Chronic gastrointestinal symptoms of Thomas "Stonewall" Jackson following Mexican-American War exposure: a medical hypothesis

In a recent study, a large proportion of veterans seen for chronic heartburn or dyspepsia after the Persian Gulf War had evidence for Helicobacter pylori. Thomas Jackson was born and raised in an area of West Virginia that has a high prevalence of H. pylori. He suffered chronic dyspeptic symptoms following his service in the Mexican-American War. Therapies that he tried included treatment with a variant of the Sippy diet. Following a bullet wound to the left arm at the battle of Chancellorsville on Saturday, May 2, 1863, Thomas Jackson underwent amputation of the left arm below the left shoulder. He died 1 week later with a diagnosis of pleuropneumonia. The records of the postsurgical course are incomplete. The available clinical information raises the hypothesis that his chronic dyspepsia and his cause of death could have been related to chronic peptic ulcer disease due to gastric H. pylori infection.     

Early onset pneumonia following pulmonary contusion: the case of Stonewall Jackson

Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation of his left arm, Jackson developed pneumonia in his right lung. His treating physicians believed the infection developed secondary to a pulmonary contusion that occurred when he fell from the litter. Pulmonary contusions are an independent risk factor in the development of post-traumatic pneumonia and an infection that occurs within 72 to 96 hours of injury is termed an early onset pneumonia. The nature and timing of Stonewall Jackson's illness following his wounding is consistent with the modem diagnosis of early onset pneumonia following chest trauma.     

Experience with a pre-basic fitness program at Fort Jackson, South Carolina

One hundred seventy-five consecutive recruits entering the Fort Jackson Fitness Company were evaluated for Upper Body Strength, Flexibility, and Cardiovascular Fitness, and the results were compared with those of 60 soldiers entering Basic Training directly from the Reception Station. Injury rate and end-cycle performance were compared between Fitness Company graduates and their regular basic trainee cohort. The study showed that the Push-up repetition and two-mile run times were still below the standard for the Post. Sick call rate was also significantly higher among the less conditioned troops. Sit-up repetition and other basic soldiering skills, however, as well as EPTS (discharges for medical conditions existing prior to service) and ELS (entry level separation) rates, were equal. Increase of Fitness Company graduation requirements and dissemination of standards and requirements to potential recruits in high schools, colleges, and other public institutions are recommended.     

Henry M. Jackson Foundation for the advancement of military medicine: a brief history

The Henry M. Jackson Foundation for the Advancement of Military Medicine (HMJFAMM) was created by Congress in 1983. This not-for-profit organization championed by Senator Henry M. Jackson was brought into being to serve as a partner with the Uniformed Services University of the Health Sciences to facilitate the latter's mission execution. In the foundation's 17-year history, which is discussed, it has served multiple functions. A major role has been to manage militarily relevant research. Currently, there are more than 500 research projects, and the HMJFAMM ranks in the top 10% of institutions receiving grants from the National Institutes of Health. More than 500 education funds support more than 200 education programs annually. Each year, hundreds of military physicians and research scientists are assisted in attending outside professional meetings. The Marion B. Sulzberger Chair, a stimulus that gave rise to the foundation, is among almost 50 endowments that now exist under foundation management. This not-for-profit institution currently employs more than 1,100 individuals.     

Maximal oxygen uptake "classical" versus "contemporary" viewpoints

In two articles Timothy Noakes proposes a new physiological model in which skeletal muscle recruitment is regulated by a central "govenor," specifically to prevent the development of a progressive myocardial ischemia that would precede the development of skeletal muscle anaerobiosis during maximal exercise. In this rebuttal to the Noakes' papers, we argue that Noakes has ignored data supporting the existing hypothesis that under normal conditions cardiac output is limiting maximal aerobic power during dynamic exercise engaging large muscle groups.     

"Cold" and "hot" osteomyelitis on bone scintigraphy

Bone scanning is frequently used for the assessment of a child with pain around the hip joint. The authors present a child with septic hip arthritis in which a striking abnormality of complete absence of tracer uptake in an extensive region of the proximal femur was demonstrated on bone scintigraphy. Later during the course of his disease, markedly increased tracer uptake was seen along most of the femoral diaphysis with the exception of the avascular proximal bone. These scintigraphic findings represent extensive osteomyelitis of the femur with avascular necrosis of its proximal part.     

一站式心脏MRI对心肌病的评价

心肌病的一站式心脏MRI扫描包括梯度回波序列、自旋回波序列及反转恢复快速自旋回波序列平扫,梯度回波序列电影扫描,梯度回波序列首过灌注及延迟增强扫描和冠状动脉扫描等,可综合评价心脏解剖结构、心肌病理特点、心脏功能及冠状动脉状态等,从而达到使多种影像学检查综合起来的共同目的。心肌延迟强化的特点还可对部分心肌病进行危险度分级、病因分析、治疗指导、穿刺定位等,在临床中对心肌病的诊治具有举足轻重的作用。