Medicine and Health Sciences Commons^™

Understanding Collegiate Aviation Pilot Mental Performance Studies And Future Research Opportunities, Debra Henneberry, Stephanie Brown, Flavio Coimbra, Julius Keller

National Training Aircraft Symposium (NTAS)

According to the Federal Aviation Administration (2022), fatigue is defined as “a condition characterized by increased discomfort with lessened capacity for work, reduced efficiency of accomplishment, loss of power or capacity to respond to stimulation, and is usually accompanied by a feeling of weariness and tiredness” (p. 2). Further outcomes of fatigue include tiredness, weakness, lack of energy, lethargy, depression, and lack of motivation (ICAO, 2016). Stress can release cortisol which can in turn cause sleep issues leading to fatigue (Harvard, 2021). In one study Mendonca, Keller, and Albelo (2023) found 69% (n = 192) percent of collegiate aviation pilots …

Perception Of Crisis Management, Service Quality, And Loyalty Programs On Airline Travel Intention: What Roles Do Fear Of Covid-19 And Risk Attitude Play?, Sohel M. Imroz, Tamilla Curtis, Scott C. Ambrose

Publications

This research investigates the antecedents of airline travel intention, including the effects of crisis management, service quality perceptions, and loyalty programs, along with the fear of coronavirus disease (COVID-19) and risk attitude among individuals from different parts of the world during the peak of the pandemic. Its main objective is to assess how these variables impact passenger airline travel intention. Partial least squares structural equation modeling was used to assess the measurement model and test the hypothesized relationships on the sample of 944 travelers. Results indicated strong positive associations between fear of COVID-19, risk-averse attitudes, and service quality with respect …

Introduction To Bioaerosols Assessment And Control, 2nd Edition, Cheri Marcham, John (Jack) Springston

Publications

• Risk Assessment
• Assessment for the Presence of Bioaerosols
• Sampling
• Purpose/ Necessity
• Interpretation Controls
  • Ventilation
  • Other Controls

Mental Health Needs Among Minority Aviation Students, Jorge L. D. Albelo Ph.D., Stacey Mcintire

Publications

Higher education, including science, technology, engineering, and mathematics (STEM) education, benefit our society and economic growth. However, overcoming gender disparity and increasing the retention of underrepresented minorities within these programs is challenging. Mental health across higher education has shown to be on the rise, and when it comes to the mental health needs of aviation students, research shows that underrepresented minorities experience unique challenges in achieving academic success. This paper focused on identifying aviation minority students' unique challenges in a small STEM university. This mixed-methods action research study collected quantitative data using an adapted version of the Counseling Center Assessment …

A Qualitative Descriptive Study On Re-Assessing The Mental Certification By Faa For Future Pilots, Kaung Z. Min

Student Works

Mental illness becomes one of the main problems that most pilots do not usually address. It is not because pilots do not have the courage or are open enough to talk with someone, but because the Federal Aviation Administration (FAA) forces them to hide from mental depression. Most of the time, the pilots are not willing to declare such illnesses as they fear losing their job; simultaneously, the Federal Aviation Agencies across the world require pilots to be in peat health, including their mental condition, to operate the aircraft. While it can be said that the passengers’ and crews’ safety …

Combination Of Statistical Shape Modeling And Statistical Parametric Mapping To Quantify Cartilage Contact Mechanics In Hip Dysplasia, Penny R. Atkins Phd, Shireen Y. Elhabian Phd, Jeffrey A. Weiss Phd, Ross T. Whitaker Phd, Christopher L. Peters Md, Andrew E. Anderson Phd

PanaSoMM

Finite element models can predict subject-specific chondrolabral stresses and help to elucidate the effect of under-coverage and incongruency of the hip joint in patients with dysplasia. However, complex stress patterns are difficult to generalize and evaluate statistically. With an established correspondence across shapes from statistical shape modeling (SSM), statistical parametric mapping (SPM) allows for evaluation of local variability while preserving model subject-specificity. Herein, we evaluated the combined application of SSM and SPM to compare cartilage contact stress between control subjects and patients with dysplasia.

Previously published hip joint contact stresses were mapped onto chondrolabral surface meshes and incorporated into an …

Application Of Statistical Shape Modeling To Predict Clinical Metric Of Femoral Head Coverage In Patients With Developmental Dysplasia, Penny R. Atkins Phd, Praful Agrawal Phd, Joseph D. Mozingo Phd, Keisuke Uemura Md, Phd, Kunihiko Tokunaga Md, Christopher L. Peters Md, Shireen Y. Elhabian Phd, Ross T. Whitaker Phd, Andrew E. Anderson Phd

PanaSoMM

Developmental dysplasia of the hip (DDH) is described as under-coverage of the femoral head by the acetabulum, resulting in mechanical instability. Though DDH is often diagnosed using plain film radiographs, these images cannot adequately capture 3D joint coverage. Herein, we applied a 3D statistical shape model (SSM) to the femur and hemi-pelvis of patients with DDH to objectively measure shape variation and evaluated whether SSM outputs could predict measurements of joint coverage.

The femur and hemi-pelvis were semi-automatically segmented from CT images (83 hips from 47 females with DDH). Surfaces of each hip were reconstructed from segmentations, aligned, and input …

A Meshless Approach To Computational Pharmacokinetics, Anthony Matthew Khoury

Doctoral Dissertations and Master's Theses

The meshless method is an incredibly powerful technique for solving a variety of problems with unparalleled accuracy and efficiency. The pharmacokinetic problem of transdermal drug delivery (TDDD) is one such topic and is of significant complexity. The locally collocated meshless method (LCMM) is developed in solution to this topic. First, the meshless method is formulated to model this transport phenomenon and is then validated against an analytical solution of a pharmacokinetic problem set, to demonstrate this accuracy and efficiency. The analytical solution provides a locus by which convergence behavior are evaluated, demonstrating the super convergence of the locally collocated meshless …

Assessment Of Scientific Payload Carrying Spirulina Onboard Blue Origin’S New Shepard Vehicle, Pedro J. Llanos, Morgan Shilling, Kristina Andrijauskaite, Kody Kidder, Vijay V. Duraisamy

Publications

The research team at ERAU and UTHSCSA analyzed the effects of suborbital flight stressors and various light conditions (red, white, no light) on the Arthrospira platensis (Spirulina), onboard Blue Origin’s New Shepard vehicle. Commercially available cyanobacterium species were cultivated and closely monitored in mother colonies several months before the suborbital flight mission. The aim of this study was to estimate the biomass production and growth as a potential dietary alternative for prospective human spaceflight's life support system. Spirulina samples were flown in a NanoLab with adjacent avionics supporting the light conditions and sensors to monitor the temperature, relative humidity, and …

Modelling Air Quality In An Aircraft Passenger Cabin Using Health Care Standards, Bert Silich

International Journal of Aviation, Aeronautics, and Aerospace

The interest in aerosol contamination of aircraft passenger cabins has increased since the onset of the COVID-19 pandemic. Mathematical models have been developed to help describe how an aerosol behaves in a closed space. The number of infectious particles inhaled is of scientific interest because it can be related to the risk of getting ill from a pathogen. The data required to calculate these results is often difficult to obtain in real world settings. In fact, particle inhalation details are not obtained in the day-to-day routine of a health care environment and are they not required to maintain safety. Hospital …

Fatigue In Aircraft Maintenance Technician Schools, Natalie Zimmermann, Peng Hao Wang, Keegan Pullen

International Journal of Aviation, Aeronautics, and Aerospace

Fatigue has long been identified as a human factor in aviation. Subsequently, a series of studies have highlighted fatigue-related elements within the context of the aviation industry, focusing on the flight deck – with some extension to flight students – and aviation maintenance activities. However, the latter has not been as deeply examined as its flight crew-centered counterpart. Similarly – if not more significantly – fatigue experienced by aircraft maintenance technician (AMT) students is scarcely explored, especially in comparison to the research conducted to understand fatigue in flight schools. AMT students are subject to comparable, but not the same, experiences …

Viability And Application Of Mounting Personal Pid Voc Sensors To Small Unmanned Aircraft Systems, Cheri Marcham

Publications

Small Unmanned Aerial Systems in Emergency Response

Current sUAS Uses

• Search and rescue
• Thermal imaging
• Evaluating structural stability
• Spread of wildfires
• Storm damage

The Probability Of Success-Through Fault Tree Analytical Binomial Result, Tyleka Riddle

Night Flight Journal

Prestigious Appeal Rule of Thumb (Ear Drum Plugs)

In truant fashion, with proven accidental probabilistic perception for proposed cued facial expression recognition and voice commands without filtering. The estimated cost analysis for design and development generated from the enhanced project in the word "no”: Additionally, an audio noise effect size (ES) for desired level of comprehensive sensory receptors in sound reference to noisy party syndrome. Sytoss, (2019) "Resulting in a cocktail party theory for chalkboard distinction and conversation with applied facial recognition. As well as, the enhanced project management tool, EPMT, to provide output and input determination for higher-level acoustic …

Engineering Controls For Bioaerosols In Non-Industrial/Non-Healthcare Settings, David Krause, Cheri Marcham, Bill Mele, Jack Springston, Rob Strode, Donald Weekes, Neil J. Zimmerman

Publications

The list of disease pathogens that can be transmitted in the air is extensive. This list includes the common cold, SARS, measles, Hansen’s disease (leprosy), polio, influenza, Legionella (Legionnaires’ disease and Pontiac fever), and tuberculosis (TB). TB, SARS-CoV-1, avian influenza, varicella, and now SARS-CoV-2 all have received public notice due not only to their known or assumed ability to be transmitted in the air rapidly from one individual to another, but also for their virulence. Other bioaerosols that can be transmitted through the air include bacteria, fungal spores and fragments, dust mites, and pollen. This document was developed to address …

A Model For Inhalation Of Infectious Aerosol Contaminants In An Aircraft Passenger Cabin, Bert A. Silich

International Journal of Aviation, Aeronautics, and Aerospace

Aerosol contamination of an aircraft cabin by infectious passengers is a concern of passengers, aircrew and the aviation industry. This may be especially important during a pandemic, such as COVID-19, where the full extent of aerosol transmission is not well understood. A statistical method to determine the number of infectious passengers on board along with a mathematical model estimating the contaminant concentration of aerosols in the cabin and the number of inhaled infectious particles by passengers is presented. An example is used to demonstrated how the results can be estimated during normal operations and emergency conditions with malfunctions of the …

Face Mask Effects Of Co2, Heart Rate, Respiration Rate, And Oxygen Saturation On Instructor Pilots, Andrew R. Dattel, Nicola M. O'Toole, Guillermina Lopez, Kenneth P. Byrnes

Publications

The COVID-19 pandemic has required people to take new measures to mitigate the spread of the communicable virus. Guidelines from health organizations, government offices, and universities have been disseminated. Adherence to these guidelines cannot be more critical for flight training. This study explored the effects face masks had on CO2, heart rate, respiration rate, and oxygen saturation while wearing a face mask at an oxygen level simulated to 5,000 feet. Thirty-two instructor pilots (IP) volunteered to participate in the study. IPs spent 90 minutes in a normobaric chamber while wearing a cloth face mask or a paper face mask. Participants …

Integrating Aviation Technology, Emergency Services, And Human Resilience: Considerations From Social Scientists, Chelsea A. Lenoble Ph.D., Joel M. Billings Ph.D., Allison A. Kwesell Ph.D., Ray H. Chang Ph.D.

National Training Aircraft Symposium (NTAS)

Unmanned aerial systems (UAS) have a range of applications within the field of disaster response. This presentation offers a novel framework of psychosocial considerations designed to advance UAS and disaster management integration. Social scientists highlight important challenges to the effective integration of three primary entities: UAS, the team of teams that responds to disasters, and populations affected by disasters.

The presentation adopts an emerging theoretical perspective on the intersection between UAS capabilities and disaster phases and extends it by bringing necessary attention to social science issues. Specifically, the framework outlines psychosocial considerations and areas of improvement for preparation (training), response …

Physiological Effects On Scientist Astronaut Candidates: Hypobaric Training Assessment, Pedro Llanos, Diego Garcia

Publications

This paper is addressed to expanding our understanding of the effects of hypoxia training on our bodies to better model its dynamics and leverage some of its implications and effects on human health. Hypoxia training is a recommended practice for military and civilian pilots that allow them to recognize their early hypoxia signs and symptoms, and Scientist Astronaut Candidates (SACs) who underwent hypobaric hypoxia (HH) exposure as part of a training activity for prospective suborbital flight applications. This observational-analytical study describes physiologic responses and symptoms experienced by a SAC group before, during and after HH exposure and proposes a model …

Physiological Effects During Aerobatic Flights On Science Astronaut Candidates, Pedro Llanos, Diego M. Garcia

Publications

Spaceflight is considered the last frontier in terms of science, technology, and engineering. But it is also the next frontier in terms of human physiology and performance. After more than 200,000 years humans have evolved under earth’s gravity and atmospheric conditions, spaceflight poses environmental stresses for which human physiology is not adapted. Hypoxia, accelerations, and radiation are among such stressors, our research involves suborbital flights aiming to develop effective countermeasures in order to assure sustainable human space presence. The physiologic baseline of spaceflight participants is subject to great variability driven by age, gender, fitness, and metabolic reserve. The objective of …

Computational Model For Pedestrian Movement And Infectious Diseases Spread During Air Travel: A Molecular Dynamics-Like Numerical Approach, Pierrot Derjany

Doctoral Dissertations and Master's Theses

There is direct evidence of the transmission of fatal infectious pathogens in large human gatherings. Air transportation is no exception. The mixing of susceptible and infectious individuals in this high-density man-made environment involves pedestrian movement which is generally not taken into account in modeling studies of disease dynamics. This thesis addresses this problem through a multiscale model that combines pedestrian dynamics with stochastic infection spread models. This generic model is applicable to several directly transmitted diseases. Through this multiscale framework, the effectiveness of certain layout and strategies in suppressing the disease spread in highly crowded locations such as airplanes, airports …

Search And Rescue: The Importance Of Using Tracking Systems In Rural 135 Operations, April Larsen, Brent D. Bowen

Student Works

In January 2020, under the NextGen initiative put in place by the Federal Aviation Administration (FAA), all aircraft flying in controlled airspace, both general aviation and commercial operations, will be required to have an Automatic Dependent Surveillance – Broadcast (ADS–B) system installed and operational. However, this is not required for Title 14 Code of Federal Regulations (CFR) Part 135 operations taking place outside of controlled airspace. Part 135 of the Federal Aviation Regulations (FAR) refers to aircraft operating as on-demand or air taxi services. A substantial amount of these operator’s bases, as well as flights, are conducted outside of controlled …

Surgical And Medical Applications Of Drones: A Comprehensive Review, Brent Terwilliger, James C. Rosser Jr., Vudatha Vignesh, Brett C. Parker

Publications

Drones have the ability to gather real time data cost effectively, to deliver payloads and have initiated the rapid evolution of many industrial, commercial, and recreational applications. Unfortunately, there has been a slower expansion in the field of medicine. This article provides a comprehensive review of current and future drone applications in medicine, in hopes of empowering and inspiring more aggressive investigation.

Surgical And Medical Applications Of Drones: A Comprehensive Review, James C. Rosser, Vudatha Vignesh, Brent A. Terwilliger, Brett C. Parker

Publications

Background: Drones have the ability to gather real time data cost effectively, to deliver payloads and have initiated the rapid evolution of many industrial, commercial, and recreational applications. Unfortunately, there has been a slower expansion in the field of medicine. This article provides a comprehensive review of current and future drone applications in medicine, in hopes of empowering and inspiring more aggressive investigation. Database: A literature search was performed by EBSCO (Elton B. Stephens Company) Discovery Service, searching the phrases "drones," "UAV," "unmanned aerial vehicles," "UAS," and "unmanned aerial systems." A second search was used to identify sources that contained …

Reimagining Icarus: Ethics, Law And Policy Considerations For Commercial Human Spaceflight, Sara M. Langston

Publications

Commercial human spaceflight presents an area for engaging novel human activity and objectives, to include space exploration, entertainment, transportation and extraterrestrial resource acquisition. The inherent dangers and lack of scientific and medical certainty involved however raise interrelated questions of ethics, bioethics, law and public policy. This is particularly the case with spaceflight participant (SFP) screening, selection, and commercial human spaceflight activities where regulations are currently silent or lacking. In the absence of established law, ethics can play an important role by informing industry standards, policies and best practices. Understanding the fundamental ethical values at stake in the application of new …

Multi-Scale Fluid Flow Analysis Of The Cardiovascular System, Zaid Mahmood

Doctoral Dissertations and Master's Theses

The hypoplastic left heart syndrome (HLHS) is one of the rarest congenital heart diseases affecting infants. Out of 150 babies born, one baby suffers from congenital heart disease. Furthermore, nine percent out of those suffering from congenital heart disease specifically suffer from hypoplastic left heart syndrome (HLHS). To this end, the Fontan operation which is a procedure to generate a harmonic blood flow in single functioning ventricle patients has been executed to palliate HLHS patients. In this operation, the inferior vena cava (IVC) and the superior vena cava (SVC), carrying the low-oxygenated blood returning from the lower and upper body …

Hazards And Mitigation Measures In Aerospace Non-Destructive Testing, Khay-Wai Leong, Patti J. Clark

International Journal of Aviation, Aeronautics, and Aerospace

As an aircraft component is subjected to tensile/torsional/bending forces and heat cycles during operation, non-destructive inspection programs have been mandated by aviation regulatory authorities and component manufacturers to ensure that cracks and flaws in the aircraft structure, engine and components are detected before reaching catastrophic failure modes. In aerospace settings, eddy current, magnetic particle, dye penetrant and radiography inspection methods are known to affect worker health. Two recent studies have linked dye chemicals to bladder cancer, excessive electromagnetic field exposure has been linked to undue stress on the human body, and excessive exposure to ionizing radiation has been linked to …

Mental Health In Commercial Aviation - Depression & Anxiety Of Pilots, Maurice C. Dehoff, Stephen K. Cusick

International Journal of Aviation, Aeronautics, and Aerospace

Two landmark accidents invigorated the discussion regarding pilot mental health. Other incidents may also have a mental health component that is related to, but not the direct cause of, the event. It is suspected that these “other incidents” are much more commonplace and while not catastrophic, erode safety. Depression and anxiety are two commonly occurring mental health concerns. Research indicates that a considerable portion of the U. S. population suffers from some form of mental health issue. Most go undiagnosed and untreated. A similar rate of occurrence appears to be found within the airline pilot population. The stigma of mental …

Human Error Analysis Of Helicopter Emergency Medical Services (Hems) Accidents Using The Human Factors Analysis And Classification System (Hfacs), Paul E. Cline Ph.D.

Journal of Aviation/Aerospace Education & Research

Helicopter Emergency Medical Services (HEMS) is among the most dangerous type of flying in commercial aviation. This research utilized the Human Factors Analysis and Classification System (HFACS) to understand the errors, preconditions and violations that contribute to these accidents. Drawing upon source data from the National Transportation Safety Board’s Aviation Accident Database, HEMS accidents from 2000-2016 were analyzed according to the HFACS framework.

Evaluation Of A Scientifically Developed Anesthesiology Handoff Protocol, Kristen Lise Welsh Webster

Doctoral Dissertations and Master's Theses

Communication failures have been cited as the leading cause of avoidable adverse events in healthcare. Specifically, within handoffs, these communication failures can cause error in the transfer of patient information. A multitude of factors can affect the transmission of patient information between providers including transactive memory, power distance, and conversational noise; however, literature suggests that the use of handoff protocols assist in improving communication and efficiency during handoffs. Studies regarding handoffs have typically centered on the content or delivery of the information during the handoff. To date, none have targeted the underlying mechanisms of the communication and their effects on …

General Aviation Hypoxia And Reporting Statistics, Timothy B. Holt, Jacqueline Luedtke, Claire Schindler

Publications

“All too often, pilots tell me they don't need physiological training because they don't fly that high. The statement points out the general feelings of a large majority of the aviation population. I suppose then the burning question is ‘why do we still have aircraft accidents?’” (Boshers, 2015). To this day there are no statistics on how often general aviation pilots experience hypoxia during everyday operations. General aviation pilots (i.e. non-commercial operations) were chosen for this study because:

• Little regulation regarding flight physiology training
• General attitude of invulnerability towards hypoxia
• No requirement to report hypoxia or similar events