Louis H. Bauer, M.D., and the first civil U.S. aeromedical standards: his continuing legacy.
Louis Hopewell Bauer, M.D. (1888-1964) promulgated the first civil aviation medicine regulations for U.S. civil airmen on December 31, 1926. Major elements of these regulations are reflected in the current Federal Aviation Administration Civil Airman Medical Standards, these latter including modifications resulting from medical and aeronautical technical advances. Dr. Bauer's plans covering periodic examinations, waivers, and a system implemented through designated "Aviation Medical Examiners" are continued to this day. Dr. Bauer founded the progenitor of the present Aerospace Medical Association in 1929, the Aero Medical Association. Further, he founded the Journal of Aviation Medicine, the predecessor of the present Aviation, Space, and Environmental Medicine journal, the first issue published in March, 1930. Dr. Bauer's influence in medicine broadened to include the presidency of the American Medical Association (1952-3) and a long standing leadership role with the World Medical Association. His 1926 textbook, Aviation Medicine, stands as an historic centerpiece in the evolution of aviation medicine. Bauer's leadership and contributions to civil aviation medicine came at the right time to enhance the development of U.S. civil aviation and civil aviation safety.
Available from: Guohua Li
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ABSTRACT: Acute cardiovascular events such as heart attack and stroke in commercial pilots have been a concern to flight safety. The purpose of this study was to examine the association of body mass index (BMI) with cardiovascular disease in commercial pilots.
We followed from 1987 to 1997 a cohort of 3019 male commuter and air taxi pilots who were born between 1933 and 1942 and who were certified by the US Federal Aviation Administration. The relationship between BMI and the risk of cardiovascular disease was assessed using Poisson regression modeling based on generalized estimation equations.
At baseline, 55% of the pilots were overweight (25 kg/m(2) BMI < 30 kg/m(2)) and 7% were obese (BMI >/= 30 kg/m(2)). The follow-up accumulated a total of 20,671 person-years and 1897 diagnoses of cardiovascular disease, yielding an incidence rate of 92 per 1000 person-years. The incidence rates of cardiovascular disease increased significantly with BMI. With adjustment for baseline history of cardiovascular disease and age, pilots who were overweight and obese had 6% and 22% higher risk of cardiovascular disease, respectively, than their counterparts with normal BMI.
The prevalence of overweight/obesity and the relationship between BMI and cardiovascular disease among commercial pilots parallel findings from the general population. Incorporating BMI into the current medical standards for commercial pilots merits serious consideration.
Available from: asma.org
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ABSTRACT: Mohler SR, Day PC. The Annual Awards of the Aerospace Medical Association. Aviat Space Environ Med 2006; 77:977-980. The following summary of information on each of the Association's 15 awards has been assembled at the request of Richard T. Jennings, M.D., M.S., who assumed the Association Presidency during the period May 2006-May 2007. Dr. Jennings tasked the Chair of the History and Archives Committee with preparing a readable summary of some highlights in the lives of the award namesakes.
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