Instruct: Given a question, retrieve documents that answer the question.
Query: How is trench foot treated?
Trench foot is a medical condition caused by prolonged exposure of the feet to damp, unsanitary, and cold conditions at temperatures as warm as for as few as 13 hours. Exposure to these environmental conditions causes deterioration and destruction of the capillaries and leads to morbidity of the surrounding flesh. Affected feet may become numb, affected by erythema (turning red) or cyanosis (turning blue) as a result of poor blood supply, and may begin emanating a decaying odour if the early stages of necrosis (tissue death) set in. As the condition worsens, feet may also begin to swell. Advanced trench foot often involves blisters and open sores, which lead to fungal infections. If left untreated, trench foot usually results in gangrene, which may require amputation. If trench foot is treated properly, complete recovery is normal, though it is marked by severe short-term pain when feeling returns. Trench foot affected tens of thousands of soldiers engaged in trench warfare in World War I. Keeping feet warm and dry, or at least changing into warm and dry replacement footgear, is the best way to avoid trench foot.
2/4th Londons received their introduction to trench warfare in the 'Eski' reserve line between 20 and 27 October, and suffered their first battle casualties. Thereafter they did seven-day tours of duty in the reserve line alternating with 'rest' in flooded camps in the rear. In December the battalion took over frontline trenches. Between 31 December and 8 January 1916 the battalion was evacuated to Mudros by detachments as the Gallipoli operation was closed down. From Mudros the battalion was taken to Alexandria aboard HMT "Ionian", arriving on 21 January.
Trench warfare has become archetypically associated with the First World War of 1914–1918, when the Race to the Sea rapidly expanded trench use on the Western Front starting in September 1914. By the end of October 1914 the whole front in Belgium and France had solidified into lines of trenches, which lasted until the last weeks of the war. Mass infantry assaults were futile in the face of artillery fire as well as rapid rifle and machine-gun fire. Both sides concentrated on breaking up enemy attacks and on protecting their own troops by digging deep into the ground. Trench warfare also took place on other fronts, including in Italy and at Gallipoli.
Trench warfare occurred when a revolution in firepower was not matched by similar advances in mobility, resulting in a grueling form of warfare in which the defender held the advantage. On the Western Front in 1914–1918, both sides constructed elaborate trench, underground, and dugout systems opposing each other along a front, protected from assault by barbed wire, mines, camouflaged trapping pits, and other obstacles. The area between opposing trench lines (known as "no man's land") was fully exposed to artillery fire from both sides. Attacks, even if successful, often sustained severe casualties.
When longitudinal muscles in the ampullae contract, valves in the lateral canals close and water is forced into the tube feet. These extend to contact the substrate. Although the tube feet resemble suction cups in appearance, the gripping action is a function of adhesive chemicals rather than suction. Other chemicals and relaxation of the ampullae allow for release from the substrate. The tube feet latch on to surfaces and move in a wave, with one arm section attaching to the surface as another releases. Some starfish turn up the tips of their arms while moving which gives maximum exposure of the sensory tube feet and the eyespot to external stimuli.
Only with the advent of accurate firearms did the use of trenches as positions for the defender of a fortification become common. Elaborate trench and bunker systems were employed by the Māori to withstand British artillery barrages and bayonet charges during the New Zealand Wars in the 1840s. Trench systems were also employed in the Russo-Japanese War and American Civil War. The military usage evolved very quickly in the First World War, until whole systems of extensive main trenches, backup trenches (in case the first lines were overrun) and communication trenches had been developed, often stretching dozens of kilometres along a front without interruption, and some kilometres further back from the opponent's lines.
Swells dropped to 1–1.5 m on 28 June 2011, allowing more netting of sardines. Sardines were netted at Amanzimtoti; on the main beach and at Chain Rocks. A 22-year-old American marine biology student (research diver) named Paulo Edward Stanchi was attacked by a large dusky shark while diving at Aliwal Shoal Marine Protected Area. The group of divers had encountered a pocket of sardines when a 3 m long dusky shark bit Mr Stanchi on his left leg and hands. Mr Stanchi managed to free himself from the shark, and was treated on the diving boat before being transported to Rocky Bay, where medics stabilised him. He was then airlifted to Nkosi Albert Luthuli Hospital, where he underwent surgery. Dusky sharks generally live offshore, but come closer to the shore during the sardine run. The annual sardine run allowed more dusky sharks in the Aliwal Shoal MPA than usual, but there was no reason for them to show any more interest in divers than usual. Mr Stanchi had been wearing split fins with black and grey stripes, and this may have looked like a small shoal of fish to the shark. Meanwhile, a woman in her 40s broke her leg in the frenzy at Amanzimtoti when the sardines were netted. The woman is believed to have been trying to get some of the sardines when she "stepped wrong" and fractured her leg. Paramedics stabilized her before transporting her to hospital.
There are several classes of anthelminthic drugs, some effective against many kinds of parasite, others more specific; these can be used both preventatively and to treat infections. For example, Praziquantel is an effective treatment for tapeworm infection, and is preferred over the older niclosamide. Cestodes can also be treated with certain kinds of antibiotics. While accidental tapeworm infections in developed countries are quite rare, such infections are more likely to occur in countries with poor sanitation facilities or where food hygiene standards are low.
There is no cure for Tourette's and no medication which works universally for all individuals without significant adverse effects; knowledge and understanding are the best treatments available for tics. Management of the symptoms of Tourette's may include pharmacological, behavioral and psychological therapies. While pharmacological treatment is reserved for more severe symptoms, other types of treatments may help avoid or improve symptoms of depression or social isolation, and improve supportive family functioning. Educating the patient, family, and surrounding community (school, church, friends, etc.) is a key part of treatment.
Trench warfare has been infrequent in recent wars. When two large armoured armies meet, the result has generally been mobile warfare of the type which developed in World War II. However, trench warfare reemerged in the latter stages of the Chinese Civil War (Huaihai Campaign), the Korean War (from July 1951 to its end), and at Dien Bien Phu and other later locations and engagements during the Vietnam War. During the Cold War, NATO forces routinely trained to fight through extensive works called "Soviet-style trench systems", named after the Warsaw Pact's complex systems of field fortifications, an extension of Soviet field entrenching practices for which they were famous in their Great Patriotic War (the Eastern Front of World War II).
Ulcers of the shell may be superficial or deep, and may be termed "shell rot". Ulcers are generally a result of poor husbandry. Turtles with ulcerative shell lesions should be examined and treated by a veterinarian, as the ulcers may become infected and penetrate through the shell. The shell will need to be cleaned daily, and dead tissue removed. Topical and/or injectable antibiotics are required in the case of bacterial infections. Deep ulcers may need to be repaired through surgery and the application of acrylic or fiberglass material. In a disease called "septicemic cutaneous ulcerative disease", or SCUD, ulcers may be seen on both the shell and legs. This condition is often associated with the bacteria, "Citrobacter freundii".
"Pyramiding" is a shell deformity commonly found in captive turtles, in which the shell grows unevenly resulting in a "pyramid" shape underlying each scute. This deformity can vary in severity from barely noticeable to life-threatening. Indian star tortoises and some other species display this morphology naturally.
Electromyographic (EMG) nerve-conduction studies may be required. X-rays may be needed to exclude bone abnormalities that might put pressure on the nerve; likewise CT or MRI scans to exclude soft tissue causes such as a tumor.
The immediate symptoms of this type are treated with antihistamines, epinephrine and airway support. Taking antihistamines prior to exercise may be effective. Ketotifen is acknowledged to stabilise mast cells and prevent histamine release, and has been effective in treating this hives disorder. Avoiding exercise or foods that cause the mentioned symptoms is very important. In particular circumstances, tolerance can be brought on by regular exercise, but this must be under medical supervision.
Some species of sea urchins, such as the slate pencil urchin ("Eucidaris tribuloides"), are commonly sold in aquarium stores. Some species are effective at controlling filamentous algae, and they make good additions to an invertebrate tank.
MacInnis led another series of dives in 1995 to salvage the bell from "Edmund Fitzgerald". The Sault Tribe of Chippewa Indians backed the expedition by co-signing a loan in the amount of $250,000. Canadian engineer Phil Nuytten's atmospheric diving suit, known as the "Newtsuit," was used to retrieve the bell from the ship, replace it with a replica, and put a beer can in "Edmund Fitzgerald"s pilothouse. That same year, Terrence Tysall and Mike Zee set multiple records when they used trimix gas to scuba dive to "Edmund Fitzgerald". The pair are the only people known to have touched the "Edmund Fitzgerald" wreck. They also set records for the deepest scuba dive on the Great Lakes and the deepest shipwreck dive, and were the first divers to reach "Edmund Fitzgerald" without the aid of a submersible. It took six minutes to reach the wreck, six minutes to survey it, and three hours to resurface to avoid decompression sickness, also known as "the bends."
The Middle America Trench is a major subduction zone, an oceanic trench in the eastern Pacific Ocean off the southwestern coast of Middle America, stretching from central Mexico to Costa Rica. The trench is 1,700 miles (2,750 km) long and is 21,880 feet (6,669 m) at its deepest point.
The trench is the boundary between the Rivera, Cocos, and Nazca plates on one side and the North American and Caribbean plates on the other. It is the 18th-deepest trench in the world. Many large earthquakes have occurred in the area of the Middle America Trench.
The treatment of Tourette's focuses on identifying and helping the individual manage the most troubling or impairing symptoms. Most cases of Tourette's are mild, and do not require pharmacological treatment; instead, psychobehavioral therapy, education, and reassurance may be sufficient. Treatments, where warranted, can be divided into those that target tics and comorbid conditions, which, when present, are often a larger source of impairment than the tics themselves. Not all people with tics have comorbid conditions, but when those conditions are present, they often take treatment priority.
In World War I, shell shock was considered a psychiatric illness resulting from injury to the nerves during combat. The horrors of trench warfare meant that about 10% of the fighting soldiers were killed (compared to 4.5% during World War II) and the total proportion of troops who became casualties (killed or wounded) was 56%. Whether a shell-shock sufferer was considered "wounded" or "sick" depended on the circumstances. When faced with the phenomenon of a minority of soldiers mentally breaking down, there was an expectation that the root of this problem lay in character of the individual soldier, not because of what they experienced on the front lines during the war. These sorts of attitudes helped fuel the main argument that was accepted after the war and going forward that there was a social root to shell shock that consisted of soldiers finding the only way allowed by the military to show weakness and get out of the front, claiming that their mental anguish constituted a legitimate medical diagnosis as a disease. The large proportion of World War I veterans in the European population meant that the symptoms were common to the culture.
"O. tsutsugamushi" infection can be treated with antibiotics such as azithromycin, chloramphenicol, doxycycline, rifampicin, roxithromycin, and tetracyclin. Doxycycline is the most commonly used and is considered as the drug of choice because of high efficacy and quick action. But in pregnant women and babies it is contraindicated, and azithromycin is the drug of choice. In Southeast Asia, where doxycycline and chloramphenicol resistance have been experienced, azithromycin is recommended for all patients. A randomized controlled trial and systematic review showed that azithromycin is the safest medication.
Brittle stars are the most agile of the echinoderms, raising their discs and taking strides when moving. The two forward arms grip the substrate with their tube feet, the two side arms "row", the hindermost arm trails and the animal moves in jerks. The arm spines provide traction and when moving among objects, the supple arms can coil around things. A few species creep around on pointed tube feet. Starfish extend their tube feet in the intended direction of travel and grip the substrate by suction, after which the feet are drawn backwards. The movement of multiple tube feet, coordinated in waves, moves the animal forward, but progress is slow. Some burrowing starfish have points rather than suckers on their tube feet and they are able to "glide" across the seabed at a faster rate.
"O. tsutsugamushi" is naturally maintained in the mite population by transmission from female to its eggs (transovarial transmission), and from the eggs to larvae and then to adults (transtadial transmission). The mite larvae, called chiggers, are natural ectoparasites of rodents. Humans get infected upon accidental contact with infected chiggers. A scar-like scab called eschar is a good indicator of infection, but is not ubiquitous. The bacterium is endemic to the so-called Tsutsugamushi Triangle, a region covering the Russian Far East in the north, Japan in the east, northern Australia in the south, and Afghanistan in the west. One million infections are estimated to occur annually. Antibiotics such as azithromycin and doxycycline are the main prescription drugs; chloramphenicol and tetracyclin are also effective. Diagnosis of the infection is difficult and requires laborious techniques such as Weil–Felix test, rapid immunochromatographic test, immunofluorescence assays, and polymerase chain reaction. There is no working vaccine.
This enzyme belongs to the family of oxidoreductases, specifically those acting on paired donors, with O2 as oxidant and incorporation or reduction of oxygen. The oxygen incorporated need not be derived from O2 with 2-oxoglutarate as one donor, and incorporation of one atom o oxygen into each donor. The systematic name of this enzyme class is N6,N6,N6-trimethyl-L-lysine,2-oxoglutarate:oxygen oxidoreductase (3-hydroxylating). Other names in common use include trimethyllysine alpha-ketoglutarate dioxygenase, TML-alpha-ketoglutarate dioxygenase, TML hydroxylase, 6-N,6-N,6-N-trimethyl-L-lysine,2-oxoglutarate:oxygen oxidoreductase, and (3-hydroxylating). This enzyme participates in lysine degradation and L-carnitine biosynthesis and requires the presence of iron and ascorbate.
O͘ is one of the six Taiwanese Hokkien vowels as written in the Peh-oe-ji (POJ) orthography. It is a normal o followed by Unicode , and is not to be confused with the Vietnamese Ơ. It is pronounced .
Percolation trenches are often used to treat runoff from impervious surfaces, such as sidewalks and parking lots, on sites where there is limited space available for managing stormwater. They are effective at treating stormwater only if the soil has sufficient porosity. To function properly, a trench must be designed with a pretreatment structure such as a grass channel or swale, in order to capture sediment and avoid clogging the trench. It may not be appropriate for sites where there is a possibility of groundwater contamination, or where there is soil with a high clay content that could clog the trench.
s͎ is represented in Unicode by an s and U+034E (Combining Upwards Arrow Below).