Abstract:
INTRODUCTION:To ensure flight safety military aircrew undergo regular clinical and occupational assessment. Coronary artery calcium scoring (CACS) has been established as an imaging modality to noninvasively assess coronary artery disease (CAD). CT coronary angiography (CTCA) potentially offers a more accurate assessment of CAD, but has not been formally assessed in military aircrew. This retrospective cohort study is designed to compare the theoretical differences in downstream investigations and occupational outcomes in aircrew with suspected CAD comparing CTCA with existing CACS pathways. METHOD:A 2-yr retrospective cohort study of consecutive UK military patients who underwent a CTCA and CACS was undertaken. Patient demographics, CTCA and CACS results, and initial and final occupational restrictions were analyzed comparing current UK, Canadian, and U.S. pathways. RESULTS:There were 44 patients who underwent CACS and CTCA. The commonest indication for a CTCA was a positive exercise ECG. Increasing CACS, stenosis severity, and stenosis burden were associated with significantly greater likelihood of occupational restriction (P = < 0.01). Following CTCA, 26/44 (59%) patients were found to have evidence of CAD, with 13/44 (30%) having at least a single vessel stenosis ≥50%. All of these patients had subsequent occupational restrictions. Two patients with a calcium score ≤10 had at least 1 single vessel stenosis ≥50%. DISCUSSION:A CTCA pathway is potentially a better discriminator of CAD burden in aircrew when compared with CACS and may reduce downstream testing, allowing a more efficacious approach to CAD assessment in military aircrew.Parsons I, Pavitt C, Chamley R, d'Arcy J, Nicol E. CT coronary angiography vs. coronary artery calcium scoring for the occupational assessment of military aircrew. Aerosp Med Hum Perform. 2017; 88(2):76-81.
journal_name
Aerosp Med Hum Performjournal_title
Aerospace medicine and human performanceauthors
Parsons I,Pavitt C,Chamley R,d'Arcy J,Nicol Edoi
10.3357/AMHP.4636.2017subject
Has Abstractpub_date
2017-02-01 00:00:00pages
76-81issue
2eissn
2375-6314issn
2375-6322journal_volume
88pub_type
杂志文章abstract:BACKGROUND:This study aimed to investigate the feasibility of determining the physiological parameters associated with the ability to complete simulated exploration type tasks at metabolic rates which might be expected for lunar and Martian ambulation. METHODS:Running V̇O2max and gas exchange threshold (GET) were meas...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4399.2016
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Habitual exposure to carbon dioxide (CO2) is expected, but it is not proven, to dull ventilatory sensitivity to co2 by reducing hypercapnic ventilatory response (HCVR) as it is expressed by the slope of the derived response curve (CO2 sensitivity: ΔVE/ΔPetCO2). It was hypothesized that HCVR is decreased by r...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章,随机对照试验
doi:10.3357/AMHP.3932.2015
更新日期:2015-01-01 00:00:00
abstract::BACKGROUND: Motion sickness is a problem for many; however, it is especially pressing for military personnel who need to operate in life and death environments. The current study investigated the underlying cause of motion sickness by testing postural instability theory.METHODS: Subjects experienced realistic motion p...
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
abstract:INTRODUCTION:Supersonic, high altitude aviation places its pilots and aircrew in complex environments, which may lead to injury that is not easily diagnosed or simply treated. Decompression illness (either venous or arterial) and environmental conditions (e.g., abnormal gases and pressure) are the most likely adverse e...
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::INTRODUCTION: Research on the mortality of space explorers has focused exclusively on U.S. astronauts and Soviet and Russian cosmonauts. However, other nations have organized space programs over the last 40 yr and the European Space Agency, the Canadian Space Agency, the China National Space Administration, and the Ja...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5369.2019
更新日期:2019-07-01 00:00:00
abstract::INTRODUCTION: Visual performance is important for safe and accurate taxiing operations. Visibility is associated with navigation errors during taxiing. The main objective of the present study was to investigate the effects of visibility on pilots' fixation patterns during taxiing. The interaction between visibility an...
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: The use of systemic corticosteroids for upper respiratory tract infections has become increasingly common, but remains controversial. Given their purported ability to decrease duration of illness and hasten recovery, systemic corticosteroids offer an attractive treatment modality for flight surgeons desi...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5548.2020
更新日期:2020-05-01 00:00:00
abstract::INTRODUCTION: We examined aircrew fatigue during the following flight duty periods (FDPs) mentioned in the European Union (EU) Flight Time Limitations (FTLs): night FDPs longer than 10 h and FDPs typical of disruptive schedules (early starts, late finishes, and nights). An alternative way of classifying night FDPs was...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5561.2020
更新日期:2020-08-01 00:00:00
abstract::BACKGROUND: Raised blood pressure (BP) is a risk factor for cardiovascular disease, which is a common cause of sudden in-flight incapacitation among pilots. Prevalence of hypertension (HT) among pilots as per new criteria is largely unknown. This study aims to understand the prevalence of hypertension and obesity in c...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5374.2019
更新日期:2019-08-01 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::OBJECTIVE: The goal of this study was to estimate noise exposure and hearing impairments in Swedish military pilots. It also aimed to analyze possible relations between noise exposure and hearing impairments.METHODS: The study group was an open cohort of 337 male pilots. They were longitudinally followed with pure ton...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5353.2019
更新日期:2019-09-01 00:00:00
abstract::Netters TA Jr. You're the flight surgeon: chest discomfort in a flyer. Aerosp Med Hum Perform. 2018; 89(9):851-853. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5075.2018
更新日期:2018-09-01 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::Casstevens EA. You're the flight surgeon: an unexpected twist. Aerosp Med Hum Perform. 2017; 88(9):884-887. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4836.2017
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:A space mission's crewmembers are the most important group of people involved and, thus, their emotions and interpersonal interactions have gained significant attention. Because crewmembers are confined in an isolated environment, the aim of this study was to identify possible changes in the emotional stat...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4305.2015
更新日期:2015-09-01 00:00:00
abstract::BACKGROUND: Although oropharyngeal squamous cell papilloma (OSCP) is not uncommon in the general population, reports of OSCP in aviators are rare. This case report serves as a call for flight surgeons to consider all oropharyngeal pathology as a potential source of airway compromise during flight, and highlights regio...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5429.2019
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:The most commonly cited hypotheses for motion sickness (MS) focus on inconsistent sensory inputs. Visual/vestibular conflicts may lead to MS, but visual input from retinal regions/neural pathways that are sensitive to motion might bear more weight in MS etiology. We hypothesized that inducing blurred vision ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4105.2015
更新日期:2015-05-01 00:00:00
abstract::INTRODUCTION: This study explores the safety risk due to delayed detection of hazardous health conditions that would result from increasing the duration of U.S. first-class aeromedical certificates from 6 mo to 12 mo for pilots ages 40 yr old through 60 yr old.METHODS: All pilots who submitted a U.S. first-class appli...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5268.2019
更新日期:2019-05-01 00:00:00
abstract::BACKGROUND: Although the understanding of hypobaric hypoxia is increasing, it remains a hazard in aviation medicine. This study examined the feasibility of detecting voice markers sensitive to acute hypobaric hypoxia in an early presymptomatic (PRE-SYMP) stage.METHOD: Eight subjects qualified with hypobaric training c...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5390.2020
更新日期:2020-06-01 00:00:00
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:INTRODUCTION:This study explores the U.S. experience with waivers for insulin treatment for third-class medical certificates. From 1997 through 2014, the Federal Aviation Administration (FAA) approved an estimated 1500 waivers for insulin-treated diabetes with a total of 450 active waivers as of December 31, 2014. Thes...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4726.2017
更新日期:2017-01-01 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:Cartilage tissue engineering is a growing field due to the lack of regenerative capacity of native tissue. The use of bioreactors for cartilage tissue engineering is common, but the results are controversial. Some studies suggest that microgravity bioreactors are ideal for chondrogenesis, while others show t...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4743.2017
更新日期:2017-04-01 00:00:00
abstract::INTRODUCTION: In-flight medical emergencies (IFMEs) average 1 of every 604 flights and are expected to increase as the population ages and air travel increases. Flight diversions, or the rerouting of a flight to an alternate destination, occur in 2 to 13% of IFME cases, but may or may not be necessary as determined af...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5720.2021
更新日期:2021-02-01 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
abstract::Woolford JS. You're the flight surgeon: epilepsy. Aerosp Med Hum Perform. 2015; 86(4):500-503. ...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4235.2015
更新日期:2015-01-01 00:00:00
abstract::BACKGROUND: Emergency helicopter landing at sea is dangerous. Specialized training, known as helicopter underwater escape training (HUET), prepares occupants to quickly exit the helicopter, which often inverts and sinks. In most jurisdictions, helicopter occupants are equipped with a helicopter underwater egress breat...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5704.2020
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION:Although there are numerous studies that demonstrate that color vision deficient (CVD) individuals perform less well than color vision normal (CVN) individuals in tasks that require discrimination or identification of colored stimuli, there remains a need to quantify the relationship between the type and s...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.4630.2016
更新日期:2016-01-01 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::BACKGROUND: Human fatigue is an important factor within aviation, leading organizations to develop strategies to assess and mitigate associated risks. The U.S. Air Force's Air Mobility Command (AMC) conducted the current pilot study to assess fatigue-related risks and issues in mobility operations. Specifically, we ex...
journal_title:Aerospace medicine and human performance
pub_type: 杂志文章
doi:10.3357/AMHP.5396.2020
更新日期:2020-04-01 00:00:00