Background: It is crucial for the army to know the prevalence of obstructive sleep apnea(OSA) syndrome in activeduty army personnel. Little information has been reported on the prevalence of OSA and clinical features ...Background: It is crucial for the army to know the prevalence of obstructive sleep apnea(OSA) syndrome in activeduty army personnel. Little information has been reported on the prevalence of OSA and clinical features in activeduty army personnel. This study was aimed to estimate the prevalence of snoring and risk of developing OSA in activeduty army personnel in Thailand and to identify the co-morbidities of OSA. In total, 1107 participants who were aged20–60 years and were deployed to the three southernmost provinces of Thailand were enrolled. All the participants completed the Phramongkutklao(PMK) Hospital OSA Questionnaire that was modified and validated from the Berlin Questionnaire and underwent physical examination. The participants were 1107 active-duty army personnel in the three southernmost provinces of Thailand, both males and females, aged 20–60 years.Methods: The PMK OSA Questionnaire was used to assess the risk of OSA together with interviewing for snoring,fatigue, falling asleep and day-time sleepiness. Physical examination of the neck, chest and hip circumference,and height was performed. Information concerning physical training, co-morbid diseases, smoking and alcoholic consumption was collected.Results: The prevalence of snoring was 58.5, and 4.8% met the PMK OSA Questionnaire criteria, thus indicating a high risk of OSA. The information obtained indicated that laryngopharyngeal reflux(LPR), current smoking and alcoholic consumption were significantly higher in the high-risk OSA group.Conclusions: Early detection and treatment of OSA in active-duty army personnel are imperative. Physical examination and polysomnography can be used to reveal the high-risk group. High body mess index(BMI), laryngopharyngeal reflux, current smoking and alcoholic consumption are modifiable factors for OSA and are avoidable. A policy to decrease the BMI and risk of LPR, as well as to stop smoking and alcoholic consumption, should be applied.展开更多
This paper deals with effects of airborne fluorine on the army worm, Mythimna separata (Walker), by rearing the larvae on the wheat foliage exposed to HF or fumigating the larvae on the artificial diet with the pollut...This paper deals with effects of airborne fluorine on the army worm, Mythimna separata (Walker), by rearing the larvae on the wheat foliage exposed to HF or fumigating the larvae on the artificial diet with the pollutant. Larval relative growth rate (GR) and index of population trend of the insect reduced by 5% and 11%, respectively, when the larvae were reared on the foliage taken from the wheat plants exposed to 0.87 g·dm-2·day-1 of fluorine compared with those of the control. An extra instar appeared in a majority of the larvae treated. Survival rate and GR of the larvae on the wheat plant being exposure to the same concentration of fluorine in field open-top fumigation device were 40% and 15% lower than that of the control, respectively. Similar experiment with the insect on the artificial diet also showed that direct impact of the pollutant on the army worm was greater than its indirect effect via their host plant.展开更多
According to the requirements of the live-virtual-constructive(LVC)tactical confrontation(TC)on the virtual entity(VE)decision model of graded combat capability,diversified actions,real-time decision-making,and genera...According to the requirements of the live-virtual-constructive(LVC)tactical confrontation(TC)on the virtual entity(VE)decision model of graded combat capability,diversified actions,real-time decision-making,and generalization for the enemy,the confrontation process is modeled as a zero-sum stochastic game(ZSG).By introducing the theory of dynamic relative power potential field,the problem of reward sparsity in the model can be solved.By reward shaping,the problem of credit assignment between agents can be solved.Based on the idea of meta-learning,an extensible multi-agent deep reinforcement learning(EMADRL)framework and solving method is proposed to improve the effectiveness and efficiency of model solving.Experiments show that the model meets the requirements well and the algorithm learning efficiency is high.展开更多
Population life tables of the army worm, Mythimna separata, were constructed and nutritional parameters of food for the larvae were examined at 5 temperatures from 16℃ to 32℃. The temperature suitable for growth and...Population life tables of the army worm, Mythimna separata, were constructed and nutritional parameters of food for the larvae were examined at 5 temperatures from 16℃ to 32℃. The temperature suitable for growth and reproduction of the insect ranged from 20℃ to 28℃ with the optimum of 24℃. Their survivalship and fecundity were much poorer at 32℃ than at 16℃. Indices of population trend of the insect at these temperatures could well fitted with the parabolic curve which theoretically indicated that the population density would multiply by some 660 after one generation circle at the optimal temperature, 22.6℃, and it would decline at temperatures higher than 32.9℃ or lower than 12.3℃. Larval food intake and their AD tended to go up while their ECI and ECD to go down with a rise in temperature. These alterations in population size and feeding behavior caused by temperature would exert an important effect on their damage to crops.展开更多
Effects of SO2 pollution on growth of the army worm, Mythimna separata, were investigated by rearing the larvae for 12 days on the wheat plants being exposed to SO2 levels ranged from 50 to 200 ppb in the field open-t...Effects of SO2 pollution on growth of the army worm, Mythimna separata, were investigated by rearing the larvae for 12 days on the wheat plants being exposed to SO2 levels ranged from 50 to 200 ppb in the field open-top fumigation devices. Larval period shortened while their mean relative growth rate (MRGR) increased as SO2 dose elevated. Similar experiment with the insect on the artificial diet excluded the possibility that SO2 pollution directly stimulated growth of the army worm.The patterns of change in amino acid hydrolysates in the host foliage suggested that contents of methionine, and perhaps, arginine in food material exposed to unpolluted air were at such levels that they could only support sub-optimum growth of the insect, and SO2 pollution increased concentrations of these limiting amino acids, resulting in better performance of the larvae.展开更多
+Source Journal for Chinese Scientific and Technical Papers and Citations+Core Journal of Chinese Synthetic Medical Periodicals+Source Journal of Chinese Science Citation Database (CSCD)Medical Journal of Chinese Peo...+Source Journal for Chinese Scientific and Technical Papers and Citations+Core Journal of Chinese Synthetic Medical Periodicals+Source Journal of Chinese Science Citation Database (CSCD)Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is published by the People’s Military Medical Press, under the auspices of Directorate of Medical Services.展开更多
Background: Malaria infestation in pregnancy is a major public health concern and ranks amongst the commonest complications of pregnancy in Nigeria. Approximately 50,000 Nigerian women die each year from largely preve...Background: Malaria infestation in pregnancy is a major public health concern and ranks amongst the commonest complications of pregnancy in Nigeria. Approximately 50,000 Nigerian women die each year from largely preventable pregnancy related complications. Intermittent preventive therapy for malaria in pregnancy (IPTp) is a key recommendation in the National guideline for malaria treatment in Nigeria. This study assessed the prescription pattern of intermittent preventive therapy with Sulphadoxine-Pyrimethamine for pregnant women among doctors practicing in 68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria. Methods: This was a retrospective study using case notes of pregnant women seen at antenatal clinic of 68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria from January, 2008 to December, 2008. A total of 336 case notes were reviewed. The findings were precoded, data entry and analysis was done using EPI INFO 2002. Results: A good proportion of the women (82.9%) booked for antenatal clinic within the first and second trimesters of pregnancy. Most commonly prescribed by doctors was the weekly pyrimethamine (daraprim) for malaria prophylaxis in pregnancy (100.0%). Very few doctors prescribed intermittent preventive therapy with sulfadoxine-pyrimethamine, and the few who did prescribed just one dose. Conclusion: The study showed a very low level of prescription of IPTp among doctors practicing at 68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria. There is a great need for training of these doctors and other health professionals on the recommendations of the current National Antimalarial Treatment Guidelines.展开更多
Leptospirosis is a re-emerging zoonotic disease caused by infection of the bacteria belongs to Genus leptospira. It occurs in tropical, subtropical and temperate zones. It is also known as occupational-related disease...Leptospirosis is a re-emerging zoonotic disease caused by infection of the bacteria belongs to Genus leptospira. It occurs in tropical, subtropical and temperate zones. It is also known as occupational-related disease as certain occupations are associated with the occurrence of leptospirosis. Army is identified as one of the high-risk occupations in contracting leptospirosis. This study was done to determine knowledge, attitude and practice (KAP) among army personnel on leptospirosis. A cross sectional study was conducted among 616 army personnel in four based camps in Northeastern Malaysia, who fulfilled the inclusion and exclusion criteria. A validated KAP questionnaire was used, consisting of knowledge, attitude and practice questions. More than half (52.8%) of the respondents had poor knowledge score. For the attitude score, almost the same proportions had satisfactory attitude. The same finding was seen in practice score, whereby those with good practice (54.9%) and bad practice (45.9%). In conclusion, the finding showed that almost all army personnel had unsatisfactory KAP, thus, it is recommended for the army to have a good health education program on leptospirosis among army personnel to protect the army personnel from risk of getting leptospirosis.展开更多
Aims and scope of the Journal. Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is a multiple-subjects medical periodical published by the People’s Military Medical Press, under the auspice of De...Aims and scope of the Journal. Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is a multiple-subjects medical periodical published by the People’s Military Medical Press, under the auspice of Department of Health, General Logistics Department of PLA, and it is issued domestically and abroad. Med J Chin PLA has become one of the source journals of statistics in Chinese Scientific Thesis and Chinese Scientific Quotation Database, the key periodical of multiple-subject medical journals, and is a prize journal of National Periodical Award and one of the Top Hundred Periodicals in China. Med J Chin PLA is issued monthly. Its permanent sections include Expert Forum, Research on Special Topics, Medical Treatises, Experimental Research, Clinical Research, Technology and Methodology, Discussion of Knotty Cases (Pathology), Reviews, Military Medical Sciences, News in Medicine etc. Manuscripts sent by both domestic and overseas writers are welcome. Contribution of reviews is usually invited by the Editors, but recommendations for topics and authors are welcomed.展开更多
Introduction: Human malaria infection remains a problem of public health importance in many regions of the world. The infection continues to spread particularly in sub-Saharan Africa. In Nigeria, malaria and its treat...Introduction: Human malaria infection remains a problem of public health importance in many regions of the world. The infection continues to spread particularly in sub-Saharan Africa. In Nigeria, malaria and its treatment have been affected by factors like wrong diagnosis, wrong attitude of the people, unavailability of drugs, fake and substandard drugs, attitude and practices of medical and paramedical personnel. Nigeria’s national standard for malaria treatment was recently changed to artemisinin combination therapy. Methods: A descriptive study using a structured questionnaire was administered to all doctors (123) practicing in the three Army hospitals in Lagos. The study was done between March, 2009 and April, 2009. The findings were precoded;data entry and analysis was done using EPI INFO version 3.5.1 statistical software. Results: Presumptive/clinical diagnosis was still a common practice for diagnosing malaria among doctors, as well as the use of microscopy. None of the doctors had the facility for diagnosing malaria with rapid diagnostic test in their hospitals. Fifty one percent of the doctors stated that they utilized the current National antimalarial treatment guidelines. Significant proportion of the doctors used Artemisinin-based Combination Therapy (ACTs) as first line treatment of uncomplicated malaria in adults and children. Chloroquine was the commonest drug for first line treatment of uncomplicated malaria in pregnancy. Only 45.5% of the doctors had correct knowledge of Intermittent Preventive Treatment in pregnancy (IPTp), while 33.3% knew the stage of pregnancy in which a pregnant woman should receive IPTp with sulphadoxine-pyrimethamine. Awareness and the content of knowledge of the current National antimalarial treatment guideline were not affected by the category or current position of the doctors. Thirteen percent of the respondents had attended training/update workshop organized by the Federal Ministry of Health (FMOH) Roll Back Malaria programme on the current National antimalarial treatment guideline. Conclusion: The study showed that there is need to improve use of recommended antimalarial medicines for all categories of patients by doctors in Army Hospitals in Lagos. More effort should be made by the Federal Ministry of Health and other stakeholders to organize training and refresher courses on the current National antimalarial treatment guidelines for all categories of health care providers.展开更多
Aims andscope of the Journal .Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is a multiple-subjects medical periodical published by the People’s Military Medical Press,under the auspice of Depa...Aims andscope of the Journal .Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is a multiple-subjects medical periodical published by the People’s Military Medical Press,under the auspice of Department ofHealth, General Logistics Department of PLA,andit is issued展开更多
Aims andscope of the Journal.Medical Journal of Chinese People's Liberation Army(Med J Chin PLA)is a multiple-subjects medical periodical published by the People's Military Medical Press,under the auspice of D...Aims andscope of the Journal.Medical Journal of Chinese People's Liberation Army(Med J Chin PLA)is a multiple-subjects medical periodical published by the People's Military Medical Press,under the auspice of Department of Health,General Logistics Department of PLA,and it展开更多
Objective: Leptospirosis is a known zoonotic disease which is closely related to certain high-risk occupational group. This study aimed to identify the risk factors associated with seropositive leptospirosis among arm...Objective: Leptospirosis is a known zoonotic disease which is closely related to certain high-risk occupational group. This study aimed to identify the risk factors associated with seropositive leptospirosis among army personnel. Methodology: A cross sectional study was conducted involving 616 army personnel using a self-administered questionnaire. The questionnaire consisted of sociodemographic, occupational and environmental data as well as recreational activities history. Serum sample for leptospirosis was taken for screening with IgM Enzyme-linked Immunosorbent Assay (IgM ELISA) test. Positive tests were confirmed by Microscopic Agglutination Test (MAT). Results: All respondents were male, Malays and married with the mean age of 29.28 (7.15) years old. The mean duration of working was 11.50 (7.75). Majority of the respondents were non-officer and riflemen, smokers (455 (73.9%), stayed inside the camp and engaged in recreational activities. The mean duration of employment was 11.50 (7.75) years. The overall seroprevalence of leptospirosis was 16.2% (95% CI: 13.32, 19.15) and the predominant pathogenic serovar identified was Terengganu (38.2%). Those who had lower educational levels were more protective for positive leptospirosis compared to those who have only primary education (OR: 0.32;95% CI: 0.14, 0.76;p = 0.009). Conclusion: Despite being named as one of the high-risk occupations for leptospirosis, this study found no significant occupational factors related to leptospirosis seropositivity among army personnel.展开更多
Leptospirosis is a zoonotic disease caused by pathogenic Leptospira. The disease affects various high-risk groups including army personnel, who are at risk because of field activities that bring them into close contac...Leptospirosis is a zoonotic disease caused by pathogenic Leptospira. The disease affects various high-risk groups including army personnel, who are at risk because of field activities that bring them into close contact with zoonotic reservoirs. This cross-sectional study determined the seroprevalence of leptospirosis among 616 asymptomatic army personnel in Northeastern Malaysia. Sociodemographic data were obtained using validated questionnaires. Serological screening for leptospirosis was performed using an ELISA method and confirmed by microscopic agglutination test (MAT). Samples indeterminate and positive according to ELISA (n = 117) were sent for MAT testing. A MAT titer ≥ 100 was considered positive evidence of exposure to leptospirosis. The overall seroprevalence of leptospirosis among the subjects was 16.2% (95% confidence interval: 13.32, 19.15). The most common reaction obtained with the sera tested by MAT was against a strain of Leptospira spp. isolated from Terengganu (38.3%) followed by L. biflexa serovar Patoc (35.2%). In conclusion, the seroprevalence of leptospirosis among army personnel in Northeastern Malaysia is high.展开更多
基金Sleep Center,Department of Otolaryngology,Phramongkutklao Hospital
文摘Background: It is crucial for the army to know the prevalence of obstructive sleep apnea(OSA) syndrome in activeduty army personnel. Little information has been reported on the prevalence of OSA and clinical features in activeduty army personnel. This study was aimed to estimate the prevalence of snoring and risk of developing OSA in activeduty army personnel in Thailand and to identify the co-morbidities of OSA. In total, 1107 participants who were aged20–60 years and were deployed to the three southernmost provinces of Thailand were enrolled. All the participants completed the Phramongkutklao(PMK) Hospital OSA Questionnaire that was modified and validated from the Berlin Questionnaire and underwent physical examination. The participants were 1107 active-duty army personnel in the three southernmost provinces of Thailand, both males and females, aged 20–60 years.Methods: The PMK OSA Questionnaire was used to assess the risk of OSA together with interviewing for snoring,fatigue, falling asleep and day-time sleepiness. Physical examination of the neck, chest and hip circumference,and height was performed. Information concerning physical training, co-morbid diseases, smoking and alcoholic consumption was collected.Results: The prevalence of snoring was 58.5, and 4.8% met the PMK OSA Questionnaire criteria, thus indicating a high risk of OSA. The information obtained indicated that laryngopharyngeal reflux(LPR), current smoking and alcoholic consumption were significantly higher in the high-risk OSA group.Conclusions: Early detection and treatment of OSA in active-duty army personnel are imperative. Physical examination and polysomnography can be used to reveal the high-risk group. High body mess index(BMI), laryngopharyngeal reflux, current smoking and alcoholic consumption are modifiable factors for OSA and are avoidable. A policy to decrease the BMI and risk of LPR, as well as to stop smoking and alcoholic consumption, should be applied.
文摘This paper deals with effects of airborne fluorine on the army worm, Mythimna separata (Walker), by rearing the larvae on the wheat foliage exposed to HF or fumigating the larvae on the artificial diet with the pollutant. Larval relative growth rate (GR) and index of population trend of the insect reduced by 5% and 11%, respectively, when the larvae were reared on the foliage taken from the wheat plants exposed to 0.87 g·dm-2·day-1 of fluorine compared with those of the control. An extra instar appeared in a majority of the larvae treated. Survival rate and GR of the larvae on the wheat plant being exposure to the same concentration of fluorine in field open-top fumigation device were 40% and 15% lower than that of the control, respectively. Similar experiment with the insect on the artificial diet also showed that direct impact of the pollutant on the army worm was greater than its indirect effect via their host plant.
基金supported by the Military Scentific Research Project(41405030302,41401020301).
文摘According to the requirements of the live-virtual-constructive(LVC)tactical confrontation(TC)on the virtual entity(VE)decision model of graded combat capability,diversified actions,real-time decision-making,and generalization for the enemy,the confrontation process is modeled as a zero-sum stochastic game(ZSG).By introducing the theory of dynamic relative power potential field,the problem of reward sparsity in the model can be solved.By reward shaping,the problem of credit assignment between agents can be solved.Based on the idea of meta-learning,an extensible multi-agent deep reinforcement learning(EMADRL)framework and solving method is proposed to improve the effectiveness and efficiency of model solving.Experiments show that the model meets the requirements well and the algorithm learning efficiency is high.
文摘Population life tables of the army worm, Mythimna separata, were constructed and nutritional parameters of food for the larvae were examined at 5 temperatures from 16℃ to 32℃. The temperature suitable for growth and reproduction of the insect ranged from 20℃ to 28℃ with the optimum of 24℃. Their survivalship and fecundity were much poorer at 32℃ than at 16℃. Indices of population trend of the insect at these temperatures could well fitted with the parabolic curve which theoretically indicated that the population density would multiply by some 660 after one generation circle at the optimal temperature, 22.6℃, and it would decline at temperatures higher than 32.9℃ or lower than 12.3℃. Larval food intake and their AD tended to go up while their ECI and ECD to go down with a rise in temperature. These alterations in population size and feeding behavior caused by temperature would exert an important effect on their damage to crops.
文摘Effects of SO2 pollution on growth of the army worm, Mythimna separata, were investigated by rearing the larvae for 12 days on the wheat plants being exposed to SO2 levels ranged from 50 to 200 ppb in the field open-top fumigation devices. Larval period shortened while their mean relative growth rate (MRGR) increased as SO2 dose elevated. Similar experiment with the insect on the artificial diet excluded the possibility that SO2 pollution directly stimulated growth of the army worm.The patterns of change in amino acid hydrolysates in the host foliage suggested that contents of methionine, and perhaps, arginine in food material exposed to unpolluted air were at such levels that they could only support sub-optimum growth of the insect, and SO2 pollution increased concentrations of these limiting amino acids, resulting in better performance of the larvae.
文摘+Source Journal for Chinese Scientific and Technical Papers and Citations+Core Journal of Chinese Synthetic Medical Periodicals+Source Journal of Chinese Science Citation Database (CSCD)Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is published by the People’s Military Medical Press, under the auspices of Directorate of Medical Services.
文摘Background: Malaria infestation in pregnancy is a major public health concern and ranks amongst the commonest complications of pregnancy in Nigeria. Approximately 50,000 Nigerian women die each year from largely preventable pregnancy related complications. Intermittent preventive therapy for malaria in pregnancy (IPTp) is a key recommendation in the National guideline for malaria treatment in Nigeria. This study assessed the prescription pattern of intermittent preventive therapy with Sulphadoxine-Pyrimethamine for pregnant women among doctors practicing in 68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria. Methods: This was a retrospective study using case notes of pregnant women seen at antenatal clinic of 68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria from January, 2008 to December, 2008. A total of 336 case notes were reviewed. The findings were precoded, data entry and analysis was done using EPI INFO 2002. Results: A good proportion of the women (82.9%) booked for antenatal clinic within the first and second trimesters of pregnancy. Most commonly prescribed by doctors was the weekly pyrimethamine (daraprim) for malaria prophylaxis in pregnancy (100.0%). Very few doctors prescribed intermittent preventive therapy with sulfadoxine-pyrimethamine, and the few who did prescribed just one dose. Conclusion: The study showed a very low level of prescription of IPTp among doctors practicing at 68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria. There is a great need for training of these doctors and other health professionals on the recommendations of the current National Antimalarial Treatment Guidelines.
文摘Leptospirosis is a re-emerging zoonotic disease caused by infection of the bacteria belongs to Genus leptospira. It occurs in tropical, subtropical and temperate zones. It is also known as occupational-related disease as certain occupations are associated with the occurrence of leptospirosis. Army is identified as one of the high-risk occupations in contracting leptospirosis. This study was done to determine knowledge, attitude and practice (KAP) among army personnel on leptospirosis. A cross sectional study was conducted among 616 army personnel in four based camps in Northeastern Malaysia, who fulfilled the inclusion and exclusion criteria. A validated KAP questionnaire was used, consisting of knowledge, attitude and practice questions. More than half (52.8%) of the respondents had poor knowledge score. For the attitude score, almost the same proportions had satisfactory attitude. The same finding was seen in practice score, whereby those with good practice (54.9%) and bad practice (45.9%). In conclusion, the finding showed that almost all army personnel had unsatisfactory KAP, thus, it is recommended for the army to have a good health education program on leptospirosis among army personnel to protect the army personnel from risk of getting leptospirosis.
文摘Aims and scope of the Journal. Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is a multiple-subjects medical periodical published by the People’s Military Medical Press, under the auspice of Department of Health, General Logistics Department of PLA, and it is issued domestically and abroad. Med J Chin PLA has become one of the source journals of statistics in Chinese Scientific Thesis and Chinese Scientific Quotation Database, the key periodical of multiple-subject medical journals, and is a prize journal of National Periodical Award and one of the Top Hundred Periodicals in China. Med J Chin PLA is issued monthly. Its permanent sections include Expert Forum, Research on Special Topics, Medical Treatises, Experimental Research, Clinical Research, Technology and Methodology, Discussion of Knotty Cases (Pathology), Reviews, Military Medical Sciences, News in Medicine etc. Manuscripts sent by both domestic and overseas writers are welcome. Contribution of reviews is usually invited by the Editors, but recommendations for topics and authors are welcomed.
文摘Introduction: Human malaria infection remains a problem of public health importance in many regions of the world. The infection continues to spread particularly in sub-Saharan Africa. In Nigeria, malaria and its treatment have been affected by factors like wrong diagnosis, wrong attitude of the people, unavailability of drugs, fake and substandard drugs, attitude and practices of medical and paramedical personnel. Nigeria’s national standard for malaria treatment was recently changed to artemisinin combination therapy. Methods: A descriptive study using a structured questionnaire was administered to all doctors (123) practicing in the three Army hospitals in Lagos. The study was done between March, 2009 and April, 2009. The findings were precoded;data entry and analysis was done using EPI INFO version 3.5.1 statistical software. Results: Presumptive/clinical diagnosis was still a common practice for diagnosing malaria among doctors, as well as the use of microscopy. None of the doctors had the facility for diagnosing malaria with rapid diagnostic test in their hospitals. Fifty one percent of the doctors stated that they utilized the current National antimalarial treatment guidelines. Significant proportion of the doctors used Artemisinin-based Combination Therapy (ACTs) as first line treatment of uncomplicated malaria in adults and children. Chloroquine was the commonest drug for first line treatment of uncomplicated malaria in pregnancy. Only 45.5% of the doctors had correct knowledge of Intermittent Preventive Treatment in pregnancy (IPTp), while 33.3% knew the stage of pregnancy in which a pregnant woman should receive IPTp with sulphadoxine-pyrimethamine. Awareness and the content of knowledge of the current National antimalarial treatment guideline were not affected by the category or current position of the doctors. Thirteen percent of the respondents had attended training/update workshop organized by the Federal Ministry of Health (FMOH) Roll Back Malaria programme on the current National antimalarial treatment guideline. Conclusion: The study showed that there is need to improve use of recommended antimalarial medicines for all categories of patients by doctors in Army Hospitals in Lagos. More effort should be made by the Federal Ministry of Health and other stakeholders to organize training and refresher courses on the current National antimalarial treatment guidelines for all categories of health care providers.
文摘Aims andscope of the Journal .Medical Journal of Chinese People’s Liberation Army (Med J Chin PLA) is a multiple-subjects medical periodical published by the People’s Military Medical Press,under the auspice of Department ofHealth, General Logistics Department of PLA,andit is issued
文摘Aims andscope of the Journal.Medical Journal of Chinese People's Liberation Army(Med J Chin PLA)is a multiple-subjects medical periodical published by the People's Military Medical Press,under the auspice of Department of Health,General Logistics Department of PLA,and it
文摘Objective: Leptospirosis is a known zoonotic disease which is closely related to certain high-risk occupational group. This study aimed to identify the risk factors associated with seropositive leptospirosis among army personnel. Methodology: A cross sectional study was conducted involving 616 army personnel using a self-administered questionnaire. The questionnaire consisted of sociodemographic, occupational and environmental data as well as recreational activities history. Serum sample for leptospirosis was taken for screening with IgM Enzyme-linked Immunosorbent Assay (IgM ELISA) test. Positive tests were confirmed by Microscopic Agglutination Test (MAT). Results: All respondents were male, Malays and married with the mean age of 29.28 (7.15) years old. The mean duration of working was 11.50 (7.75). Majority of the respondents were non-officer and riflemen, smokers (455 (73.9%), stayed inside the camp and engaged in recreational activities. The mean duration of employment was 11.50 (7.75) years. The overall seroprevalence of leptospirosis was 16.2% (95% CI: 13.32, 19.15) and the predominant pathogenic serovar identified was Terengganu (38.2%). Those who had lower educational levels were more protective for positive leptospirosis compared to those who have only primary education (OR: 0.32;95% CI: 0.14, 0.76;p = 0.009). Conclusion: Despite being named as one of the high-risk occupations for leptospirosis, this study found no significant occupational factors related to leptospirosis seropositivity among army personnel.
文摘Leptospirosis is a zoonotic disease caused by pathogenic Leptospira. The disease affects various high-risk groups including army personnel, who are at risk because of field activities that bring them into close contact with zoonotic reservoirs. This cross-sectional study determined the seroprevalence of leptospirosis among 616 asymptomatic army personnel in Northeastern Malaysia. Sociodemographic data were obtained using validated questionnaires. Serological screening for leptospirosis was performed using an ELISA method and confirmed by microscopic agglutination test (MAT). Samples indeterminate and positive according to ELISA (n = 117) were sent for MAT testing. A MAT titer ≥ 100 was considered positive evidence of exposure to leptospirosis. The overall seroprevalence of leptospirosis among the subjects was 16.2% (95% confidence interval: 13.32, 19.15). The most common reaction obtained with the sera tested by MAT was against a strain of Leptospira spp. isolated from Terengganu (38.3%) followed by L. biflexa serovar Patoc (35.2%). In conclusion, the seroprevalence of leptospirosis among army personnel in Northeastern Malaysia is high.
