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עמוד בית
Thu, 23.05.24

September 2016 (Issue 33)


Editorial
פרופ' מייקל הרטל
This special issue of the Journal of Military Medicine reviews the 12th Corps Research Conference of the Medical Corps. The conference has long been an important, and even festive, event in the Medical Corps' calendar, a phenomenon that testifies to the aspiration of diverse populations in the Medical Corps seeking to take part in research activities in military medicine.
All this, out of a broad organizational understanding that engaging in research for the purpose of advancing military medicine is one of the cornerstones of professionalism among medical corps faculty. Conducting research on the core issues of military medicine is not a luxury for corps officers, but a basic professional imperative.
Commentaries
Col. (Res.) Dr. Uriel Dreyfus, Brigadier General (Res.) Ariel Mirlman
Following the publication of the cover photo on the latest issue of "Military Medicine," the response was received by Col. (Res.) Dr. Uriel Dreyfus from the 669th Air Force Hits evacuation unit, who was serving in the unit at the time.
Program of the 12th Annual Conference for Research in Military Medicine
Dr. Eva Abramovich, Prof. David Gretz, Prof. Michael Hartel, Dr. Nirit Yavnai, Reid Kiuf, Prof. Adi Leiba
The Medical Corps Conference in collaboration with the Department of Military Medicine, The Hebrew University of Jerusalem, which took place on Wednesday, September 28, 2016 - at the Avihayil Battalion House.
Conference lectures
Leah Shelef, Nitzan Shkarchi, Ron Kedem, Omer Boneh, Ariel Ben Yehuda
This work is based on a previous study that examined risk factors for attempted suicide in the IDF and found interrelationships between socio-demographic, personal and medical characteristics and committing suicide among male and female soldiers in compulsory service. Suicide is known to be one of the leading causes of death among adolescents in the world. Suicidal attempts are much more common than suicides, and are clearly a significant risk factor for suicide, and in particular defined attempts as serious. In this context, one
One of the limitations of the previous study was that no comparison was made between severe and non-severe trials according to the indices described.
Dean Nachman, Dor Dolce, Rafi Girassi, Lynn Wagner Avraham, David Kushnir, Alon Glazberg, Arik Eisenkraft
Their blood is the number one cause of trauma-preventable mortality, both on the battlefield and in the civilian context. A major part of these hemorrhages is from transition areas - pelvis, neck, armpit. The cost of existing barriers is high, they are bulky to carry and discount, so their use is limited. The Adonis is an innovative, inexpensive and compact crossing barrier that can be discounted on all crossing areas.
Ilan Green, Rivka Bezalel-Maman, Michal Greenberg
From the age of 30, permanent IDF personnel are required to undergo a periodic inspection at the Center for Periodic Inspections. As part of the test, permanent personnel undergo an evaluation that includes a medical history and physical examination by a doctor, laboratory tests, an ECG at rest, a hearing test, a gynecologist's examination, including a Pap test, and for subjects who have passed the age of 39 - also a stress test.
The results of the tests, each permanent person receives a summary that includes recommendations for further clarification and follow-up.
If the series of tests reveals any findings that raise the suspicion of a cardiac problem, the patient is referred for further investigation.
The purpose of the work is to examine the usefulness of performing cardiac screening tests for asymptomatic subjects, as part of a periodic evaluation.
Charles Milgrom, Alex Sorkin, Arnon Gam, Jonathan Singer, Itamar Nir, Boris Kogan, Aaron S. Feinston
The role of the warrior in the 21st century is different than in the past, and his shoes need to be adapted to this change in order to function optimally.
The purpose of the work is to assess injuries in infantry hot weather model (Nahir) and their survival in training, and to examine alternative or experimental infantry shoes (Nahir)
Keren Zilka, Noam Ben-Yosef, Saar Mincha, Adi Leiba, Hagai Frenkel
From October 2015, a wave of terrorist attacks, stabbings, stone-throwing and the use of firearms against soldiers and civilians began in the Central Command sector.
Revital Levy, Ziv Rotfogel, Andrei Popogailo, Dalia Hillman, Raymond Kempfer
The microbiome of wounds is extremely complex, and sometimes the infection is difficult to detect and / or drug-resistant. In these cases, the need for a large-scale drug arises. The practice of developing state-of-the-art peptides is designed to provide comprehensive protection against severe and deadly infections. The strategy in this study is to weaken the person's excessive immune response instead of targeting the
The pathogen. This is an innovative therapeutic approach, aimed at the host to protect against gram-negative, gram-positive bacteria and their toxins, relevant to traumatic wounds and systemic infections, focusing on CD28, the central costimulatory receptor, and the two co-ligands of CD80 (1-B7, CD28). And CD86 (2-B7), to prevent a harmful inflammatory cytokine response, while maintaining a normal immune response.
This work reviews the development of short peptide-mock development targeting the homodimerization interface of CD28 and B7, which are capable of inhibiting the binding between them, and thus the inflammatory response to suprantigenic toxins and polymicrobial infections.
Saar Mincha, Noam Ben-Yosef, Adi Leiba, Keren Zilka, Hagai Frenkel
In October 2015, a wave of terrorism began, which manifested itself in an increase in the rate of stone-throwing (SA) incidents, stabbing, trampling and the use of firearms. Most of the incidents took place in the Central Command sector.
This work reviews the data on injuries in the wave of terrorism, including the characteristics of the injury, treatment, evacuation and return to the unit.
Yinon Matzliach, Yehuda Arieli, Mirit Einan, Adi Biram, Dvir Mengem, Daniel Reinhorn, Akiva Esterson, Ronen Bar
ADHD is a common problem. One of the most common treatments for this disorder is using the drug (Methylphenidate®) which acts as a Dopamine Reuptake Inhibitor.
The well-known wish of the drug is also to reduce the threshold of epileptic seizures. Since the first marker of cerebral oxygen poisoning is a generalized seizure, the concern is that taking Methylphenidate before diving in oxygen-rich mixtures will increase the risk of cerebral oxygen poisoning and the development of a seizure while diving. However, assuming Ritalin
Increasing the risk of brain oxygen poisoning has not been researched, and avoiding it in a person with ADHD can cause a catastrophic mistake out of the distraction, typical of the syndrome. Objective: To test whether taking Methylphenidate before diving in oxygen-rich mixtures increases the risk of brain oxygen poisoning and the development of seizures while diving.
Yinon Matzliach, Yehuda Arieli, Mirit Einan, Adi Biram, Dvir Mengem, Daniel Reinhorn, Akiva Esterson, Ronen Bar
"Simulated Patient" is defined in the medical literature (Simulated Patient (SP or Standardized Patient). Refers to an actor impersonating a patient and simulating a medical interaction.
This work examines the quality of medicine in military clinics in Judea and Samaria, in dealing with challenging medical conditions, with an emphasis on the attitude and professionalism of the medic on duty.
Dan Rimbrot, Lynn Wagner-Abraham, Lilach Gavish, David Kushnir, Dean Nachman, Assaf Berman, Matan Cohen, David Gretz 2, Ruth Shaylor, Arik Eisenkraft
The research group is trying to locate pharmacological and other preconditioning measures to reduce the extent of injury, morbidity and mortality following the morag market. All this with the thought that this procedure can be performed before the fighter is injured, so that if he is injured - his chances of survival and recovery will increase. This work examines the use of glucagon as a pharmacological conditioning device in a controlled pig bleeding model.
Gil Shimon, Gal Yaniv, Lynn Wagnert-Avraham, Lilach Gavish, Kobi Magerli, David Kushnir, Ruth Shaylor, Baruch Batzufin, David Gretz, Arik Eisenkraft
In about 30% of trauma victims, biochemical evidence of coagulopathy is presented when they arrive at the emergency room. Acute Trauma Coagulopathy (ATC) requires more fluid, longer hospital stays and respiration and is characterized by increased mortality.
Ischemia-induced distant preconditioning (RIPC) is an innovative concept, stemming from the desire to create high resilience to this condition.
Yifat Galnoi-Glikzam, Ilya Rivkin, Nava Zilberstein, Libby Weiss, Arik Eisenkraft, Ramona Margalit
In order to provide an appropriate response to respiratory damage in the event of a mass strike, an innovative approach has been developed that combines three components:
(1) new pharmaceutical preparations - liposomes, in which the hyaluronan is covalently anchored in the surface of the surface, which contain anti-inflammatory and antioxidant drugs; (2) administering the preparations as a spray using a standard portable clinical nebulizer; (3) The start of treatment already in the field.
This work examines the feasibility of innovative treatment in mice.
Noam Ben Yosef, Keren Zilka, Saar Mincha, Adi Leiba, Hagai Frenkel
At the beginning of October 2015, terrorism intensified in all parts of the country, and in particular in the area of ​​the Judea and Samaria Division. Most terrorist incidents are characterized by individuals who act independently, usually without prior planning and sometimes with a momentary decision. It is also typical of these terrorist incidents to use a knife as a key weapon for attack, being available and accessible, simple to hide and does not require any prior knowledge or skill to cause much damage. During the current aggravation, there were 43 knife attacks against civilians and soldiers in the Judea and Samaria area - 20 civilians and 23 soldiers. In 34% of the soldiers who were injured in the terrorist incidents
The assault mechanism was a knife.
This work describes soldiers' injuries resulting from a knife attack during the "size of the hour" events. We hypothesize that these injuries have unique characteristics and are different from civilian injuries or stab wounds in a civilian outline that is not involved in terrorist activity.
Galina Shapiro, Maxim Bez, Arik Eisenkraft, Sulma Gazit, Gadi Peled, Dan Gazit
Complex fractures pose a therapeutic challenge to military and civilian physicians alike. Top-of-the-line injuries, for example, cause widespread skeletal defects in soldiers in battle and in victims of terrorism. Patients suffer from long rehabilitation, and the failure rate in treatment is high. Self-implants are usually used to encourage fracture healing, but it is not always possible to harvest enough bone, and the harvest itself causes further damage and complications. Today, most soldiers who have suffered a complex traumatic crisis do not return to active military service.
Thus, there is a clear clinical need to develop new approaches to healing complex fractures.
This work presents the development of an innovative treatment for these complex skeletal injuries by recruiting endogenous stem cells to the site of injury and accelerating healing by inserting an osteogenic gene using ultrasound. The combined treatment will correct the
Lacks bone and will improve patient function.
Danit Atias-Veron, Amir Hadid, Liran Mendel, Tomer Erlich, Danny Moran, Ran Janovich, Yuval Heled
The main cause of muscle thymus injury (rhabdomyolysis) in military training is physical exertion. The main cursor
In plasma identified with exertional muscle thymus is the enzyme (Creatine Phosphokinas) (CPK), which is a major measure of the severity of muscle damage.
The upper range of resting "norm" values ranges from IU / L 195-160.
The literature has different values for diagnosing muscular dystrophy from exertion - 5 times the norm and more - but the significant difference between subjects as well as between types of exertions and their intensity makes it difficult in determining the normal values of enzyme activity.
This work characterizes the norm values of CPK in soldiers after military activity, as a basis for reference ranges for returning to fitness.
Rafi Jersey, Noy Mark, Dor Bunim, Dean Nachman, Arik Eisenkraft, Lynn Wagner Avraham, Dor Dolce, Guy Lakowski
At the time of trauma injury it is customary to use the scene of the event as needed for arterial blockers of various types to stop the bleeding. These are designed to apply pressure to the tissue until the blood vessels become blocked and the bleeding stops. The pressure required depends mainly on the type of injury and its location. In order to develop an arterial blockage of any kind, it is important to measure the degree of local pressure created following the use of the device, but there is still no product that allows this to be done in the best or dedicated way.
This work describes the development of a means of measuring the degree of mechanical pressure produced by arterial blockers to assess the degree of blockage obtained. Subsequently, the system is tested as part of the "Adonis" arterial blocker development project designed for transition areas and developed in the Medical Corps, as well as improving the simulator for placing arterial blockers, purchased for IDF units according to medical corps requirements, according to pressure measurement and comparison
Posters
Lior Katz, Dan Carter
Every year almost 20% of the population of the Western world suffers from symptoms or diseases related to the digestive system. In Israel, this field has not yet been studied. This work presents an examination of the prevalence of gastrointestinal-related illness among IDF soldiers, including an examination of the use of medical resources intended for diagnosing this disease and treating it in the military.
Charles Milgrom, Jonathan Singer, Yaron Bostin, Alex Sorkin, Hadar Gaz, Aharon S. Feinston
Stress fractures reflect a major problem in the training of infantry fighters in general and elite unit fighters in particular. In 1983, it was found that 31% of the soldiers in paratrooper training suffer from stress crises, and since then - the IDF has been constantly confronted with the challenge of reducing the rate of stress fractures among combatants. The interventions taken for this purpose are varied: the use of orthotics, changing the shoe, changing the training schedule and the sleep regime, and even pharmacological intervention. Towards 2011, changes were made to the plan
The training and medical follow-up in an elite unit, as follows: (a) adherence to 7 hours of sleep a night; (B) mapping training programs and postponing training that are less essential in the early stages of fighter training, and especially running; (C) improving the accessibility of medical staff to soldiers, including initiating tests; (D) Informing commanders and soldiers of importance
The early diagnosis of medical problems and their non-concealment, along with the emphasis that the goal of the soldiers and staff is to successfully complete the training, and therefore a soldier should not be afraid to report his medical problems.
This paper examines whether the training program intervention is associated with a decrease in the rate of effort fractures.
Shiri Gal, Leah Shelef, Nirit Yavnai, Erez Carmon, Idit Oz, Shirley Gordon
Exposure to difficult sights can contribute to the development of a variety of mental stress disorders. UAV operators can be at a great distance from the fighting, but psychologically they are in the heart of the battlefield and are closely exposed to the events of the battle.
This work examines symptoms of depression, anxiety and post-trauma and the relationship to personal and military variables.
Aviv Austrinsky, Amir Bar Shai, Yehuda Schwartz, Yael Frenkel, Erez Carmon, Barak Gordon
Due to the physiological distress involved in combat flight, Air Force pilots are required for good lung function. Changes in spirometric indices are recognized in the general population and are usually caused by known risk factors, including age, smoking, and occupational exposure.
The purpose of this work is to examine the changes in the spirometric indices of air crews, in the period before the pilot course and after a follow-up of about ten years.
Dean Nachman, Yitzhak Kadushin, Elon Glazberg
Medical treatment on the battlefield is limited in part by the medical equipment carried by the fighters. Lack of medical equipment can impair treatment mainly, in cases of delay in evacuation and in many casualty incidents. Also, advanced life-saving treatments, such as blood doses, are not available to battlefield therapists as they require specific storage conditions.
And their quantity is limited. Unmanned aerial vehicles are under development and testing for suitability for the transmission of packages in a civilian outline. This study examined the feasibility of characterizing a UAV as a tool for supplying medical equipment on the battlefield.
Shmuel Springer, Uri Gottlieb, Maria Luzin
More than 70% of all injuries during IDF combatant training are lower limb overuse injuries. Therefore, great effort is invested in identifying and preventing these injuries. This study examines whether time and space walking indicators have predictive power
For injuries of overuse of the lower limb in the population of combat soldiers during their first year of military service.
Shai Ofir, Shani Funk, Sergei Kotikov, Nurit Sharvit, Daniel Ben-Dov
Infantry fighters are required for a variety of physical abilities to perform their tasks, with an emphasis on aerobic and anaerobic endurance, explosive power and agility. Thus, the key to fitness lies in the optimal balance between all types of training. However, the optimal ratio between the different types of training is unknown. In surveys conducted among infantry soldiers after major operations in recent years, including Tzuk Eitan (2014), there is a constant gap between the operational missions the soldiers encountered on the battlefield and their abilities in carrying heavy loads.
This gap seems to reflect sub-optimal training during basic training - training and advanced training. Some work has shown that walking long distances and carrying relatively light loads is ineffective in improving muscle strength, contributing to an increase in musculoskeletal injuries and the loss of training days and even increases eagle.
This work aims to determine which types of journeys - long with light loads versus short ones with heavy loads - yield the best results in combat fitness indices and musculoskeletal injuries among infantry soldiers in basic training.
Jacob Chen, Avi Benov, Daniel Darlington, Andrew Cap
According to U.S. military guidelines, resuscitation of trauma on the battlefield involves fresh whole blood transfusions or platelets stored at room temperature. However, current regulations prevent storage at room temperature for more than 24 hours due to increased metabolic activity of red cells as well as due to the risk of bacterial infection. looks like
In the context of reduced bacterial infection and improved masticatory function, it is better to store whole blood refrigerated than at room temperature.
The aim of this work is to determine whether whole blood stored at 4 C is equal to fresh whole blood as resuscitation fluid after trauma, in the context of hemodynamic parameters and coagulation functions.
Abigail Baruch, Ariel Kushmero, Hannah Rapaport
Organic phosphorus compounds are used as nerve gases and pesticides, and are highly toxic to the nervous system. 177 are inhibitors of the enzyme acetylcholine-asterase (ACA). The ACA is responsible for the hydrolysis of the neurotransmitter acetylcholine to choline and acetate. In the case of exposure, TZA can be removed from the blood using enzymes from this group that serve as biological adsorbents.
This work reviews the development of peptides with a high affinity for the NPA, which will serve as biological adsorbents.
Dean Nachman, Lior Yehoshua, Tamar Sela, Alon Glazberg, Hagit Padova
The spleen is the most damaged organ except for numb abdominal injuries, most often after a car accident or due to a fall from a great height. Minor numb abdominal injuries have previously been found to be a secondary cause of spleen damage. Recently, there have been several cases in the IDF of a ruptured spleen after a minor injury.
The purpose of this work is to examine the demagoguery and the sabotage mechanism that lead to a ruptured spleen among IDF servicemen.
Yehuda-Matan Danino, Rikharina Rabinowitz, Mirit Einan, Adi Biram, Yehuda Arieli, Ben Aviner
Sleep and wake cycle is an important factor in a person's proper functioning.
Melatonin is involved in determining this cycle. A population of combat divers, divers with closed systems and breathing 100% oxygen, dives both day and night.
The dives expose these divers to the risk of developing cerebral oxygen poisoning, which can lead to seizures and drowning. During continuous nocturnal activity it is known that the pattern of melatonin secretion is impaired, which is reflected in the disruption of the rhythm
I woke up. Apart from the function of melatonin "as a sleep hormone", melatonin is also an antioxidant, and a disruption in its secretion due to the reversal of diurnal activity may explain accumulated reports of cases of cerebral oxygen poisoning during the night dives.
The purpose of this work is to confirm or refute that reversal of the day-to-day activity (day-to-night) of oxygen divers is a risk factor for brain oxygen poisoning.
Rikharina Rabinowitz, Yehuda Matan Danino, Adi Biram and Yehuda Arieli
Blood-Brain Barrier (BBB), selectively controls the passage of substances from the bloodstream to the central nervous system, and vice versa. The results of various studies indicate a high involvement of the BBB in events characterized by the onset of seizures, such as epilepsy.
It is currently unknown whether the BBB outbreak promotes seizures, or whether it is a result of them.

Exposure to Hyperbaric Oxygen (HBO), for example in oxygen diving, can lead to development
Cerebral oxygen poisoning, characterized by loss of consciousness and seizures. The effect on BBB permeability due to this exposure may have a role to play
It is important in the development of the symptoms of the disease.
Moreover, it is important to understand the changes in barrier permeability during pressure cell treatment. On the one hand to prevent damage to the nervous system,
On the other hand as a potential tool for injecting drugs into the brain.
The purpose of the work is to test the BBB permeability following exposure to HBO at various pressures.
Liat Oxman, Yotam Lior, Hadar Shalev, Hagit Cohen, Victor Novak, Gal Ifergan
Signs of Post-Concessional Syndrome (PCS) have been found in many U.S. military personnel following the fighting in Iraq and Afghanistan. The prevailing theory is that these symptoms were caused due to the soldiers' exposure to the blast during an explosion. The blast causes brain processes called “post-syndrome
Mild Traumatic Brain Injury (mTBI). It is assumed that these processes cause impairment of concentration, memory and sleep.
PCS has similar characteristics to the mental symptoms of post-traumatic stress disorder (PTSD), which are also common following combat, and therefore the distinction between them is mainly based on a history of
Exposure to physical injury or repulsion. The battle situation often makes it difficult to distinguish the exposure to the blow. This distinction is simpler in a civilian outline, since in this outline the distance from the focus of the explosion can be clearly estimated.
In the summer of 2014, during the battles of "Eitan Cliff", the residents of the city of Be'er Sheva were exposed for the first time to steep-track firing. Following these events, a study was conducted to examine these characteristics in the city’s residents.
The aim of this work is to assess the prevalence of PCS and PTSD in the civilian population and their impact on the quality of life of residents; Assess the relationship between the distance from the site of the explosion and the disturbances and their intensity.
Orly Sagi, Maya Atar-Vardi, Maayan Yitzhak-Sadeh, Victor Novak, Shlomi Kodish, Yosef Yerushalmi, Manor Shpritz, Yonath Shemer-Avni
Jericho rose (leishmaniasis) is an endemic disease in Israel,
Caused by a parasite of the Leishmania major and Leishmania tropica.
In this retrospective study of the Negev population in the last decade, they were examined
The incidence of cases of leishmaniasis and the association between leishmaniasis and
Meteorological indices.
The need to increase knowledge and awareness about this disease has risen in the face of the rise
In the occurrence of the disease. It is necessary to guide a population living in the areas
Endemic, with an emphasis on the seasonal aspect. The importance of training also increases
"Guests" outside the area, such as soldiers or desert tourists.
The purpose of this work is to examine the relationship between disease incidence and indices
Meteorological.
Galit Almoznino, Omer Deutsch, Alon Glazberg, Bala Miklosh, Guy Krief, Batya Zakash, Doron Afarmian, Aharon Falmon
The Medical Corps has set a goal for the prevention of preventable death by 2020.
There is currently no ideal triage tool in a pre-hospital outline that will assist the primary military physician sorting in the field in the decision-making process.
Oral fluids are a mirror image of human health,
And is currently conducting industry research around the world for the detection and monitoring of oral and systemic diseases using oral fluids. The study allows the identification of proteins
That their expression profile varies significantly in the sampled group
Wanted compared to a healthy population, thus enabling use
In these proteins as biological markers (biomarkers) for the detection of non-details
Are known to belong to the same group. Oral fluids are a diagnostic tool
It is possible that its main advantages are the simplicity of taking the sample, since
The test is non-invasive, its low financial cost and reduced risk
For complications, both patient and therapist.
Objective: To develop a diagnostic tool for the use of the area based on oral fluids
And that it is possible to determine the patient's prognosis during the triage, in order to improve the
The quality of medical care provided to the patient and enable the saving of patients' lives.
Dan Henry Levy, Harold Lt. Cohen, Alon Livni, Nirit Yavnai
Need for dental care, and in particular caries treatment, can be
Influenced by a variety of demographic variables, including socio-economic status,
Intellectual content and country of origin.
This study describes the needs of caries treatment in young adults and their relationship with several socio-demographic factors.
Nir Fink, Racheli Levits, Or Singer, Arik Eisenkraft
The Medical Corps is working to adapt hearing protection to the character
The soldier's activity. In the Bio-Acoustic Laboratory of the Medical Corps
The noise attenuation capabilities of protective equipment are regularly tested
Existing hearing in the market and perception of speech while using them.
During Operation Resilient Cliff, dozens of fighters reported feelings of
Hearing loss due to exposure to combat noise. Activation or exposure to high-caliber weapons was found to precede the reporting of a hearing impairment.
This work describes the development of an advanced hearing gasket for the adjusted infantry soldiers
For a combat environment. The gasket is required to present priority over off-the-shelf products,
Ability to reduce noise from high-caliber weapons, and provide a hearing response
The communication network using a communication tube installed in the ear.
As part of a pre-conditioning study in a controlled bleeding model in pig,
The research group found a recurring pattern of pre-nodal arrhythmias.
Terminality in all pigs that died before the end of the experimental period. In pigs
Surviving the entire experiment no arrhythmias were documented.
The purpose of this work is to identify typical change patterns in indices in the injury model
Untreated, allowing mortality prediction from arrhythmia.
Abstracts
Lior Katz, Saleh Daher, Eran Israeli, Yaakov Maor
In non-alcoholic fatty liver disease, old age
It is a prognostic factor independent of complications, such as cardiovascular disease -
Vascular, extra-hepatic malignancy and complications of advanced liver disease. Disease
The fatty liver in the young adult population has not yet been accurately characterized.
The purpose of this work is to characterize fatty liver disease in a large population of
Young adults.
Tal Brosh-Nisimov, Ron Kedem, Nimrod Ofir, Omri Sheintel, Natan Keller, Sharon Amit
There is little information on the epidemiology of sexually transmitted infections in Israel.
This work describes the epidemiology of sexually transmitted infections among IDF soldiers and the treatment of these infections.
Shirley Gordon, Chen Goren, Idit Oz, Erez Carmon, Leah Shelef
Introduction: The use of cognitive assessments for medical diagnosis and examination
The fit for flight capability came into use in the Air Force in 2010.
The Cogscreen-AE test is a test-specific set of tests
Cognitive abilities found in correlation with flight abilities and have about it
Pilot population norms. This work presents the comparison of the Cogscreen tests averages between candidates
For a pilot course in the United States Army compared to pilot flowers in the IDF.
G. Hoffman, Yiftach Geffner, Jeffrey Stott, Matan Hoffman, Daniel Ben Dov, Shani Funk, Ido Diamant, Adam Gitner, Jeremy Townsend, David Church, Ilan Shelef, Philip Rosen, Guy Avital, Yaakov Chen, Hagai Frenkel, Yishai Ostfeld
(β-Hydroxy-β-methylbutyrate (HMB) is a derivative of acid
Believe in leucine which increases the anabolic response to exercise,
And has an anti-catabolic effect on muscle breakdown. Providing HMB
For 12-4 weeks contributes to an increase in muscle mass and strength and reduces
Markers of muscle damage (such as creatine kinase) following strenuous physical training.
Therefore, HMB is in increasing use among athletes, and due to its fitness
Increase protein synthesis and reduce its breakdown - it is used
Also in the treatment of cancer patients. Combat activity of soldiers of special units
Characterized by intense and prolonged efforts, food rationing and scarcity
Sleep. These typical conditions cause a significant decrease in muscle mass,
In endurance and strength. In a rat model that simulated continuous combat operations
HMB was found to increase protein synthesis and increase density
The bone. However, despite the possible benefits, the use of HMB
Has not yet been tested on soldiers.
The purpose of this work is to test whether HMB reduces muscle breakdown and improves abilities
The physicality and cognitive of warriors in intense physical activity conditions
And prolonged.
Sharon Dotan, Leah Shelef, Dan Kamansky, Ron Kedem, Alexander Margolis, Eyal Hassidim
One of the most common diagnoses among the adolescent population is anxiety disorder. Many of the symptoms of this diagnosis are manifested in a variety of physical complaints, which obscure the ability to make a diagnosis.
Proper and timely treatment.
The purpose of this work is to examine the relationship between anxiety disorder and medical conditions
Others who share common symptoms with anxiety: Intestinal Syndrome
Irritability, asthma, migraine and excessive sweating.
Galit Almoznino, Ron Kedem, Alex Dobrian
The knowledge base in Israel regarding the extent of the disease and the needs
Dentistry is extremely limited, and there is no government agency in charge of collection
The data. In the State Health Insurance Bill (Amendment - Medicine
Teeth), 5769 2010 - it was determined that a national dental survey should be conducted once every five years, but this survey has never been conducted. Partial image on vista
About the morbidity can be obtained from the findings of not many surveys that have been conducted
In Israel over the years, and only a minority were performed in a representative sample.
The purpose of the work is to present the research work currently underway in the IDF
And its purpose is to measure the extent of dental, periodontal disease
And the oral as well as the risk factors for tooth decay in all the regular soldiers who applied
For dental care in military dental clinics.
Yevgeny Rosenfeld, Aharon S. Feinston, Elad Damari, Uriah Moran, Leonid Kalichman
Diagnosis of myopic trigger points (MTrPs) is a skill
Clinically impossible to perform using imaging or technology
Other. The diagnosis is made by palpation based on criteria
Published by Simons. However, no studies have yet been conducted for testing
Tactile reliability in the lower extremities.
The purpose of the work is to assess the internal and external reliability of tactility
MTrPs in the lower extremities.
Anna Lewkowski, Sivan Abbot Barkan, Leah Chapnik, Omer Doron, Yuval Levy, Yuval Heled, Erez Carmon
Physiological and metabolic processes affect the balance of fluids in the body.
Fluid loss has a direct effect on cognitive functions, in loss
Of at least 1% of body weight, and physiological, in loss of at least 2%.
Optimal cognitive function is necessary for air crew members (ACA) to perform
The mission. To maintain a proper fluid balance, drink a sufficient amount of
Fluids that will compensate for the loss of fluid excreted in sweat during flight. The purpose of this work is to examine the rate of fluid loss in a military flight.
Zeev Zalewski, Yevgeny Biderman
In general, it is very important to develop the ability to monitor vital signs
from afar. This study deals with a special technology based on a laser beam
And a fast camera. The mode of operation of this technology is to examine the motion of
Patterns of secondary speckle patterns formed in part
The top of the observed object is illuminated by a laser beam. technique
This enables non-contact remote monitoring of vital signs. With the signs
The essentials examined are: heart rate, respiration rate, pulse pressure
(The difference between systolic and diastolic pressure), blood clotting and oxygen saturation
In the blood. These parameters are measured in a wide range of routine and emergency situations. diverse
The instruments used to measure them are based on a selection of technology types.
Most existing devices require contact with the object they are interested in
To monitor. Some of them are even invasive, so it is impossible to use the methods
These are for remote monitoring. There are several optical methods for monitoring some of the signs
The essential ones, one of which is the system proposed in this study, a system
Modular that allows monitoring of vital signs from any position and position.
The purpose of this work is to develop a means of monitoring vital signs - heart rate, rhythm
Breathing, pulse pressure, blood clotting and oxygen saturation in the blood - remotely, without contact
And efficiently, as well as improving technology and minimizing, out-of-laboratory realization.
Adi Leiba, Keren Zilka, Noam Ben-Yosef, Saar Mincha, Hagai Frenkel
In 2016, the Central Command held three training platforms
Medical teams with the help of simulators: Vertebral training in the simulation center
At Sheba Medical Center in Tel Hashomer, the arrival of MSR teams in the units
("Message on Wheels"), and an independent divisional simulator-based training.
The purpose of the work is to compare the three forms of simulator-based training, with two
Plains: professionalism and quality of instruction and learning on the one hand, and connection to the field,
Including the human and ethical complexities of Judea and Samaria, on the other hand.
Nir Geter, Alex Schatz, Ahmad Abu-Juma, Nimrod Grisero, Zeev Kaplan, Doron Todar
The use of neurofeedback as a method for improving cognitive abilities
Gaining momentum in recent years. The neurofeedback method allows
Train different aspects of brain activity, thus improving performance
The brain, the cognitive and motor performance and the experience
The emotional of the trainees.
This study examined the validity of the use of neurofeedback training
To create cognitive change. This is done by examining the suitability of the flu
Cerebral location neurofeedback is based on subjects' performance in computational tasks
And the predictions of a well-known and powerful theory in the field of arithmetic processing.
Ben Simon-Piatkowski, Lilach Gavish, Lynn Wagnert-Avraham, David Kushnir, David Gretz, Gal Yaniv, Arik Eisenkraft
Bleeding shock such as that present in field-level trauma leads to injury
Ischemic in a wide variety of organs, including the small intestine, liver, and lungs
And in the kidneys. Distant conditioning induced ischemia (MRA) was examined in the selection
Pathological conditions, and was found to be able to reduce morbidity and mortality. On
It was also decided to test whether it would also have an effect on trauma injuries. within
Experiments in a controlled bleeding model in the pig that test a variety of effects of
Pre-conditioning, it was decided to focus on the above target organs.
The aim of the work is to examine the histopathological changes in target organs and biochemical parameters in a controlled bleeding model in pig, with and without preconditioning.
Oren Schwartz, Itzik Malka, Triff Bader
Overuse injuries are the leading cause of medical eagle and loss
Training days in the basic training of fighters in the armies of the world. Injuries
These impair the competence of the combat units due to the loss of training days
And a decrease in the physical fitness of the fighters. On top of that they are in the exam
A huge economic and health burden, being the main reason for doctor visits
In basic training and for the consumption of medical services during and after the service.
The IDF does not systematically monitor these injuries, and therefore there is no up-to-date information
Regarding their rates, the types of injuries common and the main injury mechanisms.
Present to the IDF decision-makers an up-to-date picture
Regarding the rates of injuries among novices in the basic training, and regarding areas
Injuries and common mechanisms, to enable informed decision making
In this important field in terms of the health of the fighters and the competence of the units.
Oren Schwartz, Said Abdullah, Sergei Kotikov, Itzik Malka, Triff Bader
Stress fractures are an overuse injury that causes loss of training days
Relative relative to other injuries, and also a sensitive marker of incidence
Overuse injuries in general in combat units. In the medical literature sex
A female is considered a significant risk factor for developing stress fractures. In the IDF, it was decided
Recently opened the combat roles for women in a sweeping way and almost without
restriction. This decision may have far-reaching implications in terms of
The health of the fighters and the ability of their units to carry out their missions.
The purpose of the work is to present decision makers with an up - to - date snapshot of
Prevalence of stress fractures and their location among combatants, in order to better understand
The extent of the phenomenon and the common areas of injury and help their hand to get
Make informed decisions in the matter, while trying to reduce their awe
Of these fractures in particular and of overuse injuries in general.
Ella Dor, Tali Pechersky, Yossi Lavie, Michal Steiner, Arik Eisenkraft
Respiratory exposure to chemicals leads to formation
Reactive Airway Dysfunction Syndrome (RADS, probably by
Activation of TRPV channels. The information on this issue is missing, and there is no treatment at the field level
To reduce damage.
The aim of this work is to establish a mouse model for lung injury of the RADS type that will allow the examination of various means of treatment for first responders.
Eran Galili, Elor Zehavi, Yehuda Tzadik, Tom Caspi, Dror Tal
About a quarter of Navy sailors suffer from seasickness. Line treatment
The first given by the doctor is scopolamine. Previous studies have found
That this drug reduces salivation by about half. In situations of
A significant reduction in salivary secretion was found to increase the risk of caries. Risk
It has not been tested in scopolamine treatment.
The purpose of this work is to test whether treatment with scopolamine, an anti-cholinergic drug
The cause of a significant reduction in salivation is a risk factor
For the development of tooth decay.
Dror Ofir, Yoav Yanir, Mirit Einan, Ben Aviner, Adi Biram, Michael Molokondov, Ronen Bar, Yehuda Arieli
There are a variety of respiratory protection systems in the world, as well as in Israel
To protect the respiratory system from chemical, biological or radiological damage.
These systems should be used by the entire age range of the population,
Including adults and the elderly, two groups in which decline can be identified
In respiratory function. This process includes, but is not limited to: (a) decreased function
Respiratory muscles; (B) an increase in respiratory resistance; (C) Decreased elasticity
Of the lungs; (D) Decreased thoracic responsiveness. These processes may
Cause a decrease in the ability of the respiratory system to respond to environmental changes,
Including an increase in carbon dioxide concentrations or a decrease in oxygen concentrations
The ambitious. Despite this, it is common to examine respiratory safety
Using a respirator simulator or a young population test
And healthy only.
Objective: To examine the effect of age on respiratory safety, as
Which is reflected in the concentrations of the inhaled gases, when wearing a protective mask
Of the "sapphire" type.
Yuri Poner, Shir Shemi, Gil Kaminski-Greif, Guy Wiener, Dov Hershkovitz, Dror Tal
Seasickness is a common problem among crew ships
The sea, and it has a great influence on the ability of the crews to function.
Today the usual drug treatment is based on trabamine, Stonron
And Couls. The absorption of the drugs and their level in the blood are individual. currently,
The effectiveness of the drugs is assessed by trial and error: the soldiers are exposed
For sailing on the vessel while handling and monitoring the effect of the drugs.
A neurophysiological test to evaluate the effectiveness of the drug in a timely manner could
Save a lot of suffering from staff members. This type of test will also lead to a process
Of adjusting the optimal drug in an individual way, pre-exposure
To sea conditions.
The various drugs in the field act in a mechanism of vestibular suppression.
The organ that monitors the most provocative acceleration in seasickness is
The scale, as part of the otolithic organs in the equilibrium system.
CVEMP - Assessing the potential of the aroused cervical muscle
Vestibular, is the test of choice for scale function.
The hypothesis of the study is that the scolar suppression will be reflected in the indices
.CVEMP test
Objective: To compare the cVEMP response between pharmacotherapy and in vitro,
And thus constitute a neurophysiological tool for the evaluation of drug absorption.
Ben Aviner, Dror Ofir, Yehuda Matan Danino, Yehuda Arieli, Mirit Einan
Combat divers usually stay in the water for long periods of time,
From a few hours to more than 10 hours. Seawater temperature varies
Throughout the year, and with it the quality of the thermal protection of the divers,
Expressed in a wetsuit they wear. The clothing and equipment that carry
Divers also vary according to the nature of the mission. A combination of these two factors
Led to the fact that sometimes during the winter, due to operational activity,
The need arose to reduce the level of thermal protection, and to use a suit
A minute. But this may have an effect on the risk of developing the disease
In hypothermia.
In addition, during the stay in the water the diver is not physically active
For long periods of time, the risk of hypothermia may increase.
The purpose of this work is to perform a core temperature measurement and manual function of combat divers
During and after prolonged exposure to cold water without exercise.
Galit Almoznino, Moshe Spiegel, Ron Kedem, Alex Dobrian
Diagnosis of a wide range of oral and maxillofacial lesions
Is an essential part of dental practice. Flat lichen
planus) is a chronic inflammatory disease of the skin and mucous membranes that is common
In the population it is at the rate of 2% -0.1%. The disease can manifest itself in the skin,
Mouth mucosa, genital mucosa, scalp and nails.
Objective: To characterize patients with flatulence in aspects
Demographic and in the context of dental, periodontal and general morbidity.
Yael Ankry, Yoram Brab, Oded Meiron, Doron Todar, Idit Oz, Shirley Gordon
An environment laden with stimuli and working in stressful conditions are known to be harmful
In cognitive function and as reducing the ability to mobilize and conserve resources
To perform a defined task in front of distractors (managerial attention), as happens
For example in combat situations. One of the brain regions known to be responsible for managerial attention is the prefrontal dorsal-lateral cortex.
(dlPFC). Direct cross-skull electrical stimulation (tDCS) is a technique
For transmitting very low electric current through the skull to target areas,
For the purpose of changing the sensitivity threshold of the neurons, in order to transform the region
To be more sensitive to endogenous activity. This technique has been proven to be effective for improvement
Attention performance and is considered safe.
Objective: To explore the possibility of improving managerial attention through
tDCS implemented in dlPFC, in healthy subjects subjected to load conditions
Cognitive and emotional stress.
Itai Katko, Natan Shipman, Savyon Mazgauker, Chen Fleischman, Danit Atias, Ofir Frenkel, Yuval Heled, Ran Janovich
In recent years, emphasis has been placed on the development of new technologies
For the production of fabrics and for sewing the garment, which will give it functional properties
Allowing work and combat alongside maximum evaporation of sweat and thermal properties
Improved. Therefore, the clothing division in the Tel Aviv branch of Tel Aviv approached the institute
For the study of warrior medicine, in order to conduct research to examine work clothes
For permanent personnel and new combat clothing in front of work uniforms (Monday uniform)
Used today.
The purpose of the work is to perform an assessment of the physiological strain induced during physical exertion
Under medium heat load conditions, as part of a physiological examination of work clothes
And combat clothing that the IDF is considering equipping for its forces.
Sebastian Tomasco, Yehuda Tzadik
During my services as a physician in a dental clinic at a training base
The recruits of the Nahal Brigade, I noticed quite a few cases of injuries
In teeth caused by a blow from the personal weapon. Due to the large number of sabotage cases,
It was decided to investigate whether there are differences in the percentage of personal weapon sabotage between
Various training bases of infantry recruits. In the Golani, Givati ​​and Nahal divisions
Micro-Tabor is used as a personal weapon, while in the Kfir Brigades
And paratroopers personal weapons during the training period is M16. The training track
Of infantry fighters is relatively uniform and lasts about seven months on average, a period
Which splits into two main trends, quite identical in length: basic training
And advanced training.
The objectives of the work are: (1) to determine whether the type of personal weapon used by the novice is a decisive factor in the rates of dental injuries during the training period; (2) point to other connections, if discovered.
Tamar Lachish, Mark Eshos, Olga Grokhovsky, Tami Halperin
In April 2015, an earthquake struck Nepal. More than 7,400 sons
A person was killed in this natural disaster and about 14,000 were injured. An IDF delegation left
To assist the victims of the disaster and set up an Israeli military field hospital in Nepal.
The hospital in Nepal operated for 12 days, during which the staff treated medical staff, who, among other things, operated a capable microbiological laboratory
Isolate samples taken from sterile sites, using culture
On selective substrates, phenotypic characterizations and resistance tests
For antibiotics, analyzed according to CLSI guidelines.
Bacteria-resistant antibiotics Multi Drug Resistance are common
Worldwide, but especially in developing countries due to sanitation conditions
Poor, limited access of the local population to clean water
And flows and into sewer systems, the lack of oversight of the widespread supply of antibiotics
Range as well as hiker movement that allows the distribution of plasmids and clones between
Continents.
The purpose of this work is to study the mechanisms of antibiotic resistance among a group
This unique generator is generated by collecting bacterial strains over a period of time
The activities of the hospital.
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