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C L Kaluza

Publications and source records attributed to C L Kaluza.

4 recordsLinked to original sources

Measuring nasal function in aviators.

The importance of nasal function in the overall health of man is well documented. The physiologic function of the nose is especially important in the harsh environment of military aviation. Present standards for evaluating nasal function in aviators are based primarily on subjective complaints and limited physical examinations. Rhinomanometry has been used for approximately 100 years for measuring nasal function. Otorhinolaryngologists have used modern rhinomanometric methods for the past 25 years. Rhinomanometry allows the measurement of airflow and pressure in the normal respiratory cycle through the nose. Present methods involve using a simple flow measuring device coupled with a pressure device to measure the pressure required to drive a given amount of air through the nose. Under current development are machines that will automatically measure the work required in movement of a quantity of air across the nose and allow storage of this data into a data management program so that standards can be developed and specific patients followed. It is proposed that rhinomanometry be adopted as an objective measurement of nasal function for use in the physical qualification of aviators. Its use in all people involved with aviation during routine flight physicals is also recommended.

Aerospace Medicine

Allergic rhinitis and aviation.

Allergic rhinitis, or hay fever, is a combination of symptoms that affects approximately 20% of the U.S. population. Symptoms include nasal congestion, sneezing, rhinorrhea, and sleep aberrations. Patients with mild or seasonal cases of allergic rhinitis are perfectly capable of performing adequately in the aviation field. At present, these people are grounded during symptomatic periods. This grounding is due to both Federal Air Regulations and Navy regulations which preclude flying with nasal congestion or with the use of medications. Current therapy of allergic rhinitis is based on the use of three different basic modalities. The first modality is immunotherapy which requires usually weekly injections, and the patient is grounded for 24 h after the injection. The second and most commonly used modality is the use of antihistamine-decongestant preparations. The third group of medications is the topical steroids and cromolyn sodium, which are reviewed in detail because of their improved efficacy and safety. Recommendations are proposed for allowing those persons with allergic rhinitis symptoms that are easily controlled with the topical steroids or cromolyn sodium to continue flying.

Aerospace Medicine