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Books > Medicine > Other branches of medicine > Environmental medicine > Aviation & space medicine
This book focuses on the life and work of Nathan Zuntz (1847-1920),
a German physiologist, who made significant contributions to high
altitude physiology and aviation medicine.
He achieved fame for his invention of the Zuntz-Geppert respiratory
apparatus in 1886 and the first treadmill (Laufband) in 1889. He
also invented an X-ray apparatus to observe cardiac changes during
exercise and constructed a climate chamber to study exercise under
varying and sometimes extreme climates.
* Focuses on Zuntz's contribution to high altitude physiology and
aviation medicine
During the past several years there has been a shortage of flight
opportunities for biological and medical projects. And those that
were available usually had severe restrictions on instrumentation,
number of subjects, duration, time allotted for performing the
experiments, a possibility for repetition of experiments. It is our
hope and expectation that this will change once the international
Space Station is in full operation. The advantages of a permanent
space station, already demonstrated by the Russian Mir station, are
continuous availability of expert crew and a wide range of
equipment, possibility of long-term experiments where this is
waranted, increased numbers of subjects through larger laboratory
space, proper controls in the large 1-G centrifuge, easier
repeatability of experiments when needed.
The limited number of flight opportunities during recent years
probably explains why it has taken so long to acquire a sufficient
number of high quality contributions for this seventh volume of
Advances in Space Biology and Medicine. While initially the series
wassailed at annually appearing volumes, we are now down to a
biannual appearance. Hopefully, it will be possible to return to
annual volumes in the future when results from space station
experimentation at beginning to pour in.
The first three chapters of this volume deal with muscle. Fejtek
and Wassersug provide a survey of all studies on muscle of rodents
flown in space, and include an interesting demography of this
aspect of space research. Riley reviews our current knowledge of
the effects of long-term spaceflight and re-entry on skeletal
muscle, and considers the questions still to be answered before we
can be satisfied that long-term space missions, such as on the
space station, can be safely undertaken. Stein reviews our
understanding of the nutritional and hormonal aspects of muscle
loss in spaceflight, and concludes that the protein loss in space
could be deleterious to health during flight and after return.
Strollo summarizes our understanding of the major endocrine systems
on the ground, then considers what we know about their functioning
in space, concluding that there is much to be learned about the
changes taking place during spaceflight. The many problems of
providing life support (oxygen regeneration and food supply) during
extended stay on the Moon, on Mars, or in space by means of plant
cultivation are discussed by Salisbury. The challenges of utilizing
electrophoresis in microgravity for the separation of cells and
proteins are illustrated and explained by Bauer and colleagues.
Finally, the chapter on teaching of space life sciences by Schmitt
shows that this field of science has come of age, but also that its
multidisciplinary character poses interesting challenges to
teaching it.
Most textbooks of physiology deal with idealized young adult
physiology in temperate climates at sea level. Other stages of life
and other environments are often covered cursorily, if at all.
These more stressful circumstances and conditions are not only
important in their own right, but can also help us to understand
normal mechanisms more fully. Therefore, this text is complementary
to the major teaching texts in physiology while still containing
information essential to a thorough understanding of the subject.
This book is an attempt to meet the need for a different approach.
It presumes a basic knowledge of 'standard' physiology such as one
acquires in a preclinical course in medicine or dentistry, or
during the early years of a science course in physiology. The book
will be welcomed by students and teachers of physiology.
Much of the previous literature in the field of safety focuses on
either the technical equipment issues or the human performance
factors that contribute to the active failures in safety-critical
systems. However, this book provides guidance in the moral or
ethical aspects of decision-making that perpetuate many of the
latent failures in safety-critical systems. The book presents an
interdisciplinary discussion of ethical decision-making and
discusses the need to teach ethical decision-making in professional
academic programs. It provides a concise introduction to the
ethical foundations and follows up with case studies from aviation,
healthcare, and environmental and occupational health. These cases
illustrate the challenges faced by the individuals in their
respective field and the reasons for the choices that they made in
the face of adversities. Safety Ethics gives a fascinating insight
into ethical decision-making for all those interested or involved
in safety-critical environments. The book will be an extremely
valuable guide for professionals in making decisions consistent
with their beliefs and code of ethics.
This fourth volume in the series, dedicated entirely to the results
of the first European study of the effects of long-term confinement
and isolation. The volume continues to attempt to fulfill the aim
of this series, to bring the findings and accomplishments in the
field of space biology and medicine to a wider group of scientists
than merely the relatively small group of biologists and
physiologists currently involved in space experimentation.
The contributions are not only nicely spread geographically with
three chapters from the United States, two each from Russia,
Europe, and Japan, they also offer a wide range of topics in the
field, covering humans, animals, plants, cells, and even potential
extraterrestrial beings.
As before, not only problems investigated and results obtained are
reviewed, but also some of the technical aspects peculiar to this
field are treated. An example in this volume is the chapter on
virtual environments by Ellis, which is meant to help investigators
understand the opportunities that these techniques might offer for
future investigations.
In view of the limitations on flight opportunities and the
constraints still inherent in orbital experimentation, it is also
important to consider the information that can be obtained from
studies on the ground. In addition to simulation studies like bed
rest for human subjects (see the chapter by Edgerton et al. on
neuromuscular adaptation), tail suspension of rats, and plants on a
clinostat (see the chapter by Masuda et al.), there is the
interesting possibility of using gravitropic mutants for studying
the effects of weightlessness on plant growth as described by
Takahashi and Suge.
Two chapters are devoted to a review of the results on rats flown
on nine Cosmos biosatellite flights between 1973 and 1989: the
chapter by Krasnow deals with the neuromorphological effects of
micro- and hypergravity; that by Popova and Grigoriev with the
metabolic effects of spaceflight. The effects of weightlessness on
heart and lung function in humans are reviewed in detail by
Bonde-Petersen and Linnarson.
While the study of humans, animals, and plants in spaceflight have
taught us much about the effects of the space environment on living
organisms, we still have a very limited understanding of the
mechanisms operating in these effects. The chapter by Rijken et al.
on the effects of gravity on the cellular response to epidermal
growth factor demonstrates how, by a judicious use of experiments
on the ground and in sounding rockets, the mechanism of a
microgravity effect on cell growth could be unravelled.
The question whether there is intelligent life elsewhere in the
universe has intrigued mankind for a long time. In the chapter by
Coulter et al. on NASA's High Resolution Microwave Survey the
project to search for the existence of such life is described. The
postscript to this chapter tells how through an unfortunate
decision of the U.S. Congress this project after a successful start
is threatened with an untimely ending.
AEROMEDICAL EVACUATION: MANAGEMENT OF ACUTE AND STABILIZIED PATIENTS is the definitive treatment on the medical evacuation and management of injured patients in both peacetime and wartime. Edited by eminent experts in the field, this text brings together medical specialists from across all four branches of the armed services. The post-Cold War paradigm shift necessitates the rapid-fire response of aeromedical evacuation services to treat and transport patients injured in regional conflicts, in mass emergencies and natural disasters, in the face of terrorist attack, and in the event of biological or chemical warfare. The book discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail in the second half of the book, including general surgical casualties such as abdominal wounds and soft tissue injuries, vascular injuries, maxillofacial injuries, head and spinal cord injuries, ophthalmolic casualties, orthopaedic casualties, burns, pediatric casualties, obstetric-gynecologic casualties, and more. Over 80 illustrations provide a useful review of transport equipment and both medical and surgical treatment. Algorithms outline patient triage and management from the field or site to the medical facility. This text is a must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health officers.
The book provides an up-to-date overview of the history of aviation
medicine and the development of medical requirements for licensing.
Also the physiological foundation for flight, the physiology of the
sensory organs, exposure to cosmic radiation, the preventative
aspects of aviation medicine, the role of medical factors in
accident investigation, and passenger health issues are covered.
The bulk of the book is the clinical part which contains several
chapters and sub-chapters on clinical aviation medicine with
detailed guidance, written by Medical Examiners for Medical
Examiners, on how to examine aircrew and how to determine their
fitness for flight, especially in cases where the medical
requirements are not fully met. Focussing on cardiology,
ophthalmology, otology, neurology, psychology and psychiatry,
Principles and Practice of Aviation Medicine provides an in-depth
discussion of many diseases and medical conditions, frequently
encountered in aeromedical practice, with emphasis on how they
relate to the demands of contemporary aviation, both with regard to
airline pilots and private pilots. Throughout particular
consideration is given to how and when flexibility can be applied
to the medical certification. In addition, the book includes a
chapter on the international medical requirements and other
pertinent rules and regulations for medical certification set by
the Joint Aviation Authorities (JAA) and the Federal Aviation
Administration of the United States (FAA), as well as the latest
revised medical standards and recommended practices of the
International Civil Aviation Organization (ICAO).
This highly practical guide is ideal for any medical professional
who deals with the aerospace environment or is involved in the
healthcare of aircrew or individuals preparing for or returning
from aerospace travel. The book covers all the main aspects of
aerospace medicine, including the salient physiology and clinical
aspects in note form for rapid assimilation, and makes plentiful
use of figures, algorithms and tables throughout. Key Features: *
Comprehensive covering all aspects of clinical aerospace medicine
and relevant physiology * Note-based for rapid reference in the
clinical setting * Highly practical with illustrations and tables
supporting the text throughout * From a highly experienced
international team of editors and contributors * Ideal as a
handbook companion, complementing the definitive reference
Ernsting's Aviation and Space Medicine, for use 'on the go' The
book will be an indispensable companion to all civil and military
aviation medicine practitioners including those preparing for
professional qualifying examinations, and a useful aid for other
physicians with an interest in aviation medicine or who are
required to inform patients regularly regarding the likely effects
of flight, including family practitioners and hospital doctors,
physiologists with an interest in the area and occupational and
public health personnel.
While stress and fatigue are often dealt with in other books on
aviation performance and human factors, these realities of human
vulnerability are now increasingly seen as central to the effective
conduct of flight operations. Flight Stress provides a
comprehensive treatment and a better understanding of stress and
fatigue as they relate to aviation. It clarifies and distinguishes
the concepts of stress and fatigue as they apply to flight, and
expounds sufficient theory to provide a principled basis for the
consideration and amelioration of stress effects in aviation. The
authors examine what is known of the effects of stress from both
laboratory and operational studies and detail the aspects of this
knowledge to which aviation professionals should pay most
attention. They go on to discuss the implications of stress and
fatigue for performance in a range of aviation contexts, from air
traffic control to aerial combat. Physiological, cognitive and
medical sequel are explored. The book locates aviation related
work, in its broader research context, critically reviewing and
illustrating the work, with examples from accident and incident
reports. It is substantive but accessible, since it both sets out
the research base and provides plenty of 'real world' examples to
leaven and illustrate the narrative. It thus provides an
authoritative handbook for aviation professionals and a
comprehensive source book and reference work for researchers. The
readership includes aviation professionals and researchers,
including medical personnel and registered Aviation Medical
Examiners; psychologists and Human Factors specialists; training
captains, senior pilots and engineers; air traffic controllers,
dispatchers and operations staff.
Flight training and flying are hazardous activities that demand the
most of human operators, whether they be pilots or other factors
(maintainers, air traffic controllers, managers, regulators)
involved in the complex aviation system. 'Aerospace Clinical
Psychology' serves as a handbook for dealing with aviators and
other operators, those seen as patients as well as those
functioning 'normally', who none-the-less wish to improve their
performance. This book has much to offer the audiences who
intersect the Human Factors and clinical areas of aviation and
operators in extreme environments. It deftly defines specific
touchstone areas such as selection, training, accident
investigation, measurement and testing, and practical
interventions. The little-margin-for-error realm of aviation
exposes operators to stress and risk on a daily basis. 'Aerospace
Clinical Psychology' provides a blueprint for combining the talents
of clinical psychologists with flight surgeons and Human Factors
practitioners to enhance safety and efficiency.
The success of any space flight mission depends not only on
advanced technology but also on the health and well-being of crew
members. This book, written by an astronaut physician, is the first
practical guide to maintaining crew members health in space. It
combines research results with practical advice on such problems as
bone loss, kidney stones, muscle wasting, motion sickness, loss of
balance, orthostatic intolerance, weight loss, and excessive
radiation exposure. Additional topics include pre-flight
preparation, relevant gender differences, long-duration medical
planning, post-flight rehabilitation, and the physiology of
extra-vehicular activity. Designed as a handbook for space crews,
this text is also an invaluable tool for all the engineers, medical
personnel, and scientists who plan and execute space missions.
This book summarizes the early successes, drawbacks and
accomplishments in cell biology and cell biotechnology achieved by
the latest projects performed on the International Space Station
ISS. It also depicts outcomes of experiments in tissue engineering,
cancer research and drug design and reveals the chances that
research in Space offers for medical application on Earth. This
SpringerBriefs volume provides an overview on the latest
international activities in Space and gives an outlook on the
potential of biotechnological research in Space in future. This
volume is written for students and researchers in Biomedicine,
Biotechnology and Pharmacology and may specifically be of interest
to scientists with focus on protein sciences, crystallization,
tissue engineering, drug design and cancer research.
This book comprehensively describes the physiological changes and
consequences that occur in humans during spaceflight. It
specifically presents the adaptations of the cardiovascular and the
respiratory system. Specific changes occurring after 10, 20 or more
days in space are depicted. Furthermore, the book explains various
effective countermeasures that are required upon return of the
astronauts to Earth. The book is a must-have for all biomedical and
clinical researchers in the field of cardiovascular biology and
respiration, and a fascinating reading for all interested laymen,
who wish to understand a bit more about spaceflight research and
technology.
Space physiology and space medicine are fairly recent sciences,
born of the desire to launch man into space and bring him safely
back again. Weightlessness and cosmic radiation - conditions which
can neither be adequately simulated nor reproduced on earth - are
on the other hand used as research tools for medical experiments,
in particular in the fields of neurophysiology, internal medicine
as well as genetics and radiation dosimetry. The newly established
Austrian Society for Aerospace Medicine provides a basis for
multidisciplinary approaches to spaceflight biomedical research.
Diagnostic, prognostic and elective, operational and preventive
measures can be fostered by activities of the Society. In October
1991 the first Austrian was launched into orbital flight and
fulfilled an ambitious scientific program which was dominated by
life science experiments in the areas of cardiovascular medicine,
fluid-electrolyte research, neurophysiology, endocrinology,
genetics, and radiation biology. The results from these
experiments, presented in this book, will help to improve the
management of biomedical problems in daily life.
It was Gordon Sharp's experiences as a six-year-old boy in the
Glasgow Blitz that first set him on the path towards a medical
career. By the time Gordon had left school he had two firm goals:
to specialise in aviation medicine, and to try his hand at
broadcasting. He managed both in style, becoming Commanding Officer
of the RAF's Aviation Medicine Training Centre and later Head of
Division at the Institute of Aviation Medicine. During his time in
the RAF Medical Branch he carried out pioneering work in the
development of safer systems for aircrew. As a member of the ITN
studio team during the Apollo space programme in the 1970s, Gordon
became a familiar face to TV audiences. Then, just when he thought
life held no more surprises, he found himself flying high in a
different sense when he was invited to serve as 'Physician
Extraordinary' to Her Majesty The Queen Mother. Going for a spin is
Gordon's fascinating and entertaining story.
Still the only book published anywhere in the world which is
devoted entirely to the principles of aeromedical transport,
Aeromedical Transportation has rightly become known as the sole
reference for the industry. This second edition has been radically
revised and updated; featuring the latest research, updated
references and new chapters on the transport of intensive care
patients, and medical emergencies/death in flight. Since the first
edition was published in 1996, the concept of 'evidence-based
medicine' has been accepted as essential in any book which
endeavours to be the accepted knowledge base in its subject area. A
very practical text, international in its approach, much of its
content is devoted to clinical matters. Administration and
organisation are also discussed, but are addressed from the
standpoint of the clinical aeromedical escort. The text is suitable
for medical, paramedical and nursing personnel and for those
working in organizations whose duties include the transportation of
the sick and injured by air.
This highly practical guide is ideal for any medical professional
who deals with the aerospace environment or is involved in the
healthcare of aircrew or individuals preparing for or returning
from aerospace travel. The book covers all the main aspects of
aerospace medicine, including the salient physiology and clinical
aspects in note form for rapid assimilation, and makes plentiful
use of figures, algorithms and tables throughout. Key Features: *
Comprehensive covering all aspects of clinical aerospace medicine
and relevant physiology * Note-based for rapid reference in the
clinical setting * Highly practical with illustrations and tables
supporting the text throughout * From a highly experienced
international team of editors and contributors * Ideal as a
handbook companion, complementing the definitive reference
Ernsting's Aviation and Space Medicine, for use 'on the go' The
book will be an indispensable companion to all civil and military
aviation medicine practitioners including those preparing for
professional qualifying examinations, and a useful aid for other
physicians with an interest in aviation medicine or who are
required to inform patients regularly regarding the likely effects
of flight, including family practitioners and hospital doctors,
physiologists with an interest in the area and occupational and
public health personnel.
This volume of the Series SpringerBriefs in Space Life Sciences
summarizes the newest finding in the field of mental health and
physiological exercise in Space. Currently two major challenges are
impacting human health in the western societies, one being a move
towards a sedentary society, the second one being longevity. Both
have a considerable impact on physical as well as mental health.
Space life science research helps to understand the underlying
degenerative physiological and neuro-psychological processes as
living in space, living in microgravity can be regarded as a time
lapse of the sedentary and aging human being. Translational
research of the past years has shown that exercise can be regarded
as a key factor to counteract physical and mental deconditioning in
space, guaranteeing a holistic approach to health and a benefit to
the socio-demographic changes of our society. The book is written
for scientists in biomedicine, more specific in aging research,
sports physiology and neurosciences.
Space medicine has been an important component of the success of
human spaceflight and will continue to play a critical role in the
future ventures. To prepare for the day when astronauts will leave
low Earth orbit for long-duration exploration missions, space
medicine experts must develop a thorough understanding of the
effects of microgravity on the human body, as well as ways of
migrating these effects. To gain a complete understanding of the
effects of space on the human body and to create the tools and
technologies required for successful exploration, space medicine
will become an increasingly collaborative discipline incorporating
the skills of physicians, biomedical scientists, engineers, and
mission planners. In this work, Dr. Erik Seedhouse examines the
future of space medicine in relation to human space exploration. He
describes what is necessary to keepa crew alive in space, how it
will be accomplished in the future, and the medical challenges
faced by interplanetary astronauts. The book is divided into three
sections. The first looks at space medicine on board the ISS, where
astronaut stays are often of long duration. The second section
considers the Exploration Class medical dangers, beginning with
radiation and the consequent Acute Radiation Syndrome (ARS). The
final section looks at future developments and the importance of
telemedicine and how revolutionary technologies will protect
interplanetary astronauts from the space environment. The book ends
with a description of the kind of hibernation necessary to insure
the well being of interplanetary astronauts.
This collection of chapters on the latest methods and tools for
applied research in aviation psychology guides the diverse range of
professionals working within aviation on how to adapt flexibly to
the continuously evolving requirements of the aeronautical
landscape. Experts from the industry and academia explore selected
applications, ranging from aviation system engineering to bridging
the gap between research and industrialization, safety culture,
training and examination. Psychological tools are explored,
including designing biocybernetic adaptive systems, predictive
automation, and support for designing the human role in future
human-machine teaming concepts. Special chapters are dedicated to
spatial disorientation, reactivity, stress, eye-tracking,
electrodermal and cardiac assessment under the influence of G
forces. This is essential reading for aviation psychologists, human
factors practitioners, engineers, designers, operational
specialists, students and researchers in academia, industry, and
government. The practitioners and researchers working in other
safety critical domains (e.g., medicine, automotive) will also find
the handbook valuable.
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