Syncope as a health risk for soldiers: Influence of medical history and clinical findings on the sensitivity of head-up tilt table testing

Background: Syncope is a relevant health problem in military environments. Reliable diagnosis is challenging. Tilt table testing is an important tool for syncope diagnosis. The aim of this study was to determine whether signs such as prodromal symptoms, co-morbidity, frequency of syncopal events, body length, body mass index, and electrocardiography(ECG) abnormalities can be used to predict the success of tilt table testing at diagnosing syncope.Methods: Data from 100 patients with histories of syncope or pre-syncope, who were diagnosed using head-up tilt table testing, were retrospectively analyzed in a cross-sectional analysis. The diagnostic procedure was based upon a modified version of the Westminster protocol without any pharmacological provocation. Results: Patients showing pathological reaction patterns during tilt table testing suffered from prodromal symptoms, such as dizziness and sweating, significantly more often. The patients reported more injuries resulting from syncopal events and more previous syncopal events, and the prevalence of co-morbidity was greater among patients presenting negative findings during tilt testing. An asthenic-leptosomal physique was not confirmed as a risk factor for syncopal events as is the case for idiopathic arterial hypotension. However, patients with pathological reaction patterns during tilt table testing were significantly taller. This finding was detected for both females and males. No significant predictors were found in the ECG patterns of patients showing syncope during tilt table testing.Conclusions: Frequency of prior syncope and prodromal symptoms, and increased body length with an otherwise good state of health influence the predictive value of tilt table testing for syncope diagnosis. In particular, if these factors are present, tilt table testing should be considered part of the diagnostic algorithm for soldiers with recurrent syncope.

Syncope as a health risk for soldiers-influence of medical history and clinical findings on the sensitivity of head-up tilt table testing

Background:Syncope is a relevant health problem in military environments.Reliable diagnosis is challenging.Tilt table testing is an important tool for syncope diagnosis.The aim of this study was to determine whether signs such as prodromal symptoms,co-morbidity,frequency of syncopal events,body length,body mass index,and electrocardiography abnormalities can be used to predict the success of tilt table testing at diagnosing syncope.Methods:Data from 100 patients with histories of syncope or pre-syncope,who were diagnosed using head-up tilt table testing,were retrospectively analyzed in a cross-sectional analysis.The diagnostic procedure was based upon a modified version of the Westminster protocol without any pharmacological provocation.Results:Patients showing pathological reaction patterns during tilt table testing suffered from prodromal symptoms,such as dizziness and sweating,significantly more often.The patients reported more injuries resulting from syncopal events and more previous syncopal events,and the prevalence of co-morbidity was greater among patients presenting negative findings during tilt testing.An asthenic-leptosomal physique was not confirmed as a risk factor for syncopal events as is the case for idiopathic arterial hypotension.However,patients with pathological reaction patterns during tilt table testing were significantly taller.This finding was detected for both females and males.No significant predictors were found in the electrocardiogram patterns of patients showing syncope during tilt table testing.Conclusions:Frequency of prior syncope and prodromal symptoms,and increased body length with an otherwise good state of health influence the predictive value of tilt table testing for syncope diagnosis.In particular,if these factors are present,tilt table testing should be considered part of the diagnostic algorithm for soldiers with recurrent syncope.

Unilateral foveomacular retinitis resembling solar retinopathy among young soldiers in Korean army and associated multimodal imaging findings

AIM: To describe the clinical features and multimodal images of unilateral foveomacular retinitis in young Korean soldiers. METHODS: Ten patients having foveomacular retinitis were included. Fluorescein angiography, fundus autofluorescence(FAF), infrared reflectance(IR), and spectral-domain optical coherence tomography(SD-OCT) were analyzed.RESULTS: All patients were young males experienced insidious visual decline without exposure to bright light. Initial and final vision ranged from hand movement to 20/20(median 20/200) and 20/2000 to 20/20(median 20/500), respectively. Vision decreased in 6 patients while improved in two. Typical macular abnormality was yellow granular spots. SD-OCT showed ellipsoid zone(EZ) or interdigitation zone(IZ) disruption of fovea. The degree of EZ/IZ damage correlated with vision. Lesions were clearly visualized through IR and matched with SD-OCT findings.CONCLUSION: This is the first case series of foveomacular retinitis diagnosed with multimodal imaging. Foveomacular retinitis should be suspected in sudden unilateral visual decline especially in young soldiers. SD-OCT is the most important diagnostic modality.

Population Awareness of Newly Conscripted Soldiers

A survey of population and family planning awareness was con-ducted in 1996 among newly conscripted soldiers serving in the Air Force of the Shenyang Military Area.

Calling All Soldiers

A telephone hotline is expected to inject life into China-U,S,military relations For the first time in its history,the People’s Liberation Army(PLA)of China will link itself to a foreign mili- tary through a telephone hotline.On February 29,China and the United States signed an agreement to set up the hotline between the two countries’defense minis- tries.

American Soldiers Lend a Helping Hand

U.S. military assistance for China’s earthquake relief bodes well for future cooperation between the two

WOMEN'S NATIONALIST ARMY Soldiers Aid Revolutionaries in Fight Against Feudalism

AT the beginning of the 20th century, China was undergoing a great social change with the start of the democratic revolution against the Qing Dynasty, China’s last feudal state (1644-1911). At the same time, a group of women intellectuals was emerging and growing with the development of women’s education in China. They embraced the ideals of democracy and equality between the sexes and actively took

Three Women Soldiers and a Baby Girl

MORE than fifty years have passed yet the story of three women soldiers and a baby girl still reaches far and wide in the Longjiao mountain area of Yangxin and Daye counties. In August of 1942 the War of Resistance Against Japan was deepening and the 14th Brigade of the 5th Division of the New Fourth Army had boldly driven into the south of Hubei Province. Some

The Duality of PLA Soldiers' Val-ues in the Market Economy

The values of PLA soldiers,under theinfluence of China’S market economy,havetaken on a number of contradictory or

Could Military Commanders’ Good LeadershipInfluence Subordinates’ Smartphone Overdependence? A Serial Mediation Analysis

Owing to the ubiquitous use of smartphones by soldiers, military researchers have an increasing interest in potentially problematicside effects such as smartphone overdependence. This raises a question regarding the psychological mechanisms underlying thepotentially self-damaging use of smartphones. Here, we address this question by analyzing how heterogeneity in commander’sgood leadership explains subordinate soldiers’ differences in self-control and smartphone use. Specifically, we found thatsubordinate soldiers who thought their commander's leadership was good were self-regulated, less dependent on smartphones,less stressed, and finally had good mental health. This result indicates that commander’s good leadership can be used toestimate whether subordinate soldiers exert control over their impulses and use their smartphones properly. Thus, the currentfindings help to identify external factors that lead to a better understanding of problematic smartphone use and can potentiallyhelp to design appropriate preventive mechanisms or interventions that target commander’s good leadership.

Water Quality and Growth Performance of Nile Tilapia Fries Fed on Insect-Based Feeds

Fish feed is one of the main constraints on the growth of aquaculture in Kenya. The lack of high-quality and competitively priced feeds means that the fish farmers are unable to expand their production. To ensure that aquaculture remains viable and sustainable, it is necessary to optimize production through the utilization of locally available feeding materials. Insect-based feeds are alternative least-cost feeding resource in fish production. Using alternative protein sources such as black soldier fly larvae (BSF) and daphnia meal in place of fishmeal (Omena and Dagaa) is an ingenious strategy for sustainable fish aquaculture. This study evaluated the effect of four treatments: BSF, daphnia, Omena from Lake Victoria and Dagaa from Lake Tanganyika on the fish pond environmental parameters and fish fries’ performance (body weight and length). The experiment was carried out in a greenhouse with 30 fingerlings in each experimental unit. The feeding trials took 23 days. Results indicated that the four treatments have a varied effect on the BW and L of fish fries. A high growth rate was observed in Daphia, followed by BSF, Omena and Dagaa in that order. On the other hand, the treatments have varied effects on pond parameters with BSF promoting too much growth of algae. BSF have higher amounts of ammonia, nitrates and phosphorus, which stimulate the high growth of algae.

Evaluation of Nutritional Value and Safety of Black Soldier Flies Fed on Dead Pig Meat and Bone Meal

[Objectives]This study was conducted to evaluate the nutritional value and safety of black soldier flies fed with dead pig meat and bone meal(DPMBM)and to explore the resource utilization of DPMBM.[Methods]The general nutrient composition,amino acids,fatty acids and mineral elements of black soldier fly meal(BSLM)were detected and analyzed.[Results]The results showed that the contents of moisture,crude protein,crude fat and ash in BSLM were 3.42%,42.31%,34.04%and 5.40%,respectively.The contents of total amino acids(TAA),essential amino acids(∑EAA)and non-essential amino acids(∑NEAA)and umami amino acids(∑DAA),the EAA/TAA value and the EAA/NEAA value were 37.93%,13.08%,24.85%,13.43%,34.47%,52.61%,respectively.A total of eight kinds of saturated fatty acids and seven kinds of unsaturated fatty acids were detected,accounting for 63.65%and 32.67%of the total fatty acids.Among the major mineral elements,the content of Ca was the highest,followed by K,Mg and Na.Among the trace mineral elements,the content of Mn was the highest,followed by Fe,Zn,Cu,Ni,Cr,Cd,As,Pb,Se,Sn,Ti,Sb and Hg.The contents of heavy metal mineral elements in BSLM were far lower than the limits specified in Hygienical Standard for Feeds.[Conclusions]In conclusion,BSLM has high nutritional value and good safety of heavy metals,and thus great potential for development and utilization as a high quality dietary protein,fat and mineral elements source.

The Performance of Black Soldier Fly Larvae (BSFLs), Hermetia illucens L. (Diptera: Stratiomyidae), as a Function of the Substrate Used: A Review

Organic wastes are one of the greatest challenges that cities face worldwide. In numerous underdeveloped nations, like Cameroon, waste is often disposed of through landfills, composting, or open-air combustion. Unfortunately, the concept of waste sorting and organic waste processing is new to many individuals. This has led to an increase in the amount of organic waste and the costs connected with its management. Consequently, the majority of developing nations have sought out waste management solutions that are more cost-effective. Therefore, it has been determined that the bioconversion of organic wastes by black soldier fly larvae (BSFLs) (Hermetia illucens) into multifunctional prepupae is a viable alternative. Appreciation is given to the employment of the organic waste management approach in developing nations since it is not only environmentally friendly and economically viable, but also provides a means for waste valorisation through the production of diverse resources and potential economic benefits. Studies have proved the usefulness of the insect in controlling organic wastes, but countries such as Cameroon are still unfamiliar with the nuances of this method. Consequently, this timely review examined the performance of the BSFL, specifically in organic waste treatment, as well as the best practices for multiplying them to determine its viability for use in a waste treatment plant, the production of high-quality larvae as a source of protein for livestock, and the production of diesel fuel.

武警新疆总队医院消化科为部队官兵开展卫勤保障工作实践

为部队官兵提供强有力卫勤保障工作是部队医院质量建设内涵发展的方向和根本原则。由于地域、环境、任务和心理等因素导致官兵消化道疾病高发[1-4],医院消化科作为卫勤保障工作的一线重点科室,承担了大量的收治和巡诊任务。消化科应提供高效、及时、有效的卫勤保障,达到保障官兵健康、提升战斗力的目的。武警新疆总队医院消化科全科医护人员始终牢记“官兵健康至上”的使命要求,紧扣提高战斗力保障力的新需求,

书信中语篇人际意义的实现——从对“A Soldier’s Last Letter”语言的分析谈起

结合功能语言学理论,以"A Soldier’s Last Letter"中的部分段落为例进行分析,可以展示如何通过语气系统和情态系统来进行选择形成语篇,从而突显语言选择对语篇人际意义实现的重要性以及功能语言学在分析文学作品时的可行性。

Effect of heavy load carriage on cardiorespiratory responses with varying gradients and modes of carriage

Background: The present study was undertaken to determine the effect of different uphill and downhill gradients on cardiorespiratory and metabolic responses of soldiers while carrying heavy military loads in two different modes.Methods: Eight physically fit male soldiers with a mean age 32.0±2.0 years, a mean height of 169.5±4.9 cm, and a mean weight of 63.8±8.4 kg volunteered for this study. Each volunteer completed treadmill walking trials at a speed of 3.5 km/h while carrying no external load, 31.4 kg load in a distributed mode(existing load carriage ensembles) and compact mode(new back pack) over 5 different downhill and uphill gradients(–5%, –10%, 0%, 5%, 10%) for 6 min at each gradient. During the walking trials, heart rate(HR), oxygen uptake(VO_2), respiratory frequency(RF) and energy expenditure(EE) were determined by the process of breath-by-breath gas analysis using a K4 b2 system. The average of the last 2 min data from each 6 min walking trial for each individual was subjected to statistical analysis.Results: All parameters(HR, VO_2, RF, and EE) gradually increased with the change in gradient from downhill to level to uphill. The distributed mode showed higher values compared to compact mode for all gradients, e.g., for VO_2, there was a 10.7, 7.4, 5.1, 28.2 and 18.7% increase in the distributed mode across the 5 different gradients.Conclusions: It can be concluded from the present study that the compact mode of load carriage is more beneficial than the distributed mode in terms of cardiorespiratory responses while walking on downhill and uphill surfaces with a 31.4 kg load.

《英美文学选读》辅导(19)

I.文学常识1.The Lost Generation(迷惘的一代)—It is a term for the US writers of the post-WWI generation.It is coined in a remark by Gertrude Stein to Ernest Hemingway.Besides him they included F. Scott Fitzgerald,John dos Passos,e.e.cummings and others.Their ideals shattered by the war,they felt alienated from the materialism of America in the 1920s,and many lived bohemian expatriate lives in Paris.

Three Great Reformers of the Roman Army

Rome was famous because of its strong military force and it dominate the Mediterranean Sea.However,it was facing severe shortage of soldiers for a long time during 150 BCE.This problem had enormously effect on the Roman society and political life such as the appearance of slavery in Rome and the use of violence in Rome.The reasons why Rome had shortage f soldiers were related to its own military system and political system.The three great reformers,Tiberius Gracchus,Caius Gracchus and Caius Marius tried their best to solve the problem.Gracchus brothers failed but Marius succeed.Experiences we can learn from these reforms will also be mentioned.