内毒素致大鼠肺损伤时肺组织β受体的变化与膜磷脂代谢的关系

采用放射性配基结合分析法,现察内毒大致大鼠急性肺损伤时肺β－肾上腺素能受体（β－ＡＲ）的变化。分别用荧光偏振法和高效液相色谱测定肺组织细胞膜脂流动性和磷脂含量。结果显示：（１）静脉注射内毒素后４ｈ,大鼠肺β－ＡＲ的最大结合容量明显降低,较对照组减少４７％;（２）内毒素组肺膜脂流动性和磷脂含量均明显降低,同时伴有肺组织磷脂酶Ａ２（ＰＬＡ２）活性升高。提示：（１）β－ＡＲ下调导致其介导的功能减弱,在内毒素诱导的大鼠急性肺损伤发病机理中起一定作用;（２）ＰＬＡ２激活是膜磷脂减少的重要原因,后者可导致膜脂流动性降低,结果引起β－ＡＲ的侧向扩散和旋转运劝减弱,从而减少β－ＡＲ与配基结合的机率,出现β－ＡＫ下调。     

Speaking the conflict,or how the Druze became bilingual: a study of Druze translators in the Israeli military courts in the West Bank and Gaza

The Druze community occupies a distinctive niche in the broader context of Israel/Palestine, one which is located in the interstices of various socio-political cross-currents, notably Jewish/Arab and Israeli/Palestinian. Druze Israeli identity is built around a politics of difference and separation from all other population groups residing in this area, yet it is an ambivalent and contradictory designation. This article focuses on those Druze who, through their service in the army, have been used as translators in the military courts in the occupied territories. The preference of Druze for this role relates to the fact that they have both bilingual skills (Hebrew and Arabic) and a socio-political status as 'non-Arab Arabs'. Following a general discussion of the politicization of Druze identity, I analyse the state's uses of Druze bilingualism for the purposes of maintaining and legitimizing the occupation, and the effects that fulfilling such a role have had on those who have functioned in this capacity.     

Cancer incidence among Canadian Veterans: A matched cohort study

IntroductionOccupational exposures related to military service may increase the risk of cancer for military Veterans, while high levels of fitness during service may decrease risk. However, few studies have compared this post-career cancer risk directly to the employed general population.MethodsThis retrospective cohort study used linked administrative data. Canadian Armed Forces and Royal Canadian Mounted Police Veterans in Ontario, Canada were matched 1:4 on age, sex, geography, and community-level income to a group of non-Veterans most likely to have been employed during a period similar to the Veterans’ military service. Cancer diagnoses were identified using the Ontario Cancer Registry.ResultsDuring the study period, 642 of 30 576 included Veterans (2.1%) and 3408 of the 122 293 matched general population cohort (2.8%) experienced at least one cancer diagnosis. The crude rate of cancer was 153.5 per 100 000 person-years among Veterans vs. 205.9 per 100 000 person-years for the general population cohort. After adjusting for rurality and matching variables, Veterans had an 27% lower risk of developing any cancer than their matched comparators [hazard ratio = 0.73 (95% CI: 0.67–0.80)]. Among specific cancer types, the risk of lung and colorectal cancer was significantly lower for Veterans relative to the general population cohort; the risk of breast and prostate cancer was similar.DiscussionThis study adds to the growing international evidence suggesting that risk of many cancers among Veterans is lower or similar to the general population. Further understanding of the complex relationships among occupational exposures, environmental factors, and lifestyle factors is needed.     

The effect of combat exposure on sexually transmitted diseases

Traumatic exposures can affect beliefs and behaviors related to the spread of sexually transmitted diseases (STDs), a persistent public health problem. I leverage a natural experiment created by variation in US military deployment location assignments to estimate how combat exposure changes a surviving deployed male veteran’s probability of acquiring a sexually transmitted disease. I analyze longitudinal data from 1994 to 2008 on 485 deployed veterans with information theoretic methods to reduce the sensitivity of estimates to small samples, an infrequently observed outcome, and highly correlated covariates. For veterans assigned to a combat zone, I estimate combat exposure results in a 5.4 percentage point increase in the probability of acquiring an STD. Additional estimations provide evidence suggesting risky behaviors involving substance use or multiple sexual partners may serve as pathways from combat exposure to STDs. My results are relevant to discussions regarding STD screening and care needs for trauma exposed individuals.     

军事飞行人员非酒精性脂肪肝病患者白细胞计数、C反应蛋白、尿酸与糖脂代谢、胰岛素抵抗和肝纤维化指标的相关性研究

摘要 目的：研究军事飞行人员非酒精性脂肪肝病（NAFLD）患者白细胞计数（WBC）、C反应蛋白（CRP）、尿酸（UA）与糖脂代谢、胰岛素抵抗和肝纤维化指标的相关性。方法：选择2018年7月至2021年12月期间海军青岛特勤疗养中心收治的100例NAFLD军事飞行人员作为NAFLD组,另取同期健康体检者90例作为对照组。检测并对比两组的WBC、CRP、UA、糖脂代谢、胰岛素抵抗以及肝纤维化相关指标,采用Pearson相关系数分析WBC、CRP、UA与糖脂代谢、胰岛素抵抗和肝纤维化指标的相关性。结果：NAFLD组的WBC、CRP、UA水平均明显高于对照组（P<0.05）。NAFLD组的空腹血糖（FBG）、总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）、空腹胰岛素（FINS）、稳态模型胰岛素抵抗指数（HOMA-IR）水平均高于对照组,高密度脂蛋白胆固醇（HDL-C）水平低于对照组（P<0.05）。NAFLD组的Ⅲ型前胶原肽（PC-Ⅲ）、层粘连蛋白（LN）、透明质酸（HA）、Ⅳ型胶原（Col-Ⅳ）水平均明显高于对照组（P<0.05）。Pearson相关性分析结果显示, WBC、CRP、UA与TC、TG、LDL-C、HOMA-IR、PC-Ⅲ、LN、HA、Col-Ⅳ均呈正相关,而与HDL-C呈负相关（P<0.05）; WBC、CRP、UA与FBG、FINS无显著相关性（P>0.05）。结论：军事飞行人员NAFLD患者体内WBC、CRP、UA明显升高,且与糖脂代谢紊乱、胰岛素抵抗和肝纤维化有关。     

Physiological factors in stretcher carriage performance

In this study we examined the anthropometric and physiological factors that may account for the ability to carry a casualty on a stretcher. Eleven young soldiers were pretested to obtain their anthropometry, body composition, physical fitness, and muscle cross-sectional areas. They then performed a two-person manual carry of a stretcher containing an 82-kg manikin while walking on a treadmill at a speed of 4.8 km/h. Subjects walked until volitional fatigue, as indicated by slippage of the stretcher from their hands. Average (SD) carriage time was 2.7(1.4) min with a range of 1.4-6.4 min. A stepwise multiple linear regression revealed that forearm bone-plus-muscle cross-sectional area, thigh muscle cross-sectional area, and push-up performance accounted for most of the variance in hand carriage time (r2 = 0.99, P < 0.001). These data suggest that muscle cross-sectional area and upper-body muscular endurance are important physiological factors in the ability to carry a loaded stretcher by hand.     

入伍新训中膝关节损伤的特点与防治研究

目的：通过对某部新入伍官兵训练中膝关节损伤发生原因、特点进行流行性病学调查和分析,为合理训练,预防损伤发生和 治疗相关伤病提供指导依据。方法：对某部2013 年度450 名新入伍官兵的训练伤发病情况进行统计分析,重点分析膝关节损伤 发生率、伤病类型和致伤原因,并对其严重者进行关节镜治疗,观察和分析术后随访效果。结果：某部新兵的训练伤发生率为 20.0%。以关节急性扭伤最为多见,占81.1%。其中膝关节损伤共发生32 例,占训练伤发病率为7.1%,占训练伤发病率43.8%,其 中膝关节周围肌肉损伤20 例、交叉韧带损伤1 例、半月板损伤9 例、侧副韧带损伤2 例。致伤率最高的前3 位科目是5000 米负 重跑、跨越障碍训练、格斗训练,共27 例,占膝关节训练伤总数的84.4%。所有受伤患者中,12 例行手术治疗,20 例给予石膏、支具 固定、休息等保守治疗。经随访所有患者均得到较好的功能恢复。结论：对于新兵膝关节训练伤预防工作非常重要,避免致残;关 节镜手术技术的进步对于膝关节军事训练伤治疗有良好的效果。     

医学干预对武警某部军事训练伤的影响

目的：探讨医学干预对南方某武警部队战士训练伤发生情况的影响。方法：随机将南方某武警部队的一大队,按照干预措施施训,作为干预组;另一大队按照以往常规方法进行训练,不加任何干预措施,作为对照组。观察6个月内的两大队（干预组和对照组）的训练伤发生情况。结果：骨关节和软组织损伤为常见。实施医疗干预可有效降低军事训练伤的发生率（17．95％〈29．18％）,其主要效果在于大幅度降低了骨关节损伤的发生率（6．53％〈10.31％）和软组织损伤的发生率（5．59％〈9．92％）。结论：实施医学干预可有效降低我武警部队军事训练伤的发生率。     

Effects of heat acclimatisation on work tolerance and thermoregulation in trained tropical natives

This study aimed to investigate the effects of heat acclimatisation on thermoregulatory responses and work tolerance in trained individuals residing in the tropics. Eighteen male trained soldiers, who are native to a warm and humid climate, performed a total of four heat stress tests donning the Skeletal Battle Order (SBO, 20.5 kg) and Full Battle Order (FBO, 24.7 kg) before (PRE) and after (POST) a 10-day heat acclimatisation programme. The trials were conducted in an environmental chamber (dry bulb temperature: 32 °C, relative humidity: 70%, solar radiation: 400 W/m²). Excluding the data sets of which participants fully completed the heat stress tests (210 min) before and after heat acclimatisation, work tolerance was improved from 173±30 to 201±18 min (∼21%, p<0.05, n=9) following heat acclimatisation. Following heat acclimatisation, chest skin temperature during exercise was lowered in SBO (PRE=36.7±0.3 vs. POST=36.5±0.3 °C, p<0.01) and FBO (PRE=36.8±0.4 vs. POST=36.6±0.3 °C, p<0.01). Ratings of perceived exertion were decreased with SBO and FBO (PRE=11±2; POST=10±2; p<0.05) after heat acclimatisation. Heat acclimatisation had no effects on baseline body core temperature, heart rate and sweat rate across trials (p>0.05). A heat acclimatisation programme improves work tolerance with minimal effects on thermoregulation in trained tropical natives.     

汶川地震救援人员创伤后应激反应特征的初步研究

目的:探讨5.12汶川地震军队救援人员创伤后应激损伤状况。方法:采用创伤后压力诊断量表、焦虑自评量表、抑郁自评量表和匹兹堡睡眠质量问卷,在地震爆发后65天左右,对107名执行运输遗体任务的官兵进行了测量。结果:PTSD症状轻度的占84%,中重度的占15%。其中症状在1个月内消失的占63%。从症状的分布来看,闯入性回忆占36.4%,回避29.9%,过度警觉29.9%,焦躁不安或易怒37.4%,入睡困难、睡眠易醒或早醒43.9%,难以集中注意力45.8%,对重要的活动兴趣下降32.7%。救援人员抑郁症状得分低于全国常模水平;焦虑自评量表得分与全国常模差异不显著。睡眠质量差的占72%,以入睡时间长和日间功能降低为主。结论:担任遗体运输的救援官兵在救援早期普遍存在创伤后应激反症状,症状程度较轻,多数在1个月内消失,焦虑和抑郁症状水平的总体状况也比较低,但普遍存在睡眠质量差的问题,并且直接影响到日间功能。