President’s Page

Friends…Colleagues,

A colleague and I were discussing graduate stud- ies in human factors when he suddenly blurted out a comment that took me at first quite aback. It went something like, “Well, there is nothing new in aviation medicine or human factors…it’s all the same old stuff rehashed over and over!” My immediate reaction was to less-than-politely suggest that my colleague consider another field of study. However, after some delibera- tion, I realized that there was some truth in what he said. In the end, I merely informed him that, yes, there are some issues that require revisiting a number of times, yet there is also a plethora of areas that aero- Andrew H. Bellenkes, Ph.D. space medical specialists have only begun to explore, especially those associated with the use of advanced based technologies with humans in such a way so as to human-centered technologies in the aerospace ensure that humans are not task overloaded. As such, environment. limited cognitive resources are effectively exploited in Take, for instance, the field of human-systems in- such a fashion so as to maximize human-system perfor- tegration (HSI) in system design, where aeromedicine mance and minimize error. Doing so not only facilitates and human factors come together with a host of other more effective workload management, but as such disciplines (manpower, personnel, safety, survivability, reduces the physical and mental stressors that might human factors engineering and training) to help create otherwise contribute to problems in the health, safety everything from airliners to spacecraft, tools, weapons, and overall behavior of aircrews, air traffic controllers virtually almost anything we humans use. The focus and maintainers. As with HSI, AugCog is a relatively of HSI is on human-centered design; that is, examine a new discipline in which aeromedical and human fac- system's capabilities first and foremost on the roles that tors specialists can truly make pioneering inroads. humans play in operating, maintaining and managing These are but two of the exciting new disciplines in the system. Now, the notion of designing systems with which AsMA members are becoming involved. As we humans in mind may seem quite obvious to AsMA shall see at our upcoming annual scientific meetings, members. However, what we take for granted (design there are many more to be explored. The point of my a system based on humans and not despite them) has noting this here is that in order to grow and preclude been, until recently, generally eschewed by engineers professional stagnancy, our organization must broaden and designers, whose approach has been “we (engi- its horizons to encompass these many new exciting dis- neers) know what the users and maintainers need. “ ciplines. Doing so addresses one of the goals set out in One result of this philosophy has been that the users my first President's Page; that of expanding member- of said systems have had to ‘train around’ the often ship to encompass under-represented specialties. human-unfriendly designs. As noted earlier, it is my goal to ensure all our The tide has turned in recent years, as aeromedi- membership not just includes those working in these cal and human factors specialists are now beginning under-represented disciplines, but that we as an orga- to play central roles in system design and acquisition nization actively pursue recruitment of these specialists processes. As such, AsMA members are already start- and make AsMA their professional home as well. We ing to make and implement policies to ensure that sys- have already started this process with our meeting in tem designs are safe, effective and most importantly, New Orleans, where specialists in AugCog held their human-centered. However, there remains a wealth of first AsMA panel. Interest in this panel was great and experience under the aerospace medical umbrella that the after-action reviews all outstanding. Our members can still be brought to bear on systems engineers, so as want more of this type of information, and it is my in- to best ensure that the systems we use and maintain tent to bring our colleagues in AugCog as well as other are indeed first and foremost designed with humans in unrepresented areas securely into the AsMA fold. mind. Nothing but old rehashed ideas? I think not! For Another approach to human-systems integration indeed, the future is not what it used to be, and we as in which aeromedical specialists are only beginning aeromedical specialists are just beginning to test the to become involved is that of augmented cognition waters of what promises to be a very exciting journey (AugCog). This new and very exciting discipline, ahead. which addresses the means of interfacing computer- See PRESIDENT’S PAGE, p. 810.

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 809 PRESIDENT’S PAGE, from p. 809. fessional meetings, you may have the opportunity to A quick aside: Thanks to our AsMA home office and discuss AsMA with those who may not as yet be mem- professional meeting arrangements team, plans for our bers. Our membership is diverse, representing so many May 2009 annual scientific meeting in Los Angeles are areas of specialty under the aeromedical umbrella. Feel proceeding very well indeed. May I take this opportunity free to tell them why you are a member, what the asso- to urge you to submit an abstract for a presentation, panel ciation offers, especially in the way of facilitating con- or poster session. If you elect to do so (and I very much tact with so many colleagues from around the world. hope you will), please help Dr. Phil Scarpa (our Program If your colleagues appear interested, don't hesitate to Committee Chair) and his team by not waiting until the give them AsMA contact information, and let them very last moment to send in your abstracts (Mea maxima know about the wealth of information they can find on culpa!); please submit them on-line well before the dead- our website. Take their business cards and forward that line. information to our Membership Chair. A member of Finally, let me ask all of you a favor. Many of us the Membership Committee and I will follow-up your are members of more than one professional organiza- Ambassadorial duties by contacting these potential tion, and as such attend a number of congresses and members ourselves. In this way, I am hoping that this meetings each year. Might I therefore deputize you all new AsMA Ambassador program will be yet another as AsMA Ambassadors. When you attend other pro- means of expanding and enriching our organization.

AsMA STANDING COMMITTEE CHAIRS 2008- 2009

COMMITTEE: CHAIR’S NAME E-Mail ADDRESS:

Aerospace Human Factors Thomas E. Nesthus, Ph.D. [email protected] Air Transport Medicine Nigel Dowdall, MBChB [email protected] Aviation Safety Arnie Angelici, D.O., M.P.H. [email protected] Awards Dwight A. Holland, Ph.D., M.D. [email protected] Bylaws Mike Lischak, M.D., MPH [email protected] Corporate & Sustaining Marian B. Sides, Ph.D. [email protected] Education & Training Eilis Boudreau, M.D. [email protected] Finance P. Glenn Merchant, Jr., M.D. [email protected] History & Archives Stanley R. Mohler, M.D. [email protected] International Activities Gabor Hardicsay, M.D. [email protected] Membership Chair Warren S. Silberman, D.O. [email protected] Membership Co-Chair Kenneth J. Myers, M.D. jeffrey.myers-1@ksc.nasa.gov Nominating Richard Jennings, M.D. [email protected] Communications Chair Joseph P. Dervay, M.D. [email protected] Communications Co-Chair Daniel J. Callan, D.O. [email protected] Resolutions David Gillis, M.D. [email protected] Science & Technology Barry S. Shender, Ph.D. [email protected]

Fellows Chair George K. Anderson, M.D. [email protected] Associate Fellows Group Brian Funke [email protected]

SCIENCE PROGRAM

Scientific Program Chair Philip J. Scarpa, Jr., M.D. [email protected] Deputy Program Chair John Crowley, M.D. [email protected] Slides Richard Scheuring, M.D. [email protected] Posters Daniel Weaver, M.D. [email protected] Panels Arleen Saenger, M.D. [email protected] Arrangements Larry Marinelli, M.D. [email protected] Registration Gordon Landsman, M.D. [email protected]

810 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Association News

and Staff of the U.S. Naval War College. He Weien Chosen as President-Elect of AsMA; has become internationally recognized as an Bellenkes Installed as President authority on Human Factors in Terrorism/Counter-Terrorism operations. [A Robert W. Weien, M.D., M.P.H. has been In 1995 he became the Division Surgeon of full biography was printed last year (ASEM elected the 2009-2010 President of the the 25th Infantry Division (Light), Schofield 2007; 78:822), and available on the web at Aerospace Medical Barracks, Hawaii. He served as senior medical www.asma.org.] Association (AsMA). Dr officer on the Division staff, and was responsi- Weien is a retired U.S. ble for garrison and deployment health care. Other AsMA Elected Officers: Army Colonel, and is From 1997 to 2000 he was Commander of The newly-elected Vice Presidents are: currently an Associate the California Medical Detachment, at the Warren Silberman, M.D., and Marian Sides, Aeromedical Advisor Presidio of Monterey, CA. His unit provided Ph.D. Carol Manning, Ph.D. was re-elected with the Aviation primary care support for the Defense as a VP, and Fanancy Anzalone, M.D., contin- Medicine Advisory Language Institute and the Naval ues his 2-year term. The elected members Service in Aurora, CO. Postgraduate School. In addition he coordi- at large with terms through 2011 are Mark A native of nated care for remotely assigned soldiers Campbell, M.D., Joseph P. Dervay, M.D., Ottawa, KS, Dr. Weien throughout most of California. K. Jeffrey Myers, M.D., and James T. Webb, received his bachelor’s In 2000 he became Director of the Ph.D. At the Wednesday morning Council degree from the Department of Defense Medical Examination meeting, Estrella Forster, M.D., was ap- University of South Dakota in 1974. He also Review Board, Colorado Springs, CO. His unit pointed to fill the position of member-at-large earned degrees from Louisiana State obtained and then reviewed medical examina- vacated when Dr. Sides was elected as a VP. University School of Medicine in New Orleans tions for admission to the five U.S. service (Dr. Forster had received the next highest (MD, 1983), and from Harvard School of academies, three service ROTC programs, and number of votes according to Nominating Public Health (MPH, 1987). He completed an USUHS. Committee.) Also at that meeting, Arleen Aerospace Medicine Residency at the U.S.AF He retired from the Army in 2002, and has Saenger, M.D. was appointed as interim School of Aerospace Medicine, Brooks AFB, since been an Associate Aeromedical Advisor Secretary, in the newly-created position. P. TX in 1988. This was followed by a at the Aviation Medicine Advisory Service in Glenn Merchant, Jr., M.D., continues as Fellowship in Hyperbaric Medicine, also at Aurora, CO. He provides FAA medical cer- Treasurer and Russell B. Rayman, M.D., re- USAFSAM, in 1989. He is board certified tification advice and assistance, primarily to mains Executive Director. in Aerospace Medicine and Occupational airline pilots. Medicine. He is also Board Certified in He holds Army Aviator and Master Flight Aerospace Physiology (AsMA/AsPS), 1992. Surgeon Wings, and has been awarded the Commissioned into the U.S. Army Medical Meritorious Service Medal (four awards), the Articles of Aeromedical Service Corps, he served as Medical Army commendation Medal (three awards) Interest Operations Officer for the 326th Engineer and the Army Achievement Medal. He has Battalion, 101st Airborne Division, Fort been awarded the Order of Aeromedical 1. Bagshaw M. Cosmic radiation in Campbell, KY, 1974 - 1975. He went to the Merit by the Society of U.S. Army Flight commercial aviation. Travel Med Infect Army flight school at Fort Rucker, AL, and Surgeons, and the Order of Military Medical Dis 2008; 6:125-7. earned his wings in August 1976. Merit by the Army Medical Department 2. Bull K. Cabin air filtration: helping to Rated in the Huey (UH-1), he was assigned Regiment. protect occupants from infectious diseases. as a Dustoff (helicopter ambulance) pilot for He lives in Colorado Springs with his wife Travel Med Infect Dis 2008; 6:142-4. the 377th Medical Company in Korea, 1976 – and two daughters. He is an FAA certified 3. Schreijer AJM, Cannegieter SC, et al. 1977. After completing the Aircraft flight instructor, and flies sailplanes for recre- Fluid loss does not explain coagulation Maintenance Officer/Maintenance Test Pilot ation. activation during air travel. Thromb Course, he was then assigned to the 54th Haemost 2008; 99:1053-9. Medical Detachment at Fort Lewis, WA, as a CDR Andrew H. Bellenkes, USN, was 4. Stauffer W, Christenson JC, Fischer Dustoff pilot and aircraft maintenance officer. installed as the 2008-2009 President of AsMA PR. Preparing children for international He left active duty to attend medical school during Honors Night ceremonies, May 15, travel. Travel Med Infect Dis 2008; on an Army scholarship. After his surgical in- 2008. Dr. Bellenkes has spent almost 30 years 6:101-13. ternship, he attended the Army Flight Surgeon in the field of Aviation Human Factors and 5. Tonks A. In-flight Emergencies. Course, graduating as the Distinguished since 2006 has been assigned to the Military Br Med J 2008; 336: 584-6. Honor Graduate. A follow on assignment as Faculty at the United States Air Force a Flight Surgeon at Lyster Army Community Academy, Colorado Springs, CO, where he Hospital, Fort Rucker, AL, preceded his entry holds the positions of the Director of Aviation Journal CME/MOC into residency training. Psychology/Human Factors curiculae, After residency he returned to Fort Rucker, Human Factors Option Chief, and Assistant We have suspended publishing the for assignments as Chief of the Aviation Professor. CME/MOC questions in the journal until Medicine Department at Lyster, and Chief of the A Fellow of the Aerospace Medical further notice due to insufficient participa- Consult Service at the U.S. Army Aeromedical Association, Dr. Bellenkes has served as tion in the program. Activity. He then moved to the U.S. Army Vice President, Chiar of the Scientific Aeromedical Research Laboratory and worked Program Committee, Co-Chair of the in the Biodynamics Research Division. Membership Committee, and Chair of the ERRATUM He became the Research Exchange Officer Awards Committee. He also served as at the Royal Air Force Institute of Aviation President of the Aerospace Human Factors In the June article on the Presidents of Medicine/Defence Research Agency Centre Association for 1997. Constituent Organizations, p. 642, we mis- for Human Sciences, at Farnborough, A native New Yorker, Dr. Bellenkes earned takenly referred to Eugenia Bopp as having Hampshire, UK, in 1992. In this unit his major his Ph.D. in Aviation Human Factors (with a an M.D. We apologize for this error. Ms. research activity was as Principal Investigator joint minor in International Security Studies) Bopp is president of the Space Medicine for human subject studies of altitude decom- from the University of Illinois. He is also a Association. pression sickness, up to 40,000 feet. graduate of the College of Naval Command

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 811 Opening Ceremonies-- Boston 2008

OPENING CEREMONIES—(Top Left) the Bostonia Allarum Companie fife and drum corps played against the backdrop of flags of the nations as attendees arrived for opening ceremonies of the 79th Annual Scientific Meeting of the Aerospace Medical Association, May 12, 2008, in Boston, MA. (Center Left) The AFROTC Detachment 365, Cambridge, MA presented the col- ors. (Above left and right) The crowd listens intently to the Bauer lecture, presented by Irwin Braverman, M.D. (Top Right) Dr. Russell Rayman, Executive Director of AsMA and Dr. Jack Hastings, AsMA President for 2007-08, compare notes. (Center Right) Yvette Debois and Marvin W. Jackson, M.D. look at the list of sessions. (Lower Right) Tomaz Kolej and Pete Mapes peruse the program. (Right) Mike Gibson pipes the crowd into the exhibit hall at the close of the lec- ture. For more Annual Meeting photos , check out the photo gallery on our website at www.asma.org on the Meetings page. All photos by Melinda Bruno.

812 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Honors Night Reception and Banquet

THE HEAD TABLE--(L to R) Dwight Holland, the Andersons, the Bellenkes, and the Hastings. Time to present the awards!

PAST PRESIDENT’S PLAQUE--Dr. Jack PAST PRESIDENT’S PIN--Fonda Hastings Hastings (left) accepts the crystal plaque from “pins” her husband, Jack, with the AsMA Dr. Andy Bellenkes. President’s pin. FIRST LADIES EMBRACE--Susi Bellenkes and Fonda Hastings.

HONORS NIGHT RECEPTION AND AFTERGLOW PHOTOS by Melinda Bruno. For more photos of the meeting, check out the photo gallery on our website!

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 813 AEROSPACE MEDICAL ASSOCIATION HONORS NIGHT AWARDS--BOSTON 2008 All photos by Melinda Bruno

John D. Hastings, M.D., 2007-08 President of the Aerospace Medical Association, presented awards to 15 outstanding physicians, nurses, and researchers during the Honors Night cer- emonies at the 79th Annual Scientific Meeting May 15, 2008, at the Sheraton Hotel, Boston, MA. Dwight Holland, M.D., Ph.D., the Chair of the Awards Committee, read the citations. The names of the awards’ sponsors and representa- tives, when present, are printed in parentheses. Award Chair, Dwight Holland, The President’s Citations were also presented AsMA President, Jack Hastings, reads the citations to award win- applauds the award winners dur- ners during Honors Night. during the ceremonies. ing Honors Night ceremonies.

LOUIS H. BAUER FOUNDER’S AWARD WON CHUEL KAY AWARD Micheal Bagshaw, D.Av.Med., FRAeS Anthony D. B. Evans, M.B.Ch.B. (James Yolch, Mayo Clinic) (Dr. Oh Jung-Hyun, Aerospace Medical Association of Korea)

JOHN PAUL STAPP AWARD MARIE MARVINGT AWARD Dana B. Rogers, Ph.D. Robert Dille, M.I.H., M.D. (George K. Anderson, M.D., Environmental Tectonics Corp.) (Alain Martin St.Laurent, French Aerospace Medical Association)

814 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 HARRY G. MOSELEY AWARD MARY T. KLINKER AWARD Col. David “Lex” Brown, USAF, MC LCdr. (Ret.) Christine Cloutier, CF (Lockheed Martin Corporation) (Les Sherman, Impact Insturmentation)

THEODORE C. LYSTER AWARD JULIAN E. WARD MEMORIAL AWARD Jeffrey R. Davis, M.S., M.D. Lt. Col. Lisa Snyder, M.D. USAF (Lockheed-Martin Space Operations) (Brig. Gen. Douglas Robb,.USAF, MC, Society of USAF Flight Surgeons)

ARNOLD D. TUTTLE AWARD BOOTHBY-EDWARDS AWARD James Ross, M.B.B.S., M.P.H. Robert Orford, M.D. (Bob Ellis, Sr. VP, Wyle Laboratories) (Pat Hiebel, Harvey W. Watt & Company)

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 815 KENT K. GILLINGHAM AWARD JOHN A. TAMISIEA AWARD Col. Pete Mapes, M.D., USAF Prof. Dr. Uwe Stueben (Wolfgang Lindlbauer, AMST) (Susan Northrup, M.D., Civil Aviation Medical Association)

ERIC LILJENCRANTZ AWARD Andrew A. Pilmanis, Ph.D. (not present) (Luis Moreno, Bionetics Corp.)

PRESIDENT’S CITATION--Dr. Russell B. PRESIDENT’S CITATION--Dr. Hastings pre- Rayman, Executive Director of AsMA (left) sented citations to Karl Lee (left) and Brian received the President’s Citation from Dr. Hadley Reed (not present) for their dedication Hastings. Dr. Rayman was cited for his 40 to recruiting new AsMA members from the years of membership and dedicated service to Primary Course and RAM classes. By promot- AsMA, the last 17 of which he has served as ing AsMA to young flight surgeons, they have Executive Director. helped to ensure a bright future for AsMA.

RAYMOND F. LONGACRE AWARD Peter Hancock, Ph.D. (Accepted by Melchor Antunaño, M.D.) (PricewaterhouseCoopers)

ASMA FELLOWS CLASS OF 2008—This is the class of 2008 Fellows: Cynthia Brown, John Caldwell, Cyd Courchesne, Dennis Deakins, Ramon Dominguez-Mompell, Charles “Chuck” SIDNEY D. LEVERETT, JR., ENVIRONMENTAL Fisher, Charles “Bruce” Green, Nicholas Green, Robin Griffiths, Norbert Kraft, Stein Kravik, SCIENCE AWARD Gordon Landsman, Matthew Lewis, Guahoa Li, Michael Lischak, Valerie Martindale, Mark CAPT Dave Hiland, M.P.H., D.O. Mavity, Vincent Michaud, Jeffrey Moore, David O’Brien, Huberto Ramos, Daniel Repperger, (Accepted by William “Dave” Agerton, M.D.) Roland Reynolds, Kazuhito Shimada, Jarnail Singh, Tracy Smart, Donald Sprague, Glenn Wilson, (George K. Anderson, M.D., Environmental Andrew Woodrow, and Donald Yoho. Those present at the annual meeting are pictured here Tectonics Corp.) with President Jack Hastings and Chiar of the Fellows Group, George K. Anderson.

816 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Minutes of the Aerospace Medical Association Annual Business Meeting Tuesday, May 13, 2008, Sheraton Hotel, Boston, MA Perhaps our greatest hour was in 2004 when the President, Dr. Melchor Antunano, led a small group of AsMA representatives to the National Aviation Hall of Fame where AsMA was inducted as an orga- nization. All of us in attendance will never forget this spectacular occa- sion particularly because we were in the company of Neil Armstrong that evening who presented us with this great honor in front of a very distinguished audience. And finally, it must be mentioned that our membership, although diminishing since 1992, has leveled off at around 2,800 members. In spite of this, because of our very successful Annual Scientific meetings, we have enjoyed financial gains every year since 1993. We certainly hope this trend continues. Hastings Rayman Advance registration was 1,254; onsite registration as of 11 a.m. today was 333 giving us a total registration of 1,587. There were 40 exhibits. 1. Call to Order (Hastinigs): Dr. Hastings called the meeting to order As of December 31, 2007, our net gain for the year was $87,000 at 12:25 PM which is the highest in our history. I am confident that the Association 2. Recognition of Past Presidents will continue to enjoy further success and that we continue to boldly 3. In Memoriam: A moment of silence was given in honor of those and aggressively advance our cause. who had passed away the preceding year. 6. Report of AsMA Foundation (Vanderploeg): The foundation is es- 4. Report of the President: Dr. Hastings made several remarks regard- tablishing a Stanley Mohler endowment and will contribute $1,500 per ing his year and thanked all those who served during his tenure. year to the Fellows to set up a travel scholarship. 5. Report of the Executive Director and General Chair of the Annual 7. GOVERNANCE - (BELLENKES) Scientific Meeting (Rayman): Nominating Committee (Bagshaw): Dr. Bagshaw submitted the fol- Mr. President, officers, and members of AsMA, it is my pleasure to lowing slate of candidates for office: once again deliver to you my annual report. This will be my 17th and President-Elect: Bob Weien; Vice Presidents: Carol Manning, Marian final report to you since I became your Executive Director in February Sides, Warren Silberman; Members at Large: Mark Campbell, Jeffery of 1992. Consequently, instead of customarily reviewing the previous Myers, Joe Dervay, Jim Webb year’s activities, I have decided to give a brief synopsis covering the 17 The slate was approved unanimously. years of my tenure. Bylaws Committee (Webb): The proposed changes to the AsMA If my predecessor, Dr. Ruf Hessburg, walked into the Home Office Bylaws were submitted to the membership on 13 May and all passed today, he would recognize half the staff, but he certainly would not rec- with a 2/3 majority as they were published in ASEM 2008; 79:155-7. ognize our procedures and policies because of the many changes made They were presented as the following nine motions: over the years. First, we have become 100% computerized offering this i. [Article V. OFFICERS. Sections 1 & 5; Article VII. Sections 2 & relatively new technology in practically every area of our activities. We 5] Add a Secretary position as elected officer to serve on Council and have automated meeting registration, the membership database, peer- Executive Committee. review and submission of journal articles, and the Annual Scientific ii. [Article V. Section 2] Stipulate that the President is an ex officio Meeting. Furthermore, we not only have a website, but it is now multi- member of all Standing Committees except Nominating. lingual. iii. [Articles V & VI] Delete the Executive Director description in We have made particular efforts to ensure that the voice of AsMA Article V. OFFICERS. Section 5 and place under it’s own Article VI. is heard well beyond the confines of our membership. As aerospace EXECUTIVE DIRECTOR, adding a stipulation regarding unbudgeted medicine issues have risen to the surface, your Association has been expenditures. consulted by the media, governmental agencies (national and interna- iv. [Article VII. COUNCIL OF THE AEROSPACE MEDICAL tional), medical associations, private organizations, and in some cases, ASSOCIATION AND EXECUTIVE COMMITTEE. Section 1] Delete individuals. This has put our organization on the academic map. I recall a duplication of the President’s previously-described duty as presid- some years ago when the AMA convened a special task force to review ing officer of Council. [Article VII. Section 2] Add a Parliamentarian the FAA Medical Standards, your Aerospace Medical Association was (non-voting) position to Council membership. Description of the not on the invitation list. I would consider this anomaly a watershed Parliamentarian’s duties are in Motion 8. event in our history because it was at that time that we realized we v. [Article VII. Section 3] States Council’s power to appoint the must change our whisper to a shout. I would dare say that no such Executive Director. meeting would occur today without AsMA participation. vi. [Article VII. Section 5] Addition of a Secretary as covered under As a result of our appearance in the public sector, our committees Motion 1. Stipulates exception to Executive Committee powers and re- have prepared approximately 100 position papers and resolutions on a named Policy Procedures Manual to Policy and Procedures Manual. host of aerospace medicine subjects. These documents, as approved by vii. [Article VIII. ORGANIZATIONS. Section 1. B. & C.] Delete our governing bodies, serve us extremely well in that when we receive Certification Boards and place them in new Article IX. CERTIFICATION the call, we already have in the bank our response. This enormous BOARDS. amount of effort must be credited to our many standing and ad hoc viii. [Article XII. MEETINGS. Sections 4 & 5] changed to reflect bet- committees and constituent organizations. We are now well represented ter nomenclature and duties of the Parliamentarian. on a number of national and international bodies including the National ix. [Article XIV. FUNDING AND FINANCES. Section 2.] Revises Academy of Sciences, the International Civil Aviation Organization, the the authorization of unbudgeted expenditures and changes two refer- Federal Aviation Administration, and NASA, among many others. ences to Secretary-Treasurer to Treasurer. A third major change is the internationalization of AsMA. We have The Bylaws Committee examined copies of Bylaws from all eleven made every effort to attract international members and to democratize Constituent Organizations and the Aerospace Physiology Certification membership so anybody, regardless of nationality, can participate on Board for conflict with AsMA Bylaws. They were reviewed by at least committees, serve as committee chairs, and hold any elected office two members of the Bylaws Committee and returned to the Constituent including the presidency. This is in vivid contrast to the days when indi- Presidents with suggestions or recommendations for changes. viduals from countries other than the U.S. were associate members pay- Finance Committee (Merchant): Dr. Merchant announced on $88,000 ing dues on a lower tier and generally excluded from leadership roles. gain during 2007 due to the outstanding performance at our convention Furthermore, as we have faced the contentious issues of aerospace in New Orleans. Currently we have $880,000 dollars in our portfolio. medicine, we have published our recommendations based upon an Efforts are now being made to find a new CPA for the Association. international, rather than a national, perspective. This is in part due There will also be an audit scheduled during the coming year. to our increasing international membership that demands a broader 8. REPRESENTATION AND ADVOCACY (MANNING) view than we have heretofore allowed. This change from the old Resolutions Committee (Scheuring): Dr. Scheuring announced there model has been a salutary one in that it has enhanced our credibility are no resolutions for this meeting but two are in the hopper for the at home and abroad. next year. A description of the resolution process will be placed in the AsMA must continue in this direction to live up to its reputation as See MINUTES, p. 818. “The International Leader in Aerospace Medicine”.

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 817 MINUTES, from p. 817. History and Archives Committee (Mohler): Dr. Mohler announced policies and procedures manual. The new chair for next year will be Dr. there will be four historical movies playing during the lunch hour. He David Gillis. also thanked authors who published historical articles during the past Air Transport Medicine Committee (Dowdall): Dr. Dowdall an- year. nounced that there will be a new patient consult sub-committee. His Science and Technology Committee (Shender): Col. Martindale an- committee is currently working on a periodicity paper as well as on nounced that 78 articles had been published in the S&T watch column cabin crew and cabin air issues. He will also appoint a committee mem- in recent years. Four panels were sponsored for this meeting. ber as a liaison with the inflight passenger project being worked with 10. MEMBER SERVICES (WEIEN) George Mason University. Awards Committee (Holland): Dr. Holland reported there were Communications (Dervay/Callan): Dr. Dervay announced that nominees for every award. They’ll be conferred on Honors Night. telecon capability is available and is very effective. Work continues to Corporate and Sustaining Committee (Sides): Dr. Sides reported that be done on the Aerospace Medicine slide show. Analysis done by the we went from 36 to 51 Corporate and Sustaining members with 42 more committee has given information regarding website management. We in the pipe line. The speaker’s bureau event went very well this year, will not to do universal email addresses due to high costs. Dr. Manning with the speaker describing the “Big Dig” in Boston. A dental affiliate is is currently exploring our computer program?website? and will contract currently being formed. a consultant to assist in this project. Membership Committee (Silberman/Myers): Dr. Silverman an- 9. EDUCATION AND RESEARCH (ANZALONE) nounced that membership has gone up slightly this year although Aerospace Human Factors Committee (Nesthus): Dr. Nesthus an- delinquent emails continue to bounce at an unacceptable level. Two for nounced that the fatigue and countermeasure paper is in final draft and One memberships will be offered at International meetings. will be sent to Council for comment and review. 11. INTERNATIONAL SERVICES (MYERS) Aviation Safety Committee (DeJohn): A position paper addressing International Activities Committee (Kleinsmith): Roughly 25% of cabin air had been published and the committee is now working on a the AsMA member is International. Efforts will be made to recruit more paper addressing enhanced process for accident data. The new chair members from overseas. will be Dr. Angelici. 12. Unfinished and New Business: It was suggested that we explore Education and Training Committee (Boudreau): Dr. Boudreau an- joint meetings with ACOEM. nounced that the MOC in the journal is temporarily suspended due to 13. Adjourn: The meeting was adjourned at 1:25PM the lack of participation. Her committee will explore ways and means to Respectfully Submitted, rejuvenate this feature. She also will be analyzing the needs assessment Russell B. Rayman, M.D. given to attendees after this meeting. Executive Director

54th Bauer Lecture: “Art and dismiss the rest, except for the grossly abnor- According to Launius, flight is the single mal. Developing a new skill does not happen most significant technology of the modern the Art of Medicine”--Irwin overnight--it takes nearly 10 years to make a era, driving all others. It is amazing to realize Braverman new skill. that we went from Kitty Hawk to the Moon Since Victorian paintings offer a large in only 66 years. But the last 40 years have not On May 12, 2008, Irwin Braverman, M.D., number of well-defined details, Dr. Braverman been as dramatic. Dr. Launius concluded by gave the opening 54th Annual Louis H. challenged his students to study a painting emphasizing that there is currently a crisis in Bauer Lecture to a packed auditorium at the for 10-12 minutes and then describe what science and technology education and that it is Hynes Convention Center, Boston, MA. Dr. they saw without making any interpretations critical that government programs address the Braverman is Professor of Dermatology at to come to a concrete, not theoretical, differ- advancement of technology for the next phase Yale University. His lecture “Art and the Art of ential diagnosis. The exercise highlighted the of flight—interplanetary travel. Medicine” focused on the idea of using visual problem of premature conclusion based on in- training for his students of dermatology by complete data. The painting examples he used looking at the details in various paintings. He were “Death of Chatterton” by Henry Wallis realized that most medical students learned (1856) and “George, 3rd Earl of Cowper & the by rote and that analytical and observational Gore Family,” by Johann Zoffany (1775). skills were not being taught. There was too much reliance on imagery and lab tests for diagnosis rather than on truly examining the patient. 43rd Armstrong Lecture: Understanding that we humans have a “One Hundred Years of high threshold for what is familiar, we need to Flight and Counting: What train our objective observation. We have an in- tellectual, but not a practical understanding of the Past May Tell us About how to see. We normally look for familiar and the Future”--Roger Launius

On May 15, 2008, Roger Launius, ARMSTRONG LECTURE--Geroge K. Ph.D., delivered the 43rd Annual Harry G. Anderson (left) representing the sponsore, Armstrong Lecture. Dr. Launius took us ETC, presents Roger Launius, Ph.D., with though a brief history of flight from man’s the plaque for the 43rd Annual Harry G. first dreams of flight through the present need Armstrong Lecture, as AsMA president, Jack to invest in science and technology education Hastings (right) looks on. in order to continue to advance in space ex- ploration. Dr. Launius is senior curator in the Division of Space History at the National Air NEW ON THE WEB! News Online in html on the website, and Space Museum, part of the Smithsonian ahead of the printed version! For those of Institute in Washington, DC. you who like your news early and easy to Dr. Launius presented five areas of access, just click on the link from the home flight: 1) Pre-Wright Brothers; 2) Biplane; 3) page to the latest AsMA news. Propeller: 4) Jet; and 5) Spaceflight. Applied Language is now set up to trans- One of the most interesting parts of the late our website into several different lan- BAUER LECTURE--Bob Ellis (left) represent- lecture concerned early aerial navigation. guages! Check it out! ing the sponor Wyle Labs presented Irwin Bonfires lit landing strips, and rooftops or Braverman, M.D., (center) with a plaque for barns and even the Mormon Tabernacle 79th Annual Meeting Photo Gallery-- the 54th Annual Louis H. Bauer Lecture as displayed signs and arrows pointing to the check out the meeting photos online! AsMA president Jack Hastings (right) looks airports. Water towers and rooftops told the www.asma.org on. pilots where they were.

818 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 tions, the media, and sometimes just individ- C&BL is consistent with the AsMA Bylaws. A Executive uals—all soliciting our position on the many motion was made and carried admitting the Director’s issues that challenge aerospace medicine. Hungarian Association to Affiliate status. Column Computerization, internationalization, and Communications—Dervay: Dr. Dervay outreach—-these have been our bellwether. informed Council that he is actively using In addition, I can report to you that our telecons for meetings with his members which finances are very robust and membership has he finds very convenient and efficient. He plateaued. As I see future officers in the wings, is still working on the Aerospace Medicine I am confident that AsMA will enjoy unprec- slide-show in an effort to introduce more inter- edented success in the coming decades. national materials. A communication survey was completed addressing member commu- Rayman Council Highlights nication requirements. At this time, there is no interest in universal AsMA email addresses for Computerization, AsMA Welcomes New a number of reasons including very high costs. Internationalization, Dr. Hastings gave an overview on mem- Affiliate: The Hungarian bership database/website system which Outreach Association of Aeromedical currently uses three vendors. Dr. Manning conducted a survey identifying membership (The following is a synopsis of the Executive Examiners requirements for our systems and has recom- Director’s annual report given at the Boston mended that we hire a consultant to help us meeting in May, 2008.) Sunday - May 11, 2008 make a decision on our absolute requirements If my predecessor, Dr. Ruf Hessberg The Council of AsMA met twice during the and how to structure the new system. We (AsMA Executive Vice President 1979-92), 79th Annual Scientific Meeting, on May 11 and then would make our requirements known to walked into the AsMA Home Office today, he May 14 at the Sheraton Hotel in Boston, MA. a vendor. Of great importance would be the would know about half the staff and he would The following are highlights from both meet- cost for a new system as well as timing since have no difficulty finding his way around the ings. The entire minutes are on file at the home we do not want to be compromised as we offices, conference room, storage rooms, and office. enter the late Fall and Winter months when library. However, beyond that, he would be After opening remarks, accepting the min- registration begins online. One member of completely lost because our AsMA has under- utes, etc., the President, Dr. Jack Hastings, Council proposed a cap to pay a consultant of gone revolutionary changes over the past 10- reported on highlights of the Executive Com- about $10,000. A major question that must be 15 years. mittee meeting. There was discussion regar- answered is do we want a web-based system The biggest change by far in our modus ding the requirement for 100% Constituent or continue with our proprietary system. This operandi has been the computerization of members to be a member of AsMA. Some entire issue will be revisited September Execu- practically everything we do. Although this Council members argued that a percent such tive Committee meeting. might sound mundane at this time, it certainly as 2% of the total AsMA membership should Resolutions—Scheuring: Dr. Scheuring wasn’t 5-10 years ago. We employ electronics be the requirement while others thought that presented a narrative describing the reso- for initial and renewal of membership, pro- it should be a stand alone figure such as 50 lutions process to be placed in our Policy & cessing of meeting abstracts, financial report- members. A motion carried that the Bylaws Procedures document. ing/record keeping, updating our member- Committee should consider these options. Journal—Nunneley & Day: The Editor, Dr. ship database, abstract submission for our By Laws—Webb: There was an action item Sarah Nunneley reported that we continue Annual Scientific Meeting, peer reviewing and to delete from the Bylaws requirements for the to have a 30% rejection rate. There are two publishing journal articles as well as many Executive Committee to approve exhibitors. supplements in the works. The Managing more features. It was only a few years ago that A motion carried to make this deletion and Editor, Pamela Day, reported that printing this was all done by hand. We also have a web add language to the Policies & Procedures costs are fairly stable. Unfortunately, the site that can be visited in 10 languages. document for the Home Office and Exhibit Journal Workshop was canceled because too A second major change is the interna- Manager to vet exhibitors for appropriateness. few members registered for a viable work- tionalization of AsMA. We have made every Finance—Merchant: Dr. Merchant re- shop. She is also exploring with the company, effort to attract international members and to ported that we had a good year in 2007 with Information, Incorporated an online newslet- democratize membership so anybody, regard- an $88,000 gain. General Operations were in ter which would include aerospace medicine less of nationality, can participate on commit- the red which is normal although it was not journal references. She is also in the process tees, serve as committee chairs, and hold any as much of a deficit as in recent years. It was of placing the journal archival material online elected office including the presidency. This is decided to apply for 501 (c)3 IRS classification. with Mira. in vivid contrast to the days when individuals Since our accountant is retiring, we will begin Annual Meeting – (Rayman): Dr. Rayman from countries other than the U.S. were associ- the search for a new CPA. announced that we had a record advanced ate members paying dues on a lower tier and Outreach—Rayman: The ED reported registration of 1,254 (registration as of May generally excluded from leadership roles. that three documents had been approved by 13 was 1587). There were also 40 exhibitors, Furthermore, as we have faced the conten- Council and published. The three were the which is about what we expect every year. tious issues of aerospace medicine, we have International Space Station, Long Duration Dr. Northrup reported 584 abstracts had been published our recommendations based upon Missions, and Emergency Medical Kit Update. approved and all sessions but one have been an international, rather than a national, per- This was a very good year for the Association MOC approved. spective. This is in part due to our increasing regarding publishing of policy. AsHF – (Nesthus): The policy paper on fa- international membership that demands a Dr. Arnauld Nicogossian, Director of tigue countermeasures is in final draft and will broader view than we have heretofore al- the Dept. of Public Affairs, George Mason be forwarded to Council for comments soon. lowed. This change from the old model has University, agreed to assist AsMA in prepar- Following that, the paper will be put to a vote been a salutary one in that it has enhanced ing position papers. An MOU has been drawn at the November Council meeting. our credibility at home and abroad. AsMA stating that there will be no charges for this Education & Training – (Boudreau): Dr. must continue in this direction to live up to service and that no papers will be release pub- Boudreau will be working with the ED in the its reputation as “The International Leader in licly without AsMA permission. The Executive preparation and presentation of our ACCME Aerospace Medicine.” Committee, in an effort to test this new ar- application at our survey in Chicago sched- And finally, our outreach program has rangement, asked Dr. Nicogossian to prepare uled for this October. Dr. Boudreau also an- been very active. We are now represented on a review paper on passenger inflight medical nounced that Journal MOC was suspended numerous national and international bodies incidents. A member of the ATM Committee due to a lack of participation but her including ICAO, NASA, the FAA, ATA, and will be appointed to serve as a liaison with Dr. Committee will explore possible ways to reju- the National Academy of Sciences—many Nicogossian’s department in the preparation venate it. The Committee is also looking at more could be cited. With AsMA at the table, this position paper. After reviewing the paper, new CME initiatives. A compendium of our voice can be clearly heard. As a result, the Association will decide whether or not to aerospace medicine courses has been com- your Association is frequently called upon by continue with this relationship. pleted and will soon be on the web. She is numerous government agencies, private asso- The Hungarian Association of Aeromedi- also examining strategies for a mentorship ciations and societies, universities and institu- cal Examiners applied for Affiliate status; their program. Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 819 Membership – (Silberman/Myers): informed Council this will be a high priority Nominating Committee at the Business Membership has leveled off at over 2,800 al- item for him and steps will be soon taken to Meeting did not propose a name to fill this though there has been a slight increase from correct this. void. The Parliamentarian advised Council last year. Governance - (Bellenkes): A motion carried that a motion had been made, seconded, and Corporate & Sustaining – (Sides): We cur- accepting CDR Bellenkes’ appointment of Drs. approved at the Business Meeting to accept rently have 51 corporate members with 42 in Jarnail Singh, Philip J. Scarpa, Jr., and James the slate of new officers. He therefore recom- the pipeline. Dr. Sides is organizing a dental T. Webb to the Executive Committee. mended that a motion be made at this time to affiliate. The C&S Affiliate group also pub- Constituent members of Council were amend the previously adopted motion with a lishes a newsletter. identified: Aerospace Human Factors specific name to become a Member-At-Large. International—Myers: Of our 2,859 mem- Association: Ray King, Ph.D.; American The Nominating Committee stated that the bers, 23% are international. We now have a Society Of Aerospace Medical Specialists: Paul candidate with the next most number of votes multilingual website. Efforts have been made A.Young, M.D.; International Association was Dr. Estrella Forster. A motion was then to hold an excellent reception this Tuesday Of Military Flight Surgeon Pilots: Kris M. put forward to amend the previous slate nam- evening to honor our International members. Belland, D.O.; Aerospace Physiology Society: ing Dr. Forster as a Member-At-Large to fill He is also exploring the acquisition of funding Vincent W. Musashe ; Aerospace Nursing the unexpected void. The motion to adopt this for international students to attend our annual Society: Kim Barber, BSN; Life Sciences motion carried by over 2/3 votes. scientific meeting. & Biomedical Engineering Branch: Lloyd Due to the unexpected vacancy on Council Constituent Reports (Full reports are on Tripp; Society of U.S. Naval Flight Surgeons: and due to the fact that our Bylaws do not file at the Home Office). Lee Mandel, M.D.; Society of U.S. Air have clear and comprehensive guidelines, the Aerospace Nursing Society now has a website: Force Flight Surgeons: Daniel O. Wyman, Bylaws Committee was asked to prepare such www.aerospacenursing.org M.D., M.P.H.; Airlines Medical Directors guidelines for presentation to the Executive Airline Medical Directors Association now has Association: Thomas N. Bettes, M.D., M.P.H.; Committee/Council. a website, www.amda.aero; they have attained U.S. Army Aviation Medical Association: At the Business meeting a new secretary non-profit 501c3 status. Justin Woodson; Space Medicine Association: position was created. The President-elect AsMA Foundation – (Jennings): Dr. Genie Bopp; Associate Fellows: Bryan requested Council to authorize him to Jennings reported the Foundation has approx- Funke; Fellows: George K. Anderson, M.D.; appoint Dr. Arlene Saenger as an Interim imately $21,000. Donations have ranged from Aerospace Medicine Regent: Christopher R. Secretary until the elections next year. A $10 to $500. One endowed fund has been Armstrong, M.D., M.P.H.; Student/Residents: motion carried unanimously to authorize sponsored which will be announced during Alex Garbino. CDR Bellenkes to select Dr. Saenger as the the week. To make an endowed fund viable, Governance/New Business: Because one of Interim Secretary. a minimum of $10,000 is needed for start-up. the Members-At-Large was elected to Vice Council will meet November 19 at the It is hoped that the first travel scholarship can President, it left an unexpected void. The Eisenhower Holiday Inn in Alexandria. be conferred for the May 2009 meeting with a $1,500 honorarium. Dr. Jennings also stated that donors will be listed in the Journal in the MEETINGS CALENDAR tion, including registration, please visit their hopes it will encourage others to donate. website at www.icasm2008.org. Affiliate Reports: (Full reports, if submit- 2008-2009 September 10-12, 2008; ALTA's 2008 ted, are on file in the Home Office) Aviation Crisis Preparedness Conference and Of our 32 current affiliate organizations, 5 August 4-7, 2008; 27th Annual Cryogenic Aviation Law Americas Conference; Miami, were present at the Council meeting to give Engineering Training; Boulder, CO. Sponsored FL. Registration and information are available reports:Corporate and Sustaining Members; by the University of Colorado’s Center for at www.alta.aero/crisispreparedness and European Society of Aerospace Medicine; Advanced Engineering and Technology www.alta.aero/aviationlaw. German Society of Aviation and Space Education. CEUs are available. For more in- September 21-22, 2008, 6th Annual Medicine; Hellenic Aerospace Medical Society; formation, visit www.cryoco.com or e-mail Meeting of the Society for Human and Iberoamerican Association of Aerospace [email protected]. Performance in Extreme Environments. New Medicine. August 14-17, 2008; Frontiers of York, NY. Info: www.hpee.org; New Business: Dr. Jennings introduced to Aerospace Medicine: Annual Conference [email protected]. Council Dr. Goncharov of the Russian Space of the Australasian Society of Aerospace October 15-18, 2008; XXV International Agency who is attending our meeting. He Medicine; Crowne Plaze Hotel, Darwin, Meeting of Aerospace Medicine; Zacatecas, made several remarks in Russian. Northern Territory, Australia. For more infor- Zac., Mexico. Sponsored by the Mexican Dr. Holland recommended that we consider mation, please visit www.leishman-associates. Association of Aviation Medicine and the changing the name of this Association to the com.au/asam2008. Iberoamerican Association of Aerospace Aerospace Medical and Human Performance August 20-23, 2008; EASST/4S Medicine. For more information, please Association. He called for the Executive Conference, "Acting with Science, Technology visit www.amma.org.mx or contact Luis A. Committee to consider this at its next meeting and Medicine"; Rotterdam. For more infor- Amezcua G., M.D., Chairman. in September. A motion carried to this effect. mation, please visit http://www.easst.net/ October 27-29, 2008; SAFE Association node/1646. 2008 Annual Symposium; Reno, NV. For more Wednesday – May 14, 2008 August 22-24, 2008; Annual Conference information, please phone 541-895-3012, Report of Representative to Aerospace of the Aviation Medical Society-New Zealand; e-mail [email protected], or visit safeassociation. Physiology Certification Board: Valerie Wairekei Hotel, Taupo, New Zealand. Held in com or safeassociation.org. Martindale was approved as representative combination with ANZSOM. For more infor- November 20-22, 2008; 2nd International of the Council to the Aerospace Physiology mation, visit Conference on Air Travel and Health; Dead Certification Board. Troy Faaborg, Greg amsanz.org.nz/conference/confindex.htm. Sea, Israel. Info: www.palexconventional.co.il/ Ostrander, and Jaime Rives were approved August 26-28, 2008; 6th Asian Pacific ath2008; [email protected]. as members of the Aerospace Physiology Congress of Aerospace Medicine (APFAMA November 26-27, 2008; 21st Century Certification Board. The following nine mem- 2008) and 8th Chinese Conference of Medicine: Breakthroughs and Challenges; bers who passed the Aerospace Physiology Aerospace Medicine; Xian, China. For more Royal Institute of British Architects, London, Certification Board exam were approved: Lane information, visit www.chinamed.com.cn/ UK. For more information or to register, please Annicelli, James Davis, Jennifer Giovannetti, apfama2008. see the Institute of Nanotechnology’s confer- Miranda Hancock, Eric Hendrickson, Robert September 5-6, 2008; Review Course for ence flyer: www.nano.org.uk/ nanomednet/ Higgins, Susan Jay, Brian Musselman and Wound Care Certification; San Antonio, TX. images/stories/flyers/ ion_ Debra Yniguez. Info: www.hyperbaricmedicine.com conference_flyer.pdf. Representation And Advocacy - September 7-11, 2008; 56th International January 11-15, 2009. D. Eugene (Manning): Dr. Manning strongly recom- Congress of Aviation and Space Medicine Strandness Jr. Symposium: Diagnostic and mended that we implement a better system for (ICASM 2008); Bangkok, Thailand. Meeting Therapeutic Approaches to Vascular Disease; allowing newcomers and members to become brochure and Call for Papers is available at Wailea, Maui, HI. Info: www.strandness-sym- committee members. The current system of www.icasm2008.org/download/2nd_ posium.com; [email protected]; a single book in the registration area has not Announcement_MIN.pdf. For more informa- 978-744-5005 been satisfactory. President-elect Bellenkes

820 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Science & changes along a given axis). After the data are With regard to the validity of the fatigue- filtered using a thresholding procedure, the risk predictions based on the SAFTE model, Technology Cole-Kripke algorithm is applied for sleep/ an independent evaluation of several models wake classification. This technique has been ranked SAFTE first in accurately predicting Watch validated at over 87% accuracy in comparison cognitive decrements and subjective fatigue as- to polysomnography (PSG) (3). sociated with sleep restriction (7). In addition, Based on the SleepBand data, determina- after analyzing 1,400 freight rail accidents and tions are made about 1) time of sleep onset data from 2,800 engineers and conductors cov- and awakening; 2) sleep duration; and 3) ering 57,000 work shifts, Hursh found a signif- sleep quality. Note that these are the basic icant relationship between human factors acci- parameters required as input to the Fatigue dent risk and SAFTE predictions. Furthermore, Avoidance Scheduling Tool (FAST) (4), which Hursh determined that when SAFTE-derived is a software tool used by the U.S. Air Force, effectiveness scores were low (< 77 - indicative the Federal Aviation Administration (FAA), of fatigue), human factors accidents were two and a variety of other entities to estimate the and half times more expensive than similar Keeping You Informed Of The Latest fatigue-related risks associated with different accidents that involved little if any fatigue Advances In Science And Technology work/rest schedules. With the SleepBand pro- (effectiveness > 90). ********** gram, once the sleep/wake scoring has been The combination of relatively inexpensive Applied techniques in sleep/wake classification and accomplished, day-to-day fatigue risk is cal- sleep monitoring, a user-friendly data analy- fatigue risk analysis are discussed by Dr. Caldwell culated by automatically processing the data sis approach, and a validated model-based in this month’s edition of the Watch. through the Sleep, Activity, Fatigue, & Task effectiveness/fatigue-risk prediction makes ********** Effectiveness (SAFTE) model (5) which is at the Fatigue Science SleepBand a useful tool A Recent Advance in the Objective the heart of the FAST program. This model has for identifying and mitigating fatigue-re- Quantification of Operational been accepted by the U.S. DoD as the standard lated problems in operational contexts. The Fatigue: The Fatigue Science fatigue risk prediction model and extended SleepBand will soon be deployed in a major SleepBand Program by the US Department of Transportation as a study of flight attendant fatigue being spear- basis for re-designing work schedules in an headed by the FAA Civil Aerospace Medical John A. Caldwell, Ph.D., Senior Scientist, effort to improve on-the-job alertness. The Institute. A second generation of the SleepBand Archinoetics, LLC, Honolulu, HI 96813 SAFTE model uses the wearer’s sleep/wake is under development, which will automati- history and the circadian phase in which work cally recognize personnel and download their Fatigue is a growing problem in today’s and sleep are occurring to calculate a cognitive data when they enter a designated work area military as well as in society as a whole. effectiveness level and a fatigue risk indication. or vehicle. At that point their activity will be Fatigued personnel are at increased risk of SAFTE-derived effectiveness scores have been automatically scored and reported in either having mishaps due to decreased vigilance, equated with differing blood alcohol concen- individualized or group-summary format, pro- cognitive slowing, short term memory fail- trations (in terms of performance effects) in an viding a real-time assessment capability. ures, and rapid and involuntary sleep onsets effort to make the scores more meaningful to (2). Military personnel and others working the average wearer. References non-standard schedules are at particular risk An advantage of the SleepBand program of experiencing fatigue-related problems due over the FAST is the SleepBand’s ability to 1. American Academy of Sleep Medicine. to a combination of sleep restriction and circa- accurately track the sleep/wake cycles and Practice parameters for the use of actigra- dian factors (working schedules at odds with sleep quality of wearers and to automatically phy in the assessment of sleep and sleep normal circadian phase). Although the aware- input this information into the SAFTE model, disorders: An update for 2007. Sleep 2007; ness of fatigue-induced hazards has increased whereas with the FAST, sleep parameters 30(4):519-529. substantially, the schedules at the heart of the often must be estimated based on the dura- 2. Banks S, Dinges DF. Behavioral and physio- problem often have not changed sufficiently to tion and circadian timing of off-duty periods, logical consequences of sleep restriction. significantly mitigate fatigue-related risks. In and schedules typically are entered manually J Clin Sleep Med 2007; 3(5):519-28. part, this stems from an inability to accurately or via a spreadsheet. Another advantage of 3. Cole RJ, Kripke DF, Gruen W, et al. track the sleep/wake schedules of personnel the SleepBand program over the FAST is that Automatic sleep/wake identification from and to quantify the risks associated with fa- it offers the option of easily compiling group wrist actigraphy. Sleep 1992; 15(5):461-69. tiguing schedules. reports based on the actigraphic tracking of 4. Eddy DR, Hursh SR. Fatigue Avoidance Fatigue Science, a subsidiary of numerous individuals so that leaders can eas- Scheduling Tool (FAST). Brooks AFB Report Archinoetics, LLC, is attempting to rectify this ily gauge the performance readiness of a large No: AFRL-HEBR-TR-2001–0140. Brooks problem with a new type of unobtrusive pro- number of people. AFB, TX: AFRL/HEOA, 2001. gram that utilizes a combination of wrist-worn The accuracy of effectiveness or fatigue- 5. Hursh SR, Redmond DP, Johnson ML, et al. actigraphy and fatigue modeling to quantify risk predictions based on the SleepBand is Fatigue models for applied research in fatigue-related risks. The Fatigue Science a function of 1) the accuracy of sleep/wake warfighting. Aviat Space Environ Med 2004; SleepBand program accurately monitors calculations made via the device and 2) the 75(3 Suppl):A44-A53. wrist/activity data for up to 14 continuous validity of the SAFTE model through which 6. Mullaney DJ, Kripke DF, Messin S. Wrist days; stores these data for download across the information is processed. With regard actigraphic estimation of sleep time. Sleep the Internet via an infrared bridge; submits to the accuracy of the sleep/wake calcula- 1980; 3(l):83-92. the data to a professional evaluator for sleep/ tions, actigraphy has been shown to correlate 7. Van Dongen HP. Comparison of mathemati- wake scoring; processes the results through a highly with standard PSG which involves the cal model predictions to experimental data fatigue-risk prediction model; and e-mails a collection and analysis of electroencephalo- of fatigue and performance. Aviat Space report to the designated point of contact of the graphic, electromyographic, and electrooccu- Environ Med 2004; 75(3, Suppl.):A15–A36. results. All of this is accomplished with mini- lographic data. For instance, Mullaney, et al 8. Westermeyer J, Sutherland RJ, Freerks M, mal effort on the part of the user. (6) found a 0.90 correlation between the two et al. Reliability of sleep log data versus At the heart of the program is the measures for the time subjects were in bed, actigraphy in veterans with sleep distur- SleepBand actigraph which is a new imple- 0.89 for the time the subjects were asleep, bance and PTSD. J Anxiety Disorders 2007; mentation of sleep actigraphy. The SleepBand 0.70 for the time subjects were awake after 21(7):966-75. utilizes an iMEMs 3D accelerometer which sleep onset, and 0.25 for the number of mid- is smaller than traditional piezoelectric ac- sleep awakenings. A recent study showed ********** celerometers and is powered by a 3-volt that actigraphy data are far more accurate The AsMA Science and Technology Committee lithium coin cell battery. The electronics are than standard self-report sleep logs (8), and provides the Watch as a forum to introduce and dis- synchronized by a microcontroller which also the American Academy of Sleep Medicine (1) cuss a variety of topics involving all aspects of civil performs all calculations. Flash memory stores has concluded that “actigraphy provides an and military aerospace medicine. Please send your collected data. The SleepBand measures limb acceptably accurate estimate of sleep patterns submissions and comments via email to: barry. movements 16 times per second, 24 hours per in normal, healthy adult populations and in [email protected]. Watch columns are available day to determine the number of zero-crossings patients suspected of certain sleep disorders” at www.asma.org in the two AsMA News links (the number of times the direction of motion (p. 519). under Journal.

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 821 This Month in Aerospace floor while the applicant stands up. Perhaps Twenty-five Years Ago he has never had to take off his shirt. There is Astronauts and mental health standards Medicine History-- nothing you can do about it. You know what (Neuropsychiatry Branch, USAF School of August 2008 the answer is without further discussion. Aerospace Medicine, Brooks Air Force Base, “Just follow the guide. I think that cov- TX, and Department of Psychiatry, Uniformed By Walter Dalitsch III, M.D., M.P.H. ers anything about the examination itself, Services University of the Health Sciences, Seventy-five Years Ago the adherence to the form in a conscientious Bethesda, MD): “The mental health evalua- There are good aviation medical examin- manner. I think the fifteen minute examiner tion of the original Mercury astronauts was ers…and there are bad examiners (Tulsa, OK): is washing himself out. I think he will finally a prolonged, meticulous, research-oriented “We as members of the Aero Medical come to the end of his string” (1). process involving testing and interviews Association and medical examiners of the to determine who was best qualified for Aeronautics Branch of the Department of Fifty Years Ago space flight. The trend since then has been Commerce have a distinct privilege in being Airsickness, emotion, and attraction to earth to simplify this evaluation, making it more so associated, as it is a privilege and signal (Department of Neuropsychiatry, U.S. Naval subjective and clinically oriented. The goal honor to represent our government in this School of Aviation Medicine, Pensacola, FL): is to identify candidates who are fully quali- capacity. Pleasurable contacts at meetings “There is a certain degree of frustration felt fied, free of psychopathology, and who have such as this one, and pleasing association by a flight surgeon dealing with airsick- a healthy motivation for space flight. The with those who fly and desire to fly are other ness in young flight trainees. Should I give selection of nonpilots for duty as payload privileges enjoyed by the examiner. In addi- medication to help the student overcome specialists introduces new factors – lack of tion to it being a privilege and a pleasure we his sickness – or should I not? Are drugs the previous exposure to dangerous situations, have our problems, and I wish to discuss a answer? Does providing the student such a possible impact of new stresses on the fam- few of these problems as encountered by the crutch do him a disservice? Do we thus carry ily situation, and interrelationships between civilian examiner in aviation… the student along through early flight train- crew members. These factors can be included “A diversity of technic usually leads to a ing only to have him experience further sick- in determinations of individual candidates as diversity of results and findings. Some of us ness when the remedies later are of necessity being ‘fully qualified,’ rather than returning use the conventional twenty foot examining discontinued? to the original ‘best qualified’ standards, and room; others of necessity must resort to the “In a study of young flight cadets experi- affirmative qualities may be identified which ophthalmic mirror. Simpson has made a plea encing repeated airsickness one gets the im- mark candidates as ‘exceptionally well quali- for the use of such a mirror even with the pression that factors other than physiological fied.’ Validation of these evaluation proce- depth perception apparatus and certainly it hypersensitivity are significant. It is difficult dures and criteria depends upon assessment is an improvement over trying to use a dark to diagnose ‘motion sickness’ in the case of of space crew members' performance on hallway or increasing the length of the exam- a student who gets nauseated and vomits actual mission” (2). ining room by opening the door to an adjoin- during gentle turns, climbs and glides, or From whence cometh space motion sickness? ing room and make their substitutes serve while the instructor is making a normal (Ashton Graybiel Spatial Orientation Laboratory, the purpose. These things should be pointed approach to a landing. It is scientifically Brandeis University, Waltham, MA, and Naval out, but the examiners here are not the ones incorrect to use the term ‘motion sickness’ Aerospace Medical Research Laboratory, Naval needing such instructions. to classify the illness a student experiences Air Station, Pensacola, FL): “We compared sus- “I am sure that it will not be taken as a when he steps up on the wing of a plane, ceptibility to motion sickness during expo- personal affront by anyone when I say that smells the usual cockpit odor, or sees his sure to sudden-stop stimulation as a function to my mind there are a great many men mak- name listed on the schedule board for a hop of gravitoinertial force level. Our findings ing examinations who are not fully qualified the following day. show that susceptibility is greatly enhanced, to do so. This is inevitable when they must “The concept of G involving the factors of both with eyes-closed and eyes-open, for be picked from the rank and file, for fully mass and velocity is familiar as a measure of zero-g and 2-g conditions in parabolic flight qualified men are not always available at acceleration. We were so impressed with the compared with 1-g test conditions. The points where it is advantageous to have an emotional factors of anxiety and motivation change in susceptibility is likely related to examiner. The Department has made every in much of the airsickness occurring in be- three factors: alterations in vestibulo-ocular effort to appoint the very best man available ginning flight students that we wish to pro- function which result from variations in and in the great majority of cases has suc- pose the concept of ‘emotional G.’ Students gravitoinertial force level; the altered pat- ceeded in doing so, but a few personal expe- experiencing airsickness while undergoing tern of otolithic activity resulting during riences have led me to consider the personal primary flight training suffer this ‘emotional variations in gravitoinertial force level; and element in the examiner himself as a very G’ of attraction to the earth (or distaste for the altered canal-otolith response synergies potent problem that we must face. Some are leaving it) to a greater degree than students that result during exposure to gravitoinertial not averse to seize upon the opportunity to not experiencing airsickness. An informal force levels greater or less than terrestrial treat an applicant for supposed or unimport- study was thus initiated, with the flight levels. These factors are shown to be related ant ills, holding that such is essential to the surgeon at the primary training base and to the etiology of space motion sickness and obtaining of a permit. This is not only taking the psychiatrist at the U. S. Naval School of to the alterations in performance and vestib- undue advantage but is in truth a fraud, and Aviation Medicine co-operating… ular function that are experienced by astro- such practices should be stopped for it is a “Sixty-nine of 2,893 primary flight nauts during reentry. An explanation is also detriment to aviation and to us all. Others students developed moderate or severe proposed for the decrease in susceptibility are unable to eliminate the personal factor airsickness in the primary phase of their to motion sickness exhibited by the Skylab from the granting of a permit, and because flight training. Fifty-eight per cent of these astronauts inflight and for some period of friendships, associations, and even pres- students completed their primary phase of postflight during exposure to cross-coupled sure of politics, may ‘overlook’ defects and flight training after interview and reassur- angular accelerations” (3). grant a license with its attendant potential ance by the flight surgeon. No medications danger to not only the applicant, but to oth- were used. A past history of motion sickness ers as well. A defective pilot is a menace to was common to both those who did and REFERENCES innocent persons and a defective pilot is only those who did not complete primary. Anxiety 1. Braswell JC. Problems of the civilian allowed to get by because some doctor has toward flying was marked in the majority of ex aminer in aviation. J Aviat Med, 1933; failed to perform his duty faithfully… those who failed and motivation for flying 4(3):91-102. “The man who builds up a reputation as was poor. A careful interview of an airsick 2. Jones DR, Annes DA. The evolution and a strict examiner has nothing to fear. It is true flight student by a trained flight surgeon present status of mental health standards the operator of the school is disappointed permits a reliable estimate of a student’s mo- for selection of USAF candidates for space when a student is lost to him through physical tivation and his anxiety level. When anxiety missions. Aviat Space Environ Med, 1983; examination, quite naturally. He may switch is marked and motivation is poor his airsick- 54(8):730-734. and get an examiner who is easy but will come ness may be a manifestation of ‘emotional G.’ 3. Lackner JR, Graybiel A. Etiological fac- back to you again. I have seen it happen before A new equation is offered to relate the tors in space motion sickness. Aviat Space and it will happen in the future… direct proportion of the degree of anxiety Environ Med, 1983; 54(8):675-681. “We hear of cases where the depth percep- and inverse proportion of the 4. Phillips PB, GM Neville. ‘Emotional G’ in tion apparatus is out on the hall or over on the motivation” (4). airsickness. J Aviat Med, 1958; 29(4):590-2.

822 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 VOLUNTEER DAY AsMA Volunteers Continue Service by Dr. Matt Hoefer and Dr. Kjell Lindgren In 2007, AsMA members volunteered in New Orleans with Habitat for Humanity dur- ing the annual conference. To continue on the success of last year’s service project, AsMA Volunteers worked with the Greater Boston Food Bank during this year’s 2008 conference in Boston, MA. Twenty-four volunteers participated in the Volunteer Day on 10 May 2008, the Saturday before the conference. The group worked in the central distribution center of the Food Bank, where donated food is repacked for delivery to local food kitchens and shelters. In an assembly line method, the random pal- lets of food are broken down and inspected. From there the food is cleaned, sorted into categories, repackaged, and placed onto new pallets for distribution. The volunteers worked in two shifts, AM and PM. The very motivated crews sorted over 22,000 pounds of food and made it possi- ble for 5000 meals to be delivered to Boston’s needy. AsMA Volunteers will continue this tradi- tion next year during the conference in Los Angeles. If you are interested in participating or becoming a member of the organization, please visit asmavolunteers.org.

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 823 Society of U.S. Naval Flight Surgeon Awards Fraser Receives Mitchell and retired as a Captain in January 2004. He Corps Officer who has made the most signifi- holds B.A, M.P.H., and M.D. degrees, all cant contribution towards promoting commu- Award from the University of Oklahoma. He is certi- nication and teamwork among the aeromedi- fied in the specialties of Preventive Medicine cal communities. The 2007 Robert E. Mitchell Award was (Aerospace Medicine) and Family Practice. A native of Key West, FL, CAPT Beane presented to CAPT James Fraser, MC, USN He is a Fellow of the Aerospace Medical entered military service in April 1973, serving (Ret). The Robert E. Mitchell Award is desig- Association and the American Academy of as a Medical Services Specialist in the U.S. Air nated to recognize an emeritus Naval Flight Family Practice. He is an emeritus member Force. After completing his enlistment in 1977, Surgeon for their career contributions. of the Society of U.S. Naval Flight Surgeons received his BA from the State University of During his naval career he served as Force where he served as President 2002 - 2003. In New York at Potsdam in 1980. CAPT Beane Medical Officer, Commander Naval Air Force January 2004, he was selected for the Federal received his Doctor of Medicine degree from Atlantic Fleet from 1993-97. Among his duties Aviation Administration (FAA) Executive Upstate Medical Center in 1984, and entered he was responsible for medical oversight and Service and served as the Manager, Medical active service in the U.S. Navy as a General quality assurance for Medical Departments/ Specialties. In April 2006, he was selected and Surgery Intern at Naval Hospital Portsmouth. hospitals onboard 7 aircraft carriers, 18 Naval is currently serving as the Deputy Federal Air Following Flight Surgeon training at NAMI Air Station Branch Medical Clinics and over Surgeon in the Office of Aerospace Medicine in January 1986. In 1990, CAPT Beane began 100 physicians assigned to Naval Air Force at FAA Headquarters in Washington, D.C. training as an Aerospace Medicine special- Atlantic Fleet and served as Commander ist, completing a Masters Degree program in in Chief Atlantic Fleet representative to the Dalitsch Receives Graybiel Public Health and Tropical Medicine at Tulane Bureau of Naval Personnel, Navy Pregnancy University. Following completion of the Policy Review Board. Award U.S. Navy Aerospace Medicine residency in He was reassigned as Command Surgeon, 1993, CAPT Beane was assigned as the Senior Naval Safety Center, Norfolk, VA in 1997, CDR Walter W. Dalitsch III, M.D., received Medical Officer for USS INDEPENDENCE where he remained until his retirement in the Ashton Graybiel Publication Award from (CV-62) and Battle Group FIVE in Yokosuka 2004. In this position he served as Medical the Society of U.S. Naval Flight Surgeons. Japan, completing two deployments to the Privileging Authority and member of the While SUSNFS did not have a member with a Persian Gulf in support of Operation Southern Atlantic Fleet Executive Committee of the significant article published in Aviation, Space Watch. In 1996, CAPT Beane transferred Medical Staff, chaired Joint Safety Service and Environmental Medicine this year, they had to Electronic Attack Wing Pacific Fleet in Chief’s Human Factors Performance Action quite a few articles submitted for publication Whidbey Island, serving as the Wing Surgeon Team, chaired Aeromedical Working Group in CONTACT, their organizational quarterly. and Department Head for Aviation Medicine for the Naval Air Force’s Human Factors CDR Dalitsch published an article in every and Physical Exams at Naval Hospital Oak Quality Management Board. He served as edition, as he has done for nearly 3 years. It Harbor. In October 1999, CAPT Beane was Naval Safety Center Representative to the was the compilation of his work over the past assigned as the Wing Surgeon for Helicopter Department of Defense Injury and Occupa- 3 years that provided the basis for his award. Anti-Submarine Light Wing Atlantic Fleet and tional Illness Prevention Committee, was se- In addition to his many articles for Contact, Sea Control Wing Atlantic Fleet in Jacksonville lected by the Bureau of Medicine and Surgery CDR Dalitsch has published a history column , FL. He served as the Department Head for to serve on the Department of Defense Patient in ASEM almost every month since February Aviation Medicine, Occupational Medicine, Safety Working Group, provided medical 2003, over 60 columns covering journal articles and Physical Exams at Branch Medical Clinic, mishap investigation and human factors train- over the past 75 years. Mayport. During that tour, he also served ing for all Naval Flight Surgeons, Aerospace CDR Dalitsch has been a member of as the Senior Regional Flight Surgeon for the Physiologists and Psychologists, and inves- AsMA and SUSNFS since 1994. He attended Southeast region. From July 2002 to July 2005, tigated and reviewed medical aspects of all the University of Illinois-Champaign, receiv- CAPT Beane served as the Wing Surgeon for deaths and significant injuries involving ing a B.S. in Biology and Philosophy in 1988. 1st Marine Aircraft Wing in Okinawa, Japan. Navy/Marine Corps personnel and the civil- He received his M.D. from the University of CAPT Beane currently serves as the Officer ian workforce that supports them. Illinois-Chicago in 1993. He completed his in Charge of the Naval Aerospace Medical He received two legions of merit, two mer- Senior Naval Flight Surgeon course at NAMI, Institute in Pensacola. itorious service medals, the Navy Commen- Pensacola, FL in 1995. His most recent assign- CAPT Beane is board certified in dation Medal for serving with meritorious dis- ment was Department Head of Occupational Aerospace Medicine. He is an Associate tinction during his emergency leave period in Medicine, U.S. Naval Hospital Naples, Italy. Fellow of the Aerospace Medicine Association Oklahoma City, OK, and the Joint Meritorious and served as the President of the Society of Unit Commendation and additional personal Beane Receives Carter Award U.S. Naval Flight Surgeons and the American recognition for serving as member of the Society of Aerospace Medicine Specialist Columbia (STS – 107) Accident Investigation The 2007 Sonny Carter Memorial Award in 2007-2008. His personal awards include Board, Feb – May 2003. was presented to CAPT Richard Beane, MC, the Legion of Merit, Meritorious Service Dr. Fraser completed a 30-yr Navy career USN. The Sonny Carter Memorial Award is Medal (3 awards) and Navy Marine Corps given to the Medical Corps or Medical Service Commendation Medal.

MITCHELL AWARD-- CAPT Lee Mandel, in- coming SUSNFS president presents the award GRAYBIEL AWARD--CAPT Lee Mandel pre- CARTER AWARD--CAPT Lee Mandel (left) to James Fraser. sents the award to CDR Dalitsch. presents the award to CAPT Beane.

824 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Society of U.S. Air Force Flight Surgeons Awards Malcolm C. Grow Award awarded the 2007 George E. Schafer Award for elected Past President of the Society of U.S. Air his history of leadership within the aerospace Force Flight Surgeons. Major Maria M. Angles medicine community and his outstanding Maj. Maria M. Angles was the winner of contributions to the health, safety, welfare, and Flight Surgeon Safety Award mission effectiveness of USAF aircrew. He has the 2007 Malcolm C. Grow Award for her Lt. Col. Michael J. Wood tireless approach to mission support and her also contributed to the vitality of the specialty of aerospace medicine over an extended pe- operational accomplishments. After each Lt. Col. Michael J. Wood received the 2007 riod of time. Command and leadership have deployment she has been on, the mission com- Operational Flight Surgeon Safety Award been the defining elements of his career. mander has highlighted the exceptional mis- for his dedication to safety. His command of Brig. Gen. Ediger was a Distinguished sion support she provided. During Operation human factors and calm demeanor has guided Graduate of the AMP course in 1987. He Enduring Freedom-Trans Sahara, she bridged a mishap Accident Investigation Board to a quickly assumed the reins of leadership as the the gap between the services and forged a successful conclusion which directed focus Chief of Flight Medicine and Commander, 1st template for future humanitarian missions. on correction of unsafe operations. His efforts Tactical Hospital at Langley, all while continu- She has won the hearts and minds of families have resulted in the identification of three re- ing to serve as the 94th FS SME. Following his and villages and has made countless positive lated human factors and seven additional contributions to the personnel and mission of Residency in Aerospace Medicine, he served her unit. as the Chief of Aerospace Medicine, Tyndall See WOOD, p. 827. Born in West Virginia, Maj. Angles earned AFB. As AETC Chief of Aerospace Medicine, a B.S. from Cameron University in Lawton, he developed and implemented aeromedical OK, in 1994. She was awarded her M.D. support plans for joint flight training with the from the University of Oklahoma Sciences U.S. Navy and was the catalyst to establish the Center in Oklahoma City in 1998. During ongoing RAM exchange between USAFSAM her military career, she has served as a Flight and NOMI. During this period he was instru- Surgeon and Internal Medicine Consultant at mental in establishing the Enhanced Medical Brooks City-Base, TX; as an EMEDs Physician Flight Screening to better identify ocular and for Operation Iraqi Freedom; and as a Staff cardiac defects in flight training applicants. He Internist at the USAF Academy in Colorado. then assumed the flagship duties as the Chief More recently, she has been a CCATT of the Aeromedical Division of the Air Staff Physician in Kandahar, Afghanistan, and is and Aerospace Medicine Consultant to the currently serving as a Flight Surgeon for the Surgeon General. 352 SOSS at RAF Mildenhall in the UK. Brig. Gen. Ediger has represented the USAF Maj. Angles has been awarded a variety Aerospace Medicine community in such di- of awards and decorations, including being a verse capacities as the Aerospace Medicine & Distinguished Graduate of the USAF School Occupational Health Advisory Subcommittee of NASA, Head of U.S. Delegation to the of Aerospace Medicine Course, serving on UNGER AWARD--Brig. Gen. Doug Robb NATO Aerospace Medicine Working Party, and the Society of Air Force Physicians Board of and Maj. Gen. Bruce Green pose with the Chair of the NATO Research and Technology Governors, the Meritorius Service Medal, bookends for the Howard R. Unger Award, Agency Working Group 26 on Medication Air Force Commendation Medal, Air Force which was given to Lt. Col. Roscoe E. Van Use in Military Aircrew. He has commanded Outstanding Unit Award, National Defense Camp, who could not be there. He was the both the 16th Medical Group at Hurlburt Field Service Medal, Afghanistan Campaign Medal, recipient of the award for his role as lead and the 363rd Expeditionary Medical Group, Global War on Terrorism Service Medal, and author of “Hand Sanitizer and Rates of Acute Prince Sultan Air Base. Leveraging total Team the Air Force Expeditionary Service Ribbon Illness in Military Aviation Personnel” (ASEM Aerospace capabilities, he established training with gold border. She has accumulated 2007; 78:140-2). The award encourages and for 16th MDG optometrists to help maximize 341 hours of flying time and was named in rewards publication of original work. aircrew performance during night vision gog- Who’s Who Among American Colleges and rd Universities in 1994. Her research has covered gle missions. Under his leadership, the 363 the topics of radiofrequency ablation and EMG helped sustain a 4-month surge of 24/7 stressors on the aviation community while de- operations and over 7000 combat sorties in ployed. support of the Iraq invasion. The Air Force has twice turned to Pappy to serve as Command Surgeon, first for AFSOC and now for USAFE. George E. Schafer Award He has also been recognized as a Fellow of the Brig. Gen. Mark A. Ediger Aerospace Medicine Association, and as an Brig. Gen. Mark A. “Pappy” Ediger was

OLSEN-WEGNER AWARD--This year’s recipi- ent of the Olson-Wegner Award in the Senior Non-commissioned Officer category is Senior Master Sergeant Cleveland Wiltz, from the 10th Medical Group, United States Air Force Academy, CO. He has demonstrated superb aeromedical leadership. He runs an ex- tremely effective and efficient flight medicine clinic yet manages to work a 1.6 million dol- lar ambulance contract, teach ACLS, SABC, and EMS. Additionally, this year’s award win- GROW AWARD--Maj. Gen. Bruce Green (Air ner excelled in leading the medical control Force Deputy Surgeon General) presents the SHAFER AWARD--The George E. Shafer Award center and as interim group superintendent. Malcolm C. Grow Flight Surgeon of the Year was presented to to Brig. Gen. Mark “Pappy” Presenting the award are CMSgt Joseph Potts, Award to Maj. Maria Angles. Brig. Gen. Doug Ediger (not present). Brig. Gen. Doug Robb ac- Maj. Gen. Bruce Green, and Brig. Gen. Doug Robb looks on. All photos by Dave Duval. cepts the award from Maj. Gen. Bruce Green. Robb.

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 825 LSBEB Award Winners for 2008 The A. Howard Hasbrook Award ments for and means of adapting humans to compared with men when helmet-mounted extreme environments, assessment of risk and devices are used during flight and the need to Deborah J. White injury potential of environments and products, improve neck extensor strength and cross-sec- and forensic investigation of product failures tional area in women and/or weak pilots. This award recognizes an individual who and human injuries involved in litigation. has provided noteworthy data or design with respect to safety, survivability, or crashwor- thiness relevant to aircraft or space vehicles. Research and Development LSBEB has presented this award since 1990. Innovation Award This year LSBEB sponsored the award, which Dennis Burian was presented by LSBEB President Estrella M. Forster, Ph.D. This award is given to an individual who The 2008 LSBEB A. Howard Hasbrook has demonstrated innovative life sciences Award was presented to LCDR Deborah J. and/or biomedical engineering research as White, Ph.D., MSC, USN, for her efforts to related to the design or development of aero- significantly enhance the mission effective- space medical equipment or systems. This ness of the Naval Safety Center and directly award has been sponsored by the David Clark contribute to improvements in naval avia- Company, Inc., since 1985 and was presented tion safety and fleet operational readiness. by Mr. Jack Bassick. Specific contributions include: 1) developing The 2008 LSBEB Research and Develop- a human factors analysis instruction booklet ment Innovation Award was presented to to provide Safety Officers across the fleet a Dennis Burian, Ph.D., for his seminal work R&D INNOVATION--Mr. Jack Bassick (right) tool to determine causal factors for on- and in functional genomics through analysis of of the David Clark Co., Inc., presents the R&D off-duty mishaps; 2) developing and fielding environmentally responsive genes and their Innovation Award to Dennis Burian. a joint service human factors classification protein products in the context of normal and system that enables a common analysis of abnormal physiologic states. Dr. Burian’s re- human error mishaps across all services; and search applies gene expression technology to Aerospace Human 3) conducting over 150 Aeromedical Safety define human response to aerospace stressors Surveys on Navy and Marine Corps aviation such as alcohol, drugs, hypoxia, or fatigue. squadrons, providing feedback and training Factors Association to improve command climate and enhanced Awards sailor performance, resulting in more efficient Ross McFarland Student Award use of money, people, and material assets. Jennyfer Lecompte The complete program is available on the AsHFA website at: http://www.asma.org/Organ- Professional Excellence Award This award has been given by the LSBEB ization/ashfa/Pages/AsHFA_2008_Program.pdf Phillip E. Whitley since 1975 to the author of the best student paper accepted by the AsMA Scientific The Henry L. Taylor Founder’s Award is Program Committee that reports on a signifi- given in recognition of outstanding contribu- This award recognizes an individual who tions in the field of aerospace human factors. has produced outstanding research accom- cant achievement in biomedical engineering. The LSBEB Awards committee makes its selec- The 2008 recipient is Stanley R. Mohler, M.D. plishments or technical He will give the luncheon lecture at next and/or research manage- tion by rating each abstract on five categories: scientific merit, clarity of presentation, applica- year’s meeting in Los Angeles, CA. ment achievements impor- The Stanley N. Roscoe Award is presented tant to life sciences and/or tion of findings, scope of interest in outcome, and an overall qualitative impression. This for the best doctoral dissertation written in a biomedical engineering of research area related aerospace human factors. a number of years. LSBEB year, the award was sponsored by Athena/ GTXtreme and was presented by LSBEB The 2008 Roscoe Award was presented to has presented this award Capt. Joseph C. Jenkins for “The Effect of since 1965. This year, the President Estrella M. Forster, Ph.D. The 2008 LSBEB Ross McFarland Student Configural Displays on Pilot Situation award was sponsored by Awareness in Helmet-Mounted Displays.” Autoflug Safety Systems Award was presented to Jennyfer Lecompte for her abstract “Influence of gender and The William E. Collins Award is presented Inc. and was presented by LSBEB President for the outstanding human factors publication Estrella M. Forster, Ph.D. helmet-mounted devices on neuromuscular activation of neck muscles during head-neck of the year (for work completed in the previ- The 2008 LSBEB Professional Excellence ous calendar year). The 2008 recipient is Award was presented to Phillip E. Whitley, segment stabilization under Gz loading.” The results of her study of neck muscle EMG William F. Storm et al. for the article Ph.D., for life- and career-long efforts to en- “Cognitive Performance Following Premature hance aviation safety, particularly in the field activity provided increased evidence of the potentially higher risk of injury in women Awakening from Zolpidem or Melatonin- of acceleration physiology, developing require- Induced Daytime Sleep,” Aviat. Space Environ. Med. 2007; 78:10-20. The 2007 Henry L. Taylor Founder’s Award was presented to James C. Miller, Ph.D., who in turn was the luncheon speaker for this year’s meeting. His topic was “Recent Developments Based Upon Applied Research Concerning Fatigue Effects.” A native Californian, Dr. Miller worked summers for Dr. W. Ross Adey in the fledgling Space Biology Labora-tory at the University of California, Los Angeles (1958-65), and acade- mic years for Dr. Steven M. Horvath in the new Environmental Stress Laboratory at the University of California, Santa Barbara (UCSB; 1963-65). He received his B.A. degree in Analytical Biology from UCSB in January 1965. HASBROOK AWARD--LSBEB President Estrella MCFARLAND STUDENT AWARD--LSBEB He served in Viet Nam as a USAF C-130 Forster (left) presents the Hasbrook Award to President Estrella Forster (right) presents the tactical transport pilot (1966-71) and was LCDR Deborah White. McFarland Award to Jennyfer Lecompte. See MILLER, p. 827.

826 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 MILLER, from p. 826. Dr. Miller is Board Certified in Professional Ergonomics. He is the author of Controlling U.S. Army Aviation awarded the Distinguished Flying Cross and Pilot Error: Fatigue (McGraw-Hill, 2001), an Medical Association the Air Medal with four Oak Leaf Clusters Associate Editor of Ergonomics in Design and for flight in combat. After his active military a reviewer for Aviation, Space and Environ- Luncheon and Awards service, he received his Ph.D. in 1976 following mental Medicine. He is a former Chair of the multidisciplinary studies in applied human DoD Human Factors Engineering Technical Annually, the U.S. Army Aviation Medical physiology and physiological psychology at Advisory Group and a member of the Human the UCSB Institute of Association (USAAvMA) selects a recipient Factors and Ergonomics Society, the Aerospace for our sponsored Joseph L. Haley writ- Environmental Stress. Medical Association and the Psychophysi- His doctoral studies ing award, which is presented for the best ology in Ergonomics technical group of the article on the contributions to Rotary Wing with Dr. Horvath in- International Ergonomics Association. volved human sleep Medicine. This year‘s winner was Dr. Ian and cardiovascular func- Curry and Dr. Rick Roller for their article on “A Physiological and Human Factors tions at altitude, and WOOD, from p.825. electrical impedance car- Evaluation of a Novel Personal Helicopter diography. At Human human factors during a Safety Investigation Oxygen Delivery System.” Factors Research, Inc., Board for the MQ-1 Predator. These observa- Also at the luncheon we conducted our Goleta, CA (1974-80), he tions will contribute toward improvements in annual business meeting. We had numerous worked with Dr. Robert traffic collision avoidance, aircrew situational new RAMs and of course our seasoned RAMs R. Mackie to conduct U.S. DOT and industrial awareness, training, retention, and unit orga- exchanging great stories and fellowship. The investigations of driver fatigue, alertness and nizational values and culture. new president, COL Steve Bernstein, was offi- performance in truck and bus operations and Currently the Chief of Aerospace Medicine cially recognized and the new Vice President, co-authored a literature review of human vigi- for the 355th Medical Group at Davis- LTC(P) John Albano, was elected. lance performance. Monthan AFB in Arizona, Lt. Col. Wood The guest speaker was COL Joe McKeon, At the USAF School of Aerospace Medicine, earned a B.S. in Biology at Missouri State the Aeromedical Consultant to the Surgeon San Antonio, TX (1980-87), he investigated University in 1989. He was awarded an M.D. General, who gave an update on the cur- aircrew and ground personnel workload, per- in 1995 from the University of Missouri- rent Army Flight Surgeon status, the future formance and fatigue, and workstation and Columbia. He served a Family Medicine of Army RAMs and the health of the Army work shift design with Drs. Bryce O. Hartman Residency at the University of Texas Health Aviation Community. and William F. Storm. Subsequently, Dr. Science Center in San Antonion in 1998, then Miller was Chief of Human Factors for USAF earned an M.P.H. from Harvard University development flight test at Edwards AFB, CA in 2002. He graduated from an Aerospace (1987-89). His Human Factors Engineering Medicine Residency in 2003 and from an Branch evaluated cockpit functions and pilot Occupational Medicine Residency in 2004, workload for such aircraft as the B-1 and B-2 both at the USAF School of Aerospace bombers, and the F-15E and F-16 fighters. Dr. Medicine. Miller also performed USAF Reserve duty During his military career, Lt. Col. Wood with the US Air Force Academy (1976-83) and has served in a variety of positions, includ- the Air Force Office of Scientific Research, Life ing as a Flight Surgeon at the Royal Air Sciences Division (1987-89). Force Station in Lakenheath, UK and as Dr. Miller investigated human performance, Chief of Aerospace Medicine, Deputy Chief fatigue and fitness-for-duty for DOT as the of Medical Staff, Aerospace Medicine Flight Director of Technology, Performance Factors, Commander, at F. E. Warren AFB, WY. His Inc. and Vice President, Human Factors, awards include the Meritorious Service Evaluation Systems, Inc. (1989-95), designing Medal, the Air Force Outstanding Unit the FACTOR 1000®, RedyShift®, and Smart Award with four bronze oak leaf clusters, Truk® testing systems. He also investigated the National Defense Service Medal, and the HALEY AWARD-- COL (Dr.) John Campbell, human performance and fatigue, and provided Global War on Terrorism Service Medal. He President of USAAvMA, presenting the workstation design and shiftwork scheduling is board certified by the American Board of Haley award to Lt.Col. (Dr.) Ian Curry of the assistance to government and industry through Family Practice and the American Board of Royal Army Medical Corp, United Kingdom, his company, Miller Ergonomics, in Lakeside Preventive Medicine and is a member of the who is currently assigned to the U.S. Army and then Imperial Beach, CA (1992-97). He was USAF Medical Corps, the Aerospace Medical Aeromedical Research Lab at Ft. Rucker as an one of the primary investigators for the Federal Association, and the Society of U.S. Air Force aeromedical exchange officer. Highway Administration’s Driver Fatigue Flight Surgeons. and Alertness Study (1990-96), and was the principal investigator for the US Coast Guard investigation of cutter crew fatigue (1997-98). He was also an Adjunct Associate Professor in the Dept of Neuropharmacology, The Scripps Research Institute, La Jolla, CA where with Dr. Merrill Mitler and others he conducted quan- titative electroencephalographic analyses and human performance assessments related to sleep and fatigue (1994-97). In 1997, Dr. Miller became the found- ing Director of the Human-Environmental Research Center at the US Air Force Academy (USAFA), Colorado Springs, The winning UTMB team in the annual RAM CO. He also helped design and chaired the Bowl, holding the traveling RAM Bowl tro- USAFA Institutional Review Board for the phy, and standing beside the score from the protection of human subjects in research, 1998-2000. In 2000, Dr. Miller was recruited finals match with the U.S. Air Force RAM by Dr. Storm to help create the Air Force team. From left to right, they are Nicole Research Laboratory's Warfighter Fatigue Powell-Dunford, Richard Cole, David Cole, Countermeasures R&D Group at Brooks City- Jon Riccitello, and Kjell Lindgren. Of note, Base in San Antonio, TX where he recently the UTMB team included two RAMs from the LUNCHEON SPEAKER-- COL Joe McKeon retired as the Senior Research Physiologist in Navy/Army program who were assigned to gives an update on Army flight surgeons, the Fatigue Countermeasures Branch. UTMB for their MPH. RAMs, and the Army Aviation community. Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 827 Send information for publication on this page to: Mark Campbell, M.D. 420 N. Collegiate Dr., #300 Paris, TX 75460 SPACE MEDICINE ASSOCIATION NEWS [email protected]

Young Investigator Award Arctic research expedition on Devon Island. American Board of Preventive Medicine in There he demonstrated that explorers could Aerospace Medicine and the American Board By K. Jeffrey Myers, M.D. readily adapt to the Martian 24.6-hour clock. of Obstetrics and Gynecology. With a handle on that problem, Marc looks Richard served as a NASA Johnson Space The Space Medicine Association Jeff Myers forward to working with the Space Medicine Center flight surgeon from 1987-1995 and was Young Investigators Award (SMA JM YIA) is community to address the remaining con- the Chief of the Flight Medicine Clinic and a competition intended for those making their straints to living and working on Mars, and, Chief of Medical Operations-Space Shuttle. first major efforts into Aerospace Medicine of course, to fulfilling the rest of his dream by During this time, he was the crew surgeon or Research. To compete for this award, contes- flying there. deputy crew surgeon on 15 Shuttle missions tants must be making their first presentation The first runner up is Leia Stirling, Ph.D. and provided direct mission support to 45 of a scientific paper or poster at an AsMA (candidate), from the Massachusetts Institute Shuttle flights. He has served as the President meeting (excluding cases presented at Grand of Technology. The second runner up is of the AsMA, the Space Medicine Association, Rounds as a student resident); they must ap- Captain Chris Meigs ( an airline Captain), and the Society of NASA Flight Surgeons. pear as first author on the paper; and they from Embry-Riddle Aeronautical University. must prepare and submit a manuscript for The other finalists include: Annie Martin, Tovy Lifetime Achievement Award: judging. Finalists compete in a second phase Kamine, Trond-Eirik Strand, M.D., Sasirajan Professor Igor Borosovich of competition at the AsMA Meeting involv- (Sasi) Jeevarathinam, MD, Yamil Diab-Forero, ing further evaluation of their presentation M.D., and Wen-Hsien Lu M.D. Goncharov and interviews. The potential applicability of I would like to thank the members of the the findings to Space Medicine and the degree YIA committee (without whom this com- Prof. Igor Borosovich Goncharov received of involvement of the student in the project petition would not be possible!): Drs. John a lifetime achievement award from the Space are major considerations. The finalists in this Darwood, Lloyd Tripp, Smith Johnston, Art Medicine Association. He is currently Director years’ competition, selected from 182 contes- Arnold, Dan Woodard, Lu Moreno, Jeff Jones, of Spaceflight Medical Operations at the State tants, were richly talented and diversified. and Vernon McDonald. It is certainly my Research Center of the Russian Federation, The winner of the 2008 SMA JM YIA is good fortune to serve in this capacity. I thank Institute of Biomedical Problems of the Marc O’Griofa, M.D. His paper was entitled you for this opportunity and the kind recogni- Russian Academy of Science in Moscow. “Sleeping Through the Arctic Martian Sol.“ tion you have bestowed. This competition is a Since joining the Institute of Biomedical Marc’s interest in aerospace began during window to the good future of our field. These Problems in 1972, he has been involved a visit to the Kennedy Space Center when Young Investigators demonstrate not only the in over 100 spaceflight launch and land- he was 10 years old. His dream—to fly in lessons of science, but of life, as they overcome ings. As the Director of Spaceflight Medical space and perform experiments there. After its struggles to pursue their dreams and to Operations, he supports launch, in-flight an odyssey of 16 years, Marc was selected as serve humanity. medical care and monitoring (including EVA), a Principle Investigator (PI) for the Cardiac landing recovery, and post-landing rehab. Adapted Sleep Parameters Electrocardiogram Hubertus Strughold Award: Prof. Goncharov graduated from the Recorder (CASPER) International Space Med-ical Department of the I. M. Sechenov’s Station (ISS) experiment. But there was still Richard Jennings Moscow Medical Institute in 1967. In 1971 he much work to be done; such an experiment received his Candidate of Medical Science de- The Hubertus Strughold Award is pre- must undergo rigorous reviews and the PI gree and in 1998 received his Doctor of Med- sented each year to a member of the Space must integrate the project with the other pay- ical Science degree. In 1999 he was given the Medicine Association for dedication and loads and crew schedule. This was a daunting academic title of Professor. outstanding contributions in advancing the task for our young student, since Marc was He is a former Co-Chair of the Russian- frontiers of Space Medicine, and for sustained attending medical school in Ireland at the American Space Medicine Working Group, an contributions to furthering the goals of the time! Juggling call schedules, exams, overseas Associate member of the International Acad- Space Medicine Association. The recipient of flights, and review boards, he was still able emy of Astronautics and became an Academi- the 2008 Strughold Award was Dr. Richard to bring his project in on time. It was a happy cian in 1999. Also in 1999 he was elected as Jennings. day in 2006 when his experiment finally flew an Academician of the K. E. Tsiolkovsky’s Dr. Jennings graduated from Oklahoma on ISS and demonstrated a useful technique Rus-sian Academy of Astronautics. He has co- State University and the University of for measuring sleep quality in austere envi- authored over 126 scientific publications and Oklahoma School of Medicine. He completed ronments. But Marc wanted more. He gained has 23 inventor’s certificates. He has received residency in obstetrics and gynecology at funding from the European Space Agency the “Order of the People’s Friendship,” “Hon- the University of Oklahoma Tulsa Medical (ESA) and University Enterprise of Ireland oured Doctor of Russia,” as well as several College and in aerospace medicine at Wright and expanded the experiment to a remote medals from the Astronautics Federation of State University. He is a diplomat of the Russian and from foreign space agencies.

LIFETIME ACHIEVEMENT AWARD--Dr. Igor YIA AWARD--Marc O'Griofa received the Jeff STRUGHOLD AWARD--Dr. Richard Jennings Goncharov receiving the Lifetime Achieve- Myers Young Investigators Award. Presenting receives the Hubertus Strughold Award from ment Award in Space Medicine by the the award is Dr. Jeff Myers. Dr. Smith Johnston. President, Dr. Mark Campbell.

828 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Send information for publication on this page to: Lt. Col. Andrew Woodrow, USAF, BSC Chief, Aerospace Physiology Formal Programs, Brooks City Base, TX 78235 210-536-6441 AEROSPACE PHYSIOLOGY REPORT [email protected]

Exercise Physiology 2008 Board Certified Aerospace Physiologists from the University of Iowa, a M.S. in CDR T. J. Wheaton, MSC, USN a M.S. in Physiology from the University of Physical Education Oklahoma, and is a member of AsMA. from Nine Aerospace Physiologists passed the South Carolina, and a 2008 examination in Aerospace Physiology, Capt. Miranda L. Hancock, USAF, BSC, Ph.D in Kineseology earning Board Certification, (CAsP). The is currently the Chief of the Human from the University exam was administered on 11 May 2008 Performance Training Team, 35th Fighter of Texas. She has at the AsMA Annual Scientific Meeting Wing, Misawa Air Base, Japan. She was been a member of the in Boston. The individuals certified in commissioned in 1999 Aerospace Physiology Aerospace Physiology for 2008 are: and designated an Society and AsMA since 1998. Aerospace Physiologist Maj. Lance L. Annicelli, USAF, BSC, in 2001. Capt. Maj. Brian T. Musselman, USAF, BSC, is an Air Force Aerospace Physiologist cur- Hancock earned her currently the Chief, Human Factors rently assigned to the U.S. Air Force Medical B.S. in Biology from Investigation and Analysis at the Air Force Support Agency in Falls Church, VA as the the University of Safety Center, Kirtand Chief of the Environmental and Occupa- Alabama, and holds AFB. He is a 1994 tional Health Research Branch. He was a Masters graduate of the U.S. commissioned to the in Public Health Air Force Academy Air Force in 1994. from the Uniformed and holds a M.S. in Major Annicelli is a Services University of Aeronautical member of AsMA, the Health Science. She Engineering from Aero-space Physiology is a winner of the 2006 PACAF Chief of Embry-Riddle Society, the Society for Safety Medical Achievement Award, and University. Maj. Human Performance has presented at AsMA meetings and the Musselman was se- in Extreme Environ- Mayo Clinic. She is an AsMA and Aerospace lected as an Air Force ments, The American Physiology Society member. Aerospace Physiologist College of Sports in 2001, and is a member of the Aerospace Medicine, the American Capt. Eric M. Hendrickson, USAF, BSC, Physiology Society and AsMA. Society for Clinical is assigned to the 354 Medical Operations Pathology, and the Society of Armed Forces Squadron, Eielson AFB, AK. He is 2001 LCDR Debra L. Yniguez, MSC, USN, is Medical Lab Scientists. He holds an M.S. graduate of the U.S. currently assigned as a Department Head in Exercise Physiology from the University Air Force Academy for the Naval Survival of Nevada Las Vegas, and is an Associate with a degree in Training Institute, Fellow of AsMA. Biology, and holds Pensacola. She was a Masters in Public designated as a Naval Capt. James W. Davis, USAF, BSC, is an Health from the Aerospace Physiologist Aerospace Physiology Officer currently as- University of New in 1986, and holds B.S. signed to RAF Lakenheath, UK as the Officer Mexico. He was from the University of in Charge of the Aerospace Physiology selected as the Air Arizona, and a M.S. in Human Performance Force's 2007 Aerospace Physical Education Training Team in sup- Physiologist CGO of from San Diego State port of 48th Fighter the Year. He is a mem- University. LCDR Wing and 100th Air ber of AsMA and the Aerospace Physiology Yniguez has been Refueling Wing. He Society. a member of the was commissioned an Aerospace Physiology Society and AsMA Air Force Officer in LCDR Robert P. Higgins, MSC, USN, is since 1996. 2001. Capt. Davis holds currently assigned as the Head, Aviation a B.S. in Biology from Physiology Training Department, Aviation the University of Survival Training Center Pensacola. He Kentucky, and is com- was commissioned JOIN AsPS TODAY! pleting a Masters a Naval Medical Take advantage of the outstanding network de gree in Aeronautical Science from Embry Service Corps Officer potential and the chance to gain knowledge Riddle Aeronautical University. Capt. Davis in 1998 after serv- from the field’s top minds. is a member of AsMA. ing as a Marine. Take part in forums for the integration His deployments and utilization of experts in many diverse Captain Jennifer M. Giovannetti, include Operations professional fields. Our members have USAF, BSC currently serves as the Officer Desert Shield/Storm shared their expertise in multinational and in Charge, Human and Operation Iraqi multi-service working groups for altitude Performance Training Freedom. LCDR effects, acceleration, spatial disorientation, Team (HPTT), 4th Higgins holds a B.S passenger and patient transport, and Aeromedical Squadron, in Biology and a M.S. human factors. 4th Medical Group, 4th in Cellular Biology from East Carolina Membership is only $10. For more infor- Fighter Wing, Seymour University. mation, please contact Joe Essex at joseph. Johnson AFB, NC. [email protected], or write to: Captain Giovannetti LCDR Susan M. Jay, MSC, USN, is LCDR Joe Essex, MSC, USN is a 2001 graduate the Department Head, Aviation Survival BLDG 2272 Suite 345 of the U.S Air Force Training Center Jacksonville, FL. She en- 47123 Buse Rd Academy with a B.S. tered the Navy as a Medical Service Corps Patuxent River, MD 20670 in Biology. She holds Officer in 2003. LCDR Jay holds a B.S. in

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 829 Send information for publication on this page to: Lt. Col. Kim Barber, USAF, NC AEROSPACE NURSING SOCIETY NEWS [email protected] 2008 Aerospace Nursing Society Awards was committed to attending to her patients’ Enduring Freedom, Operation Iraqi Freedom, special needs and ensured that the patients and for the Joint Task Force in the Horn of received their pain medications on time and Africa. She always demands the utmost in constantly monitored for patients’ comfort compassionate and quality nursing care from during the flight. A combat veteran of the staff and fellow aeromedical evacuation largest and busiest hospital in the Area of crewmembers and has truly made a difference Responsibility, she saw the need for more in the quality of patient care delivered to our nursing support at the theater hospital. combat wounded warriors. THE LUNCHEON--Colleen Morissette, Maj. During her off duty time, she volunteered to During her last deployment she was as- Gen. Bruce Green, Dr. Marian Sides and Brig. work 4 to 10 hours a week in the Emergency signed to Al Udeid AB, Qatar, as the Chief Gen Douglas Robb. Room, Intensive Care Unit, and on the Nurse, 379th Expeditionary Aeromedical Aerospace Nursing Society Medical Ward. She provided nursing care to Evacuation Squadron. She directed nursing Awards our wounded warriors and other casualties. services and provided clinical guidance to sev- She fed those who could not feed themselves, eral Total Force aircrews and ground support During this year’s ANS luncheon, held and assisted the doctors and medical staff personnel. The result was 689 casualties expe- May14 2008 at the Sheraton in Boston, the when injured soldiers arrived in the emer- diently and safely evacuated from their theater following five awards were presented to out- gency room. She also manned the aeromedical of operations, and over 52, 000 forces standing members. evacuation operations center and launched were supported by the theater’s only 911 re- four urgent missions with the Critical Air sponse. The exceptional clinical care provided Transport Teams when manning was short- to each casualty was a direct result of Maj. Hans Krakauer, Junior Flight staffed. Faubion’s executive nursing leadership and Nurse of the Year Award As the Standardization Liaison Officer in a oversight. Capt. Juvelyn T. Chua deployed location, she posted the flight crew Maj. Faubion‘s leadership in the Nurse information file, medical read file, updated Corps was was recognized with the Air Capt. Juvelyn Chua received the 2008 operating instructions, and ensured on-time Mobility Command’s Outstanding Company Hans Krakauer Junior Flight Nurse of theYear posting of all Battle Staff Directives. She Grade Officer of the Year Award, and she was Award in appreciation for her significant identified a crucial need for an Expeditionary instrumental in her team winning the 2002 contributions to the success of the 375th Aero- Operation’s Group point of contact to ensure TRICARE Command Excellence Award. She medical Evacuation Squadron, Scott AFB, IL. personnel were trained in Self-Aid/Buddy was the Distinguished Graduate of a class of She is an outstanding Air Force officer and Care. In all, 88 personnel were briefed with the 48 students at the challenging AF Flight Nurse top-notch Flight Nurse Examiner. In the past life-saving skills in less than 5 days. Her natu- Course. Her exceptional performance led to year, she has delivered superb results as an ral leadership abilities, hard work, and dedica- her being named the HSI/JCAHO project Executive Officer, Flight Nurse Instructor, tion led to her being recognized as the #1 of offi cer for her Medical Group. and Evaluator. She was deployed in support 10 Company Grade Officers at her deployed In the Education and Training forum, Maj. of Operations Enduring Freedom and Iraqi location. Faubion has tremendous responsibilities. She Freedom. Her demands for compassionate As the Officer-in-Charge of the Squadron is charged with oversight of all Readiness and quality nursing care from her fellow Executive Office, she perfected officer and Skills Verification training, Inservice training, crewmembers truly made a difference in the enlisted performance reports, awards, and Basic and Advanced Life Support currency, quality of patient care delivered to our combat decorations for 154 squadron members, which RN Licensure currency, and Emergency wounded warriors. She trains and mentors led to 100% on time and improved accuracy. Medical Technician training, to name a few. flight nurses by passing on her exceptional Her commitment to self-improvement was im- Under her direction and leadership, not a clinical skills and her commitment to treat all pressive as she was awarded a national certifi- single lapse or expiration occurred in any of patients with dignity, respect, and compassion. cate in Emergency Nursing and completed a the above named programs. Each of her 175 During her last deployment, Capt. Chua Master’s of Science Degree in Health Sciences students in the Air Education and Training was assigned to the 332nd Expeditionary in the same year. Command clinical Phase II program endured Aeromedical Evacuation Squadron at Balad Her peers, whether in a deployed location 390 hours of clinical and didactic training and Air Base, Iraq. As the Medical Crew Director, or at her home unit, recognize her clinical had an unheard of 100% pass rate. she flew 10 combat sorties transporting 80 sick expertise and compassion that she provides to Finally, Maj. Faubion recently returned from and wounded to safety and provided emer- her patients and their families in every case. a 120-day deployment in February 2008. In gent medical care in blackout conditions. She Her professionalism and her patient advocacy just one example of her attitude of “Service is an inspiration to all. Before Self,” she recognized that her squadron did not have the right level of expertise to fill a short-notice Chief Nurse deployment task- Brigadier General E.A. ing as the sitting Chief Nurse left in June 2008. Realizing that she was the only person in the Hoefly Award squadron that had the expertise to execute the Maj. Julie M. Faubion deployed duties, she raised her hand again and will leave for another 120-day rotation Maj. Julie Faubion was the 2008 recipient beginning in April 2008. of the Brig. Gen. E. A. Hoefly Award for her outstanding skills as an Air Force officer and Chief of Aircrew Training, and for her leader- Iversen Award ship contributions to the success of the 375 SSgt. Kristen M. Pinner Aeromedical Evacuation Squadron, Scott Air ANS AWARDS--Kristen Pinner (Iversen Force Base, IL. In the past year, she has deliv- SSgt. Kristen M. Pinner was the 2008 win- Award) and Julie Chua (Krakauer Award) pose ered superb results as Flight Commander of ner of the Iversen Award for her exemplary with their awards. Lt. Col Williams (center) Professional Development and, more recently, Aeromedical Evacuation Technician skills, accepts the Garrecht Award for Paul Pfennig Flight Commander of Aircrew Training. She which defined the “Standard of Performance” and the Hoefly Award for Julie Faubion. has deployed in support of Operation during the last year. She has volunteered

830 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 and deployed on a yearlong CONUS tour publications/references. She is respected as a ASF at Ramstein AB and Andrews AFB as in support of Operations Enduring/Iraqi tireless worker and leader who puts in long well as the creation of a consultant to the SG Freedom and has also deployed to the 775th hours and has assured successful, safe mis- in pain management nursing. He coordinated Expeditionary Aeromedical Evacuation sion execution. with colleagues in the field and wrote two Squadron (EAES) at Andrews AFB, MD. SSgt. Pinner is a highly regarded Airman background papers for the Director of Air Within a month, she gained 100% proficiency who was awarded Wing Airman of the 3rd Force Nursing Services to address these issues. for Aeromedical Evacuation on C-130, C- Quarter 2007 for her outstanding accomplish- After the AMC Surgeon General, Chief Nurse, 117, and KC-135 airframes and has provided ments. Her unmatched enthusiasm, expertise, and Flight Nurse Evaluators observed pain top-notch medical care to over 400 combat and drive led to her being recommended to management practices that were not adequate, casualties/ill warriors on over 50 missions in upgrade to flight instructor as a 3-level SrA. an AMC Special Interest Item of pain manage- 6 months. She has been lauded by her patients She completed Professional Military Education ment in the aeromedical evacuation system returning to CONUS-based Medical Facilities CDC and the Airman Development Course in was created. He created a customized briefing for exceptional and compassionate care. a 5-week time period and her performance has for the 375 AES that discussed current pain SSgt. Pinner has been an enthusiastic par- been exceptional and unparalleled by other management practices. This briefing brought ticipant in patient care with a passion and NCOs. She possesses the together research- based information with the charisma that earned her respect from all skill/knowledge/character to lead and is challenges of in-flight care. He also expanded crewmates and has displayed abilities/exper- peerless in her readiness to seek out learning the brief to discuss hospital- based pain man- tise as Charge Medical Technician at a level opportunities to advance her professional agement practices. His briefing was informa- far exceeding expectations of her rank. She is knowledge and skills. She vigorously sought tive to both nurses and technicians, bringing a charismatic leader with remarkable grasp out opportunities to improve her patient care up to date information to over 21 nurses and of Aeromedical Evacuation Operations who skills while playing a vital role in mission ef- technicians in attendance. readily adjusts to changes and has flown over fectiveness and her aspiration to gain knowl- Capt. Pfennig also researched and recom- 300 flight hours during the yearlong deploy- edge and hone skills is reflected in improved mended to the AMC Surgeon General’s of- ment; she approached each mission with a patient outcomes. fice a solution to a nursing protocol/supply true team concept. As a result, she was noted SSgt. Pinner supported a “lifetime oppor- mismatch which, when left uncorrected, left by the deployed OIC as an “Outstanding tunity” for over 20 Venerini Academy stu- nurses vulnerable for charges of prescribing Performer” in all Aeromedical Evacuation dents/chaperones visiting Westover ARB, and medication without a license. A change in Technician crew positions and has been a represented Airlift Wing, Operations Group, the medication for nausea was made with- role model to Airmen/Officers; her freshness and Air Force Reserve with distinction. She out a corresponding change in the Air Force of outgoing personality/can-do attitude has assisted in preparation/execution of a 3-day Instruction. He obtained research-based data been praised as welcome respite. Her stal- joint field exercise with over 950 civilian/mil- that supported keeping the new medication wart support of the Aeromedical Evacuation itary participants and is a staunch supporter and changing the regulation. Operations Team provided invaluable as- of the Aeromedical Evacuation Jamboree 0704, Observing and interacting with patients sistance for missions and she was an integral signing on early for the 3-day training plat- during Continental U.S. patient movement, member of a rotational ground support team form incorporating 4 aircraft, over 30 aircrew, Capt. Pfennig observed what he thought providing the expertise needed to insure and over 70 AE crewmembers for 8 training might be a deficiency in pain management in successful missions. Additionally, she volun- sorties. Her efforts have insured enhanced patients being moved from the Operation Iraqi tarily assumed the role of a Critical Care Air familiarization/comfort in executing AE mis- Freedom and Operation Enduring Freedom Transport Team (CCATT) “Chase” driver for sions on all airframes for those involved, and theaters of operation. Coordinating with 10 missions. she is a valued mentor for junior Aeromedical commanders from both the 375 AES and the SSgt. Pinner has been responsible for Evacuation Technicians who excels in calmly 791st Expeditionary AES, he was authorized insuring all equipment/personnel were managing crisis situations. to conduct a quality initiative study to look at packaged for travel for immediate return pain management practices. He gathered data to Ramstein AB and for efficient, timely Brigadier General Claire M. of diagnosis, medications ordered, and pain transport for CCATT assets to/from three Garrecht Award ratings on 120 patients from over 13 flights National Capitol Area Medical Facilities. and consolidated the data onto a single data- Her efforts were critical in ensuring optimal Capt. Paul L. Pfennig sheet. Obtaining permission from the IRB at mission readiness capabilities for CCATT the 60th Medical Group at Travis AFB, CA, he members and equipment and she risked her Capt. Paul Pfennig received the 2008 Brig. analyzed this data and found indicators that own life to save the lives of three individuals Gen. Claire M. Garrecht Award for his out- improvement in pain management for in-flight involved in a single vehicle automobile ac- standing skills as an Air Force officer and care is needed. Recently, he has been accepted cident, teaming with five other individuals Flight Nurse Examiner and for his contri- to present his pain management QI review, to pull three victims from a vehicle engulfed butions to the pain management arena and titled “Pain Management in Operational in flames. She assumed the leadership role the aeromedical evacuation mission. He is Aeromedical Evacuation,” at the 15th Annual of directing personnel, assisting at the scene stationed at Scott Air Force Base, IL, with the Phyllis J. Verhonick Nursing Research meeting. until the arrival of emergency officials and 375th Aeromedical Evacuation Squadron. In This presentation will allow his research to be was lauded by the on-scene commander for the past year, he has brought pain manage- presented in front of a Tri-Service audience, the “awesome manner in which she con- ment and side effect management issues to which will help bring the message of adequate trolled emergency rescue operations.“ She MAJCOM and HQ Air Force levels. He has pain management practices to the nursing ser- has also volunteered for/assumed duties as contributed greatly to the squadron in the past vices of the Army, Navy, and Air Force. His su- NCOIC of Publications Management and has year in Aircrew Training prior to and during perior work culminated in him being selected ensured that 65+ assigned and attached flight an Aircrew Stan/Eval Visit. He was also se- for an Air Force Institute of Technology- nurses and AETs possess all required flying lected for a position with the 375th Operations sponsored Master’s Degree program in Group as the Chief Flight Nurse Examiner Medical Surgical Nursing with an emphasis on for the 375 Airlift Wing. He has deployed Pain Management…the first of its kind. twice in support of Operation Iraqi Freedom, Operation Enduring Freedom, and for the Joint Task Force in the Horn of Africa. The Join the Aerospace Nurses Society patient care he provides clearly demonstrates Today! professional expertise, compassion, and astute Dues are just $10 ($5 allied health profes- problem-solving techniques. During each of sionals). For further information, contact: his interactions with other nurses as an evalu- Diane Fletcher, ANS Treasurer ator, he pushes each to excel beyond their cur- 4042 Stonewall Lane rent level of demonstrated proficiency. Shiloh, IL 62221 As one of only two Air Force nurses with Work: (618) 206-8467 a certification in Pain Management Nursing, Home: 618) 830-4581 ANS OFFICERS-- Nora Taylor, President Capt. Pfennig was contacted by the office of [email protected] Elect, Kim Barber, President, and Christine the Chief Nurse of the Air Force for discussion Fletcher4echarter.net Cloutier, Secretary pose after the luncheon. on the creation of a pain resource nurse at the

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 831 Send information for publication on this page to: Jennie Bendrick 8825 Redwood Blvd California City, CA 93505 WING NEWS & NOTES 760-373-810; [email protected]

Boston Welcomes The Wing ing left his book collection and half of his es- tate to the school, which was in fact, founded By Dale Orford, Photos by Dale Orford two years earlier in 1636, and that the like- ness of the statue was that of a professional Congratulations to Susi Bellenkes and her model, as no paintings or other likenesses dedicated committee for putting together a of Harvard had existed from which to cast fabulous meeting for Wing members in the the statue. Thus the three lies. We were also historic city of Boston. Our meeting kicked told of the custom of rubbing the brass shoe off with a Boston Tea Party Reception where of the statue for good luck which many of we welcomed 19 new members at the top our members took advantage of (photo 6). of the Sheraton Hotel with its magnificent In Cambridge, we also visited the home of views of the Charles River, downtown Boston Henry Wordsworth Longfellow who was a and the city of Cambridge. Tuesday saw us professor of modern languages at Harvard. touring the historic sites of the city where we It was here that he also began his writing learned how the early settlers used the Boston career and is credited with being the founder Commons for a myriad of activities from of modern American literature. His lovely grazing cattle and horses and gathering fire house, a wedding gift from his in-laws, is wood, to public gatherings, both political and surrounded by hundreds of lilac bushes, and social. We next visited Beacon Hill (photo 1) in his later years when Longfellow became a with its brick paved streets, sidewalks and el- famous lecturer, he would refuse all speaking egant houses, with their tiny multipaned, and engagements while the lilacs were in bloom sometimes purple, windows. The entire city (photo 7). One look at the beauty of the home of Boston seemed constructed from thousands surrounded by these magnificent blooms and upon thousands of red bricks which were one could see why. Our tour wound up with transported from England in the colonial era. a lovely, leisurely boat ride on the Charles Quite an amazing feat! A highlight of this tour River. In fact, it was so relaxing some of us was the Freedom Walk where we saw Paul 3 took the opportunity to catch a few winks Revere’s house and the Old North Church and rest up for our Honor’s Night dinner. (photo 2) with its statue of Paul Revere seated slate of officers for our Los Angeles meeting Our Boston meeting provided Wing mem- on a horse in the garden (photo 3). Inside the in 2009 and presented the gavel to our incom- bers with a wonderful opportunity to recon- church we viewed the square pews, which we ing President, Peggy Trumbo (photo 4). Our nect with friends from around the world, to learned, were heated in winter by “foot-warm- Luncheon co-chairs, Phyllis Hain and Jeanette sample the tastes of New England cuisine, and ers”, small metal containers filled with hot Wells generously donated tea party baskets to exploring this very special and historic city. bricks or stones. No central heating in those as door prizes, and Lin Beane contributed a It is one we will fondly remember. days! Attached to the backs of the pews are lovely fresh-water pearl necklace which was small brass plaques identifying which pews won by Jackie Jordan (photo 5). belonged to which families, including one Thursday’s tour took us across the identified as belonging to Theodore Roosevelt. Charles River to Cambridge where we On Wednesday, Wing members enjoyed a toured the Harvard campus with its magnifi- taste of typical Boston cuisine at our annual cent library, its many imposing buildings and Business Luncheon, where we sampled New the statue of John Harvard, who we learned England clam chowder, baked scrod, which was not in fact the founder of Harvard. The we were informed is simply whatever fresh statue, by Daniel Chester French, is often re- white fish is available that day, and Boston ferred to as the statue of “the three lies”. The Cream Pie. Susi Bellenkes presented the new plaque on the statue reads “John Harvard, Founder, and the date 1638”. We learned that John Harvard was instead a benefactor hav-

6 4 1

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832 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 Send information for publication on this page to: Corporate News Aerospace Medical Association 320 S. Henry Street NEWS OF CORPORATE MEMBERS Alexandria, VA 22314-3579

Exhibitors at AsMA’s 79th Annual Scientific Meeting in Boston, MA AsMA would like to thank all those who exhibited at our annual meeting. Pictured on this page are some of our loyal corporate members who exhbited during the meeting. All photos are by Melinda Bruno

Sperian & Axiom Become Newest AsMA Corporates

Sperian Eye and Face Protection, Inc., and Axiom Worldwide Aerospace & Defense Contract Division are the newest companies to join AsMA’s Corporate Membership. Sperian is a world leader in personal protec- tion with three core businesses: head protec- tion, fall protection, and body protection. Their mission is to provide men and women with the best possible hazard protections in the workplace. Originally, Sperian was two separate com- panies: the Christian Dalloz Group and the Bacou Group. Christian Dalloz was founded in France in 1957 by Christian Dalloz while the Bacou Group was created by Henri Bacou in 1974. The two companies eventually merged in 2001 to become the Bacou-Dalloz Group. In 2007, the company changed its name to the Sperian Protection Group. They offer products adapted to high-risk environ- ments to protect workers in the manufactur- ing and services industries. Axiom Worldwide specializes in the cre- ation and delivery of non-surgical medical equipment to healthcare providers. Their goal is to produce new treatment options using the latest technologies and science in order to offer patients and doctors alternatives to surgery. Their mission is to provide superior products, support, and dependable service es- sential to the success of the doctors they serve. Axiom also offers marketing tools to its customers to better market the company’s products. The company has clients in over 20 countries and is expanding its European market. It recently received certification as a medical device manufacturer in the Japanese market, which will allow the company to ex- pand throughout Asia. —- For more information on Sperian, please visit their website at www.sperianprotection. com/ index.asp. For more information on Axiom, see them on the web at axiomworldwide.com/ Default.aspx.

Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008 833 Send information for publication on this page to: News of Members Aerospace Medical Association 320 S. Henry Street Alexandria, VA 22314-3579 NEWS OF MEMBERS [email protected]

David P. Millett, M.D., M.P.H., is now the Salicrup, Carlos, M.D., Mexico City, Mexico Executive Vice President of the Civil Aviation Seah, Michael, Wg.Cdr., RAAF, Langley AFB, CLASSIFIED ADS Medical Association. He remains in Peachtree VA City, GA. In an unrelated matter, as an- Sewell, Louise M., M.D., Jumeirah, Dubai, nounced by Stanley United Arab Emirates Mohler, M.D., at the Sharma, Jayashri D., M.B.B.S., M.D., Gurgaon POSITIONS AVAILABLE AsMA annual business Haryana, India meeting on May 13, Smyrski, John A., LTC, MC, USA, Waipahu, AEROSPACE MEDICINE SPECIALIST 2008, Dr. Millett has HI agreed to donate his Stenlund, Per-Marten, Lt.Col., SAF, MC, The Tennessee Air Guard is looking for one collection of Russian Frolunda, Sweden special person to fill the above position. aviation artifacts to Stout, Timothy W., Capt., USAF, BSC, Iota, LA Position requires military membership in the Archives of Wright Strand, Trond-Eirik, M.D., Oslo, Norway the Air National Guard and is located in State University. This Thomas, William, Col., USAF, MC, San Memphis. Serve one weekend per month donation is being made Antonio, TX and 15 days of active duty per year and in the name of Dr. Tidaback, Dale R., M.D., M.P.H., Fairfax receive a tremendous incentive package, to Millett’s father, Dr. John D. Millett, who was Station, VA include a $75K cash bonus and a $50K stu- the founder of Wright State University. The Turner, Alan R., Flt.Lt., RAAF, Wallsend, dent loan repayment program. Please email majority of this collection was obtained when Australia Dr. David Millett was the embassy physician Um, Hong Dae, Chung Cheong buk-do, Korea CV to [email protected] for further at the American Embassy, Moscow, from 1973- Vanbrabant, Marina, M.D., Elewyt, Belgium information and qualifications. Also check 1975. Wentworth, Michael W., LCDR, MC, USN, out our website at www.goang.com. Pensacola, FL New Members Wheeler, Leigh F., Jr., M.D., Merrimack, NH Alghonmien, Shadi I., M.B., B.S., Amman, Reminder for Prospective Jordan Aerospace Medical Association Anthony, Craig R., Pharm.D., Valdese, NC Associate Fellows Seeks Executive Director Ashouri, Anousheh, M.D., B.S., Galveston, TX The Chair of the Associate Bravar, Ivo, SAF, Jevtica, Slovenia Fellows Group reminds prospec- The Aerospace Medical Association Cataman, Elena, M.D., Chishinau, Moldova tive Associate Fellows that their (AsMA) is seeking applicants for the Chappelle, Wayne, Ph.D., San Antonio, TX position of Executive Director. The Clark, Patrick J., O.D., Ph.D., San Antonio, TX applications must be received by Executive Director serves as the chief Dawson, David L., Lt.Col., USAF, MC, August 1 each year in order to be operating officer responsible for all Sacramento, CA considered for the annual selec- management, administration and pro- Fehr, Thierry, Villepreux, France tion. fessional activities of the Association. Gundlach, Ronnie M., LT, MC, USN, Peakasie, Update forms are available from Applicants should possess a doctoral PA the Associate Fellows website at degree and be familiar with the AsMA. Heins, James N., M.D., Kirkwood, MO www.asmaafg.org. Major responsibilities include member- Hendrickson, Eric M., Capt., USAF, BSC, ship services, planning and conducting Eielson AFB, AK an annual scientific meeting, publish- Higginbotham, Keith D., Maj., USAF, MSC, ing a scientific journal, and conducting Albuquerque, NM Submit your 2009 liaison with related national and interna- Husek, Christian W., M.D., Vienna, Austria Scientific Meeting tional organizations. Salary will be Hyland, Gregory, Lt.Col., USAF, MC, commensurate with these responsibili- Converse, TX Abstract ties and the experience of the appli- Jeevarathinam, Sasirajan, M.B., B.S., Vellore, cant. Applications should include a 1- Tamil Nadv, India www.asma.org to 2-page narrative describing interest, Jensen, Robert L., Collegedale, TN Site available: August 5, 2008 professional qualifications, and vision Kadhim, Mohammed T., Capt., APO, AE Deadline: October 31, 2008 for the Association. Also include a pro- Koh, Benjamin, M.B., B.S.M.Med., Crows Nest, fessional resume, salary history, and Australia Online step-by-step instructions salary requirements. A position descrip- Kupfer, Doris M., Ph.D., Oklahoma City, OK tion may be obtained by calling Lupa, Henry T., M.D., Ph.D., Reading, will guide you through the process. (301) 469-5461 or visiting the Berkshire, UK You will receive immediate confir- Announcements section at Magee, Gary L., M.D., Thornhill, Ontario, mation with a control number for on- www.asma.org. Mail applications to: Canada line submissions. Robert R. McMeekin, M.D, Chair, McMorrow, Roger C. N., M.B.Ch.B., Dublin, There are many exciting features Search Committee, 7435 Arrowood Ireland Road, Bethesda, MD 20817-2822. Melo, Rolando, Bogota, Columbia availble through this site including an Murphy, Juliet, DDS, Sunnyside, NY itinerary builder. Novy, Pamela L., Ph.D., Cibolo, TX Through the COS Research Tools/ Olkonomov, Konstantinos C., 1Lt., HAF, MC, Workbench feature (located at INDEX TO ADVERTISERS FS, Adravida, Ilia, Greece the very top of the page) you can find Aerospace Medical Association Patlach, Robert, League City, TX funding opportunities and searches Call for Papers ...... iii Reichlen, Christopher P., 1Lt., USAF, BSC, for colleagues, articles , meetings and Corporate Members ...... 808 Sumter, SC much more. Explore this site to take Information for Authors . . . . . Cover III Membership Application ...... ii Richards, Collette, Sqn. Ldr., RAAF, BMBS, full advantage of its features! Henlow, UK ETC ...... Cover IV Rincon, Eliana P., Maj., CAF, MC, Houston, TX 834 Aviation, Space, and Environmental Medicine x Vol. 79, No. 8 x August 2008