT) helicopters fly at altitudes of 3000 m in Afghanistan (9843 ft). Civilian hospitals and disaster-relief surgical teams may have to operate at such altitudes or even higher. Mild hypoxia has been seen to affect the performance of novel tasks at flight levels as low as ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,随机对照试验
doi:10.3357/AMHP.4761.2017
更新日期:2017-10-01 00:00:00
abstract::Martin BR. You're the flight surgeon: West Nile virus neuroinvasive disease. Aerosp Med Hum Perform. 2016; 87(11):976-979. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4715.2016
更新日期:2016-01-01 00:00:00
abstract::INTRODUCTION: Changes of visual function/neuro-opthalmic structures during spaceflight have been described as visual impairment and intracranial pressure syndrome (VIIP)/spaceflight-associated neuro-ocular syndrome (SANS). Although theories are suggested, the mechanism is unknown. Only indirect measurements of intracr...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5170.2019
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Presented is a rare case of transient unilateral facial nerve paralysis occurring in a pilot while on initial ascent in an F-16CM. This pathology is sporadically observed in the diving community, but rarely described in military or civil aviation. This case was particularly unusual in its promptness of onset...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4449.2016
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Artificial hypergravity has been proposed to prevent or treat various forms of physiological deconditioning experienced during spaceflight. We have previously reported that cerebral blood flow decreased at 15-21 min of +1.5-Gz centrifugation without decreases in arterial pressure at heart level. We reanalyze...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5106.2018
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:The Ishihara plates are commonly used as an initial occupational screening test for color vision. While effective at detecting red-green deficiencies, the color deficient subject can learn the test using different techniques. Some medical standards such as the European Aviation Safety Agency (EASA) require...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4257.2015
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Barotrauma is a frequent problem in aviation medicine. Eustachian tube dysfunction plays a critical role in the pathogenesis of barotrauma. Function of the Eustachian tube can be indirectly assessed by multifrequency tympanometry, which provides valuable information about the resistance and permeability of t...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4554.2016
更新日期:2016-01-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5206.2019
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:Antarctica is a useful analog for spaceflight, as both environments are remote, isolated, and with limited resources. While previous studies have demonstrated increased asymptomatic viral shedding in both the Antarctic and spaceflight environments, clinical manifestations of reactivated viral disease have ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4450.2017
更新日期:2017-08-01 00:00:00
abstract::On ISS missions and explorer class missions, unexpected medical and surgical emergencies could be disastrous. Lack of ability to rapidly assess and make critical decisions affects mission capability. Current imaging modalities on ISS consist only of ultrasound. There are many acute diagnoses which ultrasound alone can...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4110.2015
更新日期:2015-02-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4520.2016
更新日期:2016-08-01 00:00:00
abstract::The hardware systems necessary to support exercise countermeasures to the deconditioning associated with microgravity exposure have evolved and improved significantly during the first decade of the International Space Station (ISS), resulting in both new types of hardware and enhanced performance capabilities for init...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.EC02.2015
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:Hypoxia caused by high altitude exposure can impair cerebral and mental functions. Blood flow and oxygenation of the buccal tissue can be reliable markers to detect hypoxia. In this study, near infrared spectroscopy was used in combination with a novel optical probe to evaluate the applicability of the nov...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4510.2016
更新日期:2016-05-01 00:00:00
abstract::Li HL. You're the flight surgeon: malaria. Aerosp Med Hum Perform. 2016; 87(1):78-81. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4317.2016
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:The first decade of the International Space Station Program (ISS) yielded a wealth of knowledge regarding the health and performance of crewmembers living in microgravity for extended periods of time. The exercise countermeasures hardware suite evolved during the last decade to provide enhanced capabilitie...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.EC12.2015
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:This study examined the effects of long-term bed rest with or without a concurrent resistance exercise protocol on different muscle function indices of the knee extensors and their influence on previously shown atrophy, neural impairment, and slow-to-fast phenotype shift. METHODS:Nine men underwent 90 d o...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4383.2016
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Assessment of the influence of personality and decision processes on the performance of two-person expedition teams has application for the composition of small teams for planetary exploration and potentially responding to off-nominal situations. CASE REPORT:We studied a two-man Special Forces team with a g...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4256.2015
更新日期:2015-06-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5539.2020
更新日期:2020-09-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4312.2015
更新日期:2015-12-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5457.2020
更新日期:2020-02-01 00:00:00
abstract:INTRODUCTION:Orientation in a 3-dimensional environment increases demands on the vestibular system. The anterior, lateral, and posterior semicircular canals sense pitch, roll, and yaw acceleration, respectively. The macular end organs sense linear acceleration and provide gravity reference. Creatures that evolved to fl...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,评审
doi:10.3357/AMHP.5104.2018
更新日期:2018-08-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4220.2015
更新日期:2015-07-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4406.2016
更新日期:2016-12-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,评审
doi:10.3357/AMHP.4911.2017
更新日期:2017-12-01 00:00:00
abstract::INTRODUCTION: The auditory system is not as heavily involved in the pilot's spatial orientation as the visual and vestibular systems; however, it plays a significant role in the cockpit for communication and warning information. The aim of this research was to investigate the combined effect of selective auditory atte...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5153.2018
更新日期:2018-11-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4828.2018
更新日期:2018-04-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5029.2018
更新日期:2018-07-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4357.2015
更新日期:2015-11-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-06-01 00:00:00
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journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4992.2018
更新日期:2018-05-01 00:00:00