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Korean Journal of Aerospace and Environmental Medicine

  to  Present  ISSN: 1738-2548

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Cultural Difference in Applicants for FAA Physical Performed in Korea 1997~2008.

Inho KWAK

Korean Journal of Aerospace and Environmental Medicine.2008;18(3):88-93.

BACKGROUND: There have been some reports that under-reporting of pilots concerning their medical history and current use of medications resulted in fatal accidents. From the AME (Aviation Medical Examiner)'s perspective, accurate documentation of the application forms with careful examination of the applicant is necessary to avoid errors and any mishaps that may be contributed by falsification by the pilot. This article examines FAA (Federal Aviation Administration) physicals performed in Korea from 1997 to 2008 to show how Korean and foreign applicants differ in terms of making statements concerning their medical history and current use of medications and to see what can be done to overcome such differences. METHODS: From 1997 to 2008, all FAA physicals performed in one medical institution, was examined. Using the SPSS, the data was analyzed to compare the two groups, the Korean and the expatriate pilots. RESULTS: The total number of applicants was 811 with 785 (96.7%) males and 26 (3.2%) females. Some of the astounding results found among the group of applicants with different citizenship, basically between the Korean applicants and those out of the country including the U.S. and other nations, was that the reporting of any current use of medication (prescription or nonprescription) and of the medical history was vastly different. In reporting the current use of any medication, 13 among 429 (3.0%) Koreans reported yes, whereas for expatriates 82 among 382 (21.5%) reported the current use of medicine. In describing the medical history of the past and present, only 86 (20.0%) Koreans described yes, whereas 217 (56.8%) expatriates did so (Fig. 3). In any visits to a health professional within the last 3 years, only 48 (11.2%) Koreans described yes, whereas there were 188 (49.2%) expatriates. CONCLUSION: In this study, the difference between Korean pilots and the expatriates concerning the disclosure of applicants' medical history, the current use of medication(s), and recent visit to a health professional is obvious. Issues of debate may be that Korean applicants comprise of young age pilots as opposed to relatively older group of expatriates, and so age-related factor cannot be disregarded. In conclusion, proper documentation and examination of pilots may prevent many mishaps related to medical conditions and the use of medication(s) that were not initially recognized and the failure to do will result in fatal accidents.
Amphotericin B ; Aviation ; Disclosure ; Female ; Health Occupations ; Humans ; Korea ; Male

Amphotericin B ; Aviation ; Disclosure ; Female ; Health Occupations ; Humans ; Korea ; Male

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Aeromedical Consideration of Designing Attitude Indicator for Preventing Spatial Disorientation.

Sang Ho HWANG

Korean Journal of Aerospace and Environmental Medicine.2008;18(3):78-87.

To develop an aeromedical strategy to prevent aircraft accidents caused by spatial disorientation or loss of situational awareness, it is no wonder to say the first step may begin with understanding of operating principles of flight displays, especially attitude indicator. Therefore, this review article focused on explaining the unique aeromedical aspects of various types of attitude indicator. Also, the concept of newly developed attitude indicator was introduced to consider pros and cons of current design.
Aircraft ; Resin Cements

Aircraft ; Resin Cements

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An Overview of In-flight Medical Care.

Bok Soon HAN

Korean Journal of Aerospace and Environmental Medicine.2008;18(3):69-77.

Medical issues in the air such as in-flight deaths, diversions, deliveries have gained increasing publicity. In-flight medical emergencies are expected to increase because air travel continues to expand and as more elderly or invalid passengers often wish to fly long distances. The protection of passenger health is an important obligation of airlines. Most airlines have prepared many resources for in-flight medical care. Resources may include emergency medical kits including medications, portable oxygen bottles and automated external defibrillator (AED), trained flight attendants with available in-flight medical care. Furthermore, air to ground communication systems are prepared. Although the number of serious medical events is very small, despite increased airline's efforts, physician passengers are occasionally called upon to care for the ill or injured passengers at any time. Medical liability has always been in the mind of physicians called upon to treat a patient in-flight. Therefore, fear of liability is cited as a major reason for physicians reluctance to offer assistance. New legislation that would require all commercial flights to carry AEDs should also include a "Good Samaritan" provision that exempts from liability physicians who step forward to offer assistance in-flight medical emergency. Physicians take an important role in case of in-flight medical emergencies. This paper describes the multiple in-flight resources to be used by physician passengers who is called upon to help passengers in the cabin.
Aged ; Defibrillators ; Diptera ; Emergencies ; Humans ; Liability, Legal ; Oxygen

Aged ; Defibrillators ; Diptera ; Emergencies ; Humans ; Liability, Legal ; Oxygen

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What is the Problem?.

Sung Kyu KIM

Korean Journal of Aerospace and Environmental Medicine.2000;10(3):293-294.

No abstract available.

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Conceptual Model of Human Factors in Aviation.

Chang Soo MOON

Korean Journal of Aerospace and Environmental Medicine.2000;10(3):267-273.

No abstract available.
Aviation* ; Humans*

Aviation* ; Humans*

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Psychological Stress Status and it's related Factor in Pilots.

Jeong Ho KIM ; Tae Kwang LEE ; In Ki LEE

Korean Journal of Aerospace and Environmental Medicine.2000;10(3):255-265.

BACKGROUND: Pilots should maintain optimal state of physical and psychological well-being for preventing aircraft accidents. Major cause of aircraft accidents was human factors, and physical well-being are closely related to psychological health. Thus, we evaluate psychological stress status of pilots to manage and promote psychological well-being of pilots in Republic of Korea Air Forces. METHODS: A self-administered questionnaire was designed. It dealt with demographic, medical utilization and health habit variables. The section of psychological stress was the 60-item version of Goldberg's general health questionnaire(GHQ-60). From September 1996 to October 1996, 896 questionnaires were distributed to the pilots. RESULTS: The degree of stress were statistically significant in the age, marital status, educational attainment, annual income, hospital admission, hours of sleep, having breakfast, regular exercise, smoking and alcohol drinking variables; (a) pilots in younger, unmarried, and low-income group had more stress; (b) pilots have hospital admission in a recent month including his family member had more stress; (c) pilots in sleeping 9 and over hours, having breakfast sometimes, no regular exercise, smoking and frequent alcohol drinking group had the highest level of stress. In potential distress group, hospital admission including his family member( adjusted OR = 2.15, 95% CI : 1.15-4.02), lack of sleeping( adjusted OR = 2.78, 95% CI : 1.57-4.94), irregular exercise(adjusted OR=2.42, 95% CI: 1.40-4.18) and frequent alcohol drinking(adjusted OR=2.79, 95% CI: 1.05-7.41) were estimated as risk factors. CONCLUSIONS: This study suggested that we should give a special attention to manage the stress of pilots in younger age and, in potential distress group, pilot had hospital admission including his family member, lack of sleeping, irregular exercise and frequent alcohol drinking in relation to maintain and promote psychological health of pilots in air forces.
Aircraft ; Alcohol Drinking ; Breakfast ; Humans ; Marital Status ; Republic of Korea ; Risk Factors ; Single Person ; Smoke ; Smoking ; Stress, Psychological* ; Surveys and Questionnaires

Aircraft ; Alcohol Drinking ; Breakfast ; Humans ; Marital Status ; Republic of Korea ; Risk Factors ; Single Person ; Smoke ; Smoking ; Stress, Psychological* ; Surveys and Questionnaires

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Evaluation method for vinyl chloride exposed workers.

Jung Hwan CHANG ; Chi Nyon KIM ; Yong Ho LEE ; Young Shik YUN ; Young Bong CHO ; Jaehoon ROH

Korean Journal of Aerospace and Environmental Medicine.2000;10(3):247-254.

BACKGROUND: This study was conducted to evaluate vinly chloride exposure in vinyl chloride and poly vinyl chloride manufacturing factories. The object of this study was compare two different type of air sampling method that of, NIOSH and OSHA recommended and Investigate quantitative correlation between level of vinyl chloride exposure and urinary thiodiglycolic acid excretion. METHODS: Air sampling was conducted by two method and sampling mediums were located at workers breathing zone in the same location. Sampling mediums were changed in 60 minute interval and sampling pumps were recalibrated at the same time. Urine was collected before and end of shift were stored frozen and determined by GC/FID analysis. RESULTS: In NIOSH method, time weighted average was 3.562 +/- 2.898 ppm and OSHA method time weighted average was 4.051 +/- 3.700 ppm. Concentration of urinary TdGA in before shift was 0.527 +/- 0.828 g/g creatinine and end of shift was 4.190 +/- 7.665 mg/g creatinine. Difference of urinary TdGA between end of shift to before shift was 3.662 +/- 7.865 mg/g creatinine. In NIOSH method, correlation coefficient between 8hour-time weighted average (8hrs-TWA) and urinary concentration of TdGA was r=0.666. and last period vinyl chloride level (6th-TWA) and urinary TdGA concentration was r=0.972. In OSHA method, correlation coefficient between last period vinyl chloride level (6th-TWA) and urinary concentration of TdGA was r=0.976 and this was highest value. CONCLUSION: There was no statistically significant difference in NIOSH method and. OSHA method. A correlation were found between level of vinyl chloride exposure and urinary thiodiglycolic acid excretion. Also, vinyl chloride exposure had significantly effected on the urinary thiodiglycolic acid excretion.
Creatinine ; National Institute for Occupational Safety and Health (U.S.) ; Respiration ; United States Occupational Safety and Health Administration ; Vinyl Chloride*

Creatinine ; National Institute for Occupational Safety and Health (U.S.) ; Respiration ; United States Occupational Safety and Health Administration ; Vinyl Chloride*

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Chromosome Aberrations and Sister-chromatid Exchanges in Workers Exposed to Mixed-organic Solvents in Shoe-making Workshops.

Jaechul SONG ; Soo Jin LEE ; Sang Chul ROH ; Soo Jung SOHN ; Hye Young OH ; Chang Hwan PARK ; Eui Sik HAN ; Kwang Won HA

Korean Journal of Aerospace and Environmental Medicine.1999;9(2):207-214.

Chromosome aberrations and sister chromatid exchanges (SCEs) in lymphocytes of peropheral blood as an indicator which could evaluate the effects of mutagenicity after in human exposure to mixed-organic solvents were measured. This study was conducted using 33 shoe making workers occupationally exposed to organic solvents and 33 unexposed control. The results were as follows. 1. The mean air concentrations of n-hexane, toluene, ethyl acetate in working environment were 9.8-14.8, 31.7-45.4 and 4.4-7.6 ppm, respectively. 2. The frequencies of chromosome aberration in exposed workers to mixed-organic solvents and the unexposed were 1.12+/-1.24, 0.36+/-0.70, respectively and their differences were statistically significant (p<0.01). However, the SCE frequencies were not statistically significant between the both groups. 3. The frequencies of chromosome aberration and SCE were no statistically differences by sex, smoking and drinking.
Chromosome Aberrations* ; Drinking ; Education* ; Humans ; Lymphocytes ; Occupations ; Shoes ; Sister Chromatid Exchange ; Smoke ; Smoking ; Solvents* ; Toluene

Chromosome Aberrations* ; Drinking ; Education* ; Humans ; Lymphocytes ; Occupations ; Shoes ; Sister Chromatid Exchange ; Smoke ; Smoking ; Solvents* ; Toluene

9

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BDNF mRNA Expression and Calcium Influx Pathways in Kainate-induced Neurotoxicity.

Young Su HONG ; Jae Hoon BAE ; Dae Kyu SONG ; Jeong Geun LIM ; Won Kyun PARK

Korean Journal of Aerospace and Environmental Medicine.1999;9(2):198-206.

Kainate is known as a neurotoxin acting on the glutamate receptors in the central nervous system (CNS). Glutamate acts an excitatory neurotransmitter at physiological concentration but has a neurotoxic effect in excess amount. BDNF (brain-derived neurotrophic factor) has been reported to have a protective effect against the cellular toxicity and to plays an important role in neuronal survival and differentiation in peripheral nervous system. However, the functional mechanism of BDNF in CNS is unclear. This study was performed to examine the protective effect of BDNF in kainate-induced neurotoxicity and to observe the relation between BDNF mRNA expression and increasing pathways of intracellular Ca2+ concentration. Cultured hippocampal neurons were prepared from 17-18 day embryonic rats and used at the 7th day after neuronal culture. The amounts of BDNF mRNA were measured by reverse transcription polymerase chain reaction after the treatment of several glutamate receptor agonists: glutamate, kainate, -amino-3-hydroxyl-4-isoxazolepropionic acid, N-methyl-D-aspartate. Kainate showed the most prominent effect in an increase of BDNF mRNA expression among the glutamate receptor agonists. The maximal increase of BDNF mRNA expression was obtained in 50 M kainate at 3 hr after the treatment. Adding BDNF to kainate containing cultured hippocampal neurons diminished the increasing level of lactic dehydrogenase according to the single treatment of kainate. In the experiment to evaluate the Ca2+ influx pathways related in BDNF mRNA expression, nifedipine (10 M), a voltage-dependent Ca2+ channel blocker, decreased the both kainate (50 M) and KCl (50 mM) induced BDNF mRNA expressions by 18.4% and 35.0%, respectively. Ryanodine (10 M), a blocker of intracellular release from Ca2+ storage, however, did not show any effect in the both kainate- and KCl-treated neurons.These results suggest that BDNF has a protecting effect against the kainate-induced neurotoxicity in cultured rat hippocampal neurons, and its expression is more related with the Ca2+ influx through the voltage-dependent Ca2+ channels than the release from intracellular Ca2+ storage.
Animals ; Brain-Derived Neurotrophic Factor* ; Calcium* ; Central Nervous System ; Glutamic Acid ; Kainic Acid ; N-Methylaspartate ; Neurons ; Neurotransmitter Agents ; Nifedipine ; Oxidoreductases ; Peripheral Nervous System ; Polymerase Chain Reaction ; Rats ; Receptors, Glutamate ; Reverse Transcription ; RNA, Messenger* ; Ryanodine

Animals ; Brain-Derived Neurotrophic Factor* ; Calcium* ; Central Nervous System ; Glutamic Acid ; Kainic Acid ; N-Methylaspartate ; Neurons ; Neurotransmitter Agents ; Nifedipine ; Oxidoreductases ; Peripheral Nervous System ; Polymerase Chain Reaction ; Rats ; Receptors, Glutamate ; Reverse Transcription ; RNA, Messenger* ; Ryanodine

10

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Effect of Brain-derived Neurotrophic Factor on Excitatory Synaptic Transmission in Hippocampal Neurons.

Dae Kyu SONG ; Eun Ik SON ; Young Su HONG ; Jae Hoon BAE ; Won Kyun PARK

Korean Journal of Aerospace and Environmental Medicine.1999;9(2):192-197.

Brain-derived neurotrophic factor (BDNF) rapidly enhances synaptic transmission among the hippocampal neurons in the resting state. This mechanism may be due to the phosphorylation of NMDA receptors through its Trkb receptors on the postsynaptic neuron. In contrast, BDNF also has a suppressing effect on the synaptic transmission via non-NMDA receptors. The activities of non-NMDA receptors are known to modulate the NMDA receptors activities. This study was to investigate, using patch clamp technique, whether the BDNF increases or decreases the glutamate-induced synaptic transmission in which glutamate acts on both NMDA- and non-NMDA receptors. When a postsynaptic neuron was previously excited by a large amount of glutamate, BDNF decreased the synaptic transmission induced by subsequently-applied glutamate. However, when the signal entered into a postsynaptic neuron was blocked by the application of tetrodotoxin, BDNF increased the glutamate-induced responses. These results show that BDNF plays a role in a protection of the neurons against hazardous or uncontrolled activation of glutamate receptors and in an accentuation of the synaptic response when the signal is inevitably diminished.
Brain-Derived Neurotrophic Factor* ; Glutamic Acid ; Neurons* ; Phosphorylation ; Receptor, trkB ; Receptors, Glutamate ; Receptors, N-Methyl-D-Aspartate ; Synaptic Transmission* ; Tetrodotoxin

Brain-Derived Neurotrophic Factor* ; Glutamic Acid ; Neurons* ; Phosphorylation ; Receptor, trkB ; Receptors, Glutamate ; Receptors, N-Methyl-D-Aspartate ; Synaptic Transmission* ; Tetrodotoxin

Country

Republic of Korea

Publisher

Aerospace Medical Association of Korea

ElectronicLinks

http://www.asmak.or.kr

Editor-in-chief

E-mail

Abbreviation

Korean J Aerosp Environ Med

Vernacular Journal Title

항공우주의학회지

ISSN

1738-2548

EISSN

Year Approved

2007

Current Indexing Status

Currently Indexed

Start Year

Description

Previous Title

Korean Journal of Aerospace and Environmental Medicine

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