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Alertness management in long-haul flying
Institution:1. University of California, Nutrition Policy Institute, 1111 Franklin St, 10th Floor, Oakland, CA 94607, USA;2. Department of Psychiatry, University of California at San Francisco, San Francisco, CA 94143-0848, USA;3. Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94143-0856, USA;4. School of Public Health, University of California at Berkeley, 50 University Hall, University of California at Berkeley, Berkeley, CA 94720-7360, USA;5. Baylor College of Medicine, USDA/ARS Children''s Nutrition Research Center, Department of Pediatrics, 1100 Bates St, Houston, TX 77030-2600, USA;6. Department of Medicine, University of California at San Francisco, San Francisco, CA 94143-0856, USA;7. Counseling Psychology Department, School of Education, University of San Francisco, 2130 Fulton St, San Francisco, CA 94118, USA;8. Kaiser Permanente, San Francisco, Department of Pediatrics, 2238 Geary Blvd, San Francisco, CA 94115, USA;9. Community Health Sciences Division, School of Public Health, 50 University Hall, University of California at Berkeley, Berkeley, CA 94720-7360, USA;1. School of Sport & Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom;2. Department of Medicine, Division of Cardiology, Columbia University Irving Medical Center, New York City, New York;3. Department of Medicine, Division of Cardiac, Vascular & Thoracic Surgery, Columbia University Irving Medical Center, New York City, New York;4. Department of Anesthesia, Yodogawa Christian Hospital, Osaka City, Osaka, Japan;5. Department of Neurology, Columbia University Irving Medical Center, New York City, New York;1. Water and Environment Research Group, University of A Coruña, Campus de Elviña s/n, 15071 A Coruña, Spain;2. Department of Civil Engineering, Aalborg University, Sofiendalsvej 11, 9000 Aalborg, Denmark
Abstract:The introduction of ultralong-haul aircraft in recent years has highlighted the need for alertness management advice to be available to flight and cabin crew. British Airways has for some time provided classroom training but, more recently, has developed Alertness Management Advice Cards to provide route- and time-specific advice for the management of rest and sleep by long-haul crews. Using a framework based on the Airbus Industrie publication `Coping with Long-Range Flying', British Airways created a set of cards and accompanying information booklet specifically for its Boeing 777 routes and a trial of 40 flight crew members was undertaken to assess the usefulness and acceptability of the concept. Subjects found the advice cards easy to use and helpful and the information booklet clear in outlining the physiology of sleep, alertness and circadian rhythms. Following the study, further advice cards were developed to cover the entire British Airways long-haul network and the complete Alertness Management package comprises a General Information section summarising the classroom teaching together with 30 Advice Cards covering 42 different route schedules grouped by direction of travel, time of departure and length of the layover. The cards contain general and specific advice including recommendations for light exposure, rest patterns and meal times presented in written and diagrammatic forms. Examples of sections from the Advice Cards together with results of the initial study will be presented and discussed.
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