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First, let me say that I am honored to serve as pres- ident of AsMA, and I hope I can justify the confidence placed in me. The friends I have made and the relation- ships I have developed within this association have en- riched my life immeasurably. I have had the opportu- nity to exchange ideas and work with colleagues worldwide. I know of no other organization with the spirit and international camaraderie that exists within our association. Those of you who attended business meeting in New Orleans know that we have ambitious plans for the coming year. Much effort was spent in hearing the voice of members in our survey and listening closely to the messages. I hope that 1 year from now we can look John D. Hastings, M.D. to some accomplishments that will demonstrate re- sponsiveness to member needs. Let me see if I can give in the important work our committees do for AsMA. a flavor of our future direction. Some survey responders perceived AsMA as a "U.S. Extensive discussions have taken place with the organization." I feel it is highly important to emphasize Fellows Group and its chair, George Anderson. Ideas and encourage our association's role as an international discussed included involvement by the Fellows Group entity. Our membership and our interests are global, and in current activities within AsMA, Fellow representa- we should strive to be a vehicle for worldwide fellow- tion on the Council, liaison between the Fellows Group ship and exchange. We are most happy to welcome the and the Associate Fellows Group, and critical review of European Society of Aerospace Medicine as an Affiliate the Fellowship selection process. George Anderson has organization and are looking forward to working with worked hard and long on these issues. The fabric of our colleagues across the sea. The aerospace sciences our organization can only be strengthened by integrat- have proven uniquely capable of transcending the sepa- ing the Fellows Group with its collective talent and rating influence of political, cultural, and geographical wisdom into association activities and asking their as- boundaries, and so it should be. sistance in developing future leadership. A frequent survey comment relates to a desire for Representation of both the Fellows Group and the greater presence of clinical material within AsMA. Associate Fellows Group was deemed an important Indeed, the most frequently downloaded journal article is step in recognizing the need for involvement of both "You're the ." A significant proportion of groups in association governance and leadership. our members are involved in clinical aviation medicine. Inherent in most, if not all volunteer organizations, Clinical aviation medicine physicians are small in is what I will call "process problems." The Executive number, and many are involved in full-time activities Committee meets twice yearly, as does the Council. such as regulatory or administrative aspects of aviation Committees generally meet but once a year in conjunc- medicine or other endeavors. It is difficult to gather tion with the annual scientific meeting. We return good data for an evidence-based approach to regula- home from these meetings to busy jobs and personal tion, policy development, policy review in light of new lives, and well intentioned progress on committee developments and technology, regulatory change, and work becomes difficult. Meaningful dialogue leading to aeromedical disposition in individual cases. important decisions and conclusions is difficult to ac- I have formed a six member Clinical Aerospace complish by email. These "process problems" hamper Medicine Committee composed of one U.S. and five in- the development of resolutions, position papers, associ- ternational members. We met in New Orleans and ation letters, and other instruments by which AsMA ex- began discussions toward the goal of addressing the presses its views and positions. clinical needs within AsMA and determining future di- I have asked each committee chair to appoint a rection. I look forward to the work of this committee. deputy chair, as proposed by past president Melchor So, this is what we are about. In every decision Antuñano. I have also introduced an Action Item List for made in the coming year, we must ask if that decision Council, Executive Committee, and Committee use. The is in the best interest of the member. The best interest of list contains the action item, responsible entity or person, the member must be the association's guiding princi- projected completion date, and current status column. I pal. We will work for that, and I ask each constituent, suggest the list be used at each meeting following read- affiliate, and individual member to join in that effort. ing of the minutes. I hope these measures will be helpful Until next month…

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Medical News

been very difficult, causing unacceptable de- sonnel. They look after the comfort of passen- Executive lays. We must be able to act expeditiously as gers and should be able to render first aid in Director’s the media, as well as government agencies, case of illness or accident. One line will take often impose short suspense times. no one but a trained nurse. All hostesses Column Consequently, our incoming president, Dr. should be trained nurses, and they will be Jack Hastings, plans to address the process much more efficient if they know something we use in determining our policy statements. about aviation medicine, such as air sickness, I'm hopeful that we will have this completed the effects of altitude, wind, cold, speed, dis- and implemented before the end of the year. turbances of equilibrium and have some expe- Obviously, the more efficient we are, the rience in flying before engaging on the first quicker we can act. And it is vital that we do flight as a hostess. Rayman act untrammeled by unnecessary roadblocks. "In the early part of this article the ques- I hope you agree with Teddy Roosevelt. tion was raised 'Are there in fact opportuni- ties for nurses in aviation?' It is believed the The Challenge of Policy (and question has already been answered in the Teddy Roosevelt) This Month in Aerospace affirmative" (5). In any moment of decision, the best thing you Medicine History-- Fifty Years Ago can do is the right thing, the next best thing is June 2007 Hyperventilation and aviation mishaps (USAF the wrong thing, and the worst thing you can do By Walter Dalitsch III, M.D., M.P.H. School of Aviation Medicine, Randolph AFB, TX): is nothing.--Teddy Roosevelt "Hypocapnia resulting from spontaneous or voluntary hyperventilation usually produces a Since 1992 your Association has published Seventy-five Years Ago deterioration of psychomotor performance. 71 position papers, resolutions, and policy The importance of nurses in aviation: "The Such a deterioration may become critical for letters that have been disseminated to inter- American Nurses Aviation Service Inc. is spon- the accomplishment of complex tasks. ested agencies worldwide. This averages out soring a comparatively new idea, namely the Hyperventilation, therefore, was suspected as to about five such policy documents per year. introduction of the trained nurse as a neces- a possible factor in modern aviation contribut- We can take great pride in this accomplish- sary part of aeronautics. ing to incidents or accidents otherwise unex- ment, particularly when you look at the "Flight surgeons' offices. There are at pre- plainable at the time. The only affirmative evi- breadth of the issues we have addressed. Our sent over 800 physicians engaged in examin- dence for such a suspicion seemed to exist in very first position paper prepared by Hank ing pilots for the Department of Commerce. occasional reports by jet pilots who had ob- Taylor was on Crew Resource Management, Some of these are doing a large amount of served 'high rates of breathing' while in flight. a revolutionary concept at the time (1992), work, some a moderate amount and some However, before hyperventilation could be that we fully supported and which, today, is only a little. Many of them have nurses in their classified as a major problem in aviation (like conventional practice. From there we went offices. A nurse can take visual fields with the hypoxia), it was necessary to demonstrate by on to a host of other issues including AEDs perimeter, do urinalyses, test visual acuity and some objective means the existence of true (automated external defibrillators), EMKs test depth perception, as well as assist with overventilation in flight. If overventilation (emergency medical kits), space life sciences, women applicants… does exist, the intensity and frequency of oc- alternative medicine, laser lights, etc. I rec- "Flight surgeons with air lines. Passenger currence possibly could clarify the importance ommend that you visit our website carrying air lines are gradually taking on flight of this problem… (www.asma.org) and click on Policy surgeons to supervise the physical welfare of "By laboratory experimentation it was Compendium where you will find all 71 doc- their pilots and other medical matters pertain- shown that progressive hypocapnia caused by uments, each one individually download- ing to the line. Here, again we have not only hyperventilation gradually impairs psychomo- able. As you go through these documents, the usual physical examinations for license but tor performance. Medical practitioners occa- you can see we have given support to mili- monthly checks of personnel. These checks sionally observe complete loss of conscious- tary aviation, civil aviation, and the space consist in certain eye and nervous system tests ness in patients very susceptible to the program over the years. I would also take and usually the Schneider Test for circulatory hyperventilation syndrome. Fortunately, special pride in our willingness to be resilient efficiency. This latter is a time consuming test healthy young persons in good physical condi- when there is a need. You may recall that we and it can be done equally well by a nurse… tion seem to have a good resistance to even originally adopted a policy on HIV that was "Airports. Large airports are transportation relatively severe degrees of hypocapnia. For extremely restrictive. But then over the next terminals. There are ordinary industrial acci- these reasons there will continue to be much several years when we had access to more dents, such as occur in connection with any speculation about the possibility of aircraft in- scientific data, we saw that a more liberal mechanical industry. There are occasional air- cidents or accidents caused by hyperventila- policy was in order. Hence, we changed our plane crashes with injury to personnel. The tion. Further evaluation of more accurate ob- policy liberalizing it consonant with the new types of injuries received in airplane crashes servations of pilots experiencing 'near misses' data. are apt to be of a certain type and need certain may furnish more clues in this respect… To prepare policy and publish it often special attention. Also there are passengers "The increasing number of unexplained jet takes courage in that many of the issues are who may develop minor ailments, including aircraft accidents indicated a need for experi- surrounded by controversy. This becomes air sickness, who should receive first aid. That mental investigations of possible physiologic apparent if you peruse the list in our Policy all large airports have a fully equipped first factors leading to a pilot's incapacity for safe Compendium. And the tide continues as we aid station with a nurse in charge is most cer- flying. In addition to hypoxia, hyperventila- now face the vexing challenges of optimal tainly going to be demanded by the public be- tion was suspected as being a possible cause cabin air pressure, periodicity, UAV stan- fore long. for a critical deterioration of flying perfor- dards, and a host of others. I have always "Airplane factories. There are large indus- mance. In-flight sampling of expired air dur- held firmly to the belief that AsMA must be trial plants where any type of industrial acci- ing three phases of jet training in the T-33, F- heard. And to do so, we must have an agile dent may occur, and in the large ones there is 86, and F-100 aircraft verified the existence of system of response. definitely a place for a nurse and a first aid in-flight hyperventilation. Incidents of hyper- Although we might take satisfaction in station. ventilation appeared to become more frequent our 71 policy documents, the process at "Air line hostesses. Some of the passenger building consensus allowing us to act has lines now have hostesses as a part of their per- See HISTORY, p. 638.

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resistance. The physiological effects of HUT long duration space flight to help counter the are comparable to those seen with upright effects of cardiovascular deconditioning. posture. This is to be expected, given that the Before we can fully determine the benefits Science & causative agent (hydrostatic force) is the same of this repeated tilting protocol, a number of in both cases. factors need to be considered, such as: How Technology While the angle of tilt and the onset rate can long do the protective benefits of the repeated be altered as required, HUT is typically a pas- tilting last? Does the same number of tilts pro- Watch sive procedure, in that the subject is relaxed vide benefit at higher levels of +Gz accelera- and does not use the lower limb muscles to as- tion, or are more tilts required? Will a different sume the upright position. Passive HUT ap- onset rate of tilt or different duration in the proximates the effects of exposure to elevated supine period alter the effects of the repeated +Gz forces, as the effect of both is due to tilting? The rate of onset of acceleration may purely hydrostatic factors rather than actively- affect the efficacy of the overall training re- mediated postural changes. Since high perfor- sponse. The same principles may be applied to Keeping You Informed Of The Latest mance aircraft maneuvers often invoke fast acute adaptation in repetitive tilting, where Advances In Science And Technology +Gz transitions, the use of rapid-onset HUT factors such as the speed of transition from can mimic the in-flight stimulus. Passive HUT supine to upright and back to supine, the This month's edition of The Watch reviews the use is a simple, reliable, reproducible stimulus that length of either the supine period or the tilt pe- of head-up tilt as both a clinical tool to treat severe more closely mirrors the physiological effects riod and the angle of tilt may alter the re- orthostatic intolerance and as a potential low cost of +Gz exposure than lower body negative sponse. tool for aircrew acceleration training. pressure (LBNP) or abruptly standing from a In conclusion, the humble tilt table is now seated position. being used for new and interesting applica- ********** Recently, HUT has been applied to new ap- tions. The possible benefits of long-term tilt plications. It has been used as a training tool to training as an easy, non-pharmacological acutely improve the responses to orthostasis in means of eliminating the debilitating effects of Head-Up Tilting - New a single training session, and has been particu- syncope are potentially significant for those Applications for a Dynamic larly effective as a neurocardiogenic syncope who suffer from such orthostatic intolerance. Cardiovascular Challenge and severe orthostatic intolerance treatment Tilt training may also hold a number of bene- using single, daily 30-min tilts over a number fits in aerospace medicine as an inexpensive Narelle M. Berry, Ph.D., Nutritional Physiology of months (3). While this is a very useful regi- and simple replacement for those without ac- Research Centre, School of Health Sciences, men, there is also the intriguing possibility cess to centrifuges, although much more re- University of South Australia, Adelaide, Australia, that HUT training may be used in the search into such applications is required. and David G. Newman, D.Av.Med., Ph.D., aerospace community as an alternative Aviation Medicine Unit, Monash University, ground-based G-training tool. REFERENCES Melbourne, Australia Our recent work (1,2) involved subjects 1. Berry NM, Rickards C, Newman DG. Acute who were exposed to 10 +75° HUTs over a cardiovascular adaptation to ten consecutive The tilt table has been used for physiologi- time course of 70 min. The results of this study episodes of head-up tilt. Aviat Space Environ cal research since the 1940s. As a research tool, showed that at the baseline position, their Med 2006; 77:494-9. the tilt table is most commonly used to assess MAP had increased by the 10th HUT. The car- 2. Berry NM, Rickards C, Newman DG. cardiovascular and neural responses to postu- diovascular system thus started the 10th HUT Squat-stand test response following 10 consec- ral changes. Head-up tilt (HUT) is a com- in a physiologically different position from utive episodes of head-up tilt. Aviat Space monly used technique for providing a dy- that of the 1st tilt. This shift in position is pro- Environ Med 2006; 77:1125-30. namic orthostatic stimulus to the tective, in terms of maintaining MAP after a 3. Ector H, Reybrouck T, Heidbüchel H, et al. cardiovascular system, in order to determine series of repetitive orthostatic challenges. The Tilt training: a new treatment for recurrent its performance and functional integrity. It has dominant underlying feature of this protective neurocardiogenic syncope and severe ortho- been proven to be a useful technique for adaptation is an increase in vascular resis- static intolerance. Pacing Clin Electrophysiol studying reflex control of the circulation. HUT tance. Overall, after 10 HUTs, the cardiovascu- 1998; 21:193-6. has been used by several researchers to inves- lar system is better able to defend itself against tigate the cardiovascular responses to postural the adverse consequences of rapidly applied ********** and orthostatic challenges, and is also used in hydrostatic force. The AsMA Science and Technology Committee clinical situations to investigate patients who Furthermore, this protective increase in provides the Watch as a forum to introduce and suffer from unexplained syncope. HUT has MAP subsequently improved the responses to discuss a variety of topics involving all aspects of also found extensive applications in aerospace a different orthostatic challenge (the squat- civil and military aerospace medicine. Please send medicine research. stand test). While this has a number of clinical your submissions and comments via email to: The physiological consequences of HUT are applications for those who suffer from ortho- [email protected]. Watch columns are due to the imposition of a hydrostatic force on static intolerance and autonomic dysfunction, available at www.asma.org in the AsMA News the closed-loop cardiovascular system and the a practical application of the results of these link under Publications. system's responses to that force. The sine of studies is for those who are exposed to ex- the angle of tilt is directly proportional to the tremes in gravitational conditions, such as as- degree of hydrostatic force introduced, and as tronauts and high performance aircraft pilots. such determines the magnitude of the cardio- These findings open the possibility that tilt NEW IMPROVED WEB FEATURE: vascular response. HUT generally involves tilt- training may be useful for improving tolerance POLICY COMPENDIUM ing the subject (around a central axis usually to altered gravitational conditions. located near the body's center of mass) to a It has been demonstrated that the cardio- Some of you may be aware that you can near upright position, typically 60-80 . A full vascular system is adaptable to repeated expo- already access AsMA position papers and 90° tilt is used infrequently as this creates a sures to high +Gz acceleration (G-training). resolutions online. But we've just made it sensation of falling forward in some subjects, However, G-training requires access to expen- easier for you! Previously, you had to scroll which produces an alarm response. sive, highly specialized equipment (a human through an extensive PDF file that con- The normal response to HUT is a decrease centrifuge) or regular training flights, which tained all papers since 1992. You can now in cardiac output, stroke volume, pulse pres- may not be within the economic means of all view and print each paper from the table of sure and systolic pressure, while heart rate, di- potential users. Therefore, it would be useful contents. Just go to our Home Page astolic pressure and peripheral resistance in- to determine whether a repeated tilting proto- (www.asma.org) and click "About the crease. Mean arterial pressure (MAP) generally col can be used as an inexpensive ground- AsMA". Then scroll down to "Download- remains constant. These changes reflect the ap- based tool to improve +Gz tolerance. This able Materials". Select "Policy Compen- plication of hydrostatic force and the concomi- would be of great benefit to those who wish to dium" and you will have a table of contents tant activation of cardiovascular compensatory find an inexpensive alternative to high +Gz from which you can choose the document mechanisms. Renal blood flow decreases by as training. While it may not be truly practical to you wish to view or print. much as 32% with 60° HUT, while 75° HUT 'tilt train' pilots prior to flight, it may be a use- leads to a 45% increase in splanchnic vascular ful tool for upon returning from

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2007-08 Presidents of Constituent Organizations Hoffman Chosen to Head the State University of New York at Potsdam, ences, U.S. Air Force Academy, CO, his AsHFA receiving his Baccalaureate Degree in 1980. He Medical Degree from the Chicago College of received his Doctor of Osteopathic Medicine, IL, and his Masters in Ronald B. Hoffman, Sr. Human Factors Medicine degree from Public Health in Occupational Medicine from Engineer, is the 2007-08 incoming President of Upstate Medical Center the Harvard School of Public Health. He com- the Aerospace Human in 1984, and entered ac- pleted Residency Training and Board Factors Association tive service in the U.S. Certification in Aerospace Medicine and (AsHFA). He graduated Navy as a General Occupational Medicine at the U.S. Air Force from the University of Surgery Intern at Naval School of Aerospace Medicine, Brooks City- Maryland with a degree Hospital Portsmouth. Base, TX. He has spent 20 years in the practice in Physics and entered Following Flight of Aerospace Medicine in support of the Air the space program, Surgeon training at Force, Joint, and Coalition aviation forces. working on design NAMI in 1986, he was Clinically he has held the positions of Chief of challenges at Douglas assigned to Carrier Air Flight Medicine, Aerospace Medicine Aircraft in Wing ONE, Det Cecil Field, and embarked Squadron Commander, and Hospital for the Delta launch ve- aboard USS America (CV-66), completed de- Commander. Additionally he has held staff hicle in 1962. In 1964, ployments to the Mediterranean Sea and positions as the Chief Flight Surgeon for U.S. he joined NASA at the newly formed Manned Indian Ocean in 1986 and 1989. Air Forces in Europe and currently as the Spacecraft Center in Houston and managed In 1990, CAPT Beane began training as an Command Surgeon U.S. Central Command. the development of the innovative six-degree- Aerospace Medicine specialist, completing a Col. Robb is a Chief Flight Surgeon with of-freedom Apollo Reentry Simulation; a Masters Degree program in Public Health and more than 1500 flying hours and has main- derivative was used for real-time calculations Tropical Medicine at Tulane University. In tained additional crewmember status in the A- for the actual lunar returns. While developing 1993, he was assigned as the Senior Medical 7, OV-10, F-16, C-9, T-43, C-130, and KC-135 emergency procedures for de-orbiting the Officer for USS Independence (CV-62) and aircraft. He is a member and Fellow of the Apollo Command Module, he was attracted to Battle Group Five in Yokosuka, Japan, com- Aerospace Medical Association. His awards the human interface issues and subsequently pleting two deployments to the Persian Gulf include the Air Force Achievement Medal, the entered a graduate program in experimental in support of Operation Southern Watch. In Joint Service Commendation Medal, the Air psychology at the University of Houston. He 1996, he transferred to Electronic Attack Wing Force Commendation Medal with two oak leaf received a Master of Science in Experimental Pacific Fleet in Whidbey Island, assuming du- clusters and V device, the Meritorious Service Psychology in 1971, and a doctorate in ties as the Wing Surgeon. During that tour of Medal with three oak leaf clusters, and the Biophysical Sciences with a neuroscience em- duty, he also served as the Department Head Legion of Merit. He is board-certified in phasis in 1974. for Aviation Medicine and Physical Exams at aerospace and occupational medicine. Subsequently Dr. Hoffman worked in each Naval Hospital Oak Harbor. In October 1999, of the major areas of Space Life Sciences: re- he was assigned as the Wing Surgeon for search, payload development and operations, Helicopter Anti-Submarine Light Wing Forster to Lead LSBEB and in both federal and con- Atlantic Fleet and Sea Control Wing Atlantic tract positions. With MITRE, as lead human Fleet in Jacksonville, FL. He served as the Estrella M. Forster, Ph.D., is the incoming factors engineer, he gained experience in a va- Department Head for Aviation Medicine, 2007-08 President of the Life Sciences and riety of domains: aeronautical, marine, space, Occupational Medicine, and Physical Exams at Biomedical highway, and postal service, tackling human- Branch Medical Clinic, Mayport. During that Engineering Branch of system design issues. He returned to the tour, he also served as the Senior Regional the Aerospace Medical Houston area as a neurosciences discipline sci- Flight Surgeon for the Southeast region. From Association (AsMA). entist with the Life Sciences Group of Wyle July 2002 to July 2005, he served as the Wing She graduated from Laboratories in 2004, and recently accepted a Surgeon for in the University of position with MEI Technologies in the Okinawa, Japan. Houston, TX, with a Usability Test and Analysis Facility at the CAPT Beane is board certified in B.S. and from Drexel NASA Johnson Space Center. Aerospace Medicine. He is an Associate University, Dr. Hoffman's current projects include re- Fellow of the Aerospace Medical Association. Philadelphia, PA, with search in mechanisms of injury, countermea- His personal awards include the Legion of an M.S. and a Ph.D. sures for EVA, and the design and usability of Merit, Meritorious Service Medal (3 awards), Her professional career hands-free devices for conducting mainte- and Navy Marine Corps Commendation has included serving at the USAF School of nance procedures in space habitats. He is a Medal. Aerospace Medicine, Brooks City-Base in Fellow of the Aerospace Medical Association, ; USN NAVAIR in Pennsylvania and an Associate Fellow of AIAA, an AsHFA Maryland; and as USN Commander Third Fellow, and is certified as a Human Factors Robb to Lead Air Force Flight Fleet in California from 1984-2004. She also Engineering Professional (CHFEP) in Human served as adjunct professor of statistics at the Interface Design and Assessment and in Surgeons graduate departments of Drexel University Human Factors in Aviation. and the Institute of Technology from The incoming 2007-08 President of the 1994-2002. She joined the FAA Civil Society of U.S. Air Force Flight Surgeons is Aerospace Medical Institute (CAMI) Douglas J. Aerospace Medical Research Division in Beane to Lead SUSNFS and Robb. He is the Oklahoma City, OK, in November 2004. Command Surgeon, Dr. Forster's experience encompasses 23 ASAMS U.S. Central Command, years of research, development, test, and MacDill AFB, FL. He is evaluation efforts. Her technical and pro- CAPT Richard A. Beane, MC, USN, is the responsible for all joint gram management accomplishments have fo- incoming 2007-08 president of both the Society and coalition health cused on aircrew systems, specifically life of U.S. Navy Flight Surgeons and the Ameri- service support activi- support equipment addressing acceleration, can Society of Aerospace Medicine Specialists. ties in the USCENT- altitude, and thermal and chemical-biological He currently serves as the Officer in Charge of COM Theater of environments. Her work is described in over the Naval Aerospace Medical Institute in Operations, consisting 100 publications. She introduced and deliv- Pensacola, FL. of 27 nations on the ered USN Aircrew Integrated Life Support Born in Key West, FL, CAPT Beane entered Arabian Peninsula, the Horn of Africa, the Systems for high performance rotor and military service in 1973, serving as a Medical Northern Red Sea, and Central Asia. fixed-winged aircraft. She also conceived, de- Services Specialist in the U.S. Air Force. Com- A native of Missouri, Col. Robb received his veloped, and delivered the Collaborative pleting his enlistment in 1977, he enrolled in Bachelor of Science degree in biological sci- See FORSTER, p. 637.

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FORSTER, from p. 636. member at large on the Society's Board of two combat tours aboard the Aircraft Carriers Operations and Responsive Technology Directors. She is this year's chair for the USS Midway (CV-41), USS Independence (CV- EXperimentation (CORTEX) facility, Third Society's Social Events Committee for AsMA 62), and USS Carl Vinson (CVN-70) during Fleet's Command Center. 2006 in Orlando. She is an Associate Fellow of Operation Southern Watch as the Flight Dr. Forster has been a member of AsMA AsMA and serves on the Registration Surgeon for Carrier Air Wings Five and since 1985 and currently serves on its Science Committee. Fourteen, respectively. During this time, he & Technology and Scientific Program earned his Surface Warfare Medical Committees. She is an AsMA Fellow, a Campbell Is Incoming Space Department Officer designation. He earned his NAVAIR Fellow, a National Research Council Naval Aviator designation in 1997. He has ac- Adviser, and has served on the Naval Medicine Association President crued over 1200 hours of flight time in various Postgraduate School MOVES Institute Science aircraft including the F/A-18, F-14, EA-6B, and Board. She is also a member of the Mark Campbell, M.D., is the newly elected S-3 with over 112 arrested landings aboard air- IberoAmerican Association of Aerospace President of the Space Medicine Association craft carriers and 25 combat missions over Medicine and the Life Sciences and Biomedical for 2007-08. He is a Iraq. The Society of U. S. Naval Flight Engineering Branch (LSBEB) executive boards. board certified general Surgeons has bestowed upon him both the Her most recent honors are the Naval surgeon, a member of Richard Leuhrs Flight Surgeon of the Year Collaboration Award, granted by the Chief of the Texas Surgical Award for the U.S. Navy and Marine Corps in Naval Research, the Outstanding Leadership Society, and a Fellow of 1994 and the Memorial Award in Award, granted by the FAA's Federal Air the American College 2000. Surgeon, and the A. Howard Hasbrook Award of Surgery. He received From 1997 to 2001, CDR Belland was the granted by the LSBEB. a B.S. in Pre-Medical Senior Dual-Designated Flight Surgeon at Biology at The Naval Strike and Air Warfare Center University of Texas at (NSAWC) and Navy Fighter Weapons School Arlington in 1976 and (TOPGUN) in Fallon, NV. There he was a co- Wheeler Is Incoming AsPS received his M.D. from investigator for USN/USAF photorefractive President the University of Texas Medical School at keratectomy (PRK) studies and groundbreak- Houston in 1979. He finished his surgical resi- ing classified battlefield laser experiments. He CDR Marva "Lynn" Wheeler, MSC, USN, dency at St. Joseph's Hospital in Houston in is a Navy subject matter expert in directed en- CAsP, is the 2007-08 President of the 1984. He has been practicing general surgery ergy weapons (battlefield lasers), human per- Aerospace Physiology for 23 years and is currently in private practice formance maintenance during sustained/con- Society. She is currently in Paris, TX. tinuous operations, and human factors as they the Deputy Director, Dr. Campbell has been a private pilot since relate to mishap avoidance. Naval Survival Training 1984 (single and multi-engine ratings) and re- CDR Belland was the first Navy physician Institute, Pensacola, FL. ceived his Air Force Flight Surgery wings in selected to attend the USAF Air War College, a She received her 1994. He began performing parabolic flight re- senior service school at Maxwell AFB in Bachelor of Science de- search with NASA Medical Operations at the Montgomery, AL, where he earned a Masters gree in Secondary Johnson Space Center in 1991 and was a of Strategic Studies degree. During Air War Education from Baylor NASA Flight Surgeon at the Johnson Space College, he was awarded the USAF Historical University in 1978 and Center from 1994 to 1996, and was deployed Foundation's Research and Writing Award for her Master of Science to Star City, Russia, to support the Shuttle-Mir the best aerospace report of major historical degree in Exercise program. significance to the U.S. Air Force during the Physiology from the University of Oklahoma Dr. Campbell has been a member of the year 2001 for his paper entitled "Aircrew in 1984. She was commissioned a Lieutenant Space Medicine Branch and the Aerospace Performance Cutting-Edge Tech." CDR (junior grade) in July 1989 and designated a Medical Association (AsMA) since 1989. He Belland then served aboard the USS Kitty Naval Aerospace Physiologist in April 1990. has authored or co-authored 25 published pa- Hawk as the Senior Medical From April 1990 to 1993, she served as the pers concerning surgical care during space- Officer/Department Head and Battle Forces Division Officer, Aviation Physiology Training flight and surgical techniques in weightless- Seventh Fleet Surgeon, deploying in support Unit, Naval Hospital, MCAS Cherry Point. In ness. Of those articles, 10 were published in of Operation Iraqi Freedom. In 2004, as Third July 1993, she reported to Marine Aircraft Aviation, Space, and Environmental Medicine. Fleet Surgeon, he was medically responsible Group 36, Okinawa, Japan, as their first He was also the author for the surgical section for over 45,000 sailors and marines, served as Aeromedical Safety Officer. While serving in of "Medical Guidelines for Air Travel" pub- JTF/JFMCC Surgeon in HLS/D Roles, as well Okinawa, she organized the first Night lished by the Aerospace Medical Association. as managed the Biological Combat Assessment Imaging and Threat Laboratory in the Western He is an Associate Fellow in AsMA and serves System (BCAS), a PACOM managed, DTRA Pacific. In 1995, she was selected as the recipi- on several committees. sponsored, 80-million dollar, 4-year ATD. He ent of the Sonny Carter Memorial Award from then became Director for Health Services at the Society of U.S. Naval Flight Surgeons, Naval Hospital Charleston. Aerospace Medical Association, for her contri- Belland Incoming President CDR Belland has been awarded the butions in operational aerospace medicine. Meritorious Service (three awards), Strike In September 1995, she reported to Marine for IAMFSP Flight Air, Navy Commendation (two awards), Aircraft Group 11, MCAS Miramar, as the and Navy Achievement (two awards) Medals. Group Aeromedical Safety Officer. During her CDR Kris M. Belland, MC, USN, is the in- He is board certified in Family Practice and is tour, she was recognized for outstanding oper- coming 2007-08 President of the International board eligible in Aerospace Medicine. He has ational performance as the 1996 Navy Association of Military earned his Master of Business Administration Aerospace Physiologist of the Year. She was Flight Surgeon Pilots. degree from Western Governors University. subsequently transferred to the Third Marine He is a 1984 graduate He is a Fellow of the Aerospace Medical Aircraft Wing as Aeromedical Safety Officer, of the U.S. Naval Association and serves on several of the MCAS Miramar, CA, and then in 2001, sent to Academy. After gradu- Association's committees. Navy Personnel Command, Millington, TN, as ating from Philadelphia the Medical Service Corps Detailer until 2003. College of Osteopathic Dibiase Is New ANS Upon completion of Air Command and Staff Medicine on a 4-yr College in Montgomery, AL, in 2004, she was Navy Health President transferred to her current assignment. Professions Scholarship CDR Wheeler is an active member of the in 1989, he completed a Cathy Dibiase, RN, BSN, is the incoming Aerospace Physiology Society of the general surgery intern- 2007-08 President of the Aerospace Nursing Aerospace Medical Association. She attained ship at Oakland Naval Society. She is an aerospace nurse with board certification in Aerospace Physiology in Hospital. He then attended training at the Medical Operations, The Bionetics Corp, 1996, is past chair of the Aerospace Physiology Naval Aerospace Medical Institute in , FL, where she has sup- Society Awards Committee, and is currently a Pensacola, FL, where he was designated a ported over 50 Shuttle missions. She earned a Naval Flight Surgeon. This was followed by See DIBIASE p. 638.

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DIBIASE, from p. 637. HISTORY, from p. 634. atitis B virus (HBV) or with hepatitis A virus B.S. in Nursing from Bethune-Cookman with the increase in high performance capabil- (HAV). The prevalence of anti-HA antibodies University in Daytona Beach, FL, in 1983. In ities of the aircraft flown" (1). was similar in all professional categories of fly- that same year, she accepted a position as a Burdensome pressure suits (RAF Institute of ing personnel and the same or slightly lower Staff Nurse in Aviation Medicine, Farnborough, Hants, England): than in Swiss blood donors. The frequency of Orthopedics, then later "Despite the recent advances in the field of immune markers identifying HBV immunity Trauma/SICU, at pressure suit development no suit exists was similar in pilots, flight-engineers, and fe- Halifax Regional which, while giving adequate protection male flight attendants compared to Swiss Medical Center in against the effects of exposure to low baromet- blood donors. However, HBV immunity was Daytona Beach. In 1985, ric pressure, does not seriously interfere with clearly more prevalent in male flight atten- she became Staff Nurse the functional efficiency of the wearer. Thus in dants. Within 1 year, 13 of 2624 flying person- in Orthopedics, then high altitude military aircraft the cabin is gen- nel had acute hepatitis. This higher-than-aver- Telemetry, at Boca Raton erally pressurized, and pressure suits, if worn age incidence of hepatitis amongst flying Community Hospital. at all, are used for emergency purposes only. It personnel compared to the Swiss population From 1987 to 1989, she is possible to envisage two different sets of was mainly due to a high incidence of hepati- served as Staff Nurse, conditions under which a pressure suit may be tis B amongst male flight attendants. Their ICU, and Relief Charge Nurse at Jess Parrish employed in the event of failure of the pres- special lifestyles might be responsible for the Memorial Hospital in Titusville. In 1989, she sure cabin. The suit may be employed to give high prevalence of HBV immunity and for the returned to Daytona Beach, where she served short term protection to the wearer, in order high incidence of hepatitis B" (3). as Staff Nurse, Telemetry/ICU, at Humana that he may descend to an altitude where pro- Hospital until 1990. In both 1989 and 1990, she tection is not required, either in his aircraft or REFERENCES was a Critical Care Nurse, CCU, at Delray following escape from it. Alternatively, the suit 1. Balke B, Wells JG, Clark RT Jr. In-flight hy- Community Hospital in Delray Beach. may be used to give protection for a long pe- perventilation during jet pilot training. J Aviat Ms. Dibiase accepted a position as a Nurse riod to enable the airman to remain within his Med, 1957; 28(3):241-8. Case Manager/Home Health Nurse and IV aircraft at a high altitude when the pressure 2. Coons DO. Human factors approach to the Instructor at Paragon Home Healthcare in cabin has failed… development of an air-weapons system. Can Daytona Beach in 1991. Later in 1991, she be- "Equipment which will maintain an abso- Services Med J 1957 (Jun). came a Critical Care Clinician, lute pressure in the lungs of 141 mm. Hg. In 3. Holdener F, Grob PJ, Joller-Jemelka HI. CCU/ISCU/MICU, and student preceptor at the event of exposure of aircrew to altitudes Hepatitis virus infection in flying airline per- Bethesda Memorial Hospital in Boynton above 40,000 ft. will afford short term protec- sonnel. Aviat Space Environ Med 1982; Beach, where she stayed until 1994, when she tion against those altitudes and enable emer- 53(6):587-590. accepted her present position. She is a licensed gency descent to be made. A compromise is 4. Roxburgh HL, Ernsting J. The physiology RN in the state of Florida and holds accredita- dictated between the physiologic ideal of full of pressure suits. J Aviat Med 1957; 28(3):260- tion/licenses in Basic Life Support, Advanced body pressurization and the operational ideal 71. Cardiac Life Support, Pediatric Advanced Life of the fully efficient man. The degree of re- 5. The nurse in aviation. J Aviat Med 1932; Support, and has taken the Trauma Nursing gional counterpressure required is dependent 3(2):116-8. Core Course. upon the magnitude of the pressure necessary Ms. Dibiase has over 35 presentations/pub- to maintain an intrapulmonary pressure of 141 Articles of Aeromedical Interest lications to her name. She is a member and mm. Hg. And the length of time for which it is Associate Fellow of the Aerospace Medical operative" (4). Here is the latest listing of journal arti- Association, and an Honorary Member of the The physician's role in human factors and cles published in other journals that may Society of NASA Flight Surgeons. She is in- ethics: "Two points which have been the subject be of interest: volved in many committees and teams, includ- of a difference of opinions in some circles 1. Cocks R, Liew M. Commercial avia- ing the LSSC Safety and VPP Committee; as a should be raised. The first questions the logical tion in-flight emergencies and the physi- Space Life Sciences Training Program assistant basis for vesting in a physician the responsibil- cian. Emergency Medicine Australasia and Med Ops project coordinator; the JCAHO ity for the coordination and integration of a 2007; 19:1-8. Visit Planning Team; the Telemedicine human factors group. It is suggested, however, 2. Darby R. Is there a doctor aboard? Demonstration Team; and the Helicopter that the medical officers' broad spectrum of Aerospace Safety World 2007; March:50-2. Thomas Kit development and review team. training in the biological sciences especially Her awards and honors include the Acme equips him to appreciate the unique contribu- MEETINGS CALENDAR 2007 Award, LSSC, KSC; the Kudos Award, LSSC, tion which each of these sciences can offer. KSC; the Leukemia Society Volunteer Service Furthermore, part of the training of a physi- June 26-27, 2007, London, UK. The Award; the American Red Cross Appreciation cian in the specialty of aviation medicine is in- Future for Helicopters in UK Public Service. award; multiple recognitions from Medical tended specifically to acquaint him with the Info: Marta Collins, Conference and Events Education participants and various other technological sciences and to appreciate the Organiser, Royal Aeronautical Society, No. 4 groups; and the Space Flight Awareness viewpoint of the engineer. Hamilton Place, London W1J 7BQ, UK; Honoree Award. "The second point is one of ethics. One ob- [email protected]; +44 (0)20 7670 serves that the medical officer specializing in 4342. aviation medicine is directing energy to the October 29-31, Grand Sierra Resort & Campbell Continues as Army development of an air weapon and the ex- Casino Hotel, Reno, NV. SAFE Association Aviation Medicine ploitation of man as a member of the aircrew. 45th Annual Symposium. For more info, call In this sense the medical officer comes closer (541) 895-3012, Fax (541) 895-3014, e-mail Association President to being an actual combatant than if he were to [email protected], or visit www.safeassocia- confine himself to the treatment of the sick and tion.com or www.safeassociation.org. COL John Campbell is starting the second injured in the hospital. In fact, however, the November 1-2, 2007, Holiday Inn year of a 2-year term aeromedical officer is practicing occupational Regents Park, London, UK. Second Annual (2006-08) as the or preventive medicine in a highly specialized Aviation Health Conference. For more infor- President of the U.S. environment. His efforts are intended to pre- mation, visit www.quaynote.com. For spon- Army Aviation vent injury to and loss of life of his compatri- sorship or speaking opportunities, contact Medicine Association ots by making the weapon-vehicle safe and [email protected] or phone 44-20-8531- (see Aviat Space striving to insure its operational superiority" 6464. Environ Med 2006; (2). Postponed until 2008. Human 77:669). He is currently Performance, Situation Awareness, and an Associate Fellow of Twenty-five Years Ago Automation (HPSAA III) Technology the Aerospace Medical Hepatitis B among commercial airline person- Conference. Info: Mustapha Mouloua, Association and serves nel (Swissair Medical Service, and University Conference Chair, 407-823-2910, as Command Surgeon Hospital, Zurich, Switzerland): "Sera of 1126 fly- [email protected], at the U.S. Army Combat Readiness Center in ing personnel of an airline were tested for http://faculty.erau.edu/hpsaa/. Fort Rucker, AL. signs of ongoing or past infections with hep-

638 Aviation, Space, and Environmental Medicine • Vol. 78, No.6 • June 2007 639.qxp 4/30/2007 12:14 PM Page 1

Send information for publication on this page to: Dale Orford 15516 E Acacia Way, Fountain Hills, AZ 85268 WING NEWS & NOTES 480-837-7919; [email protected]

Meet the new President-- not know many of my fellow Europeans who can boast of having seen the Steamboat Arabia Susi Bellenkes Museum in Kansas City, the salmon bedecked Seattle Fish Market, the Mount Steven’s Club May, 1993 – Can it really be 14 years since I in Montreal, the glaciers and fjords of Alaska, accompanied my husband Andy to my first the glitz and felt-covered walls of the one- AsMA Annual Scientific meeting? Our son armed bandit paradise of Reno, the San Christoph and I had moved to the United Antonio River Walk and the historic Alamo, States from Austria only 2 years earlier, and Lake Tahoe in all its tranquil splendor, or the our lives were now filled with the unknowns – foreboding yet magnificent wilderness of the a new culture, a new language, and all of the Florida Everglades! uncertainties that go with leaving one’s home- And to think that but a few years ago I was land, now so very far away. loathe to consider joining this “club”! Well, tis The first challenge was becoming accus- no club, but a vital, dynamic group of dedi- tomed to the American Military lifestyle. This cated friends representing many lands and sense of mobility, of having to remain ready NEW PRESIDENT--Susi Bellenkes and hus- cultures. Today, I look forward to exploring for change at a moment’s notice was so new band Andy at Honors Night 2006 new cities, catching up on the latest news, re- and somewhat disconcerting for us Europeans. newing old friendships and making new ones. States. Her care and concern made me feel re- Still, this was going to be a marvelous adven- I pre-register for each meeting as early as pos- ally welcome. Still others joined in our conver- ture, and I was eager to commence this excit- sible to ensure my place on the tours, the lun- sation, and in no time there was a discussion ing new chapter in my life. cheon and the reception. going on about Austria, the USA, cultures, and So it was off to Toronto, for my first AsMA So, having recounted all the wonderful much more. meeting - a beautiful city, a center of culture, things the Wing has given me, I ask myself yet “Well”, I thought, “These people seem history and museums. I looked forward so again about how I can contribute to the orga- quite nice indeed. I think I might enjoy spend- much to exploring it with Andy. Little did I nization in return. It is thus with the greatest ing a day or two with them.” know that nothing of the sort was to occur. humility and excitement that I greet the oppor- The next day we departed on a tour to the From the moment that Andy registered, I tunity to serve you as your President. Allow majestic Niagara Falls. The Wing member sit- knew that he would be extremely busy during me a moment to share with you some of my ting next to me on the bus was so charming, that week. Well, I thought, until Andy could thoughts about the coming year. and I enjoyed the ride to the Falls very much. break away, I’ll go and explore on my own, As President, I want to concentrate on Indeed, with each subsequent Wing event, I much as I would when visiting European strengthening our membership, to continue to found myself making acquaintences. By the cities. welcome new friends from all over the globe, end of the week, my nervousness had disap- What’s this? Andy had taken me by the especially from those countries currently peared, to be replaced by a feeling of being hand and we walked from AsMA Registration under-represented in our organization. part of something quite wonderful. to another room, wherein there were three I am very excited about our 2008 meeting It was not long thereafter that President desks, each manned by several smiling ladies. which will be held in one of America’s first Ludy Rayman invited me to become the Chair “Susi,” said Andy, “This is the Wing of our great cities, Boston. This historic and colorful of one of the Wing committees. I was honored organization, and you might consider becom- center of New England life will provide a fas- and felt very flattered that my new friends ing involved with this group. Sadly, I can see cinating backdrop for our Wing activities. would so quickly entrust me with such re- already that I will not have very much time to I will encourage our members to keep in sponsibilities. Thus began my very close and do any sightseeing with you, and I know that contact throughout the year and most impor- active relationship with the Wing. they arrange for tours at our meetings.” tantly, to become actively engaged in our orga- As Andy and I attended AsMA meetings “I am not a groupie!” I said most indig- nization. It was the invitation to such involve- over the years, I found myself becoming more nantly, wounded by shattered dreams of ro- ment that drew me closer into this marvelous involved in Wing activities. These included mantic walks, sipping a glass of something at group many years ago, and it is something I Luncheon Chair, International Chair, a local café, and sharing lovely moments in would likewise wish to extend to each and Hospitality, Secretary, and Advanced this new city, “and I definitely do not want to every member, new and old. Registration. In all these capacities, I learned join any club. I’d rather not walk around in a Finally, I look forward to helping maintain something new, my computer skills by neces- group with people I don’t know.” the close gregarious informality that is so char- sity improved. I was delighted to find that I fear that my words were less than charita- acteristic of the Wing. It is the glue that binds some of these assignments allowed me to use ble, and that I had made my point a bit too us in friendship and allows us to remain so my talents as an artist. emphatically. In reality, I was covering up my welcoming, even to this shy Tyrolean moun- Today, as an Austrian citizen married to an nervousness at being a stranger in a still very tain girl who has, in the end, found that she American Naval officer, I find myself living new, and to me, strange land. loves be to be a member of this group that has my life in two worlds, here in America and in As we approached the desks, we were become so much a part of her family. greeted by a very friendly young woman. Her Europe. We have a lovely home in Colorado informal description of the group’s activities in Springs where Andy is a Navy exchange offi- Toronto immediately put me at ease – so much cer on the military faculty of the U.S. Air Force so that I found myself filling out a Wing mem- Academy. Still, with our children, grandson, Join the Wing! friends and family thousands of miles across bership form and handing her a check. The Wing of the Aerospace Medical the Atlantic, our hearts are always drawn to Here I was, a very shy (yes, believe it or Association was formed in 1952 “to sup- our other home. Thus, I usually spend about 4 not!), Tyrolean girl, my English still poor and port the specialty of aviation, aerospace, months each summer in Austria, seeing loved absolutely not used to being thrust into con- and environmental medicine by facilitating ones and restoring our beautiful old family versation with people with whom I had not cooperation among its practitioners and by home. It is hard work, but a labor of love as been previously formally introduced. increasing public understanding and appre- Andy and I will be retiring to this house in but However, it took but a minute for all of this ciation of its importance.” Dues are $20 a couple of years. upbringing to be set aside as one of the Wing per year. For more information, contact: With our journeys to Austria, our ability to ladies kindly invited me into the hospitality Judy Waring, 4127 Kenyon St., Seattle, WA take vacations in the U.S. is limited. However, room, offered me coffee and cake, and started 98136; (206) 933-0884; e-mail: judywar- being a member of the Wing has allowed me to talk with me. She seemed so genuinely in- [email protected] terested in me, where I came from, my to see some of the most wonderful cities and Austrian family, and why I lived in the United interesting sights of this beautiful country. I do

Aviation, Space, and Environmental Medicine • Vol. 78, No. 6 • June 2007 639 640.qxp 4/30/2007 12:15 PM Page 1

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

AsMA Gains Two New Corporates descent, the first private female space explorer, ALPA Holds First Pilot and the fourth person to buy a ticket to space Assistance Forum Eagle Applied Sciences, LLC, recently be- from Space Adventures. After 2 days orbiting came a new Corporate Member of the the Earth, Ansari and her fellow crewmembers Nearly 300 pilots gathered in Denver last Aerospace Medical Association. Eagle is an docked with the ISS. She spent the next 8 days week to learn what it takes to help their fellow 8(a) Alaska native corporation that specializes onboard as an active member of the crew. pilots in need during ALPA’s first Pilot in public health and epidemiology, medical An active proponent of world-changing Assistance Forum, a measure of ALPA’s efforts and applied sciences, medical informatics, and technologies, Ansari has been immersed in the to explore, educate, and advocate pilot assis- biomedical research and development. They space industry for years. She rallied her family tance. It represented the hard work of pilot as- are a subsidiary of Bristol Bay Native to provide the title sponsorship for the Ansari sistance volunteers, the insight of medical pro- Corporation and hold DoD contracts at Brooks X PRIZE. This $10 million prize became the fessionals and the international pilot assistance City-Base, TX. catalyst for a new era in private space travel. community, the unique perspective of aviators Andrews Space, Inc., is the newest The prize was awarded to Burt Rutan in 2004 dedicated to pilot assistance, and ALPA staff. Corporate Member. The company was for the first non-governmental launch of a Pilot volunteers representing 25 ALPA carriers, founded in 1999 to act as a catalyst in the de- reusable manned spacecraft into space. as well as representatives of more than 10 non- velopment, expoloration, and commercializa- ALPA airlines and other unions, international tion of space. They develop space technolo- Mayo Clinic Finds New Approach representatives, and airline management were gies, integrate aerospace systems, and are built to Immunosuppression in the audience. around systems engineering and integration- The 3-day forum was held in April and pro- focused design teams. They have provided so- A new immunosuppression regimen for vided an impressive list of speakers who rep- lutions for government and commercial cus- heart transplant patients can improve kidney resented all aspects of pilot assistance. Notable tomers in space transportation systems, function and prevent transplant coronary speakers included FAA Federal Air Surgeon technologies, and components. Andrews Space artery disease, according to two new Mayo Dr. Frederick Tilton; NTSB Vice-Chairman is headquartered in Seattle, WA. Clinic studies reported in April at The Robert L. Sumwalt, III; Dr. Don Hudson, International Society for Heart & Lung ALPA Aeromedical Office; and Dr. Gerhard ETC Announces Olsen, Ansari to Transplantation Annual Meeting and Scientific Fahnenbruck, CISM-Clinical Director and Participate in Inaugural Training Session in San Francisco. ICISF Instructor, Stiftung Mayday. Heart transplant patients are required to Environmental Tectonics Corporation (ETC) take daily immunosuppressive medication to Sanofi-Aventis’ Acomplia® Is recently announced that the third private prevent their body from rejecting the trans- Approved in Brazil space explorer, Greg Olsen, and the world's planted organ. Standard practice has been to first private female space explorer, Anousheh treat patients primarily with calcineurin in- Sanofi-Aventis announced that the Anvisa, Ansari, have agreed to participate in the inau- hibitors. However, calcineurin inhibitors are a the Brazilian Health Authority, has granted gural Space Launch Training program of the major cause of kidney dysfunction and do not marketing authorization for Acomplia® (ri- National Aerospace Training and Research prevent transplant coronary artery disease. monabant) as an adjunct to diet and exercise (NASTAR) Center in Southampton, PA. A team of Mayo Clinic researchers collabo- for the treatment of obese patients or over- Scheduled for Oct. 2nd through the 4th, the rated to study alternative options for immuno- weight patients with associated risk factors, Center's first training program will commence suppression using sirolimus, an anti-prolifera- such as type 2 diabetes or dyslipidemia. operations to train both passengers and pilots tive immunosuppression drug with potent Acomplia® is the first member of a new for spaceflight. anti-rejection properties. One study involving therapeutic class, the CB1 receptor antagonists. The NASTAR Center's new training pro- 78 heart transplant patients over 4 years found The marketing authorization is based on a grams include space launch simulations with that gradually transitioning stable patients thorough analysis of the extensive safety and realistic G forces, real-world visuals, and au- from calcineurin inhibitors to sirolimus efficacy results and the assessment of the piv- thentic cockpit or cabin modeling. In addition showed consistent improvement of kidney otal clinical trial program. The results showed to serving space launch customers, NASTAR function. There was no increase in rejection of that Acomplia® at 20 mg per day (1 tablet) sig- Center will offer tactical flight training for mil- the transplanted heart and no difference in nificantly reduced weight, waist circumfer- itary pilots, both U.S. and international; civil- heart function. A second study found gradual ence, HBA1c, triglycerides, while at the same ian pilot training in situational awareness and transition to sirolimus in 29 patients also time significantly improved the patients’ HDL. upset recovery; support to researchers in grav- greatly impaired the development of the pro- itational physiology, human factors, equip- liferative changes found in transplant coronary Baxter Presents Phase I Inhaled ment validation, and other applications requir- artery disease. ing a high-G environment; and "serious Insulin Study Results entertainment." Wyle’s New Office Surpasses Baxter Healthcare Corporation recently an- Greg Olsen was the third private citizen to Growth Expectations nounced results of a Phase I study that evalu- orbit the Earth on the International Space ated pulmonary insulin administered using a Station (ISS). After training for five months Wyle Laboratories Inc.’s Dallas, TX, office small, standard dry powder inhaler. Baxter (900 hours) at the Yuri Gagarin Cosmonaut has surpassed initial business and staff growth presented the Phase I data at the Respiratory Training Center in Moscow, he launched on a projections less than a year after it was Drug Delivery Europe 2007 Conference in Russian Soyuz rocket TMA-7 on October 1, opened. The office provides engineering, test Paris. 2005, with Cosmonaut Valeri Tokarev and and evaluation services to the Department of The study demonstrated that the insulin Bill McArthur (). He Defense. Staff members include operational, powder could be effectively administered to then docked at the ISS on October 3, and re- instructor, and test pilots, aircrew, and flight the deep lung using an off-the-shelf dry pow- turned to Earth on Soyuz TMA-6 on October test engineers. They are attached to the flight der inhaler designed for upper airway drug 11 with Cosmonaut and operations team, one of the world’s largest in- delivery. A total of 30 subjects participated in Astronaut John Phillips (Expedition 11). He dependent flight test organizations. the randomized, two-way crossover study performed more than 150 orbits of the Earth One of 30-plus Wyle primary offices nation- conducted in Germany. Each subject received and logged almost 4 million miles of weight- wide, the Dallas facility is the company’s third in randomized fashion a single dose of 10 less travel during his 10 days in space. in Texas. Wyle’s Life Sciences Group provides International Units of insulin through subcuta- On Sept. 18, 2006, Anousheh Ansari blasted life sciences and astronaut health sciences sup- neous injection (SC) in one period, and 6.5 mg off from onboard a Russian Soyuz port to NASA in Houston and crew training of the inhaled insulin microspheres in the capsule to become the first astronaut of Iranian and medical research services in San Antonio. other period.

640 Aviation, Space, and Environmental Medicine • Vol. 78, No. 6 • June 2007 641.qxp 5/2/2007 4:17 PM Page 1

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]

the American Board of Preventive Medicine, Focus on Members and a Fellow and Past President of the Montaser Fayek El-khaldy the ISS Human Medical S ystems. Aerospace Medical Association. Born in Illinois, .Dr. Scheuring earned a A native of Seychelles, Montaser Fayek El- B.A. in Psychology from Eastern Illinois Anders Lassen Nielsen, M.D., MPA, who was khaldy, M.B.B.S., Dip.SMS, SF, earned his University in 1987. He graduated from the serving as CMO at Simrishamn Hospital in M.B.B.S. at J.S.S. Medical College and Chicago College of Osteopathic Medicine in Sweden, accepted the position of Senior Hospital, Mysore University, India, in 1998. 1993. He served an internship at Lecturer in Internal Medicine at the University He served a 1-year Rotatory Housemanship at Presbyterian/St. Luke’s Medical Center in of the West Indies, St. Augustine, Trinidad, in J.S.S. Hospital, then became Medical Officer in Denver, CO. He finished a Family Practice September 2006. He received his Masters in the Department of Obstetrics & Gynecology at residency there in 1996, and then served the Public Health from the Scandinavian School of Victoria Hospital in Mahé, Seychelles, in 1999. Illinois Department of Public Health in Public Health in Gothenburg, Sweden, in That same year, he transferred to the Galena, IL, in family practice, sports medicine, December 2006. Department of Pediatrics. In 2000, he trans- and as an FAA Aviation Medical Examiner ferred to the Department of Casualty & until 2002. He returned to residency training Makanjuola A. Owolabi, FWACP (Av. Med.), Emergency, then back to Pediatrics. In 2001, in aerospace medicine at Wright State, which of Kaduna, Nigeria, recently received the first he was promoted to Senior Medical Officer in he completed in 2004. During this time, he en- Grand Award for Productivity in Africa the Pediatrics department and later trans- tered the U.S. Army Reserves and later en- (GAPA Award) from People State & Resource ferred to the Primary Health Care Division at tered U.S. Army Flight Surgeon training in magazine in consideration of his achievements Glacis Clinic in Mahé. In 2002, he came back 2003. He was then assigned to the U.S. Army in the practice and development of human to Victoria Hospital and in 2003 became the Aeromedical Research Laboratory at Fort medicine in Africa. Attending Daily GP at the Pediatric Clinic at Rucker, AL. He earned his M.S. in aerospace Unicare Medical Centre in Dubai, U.A.E. medicine from Wright State in 2005. Obituary Listing Dr. El-khaldy earned a diploma in Safety Dr. Scheuring joined the University of Management at the IATA Training & Texas Medical Branch/Wyle Laboratories in AsMA recently learned that Robert H. Development Institute in Montreal, Canada, Houston and also trained for the ISS Surgeon Riordan, M.D., has died. He joined AsMA in in 2006. He is currently working on a diploma Console in the MCC. In 2006, he was project 1961 and was an Emeritus Member and in Aviation Studies, also from the IATA manager for the Apollo Medical Operations Fellow. Dr. Riordam earned a B.S. from Training & Development Institute. He is a project and was also co-investigator for the Willamette University in 1954, an M.D. from member of the Seychelles Medical & Dental first Lunar Medical Contingency simulation at the University of Oregon Medical School in Association and the Flight Safety Foundation. the Haughton-Mars crater at Devon Island in 1958, and served an internship at D.C. General Association. He has completed various the Canadian High Arctic, Territory of Hospital in 1959. He completed training in courses with distinction including Nunavut. aerospace medicine at the U.S. Navy School of Management of Airside Safety, Airline Dr. Scheuring is a Fellow of AsMA, a mem- Aviation Medicine in 1961. He was a flight Ground Operations Safety Audit, Airside ber of the Space Medicine Association, the surgeon for the U.S. Navy from 1962-1967, a Safety Awareness, and Safety Management Society of NASA Flight Surgeons, and the flight surgeon for United Airlines from 1967- Systems for Airlines. United Martial Arts Society, and a member 1968, Chief of Medical Services, Western and Fellow of the American Academy of Region, at TWA from 1969-1972, and later Richard A. Scheuring Family Physicians. His awards and decora- Associate Director of Medical Services & tions include the Army Achievement Medal Safety Engineering at TWA. He was a member Richard A. Scheuring, D.O, M.S., FAAFP, (2), the Armed Forces Reserve Medal with M of the Ad Hoc Committee for International MAJ, MC, FS, USAR, was recently selected as device, the Global War on Terrorism Service Study of Airline Pilot Medical Disability, a a NASA Medical Officer and is currently serv- Medal, the Army Reserve Components member of the Airline Medical Directors ing as the lead surgeon for the Constellation Achievement Medal, the Army Flight Surgeon Association, and a member of CAMA. Program and Exploration Medical Capabi- Badge, the National Defense Service Medal, ities. He will be assuming the role of lead for and the Army Service Ribbon. CLASSIFIED ADS Col. Joseph B. Anderson, USAF, MC, FS, for- Glenn W. Mitchell, M.D., M.P.H., was re- merly the Chief of Physical Standards, Policy cently named Vice President of Clinical Development, at Bolling AFB, DC, is now the Safety by the Sisters of Mercy Health System. POSITION WANTED Commander of the 30th Medical Group at In this role, Dr. Mitchell will work with Vandenburg AFB, CA. Mercy’s hospitals, leaders, and physicians to WANTED: Full-time salaried Aerospace cultivate safety, including the development Medicine position. Board Certified Fanancy L. Anzalone, M.D., M.P.H., CPE, of a Mercy Safety Center. Dr. Mitchell retired Aerospace Medicine (UTMB/NASA), Board FASMA, was recently designated a Certified in 2005 with the rank of Colonel after 21 Eligible Psychiatry, prior service US Army Physician Executive by the Certifying years in the U.S. Army Medical Corps. He Reserve, highly motivated candidate, expe- Commission in Medical Management for edu- served as Commander at William Beaumont rienced Medical Director, FAA AME, cational achievements, demonstrated stature Army Medical Center in El Paso, TX; Chief Research Experience, CV and references as a physician, and experience in medical of Clinical Operations, Office of the Army available, contact Bradford Ashley M.D., management. He is the Medical Director for Surgeon General, San Antonio, TX; M.S., M.P.H., at [email protected] or American Airlines, Miami area, and is Board Command Surgeon, U.S. Southern call 971-344-3769. certified in Medical Management. Command, Miami, FL; and Commander of the Army Aeromedical Center, Fort Rucker, Vicente Ciancio, has recently been designated AL. He holds a B.S. in Physics, an M.S. in INDEX TO ADVERTISERS the President of the Argentine Federation of Engineering, an M.D., and an M.P.H. He is a Aerospace Medical Association Cardiology. He has been active in the field of Life Fellow of the American College of Corporate Members ...... 642 aviation cardiology for many years. In 2004, Emergency Physicians, a past Vice-Chair of he was appointed President of the new Information for Authors . .Cover III Symposium on Aerospace Cardiology spon- USE THE WEBSITE! Membership Application ...... ii sored by the Congress of the Argentine WWW.ASMA.ORG ETC ...... Cover IV Federation of Cardiology.

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Thank You! Corporate and Sustaining Members of the Aerospace Medical Association

The financial resources of individual members alone cannot sustain the Association’s pursuit of its broad international goals and objectives. Its 78-year history is documented by innumerable medical contributions toward flying health and safety that have become daily expectations by the world’s entire flying population—commercial, military, and private aviation. However, sup- port from private and industrial sources is essential. The following organizations, who share the Association’s objectives or have benefitted from its past or current activities, have affirmed their support of the Association through Corporate Membership.

Aeromedic Innovations International SOS Assistance, Inc. Air Canada Japan Airlines Aircraft Owners and Pilots Association Kelsey-Seybold Clinic Air Line Pilots Association Korean Air Force Safety Center (AFSC) AirSep Corporation Lifeport, Inc. American Airlines Lockheed Martin Corporation Andrews Space, Inc. Martin-Baker Aircraft Company Ltd. Autoflug Libelle GmbH Mayo Clinic Aerospace Medicine Aviation Medical Center at UTMB MedAire, Inc. Aviation Medicine International Oregon Aero, Inc. (AMI) Inc. Pilot Medical Solutions Baxter Healthcare Corporation Price Waterhouse Coopers LLP Bionetics Corporation Royal Davy, Inc. Carleton Life Support Systems Inc. Sanofi-Aventis Pharmaceuticals Comprehensive Health Services, Inc. South African Airways David Clark Company, Inc. South African Civil Aviation Authority Eagle Applied Sciences, LLC SpecPro, Inc. Education Enterprises, Inc. Stereo Optical Company, Inc. Environmental Tectonics Corporation United Airlines Essilor of America/Varilux United States Aviation Underwriters Federal Express Universities Space Research Gentex Corporation Association (USRA) International Federation of Air Line Harvey W. Watt & Company Pilots Associations Wyle Laboratories, Inc.

642 Aviation, Space, and Environmental Medicine • Vol. 78, No. 6 • June 2007