The potentials of aviation medicine in the airframe manufacturing industry.
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For over 52 years, the work of Nathan Zuntz (1847-1920) covered an amazingly wide spectrum of research fields; metabolism, nutrition, respiration, blood gases, exercise, and high altitude physiology were the main themes. Zuntz achieved fame for his invention of the Zuntz-Geppert respiratory apparatus in 1886 and the first Laufband (treadmill) in 1889. To this experimental setup Zuntz later added an X-ray apparatus in 1914 to determine the changes in heart volume during exercise. Moreover, he constructed a climate chamber to study exercise under varying and sometimes extreme climates. For field studies Zuntz invented a transportable Gasuhr (dry gas measuring device). Zuntz was the first to describe the difference between laboratory data gained in a hypobaric chamber and the measurements at high altitude. He found that the barometric formula is not applicable in the field. Two balloon expeditions in 1902 by Zuntz and his pupil, v. Schroetter, marked the step from terrestrial physiology towards aviation medicine. An outline of the development of scientific aviation in Berlin from 1880-1918 elucidates how closely the aviation union, army, and scientific departments were connected with and dependent upon each other. In cooperation with these institutions Zuntz and v. Schroetter constructed an oxygen supply system and planned a pressure cabin for extreme altitudes above 10,000 m, a forerunner of modern systems in aviation and astronautics. In 1912, Zuntz and v. Schroetter each published papers on aviation medicine, both publications internationally unique in style and extent. Zuntz's work in its empirical approach was the counterpart to the established formal mathematical-physical reductionism of the German Physiological Society.(ABSTRACT TRUNCATED AT 250 WORDS)
BACKGROUND: Various cohort studies, military databases, and Federal Aviation Administration databases have characterized morbidity and disability in pilots. However, an overriding limitation of these studies is acquiring complete and accurate medical information from pilots with a profession, hobby, or aircraft investment to protect (6). The unique role of Aviation Medicine Advisory Service (AMAS) as pure pilot advocate with guaranteed patient confidentiality eliminates the aviator's need to conceal medical problems. Therefore, analyses of cases reported to AMAS might provide additional insight regarding the true prevalence of morbidity in airline pilots. METHODS: All AMAS cases of airline pilots and flight engineers from January 1996 through November 1999 were reviewed (n = 20,522). During that time, AMAS provided consultation to approximately 51 U.S. and Canadian airlines. Diagnoses were stratified by decades ranging from 20 to 69 yr of age. RESULTS: Notably, the five conditions most frequently inquired about at AMAS were similar to the major causes of long term disability found in a cohort of Air Canada pilots (5). Cardiovascular conditions accounted for almost 25% of the inquiries. However, the relative percentage especially in the older population was less than that reported previously. Interestingly, orthopedic and musculoskeletal cases (10-11%) rated second only to cardiovascular cases. CONCLUSIONS: These findings are limited by the inability to draw an exact reference population at risk, the use of proportional measures for description and the inherent difficulty in attempting to utilize an administrative index as an epidemiological tool. Further study addressing the impact of aviator nondisclosure of medical problems on the reported prevalence of disease among U.S. airline pilots may help target preventive efforts in the future.
A symposium was held at the RAF Institute of Aviation Medicine, Farnborough, Hampshire, on Feb. 28, 1978. The purpose of the meeting was to distill up-to-date expert opinion to provide advice for those faced with the treatment of victims of exposure or cold water immersion. In particular, it was intended to recommend practical measures which could be employed in the field. However, it soon became apparent that there are large gaps in our knowledge of the physiology of hypothermia. These made the formulation of definitive advice extremely difficult.
The authors discuss the problem of improvement the noise factor prevention in aviation medicine. The analysis of the real acoustic load on aviation engineer specialists, performing maintenance of the modern military aircraft have been given. The authors show the importance of the approach to the aviation noise as an ecological significant factor, that means taking into account the acoustic load during work time as well as during rest-sleep periods. The authors suggested the advanced complex of the preventive measures for the purpose of optimization of the noise exposure on the aviation specialists.
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The Soviet Union has developed one of the world's most sophisticated civil aviation medicine programs. The program gives specific attention to aerial application operations and includes special preflight pilot medical examinations, aircraft with specialized protective airflow systems for the pilots, minimum flight altitude spraying limit of 5 m, and the use of a "chemical log book" by each pilot in addition to the flight log book. These and additional steps--i.e. limiting a pilot's daily agricultural flights to 4-6 h--have led to a reported USSR agricultural aviation annual accident rate near zero. The Soviet workhorse aircraft, the Antonov AN-2, can serve multipurpose roles since, when not used for application flights, it can be rapidly converted to executive, courier, cargo, or air taxi, or air ambulance use. A new, single-engine turbojet biplane, the Polish M-15, is undergoing evaluation in the Soviet Union as a replacement for the AN-2. Countries with very high agricultural aircraft accident rates may wish to study the Soviet approach, especially the use by the pilot of a chemical log book.
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This paper describes multifaceted investigations of the flying work by Soviet aviation medicine in the 1920-30s. It examines the early stages of the professional activity that is at present termed ergonomic foundations of the design, manufacture and use of the aircraft. The paper discusses one of the first formulations of the problem of standardization of the human factors.
This is the first of three brief papers that summarize the history of aviation medicine in the Royal Air Force. Just as the generals and politicians were slow to appreciate the potential of the airplane, so the medical establishment was slow in understanding that the flight environment involved medical and physiological challenges. This note outlines the development of research to support British military aviators up to the formation of the Royal Air Force in 1918.