[Brazil and aviation medicine in North America].
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This is the second of three brief papers that summarize the history of Aviation Medicine in the Royal Air Force. British aviation medicine research was rescued from the doldrums of retrenchment after the end of the First World War by the need to support attempts on world records for height and speed. Despite this, the outbreak of the Second World War still found the British inadequately prepared. This part of the account of British aviation medicine research charts its transition from an organization with three full-time workers into a thriving research institute.
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In the United Kingdom, training in aerospace medicine is provided by a range of post-graduate courses at the Royal Air Force Institute of Aviation Medicine. An Introductory Medical Officers' (IMO) course lasts for two weeks and is attended by all RAF doctors within the first few months of their entry to the Service. Its objective is to teach the elements of aviation physiology and medicine that they will need in the care of aircrew at a flying station. Four courses are held each year. A General Aviation Medicine (GAM) course is available to civilian doctors who wish to gain recognition as Authorized Medical Examiners of commercial aircrew, or who merely have an interest in the subject. It runs concurrently with the IMO course, and much of the material is common to both. Greater emphasis is, however, given to clinical teaching and to civil aviation. The GAM course also occupies two weeks of teaching. A course leading to the Diploma in Aviation Medicine is held once each year, and lasts for six months. It is open to all who have at least one year of previous experience, and has been attended by 244 military and civilian doctors from 25 countries. The D Av Med course covers every aspect of aerospace medicine at an advanced level, and its standard is at least as high as that of a M Sc degree. The Diploma is a recognised academic qualification awarded by the Royal College of Physicians. Royal Air Force medical officers receive an extra three weeks of training immediately following the D Av Med course, to educate them in procedures and policies specific to the RAF. This Advanced Course is essentially practical, and those who complete it are designated as Flight Medical Officers. They receive refresher training given at regular intervals thereafter. Aircrew are taught the basic principles of aviation medicine when they attend the RAF Aviation Medicine Training Centre for training in the use of their personal protective equipment assemblies. These courses are specific to the type of aircraft to be flown, and a pilot will undergo at least four during his flying career. Short courses of a specialised nature are also offered to clinical consultants, medical students, senior Air Force officers, nurses and others. It is now recognised in the United Kingdom that aviation medicine is a component of occupational medicine, and the Royal College of Physicians accepts the D Av Med as evidence of formal education in that branch of medicine.(ABSTRACT TRUNCATED AT 400 WORDS)
The paper discusses certain aspects of interaction between aviation and space medicine, contribution of aviation medicine into the development of space biology and medicine, and the role of cosmonautics in current achievements of aviation medicine. The paper describes advances in studies of space flight effects, development of life support and flight safety systems, medical and psychological support of the flight personnel, implementation of new methods and techniques, electronics, computers and automatics. Particular importance is attached to the rapid development of ergonomic approaches to the design and application of new technology, study of psychophysiology and psychology of human efficient activity in the system "man--flying vehicle--environment", i. e. psychophysiological ergonomics. Certain methodological and organizational aspects of the development of aviation and space medicine are briefly described.
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Analysis of the interrelated development of aviation technologies and aeromedical science pointed out that the mainstream of aviation medicine as science is integration of human factors equally in the processes of aviation technology development, testing, and operation. Focus is placed on the methodology of aviation medicine and prospect for its refining in the interests of better effectiveness and safety of flights, maintenance of health and prolongation of career of all categories of flying personnel.
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