Medicine in the basic combat training period (recruits medicine) II: Health services organization and personnel.
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Biomedical subjects
Publications and source records attributed to C Armon.
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Combinations of thiopentone, light mineral oil, and pressure to as much as 160 ATA were applied to the isolated, thermostated (18 degrees C) frog sciatic nerve. Amplitude and rise rate of the compound action potential were examined and compared to the response in Ringer's solution. Immersion in mineral oil caused no change in the response. Pressure, whether applied by helium or after immersion in mineral oil, caused mainly reversible slowing of the response, as did thiopentone by itself, up to at least 5.1 mM. Thiopentone (3.2mM) and helium pressure up to 114 ATA were reversibly synergistic, in that the response was markedly slowed and reduced. Nerves that had been immersed in 3.2 mM thiopentone were placed in mineral oil; this procedure caused a reduction in the size of the response. Application of pressure then eliminated the response, and decompression did not lead to its recovery until the nerve was repeatedly rinsed in Ringer's solution. The findings question the inertness of mineral oil to excitable membranes and indicate that caution should be exercised in its use as a compression medium.
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This article critiques the current working definition of chronic fatigue syndrome. The concerns raised about the current working definition are the following: prolonged or excessive exertion is not addressed explicitly; duration and quality of bed rest are not specified; a socioeconomic ascertainment bias is present; data from history and physical findings are not clearly separated and are relegated to minor criteria; and the rigor of neurologic and psychiatric evaluations is not specified. We propose a flow chart that addresses the possible modes of evolution of chronic fatigue syndrome for patients; this chart may yield more homogeneous subgroups of individuals with this syndrome or enable some patients to avert the syndrome.