Rapidly progressive, fixed airway obstructive disease in popcorn workers: a new occupational pulmonary illness?
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Biomedical subjects
Publications and source records attributed to A J Parmet.
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Tuberculosis in commercial aircraft has been a concern since a 1995 incident of possible transmission from an active case of tuberculosis to passengers in the cabin of a 747. Subsequently, commercial air carriers have been vigilant in cooperating with public health authorities in tracking all known exposures to tuberculosis. In 1998, a pilot of a commercial airliner was diagnosed with active tuberculosis. Company records demonstrated that in the previous 6 mo, the pilot had flown with 48 other pilots. Every exposed pilot was contacted and evaluated by skin testing (IPPD) or chest x-ray if previously positive. There were no skin test conversions and no changes on x-rays. This study demonstrates that transmission of tuberculosis in the aircraft cabin environment, even under close and continuous exposure to an active case, is a rare event.
An aviator with occupationally-caused lead poisoning and entrapment neuropathies. Presentation, diagnosis and treatment are discussed.
Three aviators experience hypoxic symptoms in flight that persist on landing. These prove to be the initial presentations of anemia, leukemia and cardiac disease.
A Gulf War veteran and aviator with an occupational dermatitis is evaluated as to cause and ability to work in his normal occupation as well as flying duty. The effects of the Americans With Disabilities Act upon disabled workers, pilots and collective bargaining agreements is discussed.
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The initial presentation and diagnosis of an aviator with a pigmented skin lesion. The epidemiology of the skin cancer epidemic, including melanoma is discussed. Prognostic implications of melanoma and the U.S. Air Force experience with melanoma in aircrew are also depicted.
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Numerous fatal accidents marred the early years of aviation, but not until 1911 was the first accident attributed to inflight incapacitation of the pilot. Two such accidents occurred in 1911 and were reported due to medical causes. Our review of the circumstances surrounding these two accidents lead to different conclusions. We believe them to have been caused by pilot error, and not by medical causes. So the first accident due to inflight incapacitation of the aircrew for medical reasons still remains unknown.
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A clinical presentation, evaluation and diagnosis of an aviator with stage 0 chronic lymphocytic leukemia discovered while being evaluated for asymptomatic mitral valve prolapse are discussed. The aeromedical disposition of this patient is also presented.
The clinical presentation, evaluation and diagnosis of an aviator with dilated cardiomyopathy of determined etiology are discussed. The aeromedical disposition and prognosis of this patient are also presented.
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"From the aerospace medicine residents' teaching file: toxic peripheral neuropathy, sacroiliitis, and mitral valve prolapse." The clinical presentation, evaluation and diagnosis of an aviator exposed to N-Hexane and Butanone are discussed. The aeromedical disposition of this patient, who also had mitral valve prolapse and subclinical sacroiliitis, is also presented.