某部驻京单位军人子女4590名发铅调查

目的　了解某部驻京儿童体内铅含量的状况 ,并根据调查结果提出铅中毒的有关防治措施。　方法　分别对城区、郊区、郊县的驻京单位各 2个 ,共 10个营区 4 5 90名 0～ 12岁健康儿童逐一取头发标本 ,采用原子吸收法 ,由专人一批性对发铅含量进行测定。　结果　发铅≥ 12 μg/g(发铅正常值 <11μg/g)共 335例 ,占总调查人数的 7 3%。 　结论　某部驻京单位各居住区儿童铅中毒情况不容忽视 ,应积极防治     

Thermal strain and fluid balance during a 72-km military route march in a field setting

Introduction:A physiological profiling study was conducted to evaluate thermal strain as well as fluid and electrolyte balances on heat-acclimatised men performing a 72-km route march in a field setting.Methods:38 male soldiers (age range 18–23 years) participated in the study, as part of a cohort that marched for 72 km, with loads for about 26 hours. Core temperature and heart rate sensors were used for the duration of the march. Fluid and food intake and output were monitored for the duration of the march. Blood samples were taken one day before the march (pre-march), immediately after the march (Post 1) and on the 15^th day after the march to ascertain recovery (Post 2) to assess fluid and electrolyte profiles.Results:Mean core temperature was within safe limits, ranging from 37.1 to 38.1°C throughout the march. There was an overall decrease in serum sodium levels, a decline in serum sodium concentration in 28 participants and three instances of hyponatraemia (serum sodium concentration <135 mmol/L).Conclusion:Our study found low thermal strain heat-acclimatised individuals during a 72-km route march. However, there was an overall decrease in serum sodium levels, even when the participants were allowed to drink ad libitum. Challenges of exercise-associated hyponatraemia during prolonged activities remain to be addressed.     

Honoring their service: behavioral health services in North Carolina for military service members, veterans, and their families

The North Carolina Institute of Medicine Task Force on Behavioral Health Services for the Military and Their Families examined the adequacy of Medicaid- and state-funded services for mental health conditions, developmental disabilities (including traumatic brain injury), and substance abuse that are currently available in North Carolina to military service members, veterans, and their families. The task force determined that there are several gaps in services and made 13 recommendations related to federal, state, and local community resources. This article reviews the work of the task force and current efforts to improve services in North Carolina.     

南京战区军事医学计量的经济学分析

从经浏学角度分析了南京战区军事医学计量的运行情况,主要包括:测量标准的利用效率、测量标准的投资费用、标准化经浏效益和利用内部收益率法进行建标选择评价.     

军队院校姓“军”及医学目的的哲学思考

军队院校及军医姓"军"是由军队的性质决定的 ,军队医学院校应当使培养出的军医在各种复杂变化的历史背景下 ,自觉地把救死扶伤这一医学目的辩证地统一到提高政治敏感性这一首位意识的思想中去。     

演练期间学员的心理健康状况

目的：评价参加军事医学综合演练期间学生的焦虑、抑郁及整体心理健康状况水平及其可能影响因素．方法：采用整群抽样，对某年参演的174名医疗专业本科生(A组：119名男生，B组：55名女生)和81名护理专业中专生(C组，均为女性)进行现况研究．采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、流调中心用抑郁量表(CES—D)问卷，由学生自行填写独立完成．结果：11．8％-29．6%的参演学员有突出的心理症状，15．1％-34．6％的参演学员存在抑郁症状．C组参演学员的心理阳性症状、焦虑、抑郁评分较其他两组都高．结论：强迫，人际关系敏感，偏执，敌对等症状是影响不同层次参演学员心理健康状况的主要心理阳性症状．本科生中女性参演学员不及男性学员的心理健康状况好．参演女性学员中医疗本科生较护理中专生的心理健康状况好．     

军队医学院校的军人心理行为训练课程构建与实践

通过对45所军校军人心理行为训练课程的开展现状进行调查,重构军校军人心理行为课程体系,主要措施为：建立科学的管理模式,优化课程教学目标和教学内容,改革教学方法,完善多元化的课程考评方式。设计教学对照实验,并运用自评症状量表（symptom checklist 90,SCL-90）在教学实验前后,对学员心理状况进行测试;结果显示,新课程教学体系的实施对受试学员SCL-90中的7项因子产生积极影响,而针对恐怖和偏执两项因子未产生显著影响。     

基于CiteSpace的军事医学研究与发展趋势可视化分析

目的:通过对国内外军事医学文献的特征进行分析,探究该领域研究热点和发展趋势.方法:检索中国知网(CNKI)和Web of Science数据库,获得国内外军事医学相关文献,利用CiteSpace以国家、机构、关键词等为要素绘制知识图谱,并进行可视化分析,了解2011-2020年国内外军事医学相关文献的发表数量.结果:近...