Background: Flight and cabin crew are known to be at increased risk for atherosclerotic cardiovascular disease (ASCVD). However, ASCVD risks have not yet been compared in flight and cabin crew in low resource settings...Background: Flight and cabin crew are known to be at increased risk for atherosclerotic cardiovascular disease (ASCVD). However, ASCVD risks have not yet been compared in flight and cabin crew in low resource settings like sub-Saharan Africa. Objectives: To assess absolute ASCVD risk estimate and its clinical correlates among flight and cabin crew. Methods: From June 1st 2015 to December 30th 2015, 379 consecutive aviation navigants (Flight crew: 62.5%, pilots: 46.2%, women: 29.6%, Caucasians 23.2%) were enrolled in a cross-sectional survey of ASCVD risk estimate using the Framingham tools. They underwent a physical examination for either initial or renewal medical certificate Class 1 or 2 including blood chemistry, ECG, and echocardiogram as per International Civil Aviation Organization (ICAO) and Civil Aviation Authority (CAA-DRC) medical regulations. We modeled the risk of moderate and high ASCVD estimate in a stepwise logistic regression. Results: Low, moderate and high ASCVD risk estimates were observed respectively in 248 (65.4%), 64 (16.9%), and 67 (17.7%) navigants. Moderate and high ASCVD risk estimates predominated among flight than cabin crew (23.6% vs. 5.6%;p 0.0001 and 28.3% vs. null;p 0.001), low ASCVD risk estimate among cabin than flight crew (94.4% vs. 48.1%;p ≤ 0.001). Low ASCVD risk?estimates.展开更多
目的报道1例飞行人员无明确传染源感染布鲁氏菌病并复习相关文献,旨在提高对布鲁氏菌病的诊疗水平。方法回顾性分析1例无明确传染源的发热飞行人员感染布氏菌病的病历资料,综合相关数据库(中国知网、中华医学期刊数据库、Web of Science...目的报道1例飞行人员无明确传染源感染布鲁氏菌病并复习相关文献,旨在提高对布鲁氏菌病的诊疗水平。方法回顾性分析1例无明确传染源的发热飞行人员感染布氏菌病的病历资料,综合相关数据库(中国知网、中华医学期刊数据库、Web of Science及PubMed数据库)文献结果,总结飞行人员感染布氏杆菌情况。结果本例为41岁男性飞行人员,无明显诱因发热、出汗,测体温波动于37.6℃~39.6℃,近1个月出现午后发热,伴畏寒、乏力,经反复血培养,布鲁氏杆菌凝集试验阳性,虎红平板凝集试验(+)。给予治疗,地面观察期满,综合各专家意见,给予飞行合格结论。检索数据库共有3篇文献是关于飞行人员布氏菌病感染。结论对于此前罹患过布氏菌病的飞行人员应进行复查,单位要分离牲畜及厨余垃圾,从源头上减少飞行人员感染布鲁氏菌病的机会。展开更多
目的对飞行人员营养知识、态度、行为(knowledge,attitude and practice,KAP)状况和膳食营养情况进行调查,并结合体检结果进行分析,以了解飞行人员的营养知信行、膳食营养和身体健康等现状,为做好飞行人员的膳食营养保障工作提供依据和...目的对飞行人员营养知识、态度、行为(knowledge,attitude and practice,KAP)状况和膳食营养情况进行调查,并结合体检结果进行分析,以了解飞行人员的营养知信行、膳食营养和身体健康等现状,为做好飞行人员的膳食营养保障工作提供依据和方向。方法采用随机抽样方法,选取2021年3月一2022年3月空军杭州特勤疗养中心和海军青岛特勤疗养中心438名飞行人员作为调查对象,进行营养知信行问卷调查,并对其膳食采用称重法,连续3d进行膳食营养状况调查,同时进行健康体检。结果飞行人员KAP最高得分46分,最低得分30分,平均得分(39.26±4.03)分。飞行人员各类食物摄入量与标准推荐量比较,除畜肉、禽肉和植物油摄入超标外,谷类、水产类、水果、豆类和奶类制品摄入量均未达标。能量和营养素摄入情况显示,飞行人员能量、蛋白质、钠、钾、镁、磷、铁、硒、维生素E、维生素A和烟酸摄入超标,维生素B_(2)、维生素B_(1)和锌摄入不足。三大产能营养素供能比与标准推荐摄入量比较,飞行人员蛋白质和脂肪供能比偏高,碳水化合物的供能比偏低。体检异常者348名,占79.45%,其中超重、高尿酸血症、脂肪肝和高脂血症的检出率分别为39.04%、16.21%、9.13%和7.08%。结论飞行人员营养KAP水平偏低,膳食结构不均衡,超重、高尿酸血症、脂肪肝和高脂血症等营养相关疾病患病率较高,且三者之间具有较高相关性。应对飞行人员积极开展饮食营养健康教育,加强科学配餐指导,降低与营养相关慢性病的发病率。展开更多
文摘Background: Flight and cabin crew are known to be at increased risk for atherosclerotic cardiovascular disease (ASCVD). However, ASCVD risks have not yet been compared in flight and cabin crew in low resource settings like sub-Saharan Africa. Objectives: To assess absolute ASCVD risk estimate and its clinical correlates among flight and cabin crew. Methods: From June 1st 2015 to December 30th 2015, 379 consecutive aviation navigants (Flight crew: 62.5%, pilots: 46.2%, women: 29.6%, Caucasians 23.2%) were enrolled in a cross-sectional survey of ASCVD risk estimate using the Framingham tools. They underwent a physical examination for either initial or renewal medical certificate Class 1 or 2 including blood chemistry, ECG, and echocardiogram as per International Civil Aviation Organization (ICAO) and Civil Aviation Authority (CAA-DRC) medical regulations. We modeled the risk of moderate and high ASCVD estimate in a stepwise logistic regression. Results: Low, moderate and high ASCVD risk estimates were observed respectively in 248 (65.4%), 64 (16.9%), and 67 (17.7%) navigants. Moderate and high ASCVD risk estimates predominated among flight than cabin crew (23.6% vs. 5.6%;p 0.0001 and 28.3% vs. null;p 0.001), low ASCVD risk estimate among cabin than flight crew (94.4% vs. 48.1%;p ≤ 0.001). Low ASCVD risk?estimates.
文摘目的报道1例飞行人员无明确传染源感染布鲁氏菌病并复习相关文献,旨在提高对布鲁氏菌病的诊疗水平。方法回顾性分析1例无明确传染源的发热飞行人员感染布氏菌病的病历资料,综合相关数据库(中国知网、中华医学期刊数据库、Web of Science及PubMed数据库)文献结果,总结飞行人员感染布氏杆菌情况。结果本例为41岁男性飞行人员,无明显诱因发热、出汗,测体温波动于37.6℃~39.6℃,近1个月出现午后发热,伴畏寒、乏力,经反复血培养,布鲁氏杆菌凝集试验阳性,虎红平板凝集试验(+)。给予治疗,地面观察期满,综合各专家意见,给予飞行合格结论。检索数据库共有3篇文献是关于飞行人员布氏菌病感染。结论对于此前罹患过布氏菌病的飞行人员应进行复查,单位要分离牲畜及厨余垃圾,从源头上减少飞行人员感染布鲁氏菌病的机会。
文摘目的对飞行人员营养知识、态度、行为(knowledge,attitude and practice,KAP)状况和膳食营养情况进行调查,并结合体检结果进行分析,以了解飞行人员的营养知信行、膳食营养和身体健康等现状,为做好飞行人员的膳食营养保障工作提供依据和方向。方法采用随机抽样方法,选取2021年3月一2022年3月空军杭州特勤疗养中心和海军青岛特勤疗养中心438名飞行人员作为调查对象,进行营养知信行问卷调查,并对其膳食采用称重法,连续3d进行膳食营养状况调查,同时进行健康体检。结果飞行人员KAP最高得分46分,最低得分30分,平均得分(39.26±4.03)分。飞行人员各类食物摄入量与标准推荐量比较,除畜肉、禽肉和植物油摄入超标外,谷类、水产类、水果、豆类和奶类制品摄入量均未达标。能量和营养素摄入情况显示,飞行人员能量、蛋白质、钠、钾、镁、磷、铁、硒、维生素E、维生素A和烟酸摄入超标,维生素B_(2)、维生素B_(1)和锌摄入不足。三大产能营养素供能比与标准推荐摄入量比较,飞行人员蛋白质和脂肪供能比偏高,碳水化合物的供能比偏低。体检异常者348名,占79.45%,其中超重、高尿酸血症、脂肪肝和高脂血症的检出率分别为39.04%、16.21%、9.13%和7.08%。结论飞行人员营养KAP水平偏低,膳食结构不均衡,超重、高尿酸血症、脂肪肝和高脂血症等营养相关疾病患病率较高,且三者之间具有较高相关性。应对飞行人员积极开展饮食营养健康教育,加强科学配餐指导,降低与营养相关慢性病的发病率。
