[Possibilities for the use of aviation simulators during dynamic medical observation of flight personnel].
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In case of expert evaluation of poisonings (CO in particular) violation of occupational duties under the influence of toxic substances should be considered as these violations in some cases may result in erroneous actions of a man-operator, which may cause the development or aggravation of accident situation and in the end, death of aircrew and passengers of an aircraft.
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The identification of victims of an aircraft accident may be very difficult because of the degree of fragmentation associated with the accident. Periodically, the Divisions of Aerospace Pathology and Toxicology have been asked to identify tissue, bone, or bloodstains of undetermined origin. Usually this request has been precipitated by situations in which a) it is questionable whether an aircraft has sustained a bird strike, b) unidentified pieces of tissue are found floating at sea, or c) fragments of bone, tissue, or blood-stained flight apparel are found near a crash site. Preliminary studies have shown that gross examination and the methods and procedures used in forensic serology may also be applied in aircraft investigation with very good results. These methods are used as an aid to confirm the identity of the victims involved.
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A retrospective analysis of Class A mishaps in all United States Air Force (USAF), Air National Guard (ANG), and Air Force Reserve (AFR) pilots (n = 5088) evaluated at the USAF School of Aerospace Medicine (USAFSAM) from 1957-84 was conducted to test whether the cohort career mishap experience differed significantly from the general USAF, AFR, and ANG pilot population. The analysis involved merging the USAFSAM Cover Sheet computer file with the Aircraft Accident Data System and Flight Record Data System maintained at the Air Force Inspection and Safety Center, Norton AFB, CA. A life table analysis compared observed cohort mishap accumulation over career flight hours with theoretical curves derived from USAF wide aircraft year-specific Class A mishap rates. The cohort experienced significantly fewer (p less than 0.005) mishaps over career flight hours in all major aircraft categories except trainers, in which the cohort experienced significantly more mishaps (p = 0.013). Areas for further analyses based on these preliminary findings are discussed.
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