[Problem of nosographic classification of psychoneurotic disorders of aviators in war].
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The authors, based in European and American rules, consensus positions of Clinical Aerospace Congresses and their own experience, marked admission and follow-up rules of conduct for TAP Air Portugal aircrew. They stressed the importance of modern technology in arterial pressure ambulatory diagnosis and pointed the necessity of arterial pressure treatment in the other cardiovascular risk factors context. They relief ischemic myocardial disease because it is incompatible with flying safety, even in those submitted to coronary angioplasty or bypass graft surgery. For those with arrhythmias, valvular heart disease, myocarditis, cardiomyopathy and adult life congenital heart disease, we emphasize admission and follow-up rules.
As the human body was introduced to flight and its unfamiliar, hostile atmospheric environment, the medical profession had to become familiar with its effects in order to develop preventive measures. In this way, the field of aerospace medicine had its origin.
Included in a multi-faceted questionnaire concerning the work environment within a commercial airline were questions on flight anxiety and exposure for critical incidents. A total of 1,147 respondents were included in the sample. Results show that 9.2% of the aircrew members feel anxious or afraid of flying monthly or more often. The cockpit crewmembers were less anxious than the cabin crewmembers, and female cabin crewmembers were more anxious than male. Aircrew who had experienced critical situations and had not sufficiently worked through their experiences, reported more anxiety than those with adequate work-through. We recommend that the cabin crewmembers be provided with better information on how the flight deck operates, and that more stable work crews and co-training of cabin and cockpit crewmembers be facilitated. A formal debriefing routine after critical incidents is advised. Personnel with flight anxiety should be offered help to reduce their fear level.
This case reports the evaluation of hypercholesterolemia and heme positive stools in an asymptomatic 69-year-old helicopter instructor pilot. It progresses though the work-up of this unique individual and makes recommendations for his continued care and evaluation.
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