The purpose of this investigation was to see whether subject characteristics and physiologic measurements predicted exercise-heat tolerance (EHT) and voluntary tolerance time in young soldiers. A total of 18 unacclimatized males attempted six 50-min periods of treadmill walking (4.0 km.h-1, 0% grade, 33 degrees C db, 20% rh) while wearing protective overgarments. Two post hoc groups of soldiers were defined: high EHT (H) and low EHT (L), having mean (+/- S.E.) tolerance times of 360 +/- 0 and 222 +/- 12 min, respectively. Significant (p less than 0.05) H vs. L differences were observed in pretrial body mass, percent fat, and mass-to-surface area ratio (M/SA), as well as 170 min HR, Tsk and heat storage. The first three of these factors indicated that preexercise anthropomorphic characteristics may be used to distinguish H from L. The HR and Tsk differences were interpreted to mean that L experienced greater cardiovascular strain in protective overgarments because of a higher Tsk, which resulted in increased pooling of blood in cutaneous vessels, decreased cardiac filling pressure, and increased fatigue. Because HR variables were the strongest correlates of exercise tolerance time (r2 = 0.60 for HR at 170 min, r2 = 0.83 for time to reach HR of 160 beats.min-1) a novel HR monitoring technique was proposed which uses a wrist-mounted cardiotachometer to predict tolerance time.
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Mil Med
February 2016
Aeromedical Research Department, U.S. Air Force School of Aerospace Medicine, 2510 Fifth Street, Building 840, Wright-Patterson AFB, OH 45433.
Objectives: The purpose of this study was to determine the association between deployment-related occupational/environmental exposures and incident postdeployment mental health (PDMH) conditions in a defined population of military health care professionals working in the deployed critical care environment.
Methods: A nested case-control study compared cohort members with a PDMH condition (cases, N = 146) with those without a PDMH condition (controls, N = 800) in terms of deployment-related exposures as ascertained using Postdeployment Health Assessment DD 2796 questionnaire data. Multivariable logistic regression models were used to compute odds ratios.
J Trauma Acute Care Surg
October 2015
From the General Surgery Service (J.S.O.), US Army, Walter Reed National Military Medical Center Bethesda, Maryland; OTSG-DASG-IMD (N.V.D.), Falls Church, Virginia; Naval Health Research Center (M.C., M.G., J.P.); and Department of Surgery (E.J.K.), Naval Medical Center San Diego, San Diego, California; Landstuhl Regional Medical Center (A.K.), Landstuhl, Germany; and Bioengineering (J.C.), Imperial College London, London, United Kingdom.
Background: Historically, the incidence of genital and urinary tract (GU) injuries in major conflicts has been approximately 5%. To mitigate the risk of blast injury to the external genitalia, the United States and United Kingdom issued protective overgarments and undergarments to troops deployed in support of Operation Enduring Freedom. These two systems combined constitute the pelvic protection system (PPS).
View Article and Find Full Text PDFErgonomics
January 2014
Individual Behaviour and Performance Section, DRDC Toronto, Toronto, ON, M3K 2C9, Canada.
This study examined whether vents in the arms, legs and chest of new protective assault uniforms (PTAU) reduced heat strain at 35 °C during a low dressed state (DSlow), and subsequently improved tolerance time (TT) after transitioning to DShigh compared with the battle dress uniform and overgarment (BDU+O). Small but significant reductions in rectal temperature (Tre), heart rate and vapour pressures over the thigh and shin were observed during DSlow with vents open (37.9 ± 0.
View Article and Find Full Text PDFAviat Space Environ Med
May 2008
Individual Readiness Section, DRDC Toronto, Toronto, Ontario, Canada.
Purpose: This study examined whether heat strain during low states of chemical and biological protection (CB(low)) impacted tolerance time (TT) after transition to a high state of protection (CB(high)) and whether vents in the uniform reduced heat strain during CB(low) and increased TT.
Methods: There were eight men who walked at 35 degrees C in CB(low), and then transitioned to CB(high). Subjects wore fatigues in CB(low) with an overgarment during CB(high) (F+OG) or a new 1-piece (1PC) or 2PC uniform throughout CB(low) and CB(high).
Nephrol Ther
June 2008
Centre de néphrologie et de transplantation rénale, hôpital de la Conception, Assistance publique - Hôpitaux de Marseille, université Aix-Marseille, 147, boulevard Baille, 13005 Marseille, France.
The treatment of a patient with 131I at activity over 740 mega Becquerel (MBq) must be performed in a nuclear medicine department. Isolation is stopped if the patient radiation level is less than 20 muSv/hour at one meter. As regards patients with chronic renal failure treated with hemodialysis (HD), the first HD session will eliminate the major part of the radioactivity.
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