Abstract:
:A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to August 31, 1996. Patient satisfaction, identification of barriers to care, recognition of areas to improve quality of care, and cost-consequence analysis were studied. There were 1,042 control patients totaling 2,668 hospital days, with mean hospital stays of 2.56 days per patient (SD = 0.878). The study cohort comprised 1,050 patients with 1,965 hospital days, with a mean of 1.87 hospital days per patient (SD = 1.48). The study cohort demonstrated a statistically significant decrease (p < 0.05) in admission length of stay in the early discharge vaginal delivery gravidas, with cost savings from $3.2 million to $2.4 million. Using an interdisciplinary approach, we were able to elucidate the process necessary to identify critical nodes of patient care and satisfaction while providing significant cost savings.
journal_name
Mil Medjournal_title
Military medicineauthors
Brandsma C,Calhoun BC,Vannatta JEkeywords:
subject
Has Abstractpub_date
2000-11-01 00:00:00pages
839-43issue
11eissn
0026-4075issn
1930-613Xjournal_volume
165pub_type
杂志文章abstract::Disaster health care plans require that planners consider personnel, equipment, supplies (including pharmaceuticals), and logistical support for transportation, food, water, and resupply. The authors believe that military Table of Organization and Equipment (TOE) hospitals have the potential to be invaluable sources o...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::Orthopedic trauma remains one of the most survivable battlefield injuries seen in modern conflicts. Translating research into practice is a critical bridge that permits surgeons to further optimize medical outcomes. Orthopedic surgeons serving in the military may treat little to no trauma in their stateside practice. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00296
更新日期:2015-04-01 00:00:00
abstract::Within the past few years, the U.S. Army and U.S. Marine Corps have either incorporated or in the process of incorporating physical fitness tests that assess a soldier's fitness capability in a combat environment. In this article, we investigate how the U.S. Air Force Physical Fitness Test (AFPFT) events compare to si...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00066
更新日期:2012-09-01 00:00:00
abstract::This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-13-00039
更新日期:2013-08-01 00:00:00
abstract::U.S. Army soldiers lose substantial training hours as a result of musculoskeletal injuries. Most military injury data have focused on basic trainee populations. This study examines activities associated with injuries in operational infantry soldiers. We conducted a randomized, retrospective medical record review of 33...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2002-02-01 00:00:00
abstract:INTRODUCTION:This article presents an emerging capability to project damage control procedures far forward for situations where evacuation to a formal surgical team is delayed. Specifically, we demonstrate the plausibility of using a wearable augmented reality (AR) telestration device to guide a nonsurgeon through a da...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz298
更新日期:2020-01-07 00:00:00
abstract:OBJECTIVE:This study describes and categorizes the cultural frictions and conflicts within a successfully implemented Internal Medicine Patient-Centered Medical Home (PCMH) clinic at the National Naval Medical Center, and provides lessons learned for combating these concerns. METHODS:A semistructured interview protoco...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00146
更新日期:2013-02-01 00:00:00
abstract::Discharge diagnoses from October 1, 1987 to September 30, 1988 were analyzed to quantitate infection. Four hundred forty-nine (4.8%) of 9,290 discharges (excluding 1-day stays) were infections. Pneumonia, caused by all etiological agents, was responsible for 2.4% of the principal diagnoses. These data help define the ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract:INTRODUCTION:This study is the first to our knowledge to examine associations of survey-reported dietary supplement use with medical record diagnoses, rather than retrospective self-reported supplement use at the time of the medical encounter or case reports of adverse events. Dietary supplement (DS) use and adverse ev...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz053
更新日期:2019-10-01 00:00:00
abstract::Active duty military personnel and civilian government employees are at risk for exposure to a variety of pathogens as they meet their mission requirements throughout the world. When they present with a systemic disease, the clinician must entertain a broad differential diagnosis due to the multitude of infectious, ne...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00017
更新日期:2010-05-01 00:00:00
abstract::Gunshot wounds to the head are usually fatal injuries, despite all medical and surgical interventions. Ventricular injury is a poor prognostic factor-for penetrating cranial gunshot wounds. Intraventricular hemorrhage and ventricular lacerations are the main components of such injuries. The incidence, management, and ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.9.691
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Post-traumatic headache (PTH) is a commonly experienced symptom after mild traumatic brain injury (mTBI). Blast injury- or blunt injury-related mechanisms for mTBI in veterans can also affect musculoskeletal structures in the neck, resulting in comorbid neck pain (NP). However, it is unknown whether the pres...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa532
更新日期:2020-12-11 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
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00249
更新日期:2012-12-01 00:00:00
abstract:Introduction:Breast cancer care imposes a significant financial burden to U.S. healthcare systems. Health services factors, such as insurance benefit type and care source, may impact costs to the health system. Beneficiaries in the U.S. Military Health System (MHS) have universal healthcare coverage and access to a net...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy052
更新日期:2018-11-01 00:00:00
abstract::Since 1997, the absence of a global, DoD public health laboratory system has been identified as a vulnerability in the U.S. military's effort to identify and quickly respond to emerging infections. The AFHSC Division of GEIS Operations has attempted to mitigate this vulnerability by supporting initiatives such as the ...
journal_title:Military medicine
pub_type: 社论
doi:10.7205/milmed-d-11-00356
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Malaria prevention and treatment are big challenges for the French forces deployed in sub-Saharan Africa. Since December 2013, 1,800 French soldiers have been deployed at any one time in the Central African Republic in the framework of "Operation Sangaris" and European Union Force (EUFOR). Over the 2014-2015...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx117
更新日期:2018-09-01 00:00:00
abstract::Spectacle incompatibility has been a major problem in the fielding of advanced Army avionic and electro-optical systems. As a result, routine contact lens wear may be instituted as an option to spectacles. Refractive error data were extracted from the Aviation Epidemiological Data Registry, a computer-accessible repos...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract:INTRODUCTION:Today, the prevalence of overweight and obesity is, respectively, 49% and 17% among French adults. This research investigates their existence in the French Armed Forces, in terms of the impact on military operative response and military readiness. As no previous studies have evaluated the weight status of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa369
更新日期:2020-12-17 00:00:00
abstract::From August 1, 1991, to May 30, 1992, 148 severely wounded military and civilian casualties with the injury severity score of 3 to 5 were treated in the intensive care unit of the Zadar General Hospital. There were 138 male and 10 female patients; their mean age was 32 years. There were 64 wounded civilians and 84 wou...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract::Non-cardiogenic pulmonary edema (NCPE) is a rare entity manifested by pulmonary edema with normal pulmonary arterial pressures. NCPE has been described in children and recently reported in adults. Onset is rapid and late recognition or inappropriate treatment may lead to a fatal outcome. Most adult cases have been att...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract:OBJECTIVE:To describe the demographic characteristics and postwar health status of U.S. Gulf War veterans who participated in the Department of Veterans Affairs health examination registry program. DESIGN:Case records of 52,835 veterans who participated in a standardized health examination program were reviewed. SETT...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract::A systematic random sample of 962 dental records of soldiers in class 2 was reviewed by six general dentists and their estimates of periodontal and non-periodontal treatment time were recorded. The majority (88.9%) required some treatment. Periodontal treatment time ranged from 0 to 18 hours with a median and mode of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract:INTRODUCTION:The Society of Military Orthopaedic Surgeons (SOMOS) is a robust academic organization with more than 1,000 members and has held annual academic scientific meetings since 1958. Currently, there is a paucity of data regarding the volume and quality of orthopaedic surgery presentations accepted for peer-revi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00431
更新日期:2017-11-01 00:00:00
abstract::Musculoskeletal disorders represent a prevalent source of outpatient visits, lost work time, hospitalization, and disability in the military. Recent research has identified patterns among military occupations, gender, and musculoskeletal disability. Although back disorders accounted for a high percentage of all cases,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources. Yet little is known about their help-seeking behavior and perceived stigma and barriers to care. Participants were three groups of U.S. Army Combat Medics surveyed at 3- and 12-mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00367
更新日期:2014-08-01 00:00:00
abstract::Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and revi...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.1093/milmed/usy135
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. METHODS:The Department of Defense's Joint Theater Trauma Registry was que...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-13-00393
更新日期:2014-04-01 00:00:00
abstract::The federal government is the largest single employer of clinically active physician assistants (PAs) in the United States, with > 3,000 PAs in 2008. PAs are present within the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Most are civil servants or hold a commiss...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.9.895
更新日期:2008-09-01 00:00:00
abstract::A study was conducted in Honduras to address whether military personnel assigned to Joint Task Force-Bravo in Soto Cano, Honduras, routinely acquire parasite infections, and the results were compared with those collected from civilian base workers and the general local population in the nearby towns of Comayagua and L...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.11.903
更新日期:2004-11-01 00:00:00