Analysis of environmental issues for nursing aboard the USNS Mercy (T-AH 19).

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 environment of a hospital ship were explored. Findings indicate that the USNS Mercy meets or exceeds many environmental standards. However, there is significant room for improvement and nursing involvement in issues related to the management of infectious diseases, patient transport, care of patients with nuclear, biological, or chemical agents, and management of wastes aboard the ship. Nursing implications for research and practice are proposed.

journal_name

Mil Med

journal_title

Military medicine

authors

McKenzie RT,Boren DM

keywords:

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

463-9

issue

6

eissn

0026-4075

issn

1930-613X

journal_volume

166

pub_type

杂志文章
  • The Central Simulation Committee (CSC): a model for centralization and standardization of simulation-based medical education in the U.S. Army healthcare system.

    abstract::In this report, we describe the organizational framework, operations and current status of the Central Simulation Committee (CSC). The CSC was established in 2007 with the goals of standardizing simulation-based training in Army graduate medical education programs, assisting in redeployment training of physicians retu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-12-00065

    authors: Deering S,Sawyer T,Mikita J,Maurer D,Roth BJ

    更新日期:2012-07-01 00:00:00

  • Prevalence and Clinical Correlation of Superficial Fungal Foot Infection in Thai Naval Rating Cadets.

    abstract:BACKGROUND:Superficial fungal foot infection is one of the most important dermatological diseases currently affecting military personnel. Many Thai naval rating cadets are found to suffer from superficial fungal foot infections and their sequels. OBJECTIVE:To investigate prevalence, potent risk factors, responding pat...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx187

    authors: Ongsri P,Bunyaratavej S,Leeyaphan C,Pattanaprichakul P,Ongmahutmongkol P,Komoltri C,Kulthanan K

    更新日期:2018-09-01 00:00:00

  • The effect of command emphasis and monthly physical training on Army physical fitness scores in a National Guard Unit.

    abstract::Individual fitness, an important component of combat readiness, has been found to be deficient in some Reserve Component units of the United States Army. We evaluated a program of monthly physical training in an environment of increasing emphasis on unit physical fitness in an effort to determine the effect on unit pe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Powell GD,Dumitru D,Kennedy JJ

    更新日期:1993-05-01 00:00:00

  • Children of human immunodeficiency virus-infected members of the Army Reserve components.

    abstract:OBJECTIVES:Little is known about the numbers of children who will be left without one or both parents because of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. This report evaluates childbearing patterns among U.S. Army reserve component members, a group largely made up of men with limited conta...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Cowan DN,Gambel JM,Brundage JF,Garner RP,Kuhn J

    更新日期:1997-12-01 00:00:00

  • A profile of tobacco use among teenage dependents.

    abstract::This study profiles tobacco use by 2,241 dependent teenagers in grades 6-12 at two Army posts. Data were collected in February 1989 by self-administered questionnaires. Results show 40.9% of dependent teenagers have tried smoking and 16.4% have tried smokeless tobacco. Most youths who tried tobacco did so experimental...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Chisick MC,Lee S,Raker T,Williams TR

    更新日期:1992-07-01 00:00:00

  • Lower extremity lymphocele development after saphenous vein harvesting.

    abstract::Damage to the lymphatic vessels may occur after surgery on the greater saphenous vein. We describe the development of a lymphocele in a patient after saphenous vein harvesting for a coronary artery bypass graft. Treatment of these lymphoceles should initially be conservative, but if this approach fails, surgical excis...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Velanovich V,Mallory P,Collins PS

    更新日期:1991-03-01 00:00:00

  • Implementation outcomes of military provider training in cognitive processing therapy and prolonged exposure therapy for post-traumatic stress disorder.

    abstract::Between 2006 and 2012, the Department of Defense trained thousands of military mental health providers in the use of evidence-based treatments for post-traumatic stress disorder. Most providers were trained in multiday workshops that focused on the use of Cognitive Processing Therapy and Prolonged Exposure. This study...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00072

    authors: Borah EV,Wright EC,Donahue DA,Cedillos EM,Riggs DS,Isler WC,Peterson AL

    更新日期:2013-09-01 00:00:00

  • Urology/urogynecology medical readiness training exercise: experience for the military surgeon.

    abstract::A medical readiness training exercise was conducted in conjunction with Task Force Bravo in Honduras during July and August 2000. Surgical teams from Madigan Army Medical Center performed 46 major pelvic reconstructive surgical procedures and treated more than 300 patients. The mission was an exceptional training oppo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Davis G,Hibbert M,Allen R,Ruiz H,Woodman P,Peterson D

    更新日期:2002-01-01 00:00:00

  • Referral for competency committee review for poor performance on the internal medicine clerkship is associated with poor performance in internship.

    abstract:PURPOSE:To determine how students who are referred to a competency committee for concern over performance, and ultimately judged not to require remediation, perform during internship. METHODS:Uniformed Services University of the Health Sciences' students who graduated between 2007 and 2011 were included in this study....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00575

    authors: Hemann BA,Durning SJ,Kelly WF,Dong T,Pangaro LN,Hemmer PA

    更新日期:2015-04-01 00:00:00

  • Physical fitness after apical resection for the treatment of primary spontaneous pneumothorax.

    abstract::The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.9.760

    authors: Fackeldey V,Franke A,Schachtrupp A,Becker HP,Schwab R

    更新日期:2005-09-01 00:00:00

  • Vascularized plantar myocutaneous free flap transfer for amputee stump preparation: a proof of concept cadaver study.

    abstract::Lower extremity amputee stump ulceration, irritation, and pain have been a deterrent to consistent long-term or continuous use of lower extremity prosthetics. This study is the first in a series that hypothesizes that these complications can be minimized through the insetting of a vascularized plantar free flap (VPFF)...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-12-00298

    authors: Smith LN,Richards WT,Mozingo DW,Lottenberg L

    更新日期:2013-02-01 00:00:00

  • Barriers to Nutrition Interventions in Army Dining Facilities: A Qualitative Study.

    abstract:INTRODUCTION:Interventions that encourage good nutrition-related behaviors in the dining environment can potentially influence the health of large numbers of military personnel. Thus, the Army has studied the effectiveness of implementing nutrition education and dining facility (DFAC) changes that included healthier re...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa522

    authors: Armstrong NJ,Serrano EE,Cole RE,Bukhari AS,Jayne JM

    更新日期:2020-11-30 00:00:00

  • Hearing health risk in a population of aircraft carrier flight deck personnel.

    abstract::This study evaluated the risk to hearing health associated with duty on the flight deck of a Nimitz class aircraft carrier. Descriptive data includes time-weighted average noise exposure and an evaluation of temporary threshold shift for a group of nonaviator flight deck personnel (FD), and a comparison of accrued per...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.6.429

    authors: Rovig GW,Bohnker BK,Page JC

    更新日期:2004-06-01 00:00:00

  • Patient movement in the Pacific theater: changing the strategic focus from airplane to patient.

    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 disc...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Olsen JC

    更新日期:2001-05-01 00:00:00

  • Academic medical centers: a prescription for success in an era of managed care and capitation.

    abstract::Academic medical centers (AMCs) have traditionally symbolized technological advancements and specialization in patient care. AMCs are defined as institutions that include at a minimum a hospital and associated clinics and a medical education role. Today, these institutions face a transition to managed care and radical...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Huntsinger CR Jr,Rubenstein DA

    更新日期:1999-08-01 00:00:00

  • Talk to the Hand: U.S. Army Biophysical Testing.

    abstract:BACKGROUND:Many people are unaware of the science underlying the biophysical properties of Soldier clothing and personal protective equipment, yet there is a well-refined biomedical methodology initiated by Army physiologists in World War II. This involves a methodical progression of systematic material testing technol...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00156

    authors: Santee WR,Potter AW,Friedl KE

    更新日期:2017-07-01 00:00:00

  • Left coronary artery anomaly: an often unsuspected cause of sudden death in the military athlete.

    abstract::More than 300,000 cases of sudden cardiac death (SCD) occur in the United States each year. Left coronary artery anomaly (LCAA), although rare, is second only to hypertrophic cardiomyopathy as the most common cause of SCD associated with structural cardiovascular abnormalities. This case illustrates SCD secondary to L...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Phelps SE

    更新日期:2000-02-01 00:00:00

  • Podiatric utilization referral patterns at an Army medical center.

    abstract::Presented is the first descriptive data on a large military Podiatry Clinic supporting largely combat troops. Data consist of initial podiatric problems of soldiers and other beneficiaries of podiatric care. Demographic, physician referral patterns, and other pertinent summarized survey information of outpatient utili...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Jones RO,Christenson CJ,Lednar WM

    更新日期:1992-01-01 00:00:00

  • Breast imaging in a military setting: a comparison with civilian breast imaging.

    abstract::A retrospective study was performed to evaluate breast imaging in the Wilford Hall Medical Center, the largest medical facility in the U.S. Air Force, from the time period of October 1997 to October 2000, in comparison with its civilian counterparts. The results demonstrate that although Wilford Hall Medical Center br...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.5.361

    authors: Gan FY,Wettlaufer JR,Lundell AL

    更新日期:2004-05-01 00:00:00

  • Gut Microbiota-targeted Interventions for Reducing the Incidence, Duration, and Severity of Respiratory Tract Infections in Healthy Non-elderly Adults.

    abstract:INTRODUCTION:Respiratory tract infections (RTI), such as those caused by influenza viruses and, more recently, the severe acute respiratory syndrome coronavirus-2, pose a significant burden to military health care systems and force readiness. The gut microbiota influences immune function, is malleable, and may provide ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa261

    authors: Karl JP

    更新日期:2020-11-02 00:00:00

  • Maternal coping adaptations, social support, and transition difficulties to parenthood of first-time civilian and military mothers.

    abstract::There is little research on whether the transient nature of the military family contributes to transition difficulty to parenthood or to the type of social supports utilized. Data were collected by mailed survey from a convenience sample of military and civilian mothers at 3 months after delivery. No significant diffe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Splonskowski JM,Twiss JJ

    更新日期:1995-01-01 00:00:00

  • Utilizing Plasma Composition Data to Help Determine Procoagulant Dynamics in Patients with Thermal Injury: A Computational Assessment.

    abstract:INTRODUCTION:The development of methods that generate individualized assessments of the procoagulant potential of burn patients could improve their treatment. Beyond its role as an essential intermediate in the formation of thrombin, factor (F)Xa has systemic effects as an agonist to inflammatory processes. In this stu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy397

    authors: Bravo MC,Tejiram S,McLawhorn MM,Moffatt LT,Orfeo T,Jett-Tilton M,Pusateri AE,Shupp JW,Brummel-Ziedins KE

    更新日期:2019-03-01 00:00:00

  • Outcomes of community-acquired, methicillin-resistant Staphylococcus aureus, soft tissue infections treated with antibiotics other than vancomycin.

    abstract::Community-acquired, methicillin-resistant Staphylococcus aureus (cMRSA), soft tissue infections are becoming increasingly prevalent in the outpatient setting. Few studies have been specifically designed to examine the efficacy of oral antibiotic therapy for these infections. We performed an observational study to dete...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.6.504

    authors: Barnes EV 2nd,Dooley DP,Hepburn MJ,Baum SE

    更新日期:2006-06-01 00:00:00

  • History of U.S. military contributions to the study of parasitic diseases.

    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

    authors: Crum NF,Aronson NE,Lederman ER,Rusnak JM,Cross JH

    更新日期:2005-04-01 00:00:00

  • Fat distribution: its physiological significance, health implications, and its adaptation to exercise training.

    abstract::Recently, fat distribution has become of clinical interest in assessing one's risk for coronary heart disease (CHD). Investigations have shown stronger relationships between abdominal, or central adiposity, and various well known risk factors for CHD, than peripheral and/or total adiposity. The simple waist-to-hip rat...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Vanderburgh PM

    更新日期:1992-04-01 00:00:00

  • Changes in dental classification during the first 4 years of military service.

    abstract:OBJECTIVE:The objective of this study was to examine the way in which the oral health of recruits changed during the 4 years immediately after entry on active duty. METHODS:In 1998, 1,331 dental records of recruits in the 1994 Tri-Service Comprehensive Oral Health Survey were located, and treatment data were analyzed....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.1.38

    authors: Moss DL,York A,Martin G

    更新日期:2004-01-01 00:00:00

  • Women as prisoners of war.

    abstract::American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Skelton WP 3rd,Skelton NK

    更新日期:1995-11-01 00:00:00

  • Malaria in the Republic of Korea, 1993-2007. Variables related to re-emergence and persistence of Plasmodium vivax among Korean populations and U.S. forces in Korea.

    abstract::Malaria was eradicated and the Republic of Korea (ROK) declared "malaria free" in 1979. However, in 1993, a temperate strain of vivax malaria, expressing both latent and nonlatent disease populations, re-emerged near the demilitarized zone (DMZ), rapidly spread to civilian sectors near the DMZ, and increased exponenti...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-01-6208

    authors: Kim HC,Pacha LA,Lee WJ,Lee JK,Gaydos JC,Sames WJ,Lee HC,Bradley K,Jeung GG,Tobler SK,Klein TA

    更新日期:2009-07-01 00:00:00

  • Preoperative whole-gut lavage vs. traditional three-day bowel preparation in left colon surgery.

    abstract::Isotonic, isosmotic lavage is a safe and effective means of mechanical preparation of the large bowel for left colon surgery. In this prospective, randomized trial comparing lavage with a more traditional three-day bowel preparation, the lavage was well tolerated, led to decreased preoperative hospital days, and produ...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Soballe PW,Greif JM

    更新日期:1989-04-01 00:00:00

  • Are effort measures sensitive to cognitive impairment?

    abstract::The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort mea...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00168

    authors: Willis PF,Farrer TJ,Bigler ED

    更新日期:2011-12-01 00:00:00