Archive | January 11th, 2008

 

Stouffer’s LEAN CUISINE Cheese Lasagna Chicken Breast Scaloppini

Calories – 290
Protein (g) 19
Fat – 8g/Saturated Fat (g) 2/Trans Fat 0
Cholesterol (mg) 30
Total Carbohydrates (g) 35/Sugars (g) 8
Sodium (mg) 580/Potassium (mg) 660

Vitamin A – 10%DV
Calcium – 15%DV
Vitamin C – 10%DV
Dietary Fiber – 20%DV
Weight Watchers

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Flight Medical Certification

The FAA-acceptable level blood pressure level is 155/95 or below for medical certification. Levels consistently above 140/90 should also be of concern.

UNDER CONSTRUCTION

FAA Disqualifying Medical Conditions
The following conditions are listed in the regulations as disqualifying medical conditions; however, in many cases when the condition is adequately controlled, the FAA will issue medical certification contingent on periodic reports.

Angina pectoris
Bipolar disease
Cardiac valve replacement
Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant
Diabetes mellitus requiring hypoglycemic medications
Disturbance of consciousness without satisfactory explanation of cause
Epilepsy
Heart replacement
Myocardial infarction
Permanent cardiac pacemaker
Personality disorder that is severe enough to have repeatedly manifested itself by overt acts
Psychosis
Substance abuse
Substance dependence
Transient loss of control of nervous system function(s) without satisfactory explanation of cause.

Other conditions not specifically listed in the regulations are also disqualifying. For further information refer to the Guide for Aviation Medical Examiners.

Coronary Artery Disease

Including heart attack, bypass surgery, stent placement, and angioplasty

The coronary arteries are the blood vessels that run along the outside of the heart and provide the heart muscle with it’s own blood supply. The term “coronary artery disease (CAD)” means the development of areas of narrowing in the coronary arteries, usually due to cholesterol deposits. Commonly, the first indication that an individual has developed CAD is the presence of chest pain (angina pectoris), usually with exertion. We believe now that most heart attacks (myocardial infarctions) are the result of a blood clot that forms in one of these narrowed areas and suddenly stops the flow of blood through the artery.

There are several different treatments available now for these conditions. These include medication, bypass surgery, angioplasty (the “balloon” procedure), stent implantation, and atherectomy. One thing that all these individuals have in common is the need for risk factor modification. This includes things like smoking cessation, weight control, regular exercise, and cholesterol control.

The Federal Aviation Regulations (14 CFR 67) identify significant CAD, angina pectoris, and a history of myocardial infarction as disqualifying medical conditions. Part 67.401 states that, in order to obtain a special medical certificate, any applicant with one or more of these conditions must prove “to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering public safety.” What this really means is that if you have one of these conditions, then there is extra testing that you must do to show that you are still safe to operate aircraft. The following paragraphs outline what is needed.

Before certification can be considered, a six-month recovery period must elapse. If the applicant has had a heart attack, then this allows time for the heart to adequately heal. If the individual has undergone a procedure, the most likely time that a restenosis (renarrowing) will occur is during the first six months. After this time, complications are much less likely.

The following is required for Class III (recreational and private pilot duty) applicants:

  1. Hospital admission summary (history and physical), coronary catheterization report, operative report and discharge summary regarding your infarction, angina, bypass surgery or angioplasty.

  2. A current cardiovascular evaluation. This evaluation must include an assessment of personal and family medical history, a clinical cardiac examination and general physical examination, an assessment and statement regarding the applicant’s medications, functional capacity, modifiable cardiovascular risk factors, motivation for any necessary change and prognosis for incapacitation during the certification period; and a current report of fasting blood sugar and a blood lipid profile to include: total cholesteraol, HDL, LDL and triglycerides.
  3. A maximal ECG treadmill stress test must be performed no sooner than 6-months post event. All stress testing should achieve 100 percent of maximal predicted heart rate unless medically contraindicated or prevented either by symptoms, conditioning, or concurrent use of medication; such as, B-blockers, calcium channel blockers (spec. diltiazem and verapamil), and/or digitalis preparations. With the consent of the attending physician, these medications should be discontinued for at least 48 hours prior to testing in order to attain maximal stress.

[The blood pressure/pulse recordings at various stages and actual electrocardiographic tracings must be submitted. Tracings must include a rhythm strip and a full 12-lead ECG recorded at rest (supine and standing) and during hyperventilation while standing, as well as one or more times during each stage of exercise, at the end of each stage, at peak exercise, and every minute during recovery for at least 5-minutes or until the tracings return to baseline level. The worksheet and interpretive report must be submitted.]

The following is required for Class I and Class II applicants:

  1. First- and second-class certificates may be issued only by AAM-300 and only upon the recommendation of one or more of the Federal Air Surgeon’s consultants, providing the requirements of paragraphs 1, 2 and 3 from above (for class III) are met. Six-month post event coronary angiography is required, and dynamic radionuclide myocardial perfusion must reveal no evidence of ischemia or significant myocardial dysfunction.

  2. Consideration for the issuance of a functionally limited second-class certificate (e.g., “Not Valid for Carrying Passengers or Cargo for Compensation or Hire”, etc.) is reserved for AAM-300. Requests for consideration must be accompanied by a completed Operational Questionnaire (FAA Form 8500-20).

See also:
faa.gov/pilots/medical

flightsafety.org

Related Google Searches:
pilot certification blood pressure

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Stouffer’s LEAN CUISINE Herb Roasted Chicken

Calories – 180
Protein (g) 18
Fat – 3.5g/Total Fat (g) 3.5/Trans Fat 0
Cholesterol (mg) 35
Total Carbohydrates (g) 20
Sugars (g) 6
Sodium (mg) 590

Vitamin A – 6%DV
Calcium – 6%DV
Vitamin C – 50%DV
Dietary Fiber – 11%DV
Weight Watchers

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Kinesiotherapy

A registered kinesiotherapist is an allied health professional competent in the administration of musculoskeletal, neurological, ergonomic, biomechanical, psychosocial, and task-specific functional tests and measures. A Kinesiotherapist determines the appropriate evaluation tools and interventions necessary to establish, in collaboration with the patient and prescribing physicians, nurse practitioners or physician’s assistants, a goal-specific treatment plan to enhance strength, endurance and mobility of individuals with injuries and functional limitations.

The Kinesiotherapy intervention process includes the development and implementation of a treatment plan, assessment of progress toward goals, modification of the treatment plan as necessary to achieve goals and outcomes, and client education. The foundation of clinician-client rapport is based on education, instruction, demonstration and mentoring of therapeutic techniques and behaviors to restore, maintain and improve overall functional abilities.

Kinesiotherapy is an allied health care field that can be covered by health insurance (licensed medical provider referral required). Kinesiotherapists can administer treatment only upon receipt of a prescription from qualified physicians, nurse practitioners and/or physicians’ assistants.

Kinesiotherapists are credentialed by the Council on Professional Standards Board for Registration of Kinesiotherapists, but are not required to be licensed in any state at the time of publishing this article.

Kinesiotherapy is the application of scientifically based exercise principles adapted to enhance the strength, endurance, and mobility of individuals with functional limitations and in providing exercise training and education for those individuals requiring extended physical conditioning. The discipline is similar to the approach of Personal Trainers, but the setting of a Kinesiotherapist is more likely in a medical office type of setting, rather than a fitness center. Also, Personal Trainer services include non-reimbursible services related to exercise, such as sports performance enhancement, conditioning for appearance and weight control. Kinesiotherapists are often involved in sports performance enhancement in light of an injury or functional disability. Kinesiotherapists are also compared to Physical Therapists, which perform a wider number of modalities and treatments than a Kinesiotherapist. The modalities performed by Kinesiotherapists are exercise and education.

Many of the services of Kinesiotherapists, Physical Therapists, Chiropractors, Athletic Trainers and Personal Trainers overlap.

More information:
American Kinesiotherapy Associationakta.org

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Breast Examination Instruction

Three-stage Inspection:
Stand straight in front of a mirror. Know the symmetry of your breasts. Asymmetry you’re born with may be normal, so it is important to know your breast characteristics and then be able to detect any change. Changes might be a sign that something has gone wrong. On visual inspection you are looking for any change in shape, size and outline; puckering or dippling; nipple crustiness; nipple itching; nipple bleeding, nipple inversion.

Repeat inspection with arms raised overhead

Repeat inspection leaning forward.

Two-stage Palpation:
Palpation is easier to perform when skin is wet or damp, so a good time to do a self-breast examination is in the shower or bath.

(1) Use the flat, pad part of your fingers not your fingertips. With circular motion start at the nipple and feel for distinct lumps or swelling. Proceed all the way into the armpits. In the armpits also look for lumps in the armpit region that could be swollen glands.

(2) Also press the whole flat part of the palm to press the breast against the rib cage. Lumps can be detected by the palm of the hand

Self-breast examination demonstration: Look for usual size, shape and color. Look for distortion, swelling, dimpling, puckering and change in nipple shape, such as pushed in or pushed out. Also look for redness or rash.

Sixty percent of breast cancers are found in the outer quarter (doctor points lateral and superior) region of the breast.

See also:
Avon Walk for Breast Cancer
BreastCancer.org
Cancer.gov
MedlinePlus: Breast Cancer
TheFamilyGP.com

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