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https://www.readbyqxmd.com/read/27898553/the-aeromedical-physician-assistant
#1
Joshua Radi, Michael Brisson, Michael Line
The US Army aeromedical physician assistant (PA) serves aviation units in regards to crewmember medical readiness. All PAs are graduates of a 6-week flight surgeon course. They are responsible for conducting nearly 40% of the annual US Army flight physicals. This unique training and deployment illustrates the growing adaptability of PAs to assume a greater role in military medicine.
December 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/27779958/aeromedical-evaluation-for-an-f-16-candidate-with-incomplete-paraplegia
#2
Monica Chahal-Kummen, Trond-Eirik Strand, Jan Ove Owe, Eigil Gulliksen, Anthony S Wagstaff
BACKGROUND: A candidate with paraplegia contacted the Institute of Aviation Medicine, Oslo, requesting a medical examination and medical certification for flying back seat on an F-16 Fighting Falcon. Thorough aeromedical examinations, including specialist evaluations, were initiated for the final decision to be made. CASE REPORT: Almost 13 yr earlier the candidate had acquired spinal cord damage at neurological level L1 after falling 4 m (13 ft) from out of a window...
2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27662350/middle-ear-resonance-frequency-in-pilots-and-pilot-candidates
#3
Melisa Melek Tuncer, Seda Turkoglu Babakurban, Erdinc Aydin
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 the middle ear in a wide frequency range. The aim of this study was to research whether multifrequency tympanometry could be used for assessing middle ear impairments in pilots...
2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27634705/endovascular-treatment-of-a-severe-stroke-occurring-in-a-commercial-airplane-over-the-sahara
#4
Christian Foerch, Christoph A Mayer, Joachim Berkefeld, Se-Jong You
BACKGROUND: The occurrence of an acute stroke syndrome during a long-distance flight demands critical decisions from the crew and attendant physicians. One in particular is whether the flight should be continued or be detoured to a nearby airport. CASE REPORT: We describe a 42-yr-old woman who suffered from a severe stroke in a commercial airplane over the Sahara. The captain, together with a physician aboard and the next of kin, decided not to detour to north African or south European airports, but to continue flying to Frankfurt, Germany (final destination; remaining flight time 4 h), where an efficient transfer infrastructure and an advanced medical standard were presumed...
September 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27623822/patient-safety-in-otolaryngology-a-descriptive-review
#5
Julian Danino, Jameel Muzaffar, Chris Metcalfe, Chris Coulson
Human evaluation and judgement may include errors that can have disastrous results. Within medicine and healthcare there has been slow progress towards major changes in safety. Healthcare lags behind other specialised industries, such as aviation and nuclear power, where there have been significant improvements in overall safety, especially in reducing risk of errors. Following several high profile cases in the USA during the 1990s, a report titled "To Err Is Human: Building a Safer Health System" was published...
September 13, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27599281/current-concepts-of-oral-and-maxillofacial-rehabilitation-and-treatment-in-aviation
#6
Esra Yuce, Gulperi Koçer, Turan Atila Çini
Aerospace medicine is the medical discipline responsible for assessing and conserving the health, safety, and performance of individuals involved in air and space travel. With the upward trend in airline travel, flight-related oral conditions requiring treatment have become a source of concern for aircrew members. Awareness and treatment of any potential physiological problems for these aircrews have always been critical components of aviation safety. In a flight situation, oral and maxillofacial problems may in fact become life-threatening clinical conditions...
September 2016: General Dentistry
https://www.readbyqxmd.com/read/27570867/what-to-do-during-inflight-medical-emergencies-practice-pointers-from-a-medical-ethicist-and-an-aviation-medicine-specialist
#7
Shu Fang Ho, Thirumoorthy Thamotharampillai, Benjamin Boon Lui Ng
No abstract text is available yet for this article.
August 29, 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27465443/debriefing-and-feedback-in-the-current-healthcare-environment
#8
Linda A Hunter
Over the past several decades, simulation-based learning and postsimulation debriefing have become a mainstay of clinical education in healthcare. With origins in both the military and aviation industries, debriefing in particular has been used across multiple nursing and medicine disciplines to promote team training and reflective learning. Self-reflection and improvement in practice are at the core of effective debriefing. Feedback and simulation experts have continued to develop more effective debriefing strategies...
July 2016: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/27316638/does-simulation-have-a-role-in-palliative-medicine-specialty-training
#9
Lucy N Walker, Lynne Russon
Simulation training has been adopted by other industries, particularly aviation, for many years. With patient safety on every agenda, more recently there has been considerable interest and investment in its use for the acute medical specialities. Evidence in palliative medicine, for the use of simulation is mainly limited to advanced communication skills but little is described about its use in developing acute clinical skills. This article describes how in the Yorkshire and Humber Deanery a simulation training day was set up for Palliative Medicine specialty trainees, to assess their knowledge and develop the skills required to deal with acute medical emergencies, as described in the specialty training curriculum for palliative medicine...
June 17, 2016: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/27008299/analgesic-effects-and-neuropathology-changes-of-electroacupuncture-on-curing-a-rat-model-of-brachial-plexus-neuralgia-induced-by-cobra-venom
#10
Hui Liu, Xiao-Yan Qian, Jian-Xiong An, Cai-Cai Liu, Yi-De Jiang, Doris K Cope, John P Williams
BACKGROUND: Electroacupuncture (EA) is widely applied to treat neuropathic pain. Brachial plexus neuralgia (BPN) is a common form of chronic persistent pain. Few studies have evaluated the analgesic effects and mechanism of EA using the novel animal model of BPN. OBJECTIVE: To observe the curative effects of repeated EA on curing BPN induced by administration of cobra venom to the lower trunk of the right brachial plexus. STUDY DESIGN: Controlled animal study...
March 2016: Pain Physician
https://www.readbyqxmd.com/read/26928292/23-years-of-toxicology-testing-fatally-injured-pilots-implications-for-aviation-and-other-modes-of-transportation
#11
Mary Pat McKay, Loren Groff
UNLABELLED: Use of over-the-counter, prescription, and illicit drugs is increasing in the United States (US). Many of these drugs are psychoactive and can affect the user's ability to safely operate a vehicle. However, data about drug use by vehicle operators is typically limited to a small proportion of operators and a short list of drugs. For instance, required testing for commercial vehicle operators following most accidents is limited to a urine test for 11 drugs. By comparison, the Federal Aviation Administration (FAA), routinely tests fatally injured pilots' blood and tissues for hundreds of compounds...
May 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/26911684/human-hippocampal-structure-a-novel-biomarker-predicting-mnemonic-vulnerability-to-and-recovery-from-sleep-deprivation
#12
Jared M Saletin, Andrea N Goldstein-Piekarski, Stephanie M Greer, Shauna Stark, Craig E Stark, Matthew P Walker
Sleep deprivation impairs the formation of new memories. However, marked interindividual variability exists in the degree to which sleep loss compromises learning, the mechanistic reasons for which are unclear. Furthermore, which physiological sleep processes restore learning ability following sleep deprivation are similarly unknown. Here, we demonstrate that the structural morphology of human hippocampal subfields represents one factor determining vulnerability (and conversely, resilience) to the impact of sleep deprivation on memory formation...
February 24, 2016: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/26821462/-stages-of-development-of-flight-medical-expertise-in-russia
#13
A L Chaplyuk, V S Vovkodav, Yu K Churilov, A N Klepikov
Flight medical expertise (FME) in military aviation is one of the most important areas of medical support of flight crews manning, maintaining of aircrew health and flight safety. The authors analyse the main stages of development of this area of medical practice. The priority in creation of FME system belongs to our country. Domestic scientists, prominent organizers of military medicine and a large group of aviation physicians developed organizational and methodological basis for studying different impacts of flight factors on the health of flight personnel, development of criteria for admission to flight operations, principles of organization of the examination, implementation of effective methods of disease diagnosis...
July 2015: Voenno-medit︠s︡inskiĭ Zhurnal
https://www.readbyqxmd.com/read/26691924/young-surgeons-on-speaking-up-when-and-how-surgical-trainees-voice-concerns-about-supervisors-clinical-decisions
#14
Malini D Sur, Nancy Schindler, Puneet Singh, Peter Angelos, Alexander Langerman
BACKGROUND: Poor communication is a known contributor to disasters in aviation and medicine. Crew members are trained to raise concerns about superiors' plans, yet literature exploring surgical trainees' responses to analogous concerns is sparse. METHODS: Surgical residents were interviewed about approaches to concerns about supervisors' clinical decisions using a semistructured guide. Emerging themes were developed using the constant comparative method. RESULTS: Eighteen residents participated...
February 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26630056/cervical-manipulation-leading-to-cerebellar-stroke-in-a-pilot
#15
Samir T Mukherjee
BACKGROUND: Stroke is a decidedly devastating event for any patient, but particularly for a military aviator in a single-seat aircraft. Incidence of acute ischemic infarct in men ages 25 to 29 ranges from 3.4 to 5.6/100,000. The neurological sequelae of stroke can have a lasting and profound impact on an aviator's career. Literature review revealed a relatively small number of cases where stroke was attributable to cervical manipulation. CASE REPORT: A 29-yr-old male jet pilot with a 2-wk history of cervicalgia following a mountain bike ride performed self-manipulation of his neck at home following a visit to a chiropractor...
December 2015: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/26606021/rat-model-of-trigeminal-neuralgia-using-cobra-venom-mimics-the-electron-microscopy-behavioral-and-anticonvulsant-drug-responses-seen-in-patients
#16
Qian-Qian Zhao, Xiao-Yan Qian, Jian-Xiong An, Cai-Cai Liu, Qi-Wu Fang, Yong Wang, Yi-De Jiang, Doris K Cope, John P Williams
BACKGROUND: A new animal model of trigeminal neuralgia produced by injecting cobra venom into the infraorbital nerve (ION) trunk in rats had been developed. We tested and extended the model by observing the ultrastructural alterations of neurons and ameliorative effect of pregabalin in cobra venom-induced pain behaviors of rats. OBJECTIVES: The goal of this study was to prove the feasibility of the cobra venom-induced model of trigeminal neuralgia and to demonstrate the demyelination change of ION and medulla oblongata is the major pathological change of trigeminal neuralgia...
November 2015: Pain Physician
https://www.readbyqxmd.com/read/26454942/-marine-aviation-and-space-physician-psychologist-and-physiologist-to-the-90th-anniversary-of-the-birth-of-g-m-zarakovskii
#17
M V Dvornikov, A A Medenkov
In the current paper authors discuss problems of marine and aerospace medicine and psychophysiology, which Georgii Zarakovskii (1925-2014), a prominent domestic experts in the field of military medicine, psychology and ergonomics, solved. Authors focused on methodological approaches and results of the study of psychophysiological characteristics and human capabilities took into account for design of tools and organization of flight crews, astronauts and military experts. Authors marked the contribution to the creation of a system integrating psychophysiological features and characteristics of the person neccessary for development, testing and maintenance of aerospace engineering and organization of its professional activities...
April 2015: Voenno-medit︠s︡inskiĭ Zhurnal
https://www.readbyqxmd.com/read/26454931/-scientific-and-research-experimentation-center-of-aviation-and-space-medicine-and-human-engineeing-celebrates-80th-anniversary
#18
I M Zhdanko, A A Vorona, V V Lapa, M N Khomenko
The article is devoted to the history of the Research Test Center Aviation and Space Medicine and military ergonomics, now included in the Central Research Institute of the Air Force Defense Ministry. The center throughout 80 years history is a leding research organization in the country for the integrated study of the human factor in aviation and problems connected with it. The world-famous scientific schools in aviation physiology, hygiene and radiolorgy, emergency medicine, aviation psychology and ergonomics have been grounded on the basis of this center...
March 2015: Voenno-medit︠s︡inskiĭ Zhurnal
https://www.readbyqxmd.com/read/26444480/fluticasone-as-treatment-for-cluster-headaches-in-a-navy-aircrew-member
#19
Chad T Andicochea, Penelope M Blalack, Joel A Fulkerson, Grant A Kidd, Bradley M Taylor
Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently reliable. For the active duty military aviator with CHs, this is further compounded by the administrative restrictions to use many of those medications secondary to their unwanted and potentially dangerous side effects...
October 2015: Military Medicine
https://www.readbyqxmd.com/read/26424788/the-clinical-occupational-and-financial-outcomes-associated-with-a-bespoke-specialist-clinic-for-military-aircrew-a-cohort-study
#20
A J Pavitt, C W Pavitt, K Harron, M Jones, A C Timperley, A N C Reid, D Mcloughlin, J d'Arcy, E D Nicol
OBJECTIVES: To assess the clinical, occupational and financial outcomes of a new Clinical Aviation Medicine Service (CAMS) for UK military personnel. METHODS: Consecutive patients over a 2 year period were included. Predictors of flying restrictions at referral and final outcome following consultation were modelled using logistic regression. National Health Service (NHS) Payment by Results tariffs and Defence capitation data were used to assess the financial impact of the service...
May 2016: QJM: Monthly Journal of the Association of Physicians
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