Elevated Environmental Carbon Dioxide Exposure Confounding Physiologic Events in Aviators?

Introduction: Physiological events (PEs) are a growing problem for US military aviation with detrimental risks to safety and mission readiness. Seeking causative factors is, therefore, of high importance. There is no evidence to date associating carbon dioxide (CO2) pre-flight exposure and decompression sickness (DCS) in aviators.

An Assessment of Flight Surgeon Confidence to Perform En Route Care.

Introduction: En Route Care (ERC) is often an ad hoc mission for the USN. In a review of 428 Navy patient transports, a Flight Surgeon (FS) was the sole provider or a member of crew in 118 of the transports. Naval FSs receive approximately 4 hours of didactic ERC training during their 24-week Naval FS course.

Changes in Cytokines, Sensory Tests, and Self-reported Pain Levels After Manual Treatment of Low Back Pain.

Study Design: Unbalanced 3-factor design with repeated measures on 1 factor.

Objective: To determine the effect of manual treatment (MT) on cytokine and pain sensations in those with and without low back pain (LBP).

Summary Of Background Data: Evidence suggests that MT reduces LBP but by unknown mechanisms.

Manual Therapy for Chronic Low Back Pain in an F-5 Pilot.

Introduction: Low back pain (LBP) in the aviator can be a significant safety risk because of distraction during flight. Flight Surgeons are tasked with seeking out appropriate medical care that reduces pilot risk while providing squadron-specific mission support.

Case: An F-5 pilot presented with chronic LBP seeking nonpharmacological and noninvasive therapy.

Fluticasone as Treatment for Cluster Headaches in a Navy Aircrew Member.

Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently reliable.

Chloramphenicol and acute esophagitis in the emergency department.

Even with its broad spectrum and low cost, concern over chloramphenicol's adverse effects limited its use in the United States during the 1980s. Reports from United Kingdom and China in the 1990s demonstrated a low incidence of blood dyscrasias with the topical preparation of chloramphenicol, and showed continued good efficacy and low cost. Today, topical chloramphenicol is being used by some groups within otolaryngology and ophthalmology in the United States.

Fever evaluation cost and time to treatment in the general surgery patient can be reduced by using a fever practice guideline.

Objectives: Evaluation of surgical patients with fever and leukocytosis (FAL) for an infection source often results in unnecessary laboratory and radiographic tests. The average cost of an FAL work-up ranges from $2200 to $5600. Lack of a systematic approach drives costs higher than necessary.

Ultrasonic vocalization production of preweanling rats: effects of central and peripheral administration of alpha2-adrenoceptor agonists.

Stimulation of alpha2-adrenoceptors increases the ultrasonic vocalization production of preweanling rats, however it is not known whether these critical alpha2-adrenoceptors are located peripherally or centrally. In a series of three experiments, ultrasonic vocalizations were measured after 11-day-old rats had been administered clonidine or 2-[2,6-diethylphenylamino]-2-imidazole (ST-91) either systemically (i.p.