The Walter Reed Army Medical Center outpatient infusion service: lessons for managing health care change at the local level.

abstract：:Blast-induced neurotrauma has affected more than 300,000 service members. It is important to understand the effect of single and repeated shock-blast wave exposures on the neuropsychological behavior of soldiers, to offer them better protection, diagnostics, and treatment. Preclinical animal models and helmet design s...

journal_title：Military medicine

authors： Chandra N,Sundaramurthy A,Gupta RK

更新日期：2017-03-01 00:00:00

abstract：INTRODUCTION:Despite greater than 60,000 nonfatal firearm injuries per year in the United States, retained shrapnel is a relatively rare cause of systemic lead toxicity with less than 100 cases reported in the medical literature since 1867. While intra-articular retained shrapnel as a cause of lead toxicity is well-des...

journal_title：Military medicine

authors： Grasso IA,Blattner MR,Short T,Downs JW

更新日期：2017-03-01 00:00:00

abstract：OBJECTIVES:Soldiers failing to meet Army Regulation 600-9 (AR 600-9) for weight-to-height standards are required to undergo body fat taping assessment. This article describes a clinical performance improvement project in which battalion medical staff identified a simpler way to improve on meeting AR 600-9 standards wit...

journal_title：Military medicine

authors： Bernstein SA,Lo M,Davis WS

更新日期：2017-03-01 00:00:00

abstract：:Beginning in 1991, case reports of coccidioidomycosis in California increased dramatically, pursuant to a variety of natural and demographic factors. This highly infectious fungal disease with propensity to disseminate widely, mimic other conditions, and cause pathology at locations distant in place and time is readil...

journal_title：Military medicine

authors： Olson PE,Bone WD,LaBarre RC,Martin CR,Utz GC,Miller LK,Gresham L

更新日期：1995-06-01 00:00:00

abstract：:Administrative and clinical considerations for the establishment of an ophthalmic laser program at a VA Outpatient Clinic are discussed. Outcomes of the first 320 patients treated over a 3-year period of time are presented. The program is evaluated from the perspectives of patient care, safety, maintenance, education,...

journal_title：Military medicine

authors： Newcomb RD

更新日期：1995-08-01 00:00:00

abstract：:Sulfur Mustard (SM) is a potent alkylating agent with electrophilic property which has been used as a chemical warfare agent in at least 12 conflicts. It has reemerged as a major threat in recent years. Medical attention is primarily concerned with its action on the skin, eyes, and respiratory tract which may be compl...

journal_title：Military medicine

authors： Naghii MR

更新日期：2002-07-01 00:00:00

abstract：:A quasi-experimental prospective study was conducted to assess the stage of change progression and elimination of unhealthy behaviors among active duty Army soldiers and their spouses (N = 245) before and after attending a community-based wellness program. Significant differences in stage progression between the inter...

journal_title：Military medicine

authors： Niederhauser VP,Maddock J,LeDoux F,Arnold M

更新日期：2005-03-01 00:00:00

abstract：:This paper reports on data from a survey of international military mental health professionals. In a series of open-ended questions, respondents were asked to describe their country in terms of the field of military psychology, the role of mental health professionals on deployment, the degree to which the field of men...

journal_title：Military medicine

authors： Adler AB,Bartone PT

更新日期：1999-11-01 00:00:00

abstract：Introduction:To introduce a trabectome-initiated gonioscopy-assisted transluminal trabeculotomy (TIGATT) procedure and to report preliminary results. Materials and Methods:A preliminary case series of eight patients who have undergone the newly proposed TIGATT procedure is presented. TIGATT is a new concept that modif...

journal_title：Military medicine

authors： Smith BL,Ellyson AC,Kim WI

更新日期：2018-03-01 00:00:00

abstract：:Diarrheal disease affects a large proportion of military personnel deployed to developing countries, resulting in decreased job performance and operational readiness. Travelers' diarrhea is self-limiting and generally resolves within 5 days; however, antibiotic treatment significantly reduces symptom severity and dura...

journal_title：Military medicine

authors： Tribble DR

更新日期：2017-09-01 00:00:00

abstract：:Limited conflicts and the war against terrorism, in particular, have changed the emphasis in the present trend from preparing to cope with full-scale wars to the need to combat in limited conflicts. This shift has affected significantly medical units' preparations. Law enforcement organizations have come together with...

journal_title：Military medicine

authors： Waldman M,Richman A,Shapira SC

更新日期：2012-01-01 00:00:00

abstract：:With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...

journal_title：Military medicine

authors： Chang EG

更新日期：1991-07-01 00:00:00

abstract：:Combat trauma differs from its peacetime counterpart by involving a different spectrum of injuries, occurring in austere environments, dealing with mass casualties, and embodying inherent treatment delays. Thus, civilian trauma practices may be inappropriate in certain combat settings. A review of historical as well a...

journal_title：Military medicine

authors： Wiedeman JE,Rignault DP

更新日期：1999-04-01 00:00:00

abstract：:Pseudolymphomas of the breast are extremely rare: the etiology of these lesions is unclear, but some believe they may represent a response to local injury. Although morphologically similar to malignant lymphomas, they are benign. Here we report a case of pseudolymphoma of the breast and present a review of the literat...

journal_title：Military medicine

authors： Maldonado ME,Sierra RD

更新日期：1994-06-01 00:00:00

abstract：:To-date, there has been no international review of mental health resilience training during Basic Training nor an assessment of what service members perceive as useful from their perspective. In response to this knowledge gap, the North Atlantic Treaty Organization (NATO) Human Factors & Medicine Research & Technology...

journal_title：Military medicine

authors： Adler AB,Delahaij R,Bailey SM,Van den Berge C,Parmak M,van Tussenbroek B,Puente JM,Landratova S,Kral P,Kreim G,Rietdijk D,McGurk D,Castro CA

更新日期：2013-07-01 00:00:00

abstract：:Health care managers are faced with difficult decisions on a daily basis. Some of those issues involve productivity. Statistical analyses of patient and provider population dynamics offer an important tool with which to base decisions. In this study, two representative clinics out of seven were selected. The patient a...

journal_title：Military medicine

authors： Patterson CW

更新日期：2010-12-01 00:00:00

abstract：:Trauma and cancer are entities that are encountered frequently by surgeons and occasionally may exist simultaneously in certain patients. Illustrated here is the case of a man with a perinephric mass, discovered during evaluation for blunt abdominal trauma, which was originally thought to be a perinephric hematoma and...

journal_title：Military medicine

authors： Blake DP,Bessey PQ

更新日期：1996-03-01 00:00:00

abstract：:Dietary supplement use is common among military service members; approximately 17 to 20% report using high-risk weight-loss, performance-enhancing, and bodybuilding supplements. To date, no overarching policy or program has been approved or implemented to inform service members or educate health care providers on the ...

journal_title：Military medicine

authors： Gonsalves S,Stavinoha T,Hite L,Costa J,Dilly G,Deuster PA

更新日期：2012-12-01 00:00:00

abstract：:Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...

journal_title：Military medicine

authors： Ritter J,O'Brien S,Rivet D,Gibb I,Grimes J,Hinds S,Jessinger R,May T,Wirt M,Shackelford S,Adam O,York G,Ritchie B,Flores R,Stockinger Z

更新日期：2018-09-01 00:00:00

abstract：INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...

journal_title：Military medicine

authors： Luan WP,Leroux TC,Olsen C,Robb D,Skinner JS,Richard P

更新日期：2020-08-14 00:00:00

abstract：:The USNS Mercy (T-AH 19) is a unique environment for its staff and patients. Several environmental influences distinctively affect health, medical, and nursing care. Six main areas of environmental concern for operational nursing were examined. The strengths, weaknesses, opportunities, and threats to the internal envi...

journal_title：Military medicine

authors： McKenzie RT,Boren DM

更新日期：2001-06-01 00:00:00

abstract：OBJECTIVE:Problematic anger is a significant clinical issue in military personnel, and is further complicated by comorbid post-traumatic stress disorder (PTSD). Despite increasing numbers of military personnel returning from deployment with anger and aggression difficulties, the treatment of problematic anger has recei...

journal_title：Military medicine

authors： Cash R,Varker T,McHugh T,Metcalf O,Howard A,Lloyd D,Costello J,Said D,Forbes D

更新日期：2018-09-01 00:00:00

abstract：OBJECTIVE:Soldier deployment can create a stressful environment for U.S. Army families with young children. Prior research has identified elevated rates of child maltreatment in the 6 months immediately following a soldier's return home from deployment. In this study, we longitudinally examine how other child- and fami...

journal_title：Military medicine

authors： Strane D,Lynch KG,Griffis HM,Taylor CM,Harb GC,Mi L,Song L,French B,Rubin DM

更新日期：2017-09-01 00:00:00

abstract：INTRODUCTION:The role of testosterone in health and quality of life has become increasingly visible and overtly marketed to the public. Some evidence suggests that testosterone levels in men may be low because of a variety of reasons, including stress and environmental exposures. OBJECTIVE:This study examines trends i...

journal_title：Military medicine

authors： Canup R,Bogenberger K,Attipoe S,Jones DR,Olsen CH,Stephens MB,Deuster PA

更新日期：2015-07-01 00:00:00

abstract：INTRODUCTION:Carbon monoxide (CO) is produced from incomplete combustion of hydrocarbons and is a by-product of tobacco smoking. Chronic cigarette smokers often have carboxyhemoglobin (COHb) concentrations as high as 10%. We report a case of severely elevated COHb and polycythemia because of tobacco smoking and provide...

journal_title：Military medicine

authors： Dorey A,Scheerlinck P,Nguyen H,Albertson T

更新日期：2020-02-12 00:00:00

abstract：INTRODUCTION:Young military Service Members with traumatic unilateral lower limb amputations may be at a high risk for developing knee osteoarthritis (OA). There is growing evidence for potential influence and predictive value of nonsystemic risk factors on development and progression of primary knee OA in older adults...

journal_title：Military medicine

authors： Farrokhi S,Mazzone B,Yoder A,Grant K,Wyatt M

更新日期：2016-11-01 00:00:00

abstract：:A retrospective study reviewed medical records of military personnel who had participated in a vision readiness study the previous year. The review evaluated (1) the number of personnel who returned for an eye examination (as recommended), (2) the number of dilated eye examinations, (3) the number of optical devices o...

journal_title：Military medicine

authors： Buckingham RS,McDuffie D,Whitwell K,Lee RB

更新日期：2003-10-01 00:00:00

abstract：INTRODUCTION:Gathering end-user feedback about candidate technologies in the operational environment prior to fielding helps to ensure that far-forward medical teams receive the most suitable technology. It is therefore a crucial step in the defense medical acquisition process. The current article reviews the methodolo...

journal_title：Military medicine

authors： Krauss S,Sanjakdar S,Wilson A,Dacanay B,Jasper L,Adler A,Funari T

更新日期：2020-09-18 00:00:00

abstract：:The purpose of this study was to explore the nature of information in after-action reports in terms of nursing practice and the utility of using after-action reports in a feedback loop to improve nursing training. This was a three-phase, mixed-method, qualitative study, using focus groups, phone surveys, and e-mail su...

journal_title：Military medicine

authors： Ross MC,Smith KK,Smith A,Ryan R,Webb L,Humphreys S

更新日期：2008-02-01 00:00:00

abstract：:Various studies examining the prevalence of personality disorders in civilian inpatient and outpatient populations have consistently found narcissistic personality disorder to be one of the least common. In striking contrast to this, a recently published study showed narcissistic personality features to be among the m...

journal_title：Military medicine

authors： Bourgeois JA,Hall MJ,Crosby RM,Drexler KG

更新日期：1993-03-01 00:00:00