Latest Issue

    Volume 4 Issue 3 2017

      PERSPECTIVE

    • Burns and frostbite in the Red Army during World War Ⅱ

      Vladimir Sokolov, Alexey Biryukov, Igor Chmyrev, Mikhail Tarasenko, Pavel Kabanov
      Vol. 4, Issue 3, Pages: 121-126(2017) DOI: 10.1186/s40779-017-0114-9
      Abstract:The start of World War Ⅱ (WWⅡ) led to the deployment of combat troops in several continents. Destruction and many casualties among both the military and civilians became an inevitable consequence. A large amount of people injured were in need of life-saving treatment and a speedy return to duty. Intensive studies of the specific issues of diagnosis and treatment of thermal injury were conducted in the Soviet Union before the war. The first special units for patients with burn injuries were created, and the first specialists received their first clinical experience. The contributions of famous Soviet scientists in the development of the treatment of burns and frostbite in WWⅡ are studied in this article. The structure of thermal injuries among military personnel and the results of their treatment are shown. Treatment, classification and quantity frostbite in the structure of sanitary losses during the WWⅡ are studied in this article.  
      Keywords:Thermal injury;World War II;Statistics of burns and frostbite;Specialized burn centers   
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      Updated:2026-03-12

      RESEARCH

    • Revascularization and outcomes in Veterans with moderate to severe ischemia on myocardial perfusion imaging

      David E. Winchester, Alexander J. Bolanos, Anita Wokhlu, Rebecca J. Beyth, Leslee J. Shaw
      Vol. 4, Issue 3, Pages: 127-131(2017) DOI: 10.1186/s40779-017-0121-x
      Revascularization and outcomes in Veterans with moderate to severe ischemia on myocardial perfusion imaging
      Abstract:Background:The prevalence of ischemia on nuclear myocardial perfusion imaging (MPI) has been decreasing. Recent research has questioned the benefit of invasive revascularization for patients with moderate to severe ischemia. We hypothesized that patients with moderate to severe ischemia could routinely undergo successful revascularization.Methods:We analyzed data from 544 patients who underwent an MPI at a single academic Veterans Affairs Medical Center. Patients with moderate to severe ischemia, defined as a summed difference score (SDS) 8 or greater, were compared to the rest of the cohort.Results:Of the total cohort (n=544), 39 patients had MPI studies with resultant moderate to severe ischemia. Patients with ischemia were more likely to develop coronary artery disease (74.4% versus 38.8%, P<0.0001) and have successful revascularization (38.5% versus 4.0%, P<0.0001) during the following year. Revascularization was attempted in 31 patients with moderate to severe ischemia, though only 15(47%) of these attempts were successful. Ischemia was predictive of myocardial infarction (5.1% versus 0.8%, P=0.01) within 1 year.Conclusion:Moderate to severe ischemia is an uncommon finding in a contemporary nuclear laboratory. Among patients with ischemia, revascularization is typically attempted but is frequently unsuccessful.Trial registration:This trial does not appear on a registry as it is neither randomized nor prospective.  
      Keywords:myocardial ischemia;Nuclear myocardial perfusion imaging;Veterans;Revascularization   
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      Updated:2026-03-12
    • Soldiers’ load carriage performance in high mountains: a physiological study

      Tirthankar Chatterjee, Debojyoti Bhattacharyya, Anilendu Pramanik, Madhusudan Pal, Deepti Majumdar, Dhurjati Majumdar
      Vol. 4, Issue 3, Pages: 132-140(2017) DOI: 10.1186/s40779-017-0113-x
      Soldiers’ load carriage performance in high mountains: a physiological study
      Abstract:Background:The present study was designed to evaluate load carriage performance at extremely high altitudes with different loads and walking speeds in terms of physiological evaluation. The degree of maximum oxygen consumption changes at high altitudes was also examined.Methods:Twelve Indian Army soldiers were acclimatized at altitudes of 3,505m and 4,300m. They walked for 10 minutes on a motorized treadmill at 2.5km/h and 3.5km/h speeds during carrying no loads and three magnitudes of load (10.7kg, 21.4kg, 30kg) at both altitudes. Physiological parameters such as oxygen consumption, energy expenditure, heart rate, and ventilation were recorded for each breath using a gas analyzer. The rating of perceived exertion was also noted after each load carriage session. Maximal oxygen consumption (VO2max) was measured at sea level and the two high altitudes, and respective relative workloads (% of VO2max) were calculated from oxygen consumption. Repeated measure ANOVA was applied to reveal the significant effects of the independent variables.Results:The participants had significant reductions in VO2max with rising altitude. Marked increases in almost all physiological parameters were observed with increasing load, altitude, and speed. The soldiers expressed heavy perceived exertion levels with higher loads at 3.5km/h at the two high altitudes.Conclusions:Considering the physiological responses, expressions of perceived exertion and changes in relative work load at both of the high altitudes. Indian soldiers are advised to walk slowly with adequate rest in between their schedules and to carry not more than 32% of their body weight.  
      Keywords:Load carriage;High altitude;Walking speed;Physiological responses   
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      Updated:2026-03-12
    • Ding-Wen Jiang, Qing-Rong Wang, Xian-Rong Shen, Ying He, Tian-Tian Qian, Qiong Liu, Deng-Yong Hou, Yu-Ming Liu, Wei Chen, Xin Ren, Ke-Xian Li
      Vol. 4, Issue 3, Pages: 141-148(2017) DOI: 10.1186/s40779-017-0116-7
      Radioprotective effects of cimetidine on rats irradiated by long-term, low-dose-rate neutrons and <sup>60</sup>Co γ-rays
      Abstract:Background:Cimetidine, an antagonist of histamine type II receptors, has shown protective effects against γ-rays or neutrons. However, there have been no reports on the effects of cimetidine against neutrons combined with γ-rays. This study was carried out to evaluate the protective effects of cimetidine on rats exposed to long-term, low-dose-rate neutron and γ-ray combined irradiation (n-γ LDR).Methods:Fifty male Sprague-Dawley (SD) rats were randomly divided into 5 groups: the normal control group, radiation model group, 20mg/(kg·d) cimetidine group, 80mg/(kg·d) cimetidine group and 160mg/(kg·d) cimetidine group (10 rats per group). Except for the normal control group, 40 rats were simultaneously exposed to fission neutrons (252Cf, 0.085mGy/h) for 22h every day and γ-rays (60Co, 0.097Gy/h) for 1.03h once every three days, and the cimetidine groups were administered intragastrically with cimetidine at doses of 20, 80 and 160mg/kg each day. Peripheral blood WBC of the rats was counted the day following exposure to γ-rays. The rats were anesthetized and sacrificed on the day following exposure to 252Cf for 28 days. The spleen, thymus, testicle, liver and intestinal tract indexes were evaluated. The DNA content of bone marrow cells and concanavalin A (ConA)-induced lymphocyte proliferation were measured. The frequency of micronuclei in polychromatic erythrocytes (fMNPCEs), superoxide dismutase (SOD), malondialdehyde (MDA), and glutathione peroxidase (GSH-Px) in the serum and liver tissues were detected.Results:The peripheral blood WBC in the cimetidine groups was increased significantly on the 8th day and the 26th day compared with those in the radiation model group. The spleen, thymus and testicle indexes of the cimetidine groups were higher than those of the radiation model group. The DNA content of bone marrow cells and lymphocyte proliferation in the cimetidine groups were increased significantly, and fMNPCE was reduced 1.41-1.77 fold in cimetidine treated groups. The activities of SOD and GSH-Px in the cimetidine groups were increased significantly, and the content of MDA in the cimetidine groups was decreased significantly.Conclusions:The results suggested that cimetidine alleviated damage induced by long-term, low-dose-rate neutron and γ combined irradiation via antioxidation and immunomodulation. Cimetidine might be useful as a potent radioprotector for radiotherapy patients as well as for occupational exposure workers.  
      Keywords:Cimetidine;Radioprotection;Antioxidation;Immunomodulation;micronuclei   
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      Updated:2026-03-12
    • Association of iodized salt with goiter prevalence in Chinese populations: a continuity analysis over time

      Zhen Liang, Chen Xu, Yong-Jun Luo
      Vol. 4, Issue 3, Pages: 149-156(2017) DOI: 10.1186/s40779-017-0118-5
      Association of iodized salt with goiter prevalence in Chinese populations: a continuity analysis over time
      Abstract:Background:Iodine deficiency disorders (IDD) refer to diseases that are caused by insufficient iodine intake, and the best strategy to prevent IDD is the addition of iodine to dietary salt. Because iodine deficiency is a common cause of goiter, the prevalence as effectively controlled after the implementation of universal salt iodization (USI) in China. However, there is substantial controversy as to whether the incidence of thyroid disorders is related to iodized salt intake. Therefore, we aimed to clarify whether the risk of goiter can be promoted by USI.Methods:A longitudinal continuous study based on the national monitoring results of IDD in China was performed for 3 consecutive years. We recorded the following indicators of IDD from 31 provinces: goiter number, two degrees of goiter (the degree of goiter severity) and cretinism (three endemic diseases), iodized salt intake, median urinary iodine concentration (UIC), soil iodine content and coverage rates of iodized salt. One-way Analysis of Variance (ANOVA) and linear regression analyses examined the differences between the three groups and correlations, respectively. Data were collected from the Chinese national IDD surveillance data in 2011-2013, and the background values of Chinese soil elements were published in 1990.Results:A reference male’s daily intake of maximum iodine was 378.9μg, 379.2μg and 366.9μg in 2011, 2012, and 2013, respectively. No statistical association between daily iodized salt intake and the three endemic diseases was observed in 2011-2013 (P>0.05). No association was observed between daily iodized salt intake and the UIC of children in 2011 (P>0.05). Linear regression revealed no significant correlation between the soil iodine content and three endemic diseases. The present study indicated no difference in the daily iodized salt intake in each province during three years (F=0.886, P=0.647). The coverage rate of iodized salt remained above 98.7%, and goiter rates were stable in 2011-2013.Conclusion:There was no significant association between iodized salt intake and the three endemic diseases, suggesting that the current nutrition level of iodized salt did not cause the high goiter prevalence.  
      Keywords:Iodine deficiency disorders (IDD);Iodized salt;China   
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      Updated:2026-03-12

      REVIEW

    • Olfaction as a soldier - a review of the physiology and its present and future use in the military

      Palaniappan Ganesh Nagappan, Somasundram Subramaniam, De-Yun Wang
      Vol. 4, Issue 3, Pages: 157-169(2017) DOI: 10.1186/s40779-017-0119-4
      Olfaction as a soldier - a review of the physiology and its present and future use in the military
      Abstract: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.  
      Keywords:Olfaction;Military;Electronic nose;Compensation;Physiology;injury;Combat   
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      Updated:2026-03-12
    • Interaction between the gut microbiome and mucosal immune system

      Na Shi, Na Li, Xinwang Duan, Haitao Niu
      Vol. 4, Issue 3, Pages: 170-177(2017) DOI: 10.1186/s40779-017-0122-9
      Abstract:The gut microbiota, the largest symbiotic ecosystem with the host, has been shown to play important roles in maintaining intestinal homeostasis. Dysbiosis of the gut microbiome is caused by the imbalance between the commensal and pathogenic microbiomes. The commensal microbiome regulates the maturation of the mucosal immune system, while the pathogenic microbiome causes immunity dysfunction, resulting in disease development. The gut mucosal immune system, which consists of lymph nodes, lamina propria and epithelial cells, constitutes a protective barrier for the integrity of the intestinal tract. The composition of the gut microbiota is under the surveillance of the normal mucosal immune system. Inflammation, which is caused by abnormal immune responses, influences the balance of the gut microbiome, resulting in intestinal diseases. In this review, we briefly outlined the interaction between the gut microbiota and the immune system and provided a reference for future studies.  
      Keywords:Microbiome;Immunity;Inflammation   
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      Updated:2026-03-12
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