BACKGROUND Helicobacter pylori(H.pylori)infection is a prevalent disease encountered in military internal medicine and recognized as the main cause of dyspepsia,gastritis,and peptic ulcer,which are common diseases in ...BACKGROUND Helicobacter pylori(H.pylori)infection is a prevalent disease encountered in military internal medicine and recognized as the main cause of dyspepsia,gastritis,and peptic ulcer,which are common diseases in military personnel.Current guidelines in China state all patients with evidence of active infection with H.pylori are offered treatment.However,the prevalence of H.pylori infection and its regional distribution in the military population remain unclear,which hinders effective prevention and treatment strategies.Understanding the prevalence of H.pylori infection in the military population will aid in the development of customized strategies to better manage this infectious disease.AIM To investigate the prevalence of H.pylori infection in the Chinese military population in different geographic areas.METHODS This multicenter,retrospective study included 22421 individuals from five tertiary hospitals located in north,east,southwest,and northwest cities of China.H.pylori infection was identified using the urea breath test,which had been performed between January 2020 and December 2021.RESULTS Of the 22421 military service members,7416(33.1%)were urea breath test-positive.The highest prevalence of H.pylori was in the 30-39 years age group for military personnel,with an infection rate of 34.9%.The majority of infected subjects were younger than 40-years-old,accounting for 70.4%of the infected population.The individuals serviced in Lanzhou and Chengdu showed a higher infection prevalence than those in Beijing,Nanjing,and Guangzhou,with prevalence rates of 44.3%,37.9%,29.0%,31.1%,and 32.3%,respectively.CONCLUSION H.pylori infection remains a common infectious disease among military personnel in China and has a relatively high prevalence rate in northwest China.展开更多
Helicobacter pylori(H.pylori)infection is prevalent among Chinese military personnel,with regional rates exceeding 40%,and is a well-established risk factor for gastric cancer.Addressing this infection is vital for im...Helicobacter pylori(H.pylori)infection is prevalent among Chinese military personnel,with regional rates exceeding 40%,and is a well-established risk factor for gastric cancer.Addressing this infection is vital for improving soldiers'health and operational readiness while reducing the long-term healthcare burden.This commentary explores the feasibility and advantages of incorporating traditional Chinese medicine(TCM)into strategies for managing and preventing H.pylori infections within the military.TCM offers a multi-target mechanism that not only combats bacterial infections but also enhances gastrointestinal health and boosts immunity,making it particularly effective in high-stress environments like the military.Unlike antibiotics,TCM is less likely to induce resistance even with large-scale use,providing a sustainable treatment option.Its affordability and cultural acceptance among Chinese personnel further enhance its feasibility.Additionally,TCM's history in military medicine supports its credibility,and its flexibility allows for personalized treatment tailored to individual soldiers'needs.TCM's convenient storage and deployment make it ideal for remote and challenging environments.Integrating TCM into military healthcare systems could provide a holistic,cost-effective,and sustainable approach to managing H.pylori infections,reducing prevalence and associated risks such as gastric cancer.Future research and pilot programs are essential to validate TCM's effectiveness and implementation in military settings.展开更多
Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological ...Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological resources,particularly hope,can protect against PTSD and promote post-traumatic growth^([3]).Hope,conceptualized as both a trait and a state,contributes to well-being and resilience and is negatively associated with PTSD symptoms,representing a psychological factor while mitigating the impact of trauma by fostering resilience and adaptive coping mechanisms.展开更多
This article examines the study by Lin et al,which explores the effects of night sentry duties on cardiometabolic health in military personnel.The research identifies significant correlations between the frequency of ...This article examines the study by Lin et al,which explores the effects of night sentry duties on cardiometabolic health in military personnel.The research identifies significant correlations between the frequency of night shifts and nega-tive cardiometabolic outcomes,such as elevated resting pulse rates and lowered levels of high-density lipoprotein cholesterol.These outcomes underscore the health risks linked to partial sleep deprivation,a common challenge in military environments.The editorial highlights the clinical significance of these findings,advocating for the implementation of targeted health interventions to mitigate these risks.Strategies such as structured sleep recovery programs and lifestyle modifications are recommended to improve the health management of military personnel engaged in nocturnal duties.By addressing these issues,military health management can better safeguard the well-being and operational readiness of its personnel.展开更多
BACKGROUND Military personnel frequently face unique psychological challenges due to highstress environments,which increase the risk of mental health issues like anxiety and depression.Acceptance and commitment therap...BACKGROUND Military personnel frequently face unique psychological challenges due to highstress environments,which increase the risk of mental health issues like anxiety and depression.Acceptance and commitment therapy(ACT)has shown potential in addressing these issues by enhancing psychological flexibility and resilience.AIM To systematically evaluate the effectiveness of ACT in improving the mental health of military personnel.Through a scoping review and meta-analysis,we quantitatively assess the impact of ACT on psychological outcomes,guiding future research and clinical practice.METHODS Relevant literature was searched systematically from database inception to June 30,2023,across multiple databases,including PubMed,Web of Science,Cochrane Library,and Embase.The Joanna Briggs Institute's(JBI)scoping review guidelines were used as the methodological framework.Meta-analysis was performed using a random-effects model,and publication bias was assessed through Egger's regression test and Begg's funnel plot.RESULTS Twenty-six studies were included,highlighting the application of ACT in addressing PTSD,chronic pain,anxiety,and depression among military personnel.The meta-analysis of eight studies demonstrated a significant positive effect of ACT on mental health,with a pooled mean difference of-4.99(95%CI:-6.53 to-3.45).Despite high heterogeneity(I^(2)=63%),sensitivity analyses confirmed the robustness of the findings.CONCLUSION This study underscores the potential of ACT as an effective intervention for improving the mental health of military personnel.Future research should focus on large-scale,multi-center RCTs to further validate these findings,particularly within diverse military populations.展开更多
Military medicine is important in both war and peace. In China, military medicine plays a key role in supporting and maintaining health, in preventing injuries and diseases in military staff and in enhancing the milit...Military medicine is important in both war and peace. In China, military medicine plays a key role in supporting and maintaining health, in preventing injuries and diseases in military staff and in enhancing the military armed forces during war. Additionally, military medicine participates in actions such as emergency public health crises, natural disasters, emerging conflicts and anti-terrorist campaigns during peacetime. In this paper, we summary the current condition and achievements in military medicine in China and provide our perspective for its future.展开更多
Since its establishment in 2014,Military Medical Research has come a long way in becoming a premier journal for scientific articles from various different specialties,with a special emphasis on topics with military re...Since its establishment in 2014,Military Medical Research has come a long way in becoming a premier journal for scientific articles from various different specialties,with a special emphasis on topics with military relevance.The field of military medicine may be obscure,and may not be readily encountered by the typical clinician on a day-today basis.This journal aims not only to pursue excellence in military research,but also to keep current with the latest advancements on general medical topics from each and every specialty.This editorial serves to recap and synthesize the existing progress,updates and future needs of military medical excellence,discussing foremostly the unique traits of literature published in this journal,and subsequently presenting the discourse regarding wartime and peacetime medicine,the role of the military in a public health emergency,as well as wound healing and organ regeneration.Special attention has been devoted to military topics to shed light on the effects of Chemical,Biological,Radiological and Explosive warfare,environmental medicine and military psychiatry,topics which rarely have a chance to be discussed elsewhere.The interconnectedness between military combat and soldier physical and mental well-being is intricate,and has been distorted by pandemics such as coronavirus disease 2019(COVID-19).This journal has come a long way since its first article was published,steadily contributing to the existing knowledge pool on general medical topics with a military slant.Only with continuous research and sharing,can we build upon the work of the scientific community,with hopes for the betterment of patient care.展开更多
Background: Military medicine cadets undergo strenuous military training alongside demanding medical studies. This stressful and complex educational environment can lead to the emergence of depressive symptoms. We inv...Background: Military medicine cadets undergo strenuous military training alongside demanding medical studies. This stressful and complex educational environment can lead to the emergence of depressive symptoms. We investigated the prevalence of depressive symptoms in a cohort of military medicine cadets.Methods: We conducted a descriptive questionnaire-based cross-sectional study among Greek military medicine cadets in the undergraduate program of the Hellenic Military School of Combat Support Officers. The Greek translation of the Zung self-rating depression scale questionnaire was used to screen for the presence of depressive symptoms. In addition, demographic, academic and dietary information was collected. The Shapiro-Wilk test of normality, Pearson correlation test, Chi-square test, t-test and Mann Whitney U test were employed for statistical analysis.Results: We enrolled 55 female and 91 male military medicine cadets with a mean age of 19.84 years(SD=0.99). The mean Zung crude score was 43.32(SD=4.55): 42.8(SD=4.43) for female cadets and 43.64(SD=4.6) for male cadets. Cadets were further subdivided into low and high risk groups for the presence of depressive symptoms. We identified 57(39%) cadets with a total Zung crude score of 45 or above: 21 females and 36 males. Statistical analysis did not reveal any significant differences between the two groups based on gender, year of training, academic performance, alcohol consumption, smoking status, vitamin supplementation, dietary habits or BMI.Conclusion: We report a high prevalence of depressive symptoms in a cohort of military medicine cadets that underscores the need for effective screening and appropriate and timely interventions. We did not identify any related risk factors. Military medicine cadets are exposed to a challenging military and medical training environment, and thus represent a group at risk for development of depression.展开更多
Recently,Internet of Things(IoT)technology has provided logistics services to many disciplines such as agriculture,industry,and medicine.Thus,it has become one of the most important scientific research fields.Applying...Recently,Internet of Things(IoT)technology has provided logistics services to many disciplines such as agriculture,industry,and medicine.Thus,it has become one of the most important scientific research fields.Applying IoT to military domain has many challenges such as fault tolerance and QoS.In this paper,IoT technology is applied on the military field to create an Internet of Military Things(IoMT)system.Here,the architecture of the aforementioned IoMT system is proposed.This architecture consists of four main layers:Communication,information,application,and decision support.These layers provided a fault tolerant coverage communication system for IoMT things.Moreover,it implemented data reduction methods such as filtering,compression,abstraction,and data prioritization queuing system to guarantee QoS for the transmitted data.Furthermore,it used decision support technology and IoMT application unification ideas.Finally,to evaluate the IoMT system,an intensive simulation environment is constructed using the network simulation package,NS3.The simulation results proved that the proposed IoMT system outperformed the traditional military system with regard to the performance metrics,packet loss,end-to-end delay,throughput,energy consumption ratio,and data reduction rate.展开更多
Civil-military inosculation of military enterprises benefits national defense industries by promoting the building of civil-military inosculation innovation system. To analyze the operation mechanism of the civil-mili...Civil-military inosculation of military enterprises benefits national defense industries by promoting the building of civil-military inosculation innovation system. To analyze the operation mechanism of the civil-military integrated innovation system of the military enterprises under the new situation, the system dynamics method is used to study the feedback relations among the factors and structure of the system and the Anylogic software is used to establish the simulation model . The simulation results indicate that： the degree of enthusiasm of private enterprises to participate in the defense industry, the degree of information sharing and the degree of cooperation between the mili- tary enterprises and universities and research institutions are extremely important in the civil-military integrated innovation system. According to the simulation results, some targeted suggestions are put forward to strengthen the innovational civil-military integrated system building of the military enter- prises.展开更多
No research has been done to explore how the Chinese military classics have been studied and translated in the west.In order to fill the void,this paper tries to study Thomas Cleary’s translation of Chinese military ...No research has been done to explore how the Chinese military classics have been studied and translated in the west.In order to fill the void,this paper tries to study Thomas Cleary’s translation of Chinese military classics.展开更多
Military English is taught not only as a linguistic code,but also as part of CIP(Curriculum of Ideology and Politics)education.The paper clarifies the connotations of CIP education,and describes the problems of CIP ed...Military English is taught not only as a linguistic code,but also as part of CIP(Curriculum of Ideology and Politics)education.The paper clarifies the connotations of CIP education,and describes the problems of CIP education in military English teaching.Then the authors address the importance of military culture and its spiritual cultivation in military English classrooms as an indispensable part of CIP education,and construct a model to incorporate military culture into language skills development and practice in military English teaching.Besides,the methods of CIP education in military English teaching are also discussed in the paper.展开更多
In August 1963, Israel＇s Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence （1948） with regard to Israeli Arabs. Martial law discri...In August 1963, Israel＇s Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence （1948） with regard to Israeli Arabs. Martial law discriminated against Israel＇s Arab minority, as opposed to the majority of Israel＇s society, as part of different issues bound up with this population＇s daily functioning. The aim of the paper is to present the reasons why Eshkol＇s doing away with the martial law stemmed was its ineffectiveness, while the other, and this makes up the core of our concern here, was his changing attitude toward the Arab minority in Israel, by contrast with that of his predecessor, David Ben Gurion The main conclusion of the paper is that even though Eshkol＇s ideas about the Arab minority were not very different from Ben Gurion＇s ideas one insisted on maintaining the military government in Israel, while the other saw this as unnecessary, and so brought it to an end. In August 1963, a few months after assuming office, Israel＇s Prime Minister Levi Eshkol initiated the first steps leading to the annulment of military rulet which had applied to Arabs in the State of Israel ever since the end of the War of Independence （1948）. This process was concluded some three years later. Military rule was lifted in effect on December 1, 1966. In the presentation, the author would like to look into the considerations which prompted Eshkol to take such a step, in light of the fact that his predecessor, Ben Gurion, was a staunch opponent of annulling the military regime, convinced as he was, even after the conclusion of his term in office, that the current state of affairs should remain in effect.展开更多
Military psychiatry, a new subcategory of psychiatry, has become an invaluable, intangible effect of the war. In this review, we begin by examining related military research, summarizing the related epidemiological da...Military psychiatry, a new subcategory of psychiatry, has become an invaluable, intangible effect of the war. In this review, we begin by examining related military research, summarizing the related epidemiological data, neuropathology, and the research achievements of diagnosis and treatment technology, and discussing its comorbidity and sequelae. To date, advances in neuroimaging and molecular biology have greatly boosted the studies on military traumatic brain injury(TBI). In particular, in terms of pathophysiological mechanisms, several preclinical studies have identified abnormal protein accumulation, blood–brain barrier damage, and brain metabolism abnormalities involved in the development of TBI. As an important concept in the field of psychiatry, TBI is based on organic injury, which is largely different from many other mental disorders. Therefore, military TBI is both neuropathic and psychopathic, and is an emerging challenge at the intersection of neurology and psychiatry.展开更多
In order to estimate the readiness, sustainability and support capability of the operational unit, an support simulation concept model of the military equipment is given as viewed from the system engineering modeling ...In order to estimate the readiness, sustainability and support capability of the operational unit, an support simulation concept model of the military equipment is given as viewed from the system engineering modeling and simulation. Simulation test of military aircraft is analyzed in detail, it is composed of the operational mission, function maintenance process and resource modeling.展开更多
Olfaction is one of our 5 main qualitative sensory abilities. In this review, we have examined the physiology of olfaction from the olfactory receptor to the brain. Through analyzing the physiology of olfaction, we ha...Olfaction is one of our 5 main qualitative sensory abilities. In this review, we have examined the physiology of olfaction from the olfactory receptor to the brain. Through analyzing the physiology of olfaction, we have found that the biochemistry of olfactory nerve stimulation is unique from that of other similar pathways. Upon receiving large amounts of input from the olfactory nerve, the olfactory bulb, followed by several layers of centrifugal and centripetal processing in the brain, has to sort the information from the input as well as integrate it with other inputs from the brain to develop a coherent understanding of the input. We then examined the implications of olfaction in the military, the practical applications of electronic noses and problems associated with injury to olfaction that could affect compensation and combat worthiness of a soldier following injury. In the military, olfaction can allow the army to perform at its best through 4 main methods, namely ensuring olfaction is consistent with other dimensions of perception(ensuring optimal olfaction ability in all soldiers in combat), understanding the impact of different common combat environments on the sense of smell, utilizing odor as a defense mechanism and using olfactory aids when necessary. Electronic noses are olfactory aids that have a large potential in the military ranging from saving lives through the detection of explosives to potential methods for improving combustion efficiency. There are several problems associated with injury to olfaction that should be considered when deciding on compensation and combat worthiness of the soldier following an injury.展开更多
Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal v...Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed Forces.Case presentation: Herein, we present a case of a 19-year-old male who reported having a solitary right kidney when examined in a military training center of Northern Greece. No additional clinical information was available;thus, referral to a tertiary urology department for further investigation ensued. Imaging studies, namely, computed tomography and magnetic resonance imaging, revealed left renal aplasia, multiple left seminal vesicle cysts, and ejaculatory duct obstruction. Laboratory values and urinalysis were within normal range. Semen analysis was significant for cryptozoospermia. Our patient remained asymptomatic during the entire hospitalization. Long-term follow-up was recommended. Nevertheless, he declined further investigation and sought treatment in a private practice setting.Conclusions: This article aims to present the incidental diagnosis of a rare syndrome in a military setting. Population screening conducted in the armed forces permits the identification of undiagnosed diseases that warrant further investigation. To the best of our knowledge, this was the first report of Zinner syndrome in a military recruit and the second case cited of a Greek patient in the published literature. Regular follow-up is the key to timely intervention in conservatively managed cases.展开更多
Background: To explore the relationship between acute stress, social support and sleep disorder in grass-root military personnel, and construct the relational model through structural equation modeling. Methods: A tot...Background: To explore the relationship between acute stress, social support and sleep disorder in grass-root military personnel, and construct the relational model through structural equation modeling. Methods: A total of 2,411 grass-root military personnel were randomly selected by cluster sampling, and administered the Chinese Military Personnel Sleep Disorder Scale, Military Acute Stress Scale and Social Support Rating Scale.Results: The total score of acute stress scale was positively correlated with the total score and factor scores of sleep disorder scale(r=0.209~0.465, P【0.01); The total score of social support scale was positively correlated with the total score of acute stress scale and the total score and factor scores of sleep disorder scale(r=0.356~0.537, P【0.01). The analysis of mediating effects showed that lack of social support partially mediated between acute stress and the factors of sleep disorder. The analysis of structural equation model showed that acute stress not only had a direct effect on sleep disorder(the path coefficient was 0.29, P=0.000), but also on lack of social support(the path coefficient was 0.39, P=0.000); lack of social support had a direct effect on sleep disorder(the path coefficient was 0.48, P=0.000).Conclusions: Acute stress and lack of social support are two significant factors of sleep disorder in grass-root military personnel. Well-established social support could alleviate sleep disorder induced by acute stress. Lack of social support was a partial mediator between acute stress and sleep disorder.展开更多
OBJECTIVE： In China, people have relied on traditional Chinese medicine （TCM） for thousands of years to keep healthy and treat diseases. TCM also plays an important role in military health services and now forms a ...OBJECTIVE： In China, people have relied on traditional Chinese medicine （TCM） for thousands of years to keep healthy and treat diseases. TCM also plays an important role in military health services and now forms a new discipline called military Chinese medicine （MCM）. However, the type, quality and focus of research articles about MCM have not been reported. The present study was performed to analyze the growing trends of MCM and investigate China＇s contribution to military health services. METHODS： China＇s MCM publications were retrieved from the PubMed database, as well as China Nationa~ Knowledge Infrastructure, Wanfang Data and Chongqing VIP database from 2005 to 2014. RESULTS： The study found that the number of published articles increased markedly from 2005 to 2014 Basic research studies comprised a small percentage of the literature. Among these studies, military training injury and special military environmental medicine were the most common research subjects in MCM. Military hospitals were the main institutions generating MCM literature. CONCLUSION： The quality of MCM research is generally low, as indicated by the proportion of publications in core journals. Studies on MCM still lack high-quality publications and internationa cooperation.展开更多
Background: Musculoskeletal injuries(MSkIs) are a leading cause of health care utilization, as well as limited duty and disability in the US military and other armed forces. MSkIs affect members of the military during...Background: Musculoskeletal injuries(MSkIs) are a leading cause of health care utilization, as well as limited duty and disability in the US military and other armed forces. MSkIs affect members of the military during initial training,operational training, and deployment and have a direct negative impact on overall troop readiness. Currently, a systematic overview of all risk factors for MSkIs in the military is not available.Methods: A systematic literature search was carried out using the PubMed, Ovid/Medline, and Web of Science databases from January 1, 2000 to September 10, 2019. Additionally, a reference list scan was performed(using the “snowball method”). Thereafter, an international, multidisciplinary expert panel scored the level of evidence per risk factor, and a classification of modifiable/non-modifiable was made.Results: In total, 176 original papers and 3 meta-analyses were included in the review. A list of 57 reported potential risk factors was formed. For 21 risk factors, the level of evidence was considered moderate or strong. Based on this literature review and an in-depth analysis, the expert panel developed a model to display the most relevant risk factors identified, introducing the idea of the “order of importance” and including concepts that are modifiable/nonmodifiable, as well as extrinsic/intrinsic risk factors.Conclusions: This is the qualitative systematic review of studies on risk factors for MSkIs in the military that has attempted to be all-inclusive. A total of 57 different potential risk factors were identified, and a new, prioritizing injury model was developed. This model may help us to understand risk factors that can be addressed, and in which order they should be prioritized when planning intervention strategies within military groups.展开更多
文摘BACKGROUND Helicobacter pylori(H.pylori)infection is a prevalent disease encountered in military internal medicine and recognized as the main cause of dyspepsia,gastritis,and peptic ulcer,which are common diseases in military personnel.Current guidelines in China state all patients with evidence of active infection with H.pylori are offered treatment.However,the prevalence of H.pylori infection and its regional distribution in the military population remain unclear,which hinders effective prevention and treatment strategies.Understanding the prevalence of H.pylori infection in the military population will aid in the development of customized strategies to better manage this infectious disease.AIM To investigate the prevalence of H.pylori infection in the Chinese military population in different geographic areas.METHODS This multicenter,retrospective study included 22421 individuals from five tertiary hospitals located in north,east,southwest,and northwest cities of China.H.pylori infection was identified using the urea breath test,which had been performed between January 2020 and December 2021.RESULTS Of the 22421 military service members,7416(33.1%)were urea breath test-positive.The highest prevalence of H.pylori was in the 30-39 years age group for military personnel,with an infection rate of 34.9%.The majority of infected subjects were younger than 40-years-old,accounting for 70.4%of the infected population.The individuals serviced in Lanzhou and Chengdu showed a higher infection prevalence than those in Beijing,Nanjing,and Guangzhou,with prevalence rates of 44.3%,37.9%,29.0%,31.1%,and 32.3%,respectively.CONCLUSION H.pylori infection remains a common infectious disease among military personnel in China and has a relatively high prevalence rate in northwest China.
基金Supported by Shenzhen Science and Technology Program,No.RCBS20231211090733052 and No.JCYJ20240813150221028Guangdong Basic and Applied Basic Research Foundation,No.2023A1515111044and Postdoctoral Fellowship Program of CPSF,No.GZC20233233.
文摘Helicobacter pylori(H.pylori)infection is prevalent among Chinese military personnel,with regional rates exceeding 40%,and is a well-established risk factor for gastric cancer.Addressing this infection is vital for improving soldiers'health and operational readiness while reducing the long-term healthcare burden.This commentary explores the feasibility and advantages of incorporating traditional Chinese medicine(TCM)into strategies for managing and preventing H.pylori infections within the military.TCM offers a multi-target mechanism that not only combats bacterial infections but also enhances gastrointestinal health and boosts immunity,making it particularly effective in high-stress environments like the military.Unlike antibiotics,TCM is less likely to induce resistance even with large-scale use,providing a sustainable treatment option.Its affordability and cultural acceptance among Chinese personnel further enhance its feasibility.Additionally,TCM's history in military medicine supports its credibility,and its flexibility allows for personalized treatment tailored to individual soldiers'needs.TCM's convenient storage and deployment make it ideal for remote and challenging environments.Integrating TCM into military healthcare systems could provide a holistic,cost-effective,and sustainable approach to managing H.pylori infections,reducing prevalence and associated risks such as gastric cancer.Future research and pilot programs are essential to validate TCM's effectiveness and implementation in military settings.
基金supported by the Institut de Recherche Biomédicale des Armées(Brétigny-sur-Orge,France).
文摘Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological resources,particularly hope,can protect against PTSD and promote post-traumatic growth^([3]).Hope,conceptualized as both a trait and a state,contributes to well-being and resilience and is negatively associated with PTSD symptoms,representing a psychological factor while mitigating the impact of trauma by fostering resilience and adaptive coping mechanisms.
基金Supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education,No.NRF-RS-2023-00237287.
文摘This article examines the study by Lin et al,which explores the effects of night sentry duties on cardiometabolic health in military personnel.The research identifies significant correlations between the frequency of night shifts and nega-tive cardiometabolic outcomes,such as elevated resting pulse rates and lowered levels of high-density lipoprotein cholesterol.These outcomes underscore the health risks linked to partial sleep deprivation,a common challenge in military environments.The editorial highlights the clinical significance of these findings,advocating for the implementation of targeted health interventions to mitigate these risks.Strategies such as structured sleep recovery programs and lifestyle modifications are recommended to improve the health management of military personnel engaged in nocturnal duties.By addressing these issues,military health management can better safeguard the well-being and operational readiness of its personnel.
文摘BACKGROUND Military personnel frequently face unique psychological challenges due to highstress environments,which increase the risk of mental health issues like anxiety and depression.Acceptance and commitment therapy(ACT)has shown potential in addressing these issues by enhancing psychological flexibility and resilience.AIM To systematically evaluate the effectiveness of ACT in improving the mental health of military personnel.Through a scoping review and meta-analysis,we quantitatively assess the impact of ACT on psychological outcomes,guiding future research and clinical practice.METHODS Relevant literature was searched systematically from database inception to June 30,2023,across multiple databases,including PubMed,Web of Science,Cochrane Library,and Embase.The Joanna Briggs Institute's(JBI)scoping review guidelines were used as the methodological framework.Meta-analysis was performed using a random-effects model,and publication bias was assessed through Egger's regression test and Begg's funnel plot.RESULTS Twenty-six studies were included,highlighting the application of ACT in addressing PTSD,chronic pain,anxiety,and depression among military personnel.The meta-analysis of eight studies demonstrated a significant positive effect of ACT on mental health,with a pooled mean difference of-4.99(95%CI:-6.53 to-3.45).Despite high heterogeneity(I^(2)=63%),sensitivity analyses confirmed the robustness of the findings.CONCLUSION This study underscores the potential of ACT as an effective intervention for improving the mental health of military personnel.Future research should focus on large-scale,multi-center RCTs to further validate these findings,particularly within diverse military populations.
基金supported in part by the National Nature Science Foundation of China (81121004, 81230041)the National Basic Science and Development Program (973 Program, 2012CB518105)Military Medical Research Foundation in China (AWS11J008)
文摘Military medicine is important in both war and peace. In China, military medicine plays a key role in supporting and maintaining health, in preventing injuries and diseases in military staff and in enhancing the military armed forces during war. Additionally, military medicine participates in actions such as emergency public health crises, natural disasters, emerging conflicts and anti-terrorist campaigns during peacetime. In this paper, we summary the current condition and achievements in military medicine in China and provide our perspective for its future.
文摘Since its establishment in 2014,Military Medical Research has come a long way in becoming a premier journal for scientific articles from various different specialties,with a special emphasis on topics with military relevance.The field of military medicine may be obscure,and may not be readily encountered by the typical clinician on a day-today basis.This journal aims not only to pursue excellence in military research,but also to keep current with the latest advancements on general medical topics from each and every specialty.This editorial serves to recap and synthesize the existing progress,updates and future needs of military medical excellence,discussing foremostly the unique traits of literature published in this journal,and subsequently presenting the discourse regarding wartime and peacetime medicine,the role of the military in a public health emergency,as well as wound healing and organ regeneration.Special attention has been devoted to military topics to shed light on the effects of Chemical,Biological,Radiological and Explosive warfare,environmental medicine and military psychiatry,topics which rarely have a chance to be discussed elsewhere.The interconnectedness between military combat and soldier physical and mental well-being is intricate,and has been distorted by pandemics such as coronavirus disease 2019(COVID-19).This journal has come a long way since its first article was published,steadily contributing to the existing knowledge pool on general medical topics with a military slant.Only with continuous research and sharing,can we build upon the work of the scientific community,with hopes for the betterment of patient care.
基金the Military School of Combat Support Officers Command for providing a supportive research environment
文摘Background: Military medicine cadets undergo strenuous military training alongside demanding medical studies. This stressful and complex educational environment can lead to the emergence of depressive symptoms. We investigated the prevalence of depressive symptoms in a cohort of military medicine cadets.Methods: We conducted a descriptive questionnaire-based cross-sectional study among Greek military medicine cadets in the undergraduate program of the Hellenic Military School of Combat Support Officers. The Greek translation of the Zung self-rating depression scale questionnaire was used to screen for the presence of depressive symptoms. In addition, demographic, academic and dietary information was collected. The Shapiro-Wilk test of normality, Pearson correlation test, Chi-square test, t-test and Mann Whitney U test were employed for statistical analysis.Results: We enrolled 55 female and 91 male military medicine cadets with a mean age of 19.84 years(SD=0.99). The mean Zung crude score was 43.32(SD=4.55): 42.8(SD=4.43) for female cadets and 43.64(SD=4.6) for male cadets. Cadets were further subdivided into low and high risk groups for the presence of depressive symptoms. We identified 57(39%) cadets with a total Zung crude score of 45 or above: 21 females and 36 males. Statistical analysis did not reveal any significant differences between the two groups based on gender, year of training, academic performance, alcohol consumption, smoking status, vitamin supplementation, dietary habits or BMI.Conclusion: We report a high prevalence of depressive symptoms in a cohort of military medicine cadets that underscores the need for effective screening and appropriate and timely interventions. We did not identify any related risk factors. Military medicine cadets are exposed to a challenging military and medical training environment, and thus represent a group at risk for development of depression.
基金funded by Taif University Researchers Supporting Project number(TURSP-2020/60),Taif University,Taif,Saudi Arabia.
文摘Recently,Internet of Things(IoT)technology has provided logistics services to many disciplines such as agriculture,industry,and medicine.Thus,it has become one of the most important scientific research fields.Applying IoT to military domain has many challenges such as fault tolerance and QoS.In this paper,IoT technology is applied on the military field to create an Internet of Military Things(IoMT)system.Here,the architecture of the aforementioned IoMT system is proposed.This architecture consists of four main layers:Communication,information,application,and decision support.These layers provided a fault tolerant coverage communication system for IoMT things.Moreover,it implemented data reduction methods such as filtering,compression,abstraction,and data prioritization queuing system to guarantee QoS for the transmitted data.Furthermore,it used decision support technology and IoMT application unification ideas.Finally,to evaluate the IoMT system,an intensive simulation environment is constructed using the network simulation package,NS3.The simulation results proved that the proposed IoMT system outperformed the traditional military system with regard to the performance metrics,packet loss,end-to-end delay,throughput,energy consumption ratio,and data reduction rate.
基金Supported by the National Science Foundation of China(91024019)
文摘Civil-military inosculation of military enterprises benefits national defense industries by promoting the building of civil-military inosculation innovation system. To analyze the operation mechanism of the civil-military integrated innovation system of the military enterprises under the new situation, the system dynamics method is used to study the feedback relations among the factors and structure of the system and the Anylogic software is used to establish the simulation model . The simulation results indicate that： the degree of enthusiasm of private enterprises to participate in the defense industry, the degree of information sharing and the degree of cooperation between the mili- tary enterprises and universities and research institutions are extremely important in the civil-military integrated innovation system. According to the simulation results, some targeted suggestions are put forward to strengthen the innovational civil-military integrated system building of the military enter- prises.
文摘No research has been done to explore how the Chinese military classics have been studied and translated in the west.In order to fill the void,this paper tries to study Thomas Cleary’s translation of Chinese military classics.
基金The article is supported by 2020 Curriculum of Ideology and Politics Construction Project of Hunan Higher Education(Grant No.HNKCSZ-2020-0007).
文摘Military English is taught not only as a linguistic code,but also as part of CIP(Curriculum of Ideology and Politics)education.The paper clarifies the connotations of CIP education,and describes the problems of CIP education in military English teaching.Then the authors address the importance of military culture and its spiritual cultivation in military English classrooms as an indispensable part of CIP education,and construct a model to incorporate military culture into language skills development and practice in military English teaching.Besides,the methods of CIP education in military English teaching are also discussed in the paper.
文摘In August 1963, Israel＇s Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence （1948） with regard to Israeli Arabs. Martial law discriminated against Israel＇s Arab minority, as opposed to the majority of Israel＇s society, as part of different issues bound up with this population＇s daily functioning. The aim of the paper is to present the reasons why Eshkol＇s doing away with the martial law stemmed was its ineffectiveness, while the other, and this makes up the core of our concern here, was his changing attitude toward the Arab minority in Israel, by contrast with that of his predecessor, David Ben Gurion The main conclusion of the paper is that even though Eshkol＇s ideas about the Arab minority were not very different from Ben Gurion＇s ideas one insisted on maintaining the military government in Israel, while the other saw this as unnecessary, and so brought it to an end. In August 1963, a few months after assuming office, Israel＇s Prime Minister Levi Eshkol initiated the first steps leading to the annulment of military rulet which had applied to Arabs in the State of Israel ever since the end of the War of Independence （1948）. This process was concluded some three years later. Military rule was lifted in effect on December 1, 1966. In the presentation, the author would like to look into the considerations which prompted Eshkol to take such a step, in light of the fact that his predecessor, Ben Gurion, was a staunch opponent of annulling the military regime, convinced as he was, even after the conclusion of his term in office, that the current state of affairs should remain in effect.
基金supported by the Zhejiang Provincial Key Research and Development Program (2021C03107)。
文摘Military psychiatry, a new subcategory of psychiatry, has become an invaluable, intangible effect of the war. In this review, we begin by examining related military research, summarizing the related epidemiological data, neuropathology, and the research achievements of diagnosis and treatment technology, and discussing its comorbidity and sequelae. To date, advances in neuroimaging and molecular biology have greatly boosted the studies on military traumatic brain injury(TBI). In particular, in terms of pathophysiological mechanisms, several preclinical studies have identified abnormal protein accumulation, blood–brain barrier damage, and brain metabolism abnormalities involved in the development of TBI. As an important concept in the field of psychiatry, TBI is based on organic injury, which is largely different from many other mental disorders. Therefore, military TBI is both neuropathic and psychopathic, and is an emerging challenge at the intersection of neurology and psychiatry.
文摘In order to estimate the readiness, sustainability and support capability of the operational unit, an support simulation concept model of the military equipment is given as viewed from the system engineering modeling and simulation. Simulation test of military aircraft is analyzed in detail, it is composed of the operational mission, function maintenance process and resource modeling.
文摘Olfaction is one of our 5 main qualitative sensory abilities. In this review, we have examined the physiology of olfaction from the olfactory receptor to the brain. Through analyzing the physiology of olfaction, we have found that the biochemistry of olfactory nerve stimulation is unique from that of other similar pathways. Upon receiving large amounts of input from the olfactory nerve, the olfactory bulb, followed by several layers of centrifugal and centripetal processing in the brain, has to sort the information from the input as well as integrate it with other inputs from the brain to develop a coherent understanding of the input. We then examined the implications of olfaction in the military, the practical applications of electronic noses and problems associated with injury to olfaction that could affect compensation and combat worthiness of a soldier following injury. In the military, olfaction can allow the army to perform at its best through 4 main methods, namely ensuring olfaction is consistent with other dimensions of perception(ensuring optimal olfaction ability in all soldiers in combat), understanding the impact of different common combat environments on the sense of smell, utilizing odor as a defense mechanism and using olfactory aids when necessary. Electronic noses are olfactory aids that have a large potential in the military ranging from saving lives through the detection of explosives to potential methods for improving combustion efficiency. There are several problems associated with injury to olfaction that should be considered when deciding on compensation and combat worthiness of the soldier following an injury.
文摘Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed Forces.Case presentation: Herein, we present a case of a 19-year-old male who reported having a solitary right kidney when examined in a military training center of Northern Greece. No additional clinical information was available;thus, referral to a tertiary urology department for further investigation ensued. Imaging studies, namely, computed tomography and magnetic resonance imaging, revealed left renal aplasia, multiple left seminal vesicle cysts, and ejaculatory duct obstruction. Laboratory values and urinalysis were within normal range. Semen analysis was significant for cryptozoospermia. Our patient remained asymptomatic during the entire hospitalization. Long-term follow-up was recommended. Nevertheless, he declined further investigation and sought treatment in a private practice setting.Conclusions: This article aims to present the incidental diagnosis of a rare syndrome in a military setting. Population screening conducted in the armed forces permits the identification of undiagnosed diseases that warrant further investigation. To the best of our knowledge, this was the first report of Zinner syndrome in a military recruit and the second case cited of a Greek patient in the published literature. Regular follow-up is the key to timely intervention in conservatively managed cases.
基金supported by the special fund of applied military mental health project of the China, the Prevention and Treatment Centre for Psychological Diseases of PLA in the PLA 102nd Hospital, Public Health Division of Joint Logistics Department of Nanjing Military Command
文摘Background: To explore the relationship between acute stress, social support and sleep disorder in grass-root military personnel, and construct the relational model through structural equation modeling. Methods: A total of 2,411 grass-root military personnel were randomly selected by cluster sampling, and administered the Chinese Military Personnel Sleep Disorder Scale, Military Acute Stress Scale and Social Support Rating Scale.Results: The total score of acute stress scale was positively correlated with the total score and factor scores of sleep disorder scale(r=0.209~0.465, P【0.01); The total score of social support scale was positively correlated with the total score of acute stress scale and the total score and factor scores of sleep disorder scale(r=0.356~0.537, P【0.01). The analysis of mediating effects showed that lack of social support partially mediated between acute stress and the factors of sleep disorder. The analysis of structural equation model showed that acute stress not only had a direct effect on sleep disorder(the path coefficient was 0.29, P=0.000), but also on lack of social support(the path coefficient was 0.39, P=0.000); lack of social support had a direct effect on sleep disorder(the path coefficient was 0.48, P=0.000).Conclusions: Acute stress and lack of social support are two significant factors of sleep disorder in grass-root military personnel. Well-established social support could alleviate sleep disorder induced by acute stress. Lack of social support was a partial mediator between acute stress and sleep disorder.
基金supported from Three-year Traditional Chinese Medicine Development Foundation of Shanghai (No.ZY3-CCCX-3-7002)
文摘OBJECTIVE： In China, people have relied on traditional Chinese medicine （TCM） for thousands of years to keep healthy and treat diseases. TCM also plays an important role in military health services and now forms a new discipline called military Chinese medicine （MCM）. However, the type, quality and focus of research articles about MCM have not been reported. The present study was performed to analyze the growing trends of MCM and investigate China＇s contribution to military health services. METHODS： China＇s MCM publications were retrieved from the PubMed database, as well as China Nationa~ Knowledge Infrastructure, Wanfang Data and Chongqing VIP database from 2005 to 2014. RESULTS： The study found that the number of published articles increased markedly from 2005 to 2014 Basic research studies comprised a small percentage of the literature. Among these studies, military training injury and special military environmental medicine were the most common research subjects in MCM. Military hospitals were the main institutions generating MCM literature. CONCLUSION： The quality of MCM research is generally low, as indicated by the proportion of publications in core journals. Studies on MCM still lack high-quality publications and internationa cooperation.
文摘Background: Musculoskeletal injuries(MSkIs) are a leading cause of health care utilization, as well as limited duty and disability in the US military and other armed forces. MSkIs affect members of the military during initial training,operational training, and deployment and have a direct negative impact on overall troop readiness. Currently, a systematic overview of all risk factors for MSkIs in the military is not available.Methods: A systematic literature search was carried out using the PubMed, Ovid/Medline, and Web of Science databases from January 1, 2000 to September 10, 2019. Additionally, a reference list scan was performed(using the “snowball method”). Thereafter, an international, multidisciplinary expert panel scored the level of evidence per risk factor, and a classification of modifiable/non-modifiable was made.Results: In total, 176 original papers and 3 meta-analyses were included in the review. A list of 57 reported potential risk factors was formed. For 21 risk factors, the level of evidence was considered moderate or strong. Based on this literature review and an in-depth analysis, the expert panel developed a model to display the most relevant risk factors identified, introducing the idea of the “order of importance” and including concepts that are modifiable/nonmodifiable, as well as extrinsic/intrinsic risk factors.Conclusions: This is the qualitative systematic review of studies on risk factors for MSkIs in the military that has attempted to be all-inclusive. A total of 57 different potential risk factors were identified, and a new, prioritizing injury model was developed. This model may help us to understand risk factors that can be addressed, and in which order they should be prioritized when planning intervention strategies within military groups.
