Abstract:
:The U.S. military health care system forms a vast network across thousands of miles to serve patients in the Pacific theater. The medical treatment facilities in the Pacific, however, act independently and do not effectively track patients in the air evacuation system. The patients and the tracking systems are so disconnected that patients' whereabouts are unknown to both the command structure and the medical treatment facilities as soon as the plane leaves the ground. Furthermore, the databases cannot analyze treatment trends, and the cost of transport--a major part of the cost of health care in the Pacific--is hidden inside the air evacuation system. To ensure that managed care works effectively in the Pacific, Tricare Pacific has created an Internet-based database that will support a new network of case managers and effectively track patients. The Lead Agency's analysis of aeromedical evacuation also concluded that the wartime method of routine patient transport is not efficient in peacetime and, in fact, delays treatment. The recommendations from this financial analysis will reduce patient delays, enhance access, and save millions of health care dollars.
journal_name
Mil Medjournal_title
Military medicineauthors
Olsen JCkeywords:
subject
Has Abstractpub_date
2001-05-01 00:00:00pages
389-93issue
5eissn
0026-4075issn
1930-613Xjournal_volume
166pub_type
杂志文章abstract:INTRODUCTION:Soldiers are exposed to extreme training regimens in order to optimally prepare for real battle. High attrition rates are a known issue during training courses, especially for elite troops. An underlying factor might be the disbalance between stress/strain and recovery. The aim of this review is to give in...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy274
更新日期:2019-05-01 00:00:00
abstract::Fixed wing aircraft are the primary means of deployment for designated U.S. contingency forces. The majority of logistical constraints medical units encounter during deployment (in support of contingency forces) are a direct result of limited airframes dedicated to their movement into an area of operations. The compet...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::The relationship between repeated exposure to blast overpressure and neurological function was examined in the context of breacher training at the U.S. Marine Corps Weapons Training Battalion Dynamic Entry School. During this training, Students are taught to apply explosive charges to achieve rapid ingress into secure...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00137
更新日期:2016-05-01 00:00:00
abstract:INTRODUCTION:Computer-aided design/computer-aided manufacturing (CAD/CAM) has gained increasing popularity since the first commercially viable dental system was introduced in the mid-1980s. Digitally milled dental restorations can be fabricated chairside in the course of one dental appointment, reducing time, cost, and...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy260
更新日期:2019-05-01 00:00:00
abstract::Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy401
更新日期:2019-07-01 00:00:00
abstract::The purpose of this study was to examine changes in select anaerobic and aerobic dependent physical performance tasks in U.S. Marines exposured to field operations at moderate altitude. The subjects (N = 16) completed Wingate anaerobic power, submaximal aerobic cycle ergometry, hand grip strength, and push-up tests on...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::A Department of Veterans Affairs (DVA) inpatient psychiatry program treating Vietnam veterans for symptoms of posttraumatic stress disorder provided day and evening treatment programs. The evening program, besides treating psychiatric trauma, incorporated the DVA mission of assisting patients with vocational rehabilit...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-08-01 00:00:00
abstract::A 23-year-old active duty United States Air Force air crew male presented to the flight medicine clinic in Germany after experiencing sudden onset penile pain while flying as part of a long-range operational mission. He was admitted to the German hospital and empirically treated for infection with antibiotics, which d...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00506
更新日期:2015-05-01 00:00:00
abstract::The type and number of injuries sustained by soldiers of a Croatian Army brigade in an offensive action during the war in Croatia (1991/1992) were analyzed according to the mechanism of wounding. About 1,000 soldiers participated in a 6-hour offensive action in a flat, partially swampy, and wooded area, convenient for...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:Introduction:The increasing interest in electronic smoking devices (ESDs) among consumers shows promise for ESDs as a less harmful alternative for smoking and possibly for smoking cessation. Limited data on prevalence of ESD use in the military are available and data on perceptions of ESD use have not yet been publishe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx024
更新日期:2018-01-01 00:00:00
abstract::A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...
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:1994-01-01 00:00:00
abstract::Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00536
更新日期:2016-10-01 00:00:00
abstract::Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.172.7.753
更新日期:2007-07-01 00:00:00
abstract::Electrocardiographic changes and cardiac arrhythmias have been reported frequently in patients suffering high tension (greater than 1,000 V) electrical injuries as well as low tension (less than 350 V) electrical injuries. An association of atrial fibrillation with low tension electrical injury from a household applia...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::The elderly military beneficiary is a valued, high-risk, high-cost, and complex individual with unique medical needs. Attention to common geriatric syndromes (such as incontinence) and quality end-of-life care is critical in this population. Care of older adults is part of every adult medical and surgical specialty an...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-09-00067
更新日期:2010-02-01 00:00:00
abstract::In field operational environments, the gynecologic health needs of women may be difficult to provide because of the lack of a small, lightweight, durable, inexpensive gynecologic examination table. Such a table already exists, in pieces, in the inventory of most field-deploying units of battalion aid station size or l...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::Under operational conditions, current doctrine requires separate application of the standard military insect repellent and camouflage face paint. Working with an industrial partner, Amon Re, Inc., we developed a combined camouflage face paint and insect repellent that offers excellent protection from arthropod disease...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::Few studies have measured combat exposure during deployment to a war zone. Valid, reliable, and specific measurement is needed to broaden existing knowledge of combat experiences to accurately answer clinically important questions regarding postcombat treatment and recovery, particularly with the recognition of new ki...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00223
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa223
更新日期:2021-01-25 00:00:00
abstract::The effects on hearing thresholds, sound attenuation, and consonant discrimination of wearing a balaclava under hearing-protecting earmuffs were studied. This combination is commonly worn during cold weather military operations. One group of 20 normal-hearing adults (10 male and 10 female subjects) was tested. Within-...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.10.976
更新日期:2006-10-01 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: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
pub_type: 杂志文章
doi:10.1093/milmed/usx174
更新日期:2018-03-01 00:00:00
abstract::U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title:Military medicine
pub_type: 历史文章,杂志文章,评审
doi:10.7205/milmed.170.4s.17
更新日期:2005-04-01 00:00:00
abstract::This article addresses a topic that is part of the public consciousness yet is seldom explored in the public health literature: presidential promotion of health-related behaviors through words and example. The article explores the history of what some American presidents, as individuals, have conveyed to the populatio...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-12-00416
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:The command of a U.S. Army Reserve Combat Support Hospital designed this study to evaluate soldiers' behavior related to and attitudes toward skipping meals while on annual training (AT). METHODS:The command administered an anonymous survey on attitudes about weight loss and weightloss behavior while on AT. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.7.678
更新日期:2006-07-01 00:00:00
abstract::A series of 51 active duty patients who elected to undergo ambulatory surgery in a Navy Fleet Hospital Training Set (a modified field hospital) over a 2-year period were followed prospectively for perioperative complications. All patients were active duty personnel, ranging in grade from E1 to O5, who voluntarily gave...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Smoking prevention and cessation programs were implemented and evaluated in recruit training. Four groups of incoming recruits were compared: an education group, a no-smoking group, a health risk appraisal feedback group, and a no-treatment control group. Smoking behavior, perceptions related to smoking, and knowledge...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::The purpose of this study was to investigate an outbreak of tuberculosis (TB) in a bacillus Calmette-Guérin-vaccinated military population and propose an appropriate method of control. We divided 593 subjects into "close contacts" and "non-close contacts" of an index case and examined all subjects by chest X-radiograp...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.4.388
更新日期:2008-04-01 00:00:00
abstract::Leishmania infections in American veterans of Iraq and Afghanistan have raised concern that veterans could serve as reservoirs of Old World parasites for domestic vector populations. A survey of sand flies on three U.S. Army facilities in the southern United States was conducted to identify potential vectors. Five spe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-4309
更新日期:2009-11-01 00:00:00
abstract::The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkale...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00076
更新日期:2017-07-01 00:00:00