Spatial disorientation (SD) remains a stubborn and formidable challenge among rotary wing (RW) aircrews, particularly during times of high workload and deceptive visual cues. With tri-Service agreement, British RW Forces employ a layered training approach that now includes simulator-based immersive scenarios. Ten bespoke RW SD training scenarios were developed for the AW159 Wildcat helicopter simulator by a multidisciplinary team. Scenarios were embedded within advanced training packages that were not solely focused on SD. A voluntary, anonymous survey instrument was distributed post-SD sortie to assess hazard awareness, training effectiveness, role and mission relevance, and perceived ability to respond to future SD threat. A corresponding assessment from the simulator instructor was used for independent determination if the crew became disoriented during the training. Over a 6-mo training cycle, 69 surveys were completed. Seven-point Likert-scale assessments yielded elevated median scores (6.0, respectively) across all four categories, suggesting favorable aircrew perceptions of training objective success. Elevated scoring of previous SD training received suggests good penetrance among the RW community surveyed. Of all sorties flown, the majority of aircrew (68%) became disoriented at some point during the sortie. This report provides limited evidence in support of bespoke SD training scenarios within a synthetic training environment. The merits include flexible ability to address root causes, provision of an interactive and immersive environment, and compatibility with extant tactics and mission configurations. SD simulator-based training can serve as an important component of a layered, multimodal approach.
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http://dx.doi.org/10.3357/AMHP.6172.2023 | DOI Listing |
Gastric Cancer
January 2025
Department of Medical Oncology, Hospital Clinico Universitario, INCLIVA, Biomedical Research Institute, University of Valencia, Avenida Menendez Pelayo nro 4 accesorio, Valencia, Spain.
Introduction: Gastric cancer (GC) burden is currently evolving with regional differences associated with complex behavioural, environmental, and genetic risk factors. The LEGACy study is a Horizon 2020-funded multi-institutional research project conducted prospectively to provide comprehensive data on the tumour biological characteristics of gastroesophageal cancer from European and LATAM countries.
Material And Methods: Treatment-naïve advanced gastroesophageal adenocarcinoma patients were prospectively recruited in seven European and LATAM countries.
Hepatol Int
January 2025
Division of Gastroenterology and Hepatology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Background/purpose: Although metabolic dysfunction-associated steatotic liver disease (MASLD) has been proposed to replace the diagnosis of non-alcoholic fatty liver disease (NAFLD) with new diagnostic criteria since 2023, the genetic predisposition of MASLD remains to be explored.
Methods: Participants with data of genome-wide association studies (GWAS) in the Taiwan Biobank database were collected. Patients with missing data, positive for HBsAg, anti-HCV, and alcohol drinking history were excluded.
Ecohealth
January 2025
Health Services Academy, Chak Shahzad, Park Road, Islamabad, 44000, Pakistan.
One Health is an integrative approach aiming to achieve optimal health outcomes by recognizing the interconnection between humans, animals, and the environment. This study explores the understanding, perspectives, hurdles, and implications of intersectoral collaboration within Pakistan's human health system, focusing on One Health principles. A qualitative phenomenological approach was employed, involving 17 key informant interviews with purposively selected stakeholders from public health, agriculture, veterinary medicine, agriculture and environmental science.
View Article and Find Full Text PDFBackground: Primary care physicians (PCPs) and nurse practitioners play a key role in guiding caregivers on early peanut protein (PP) introduction, yet many lack adequate knowledge.
Aim Statement: This quality improvement study aimed to enhance understanding among PCPs and caregivers about evidence-based guidelines for early PP introduction in infants' diets.
Methods: Using the Stetler Model, PCP knowledge was evaluated through pre-test, educational video and some posttest material.
Mayo Clin Proc
January 2025
Advisor to residents and Consultant in Nephrology, Mayo Clinic, Phoenix, AZ. Electronic address:
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