Abstract：
:In June 1998, six unexpected anterior cruciate ligament (ACL) ruptures within 12 months were detected by routine injury surveillance in a cohort of Australian Army recruits. Local investigation, reported separately as a Case Report in this issue, suggested the cause to be an excessive coefficient of friction between rubber boot soles and newly laid rubber matting on one obstacle course, creating excessive knee torques. The matting was removed progressively, but not before two more ruptures occurred on one remaining section. In this retrospective study, chi 2 analyses were used to compare the incidence of ACL rupture in prehazard, hazard-exposed, and postintervention cohorts, and the average costs to the institution of each ACL rupture were determined. Zero, eight, and zero ACL ruptures occurred in the prehazard, hazard-exposed, and postintervention cohorts, respectively (chi 2 > 4.75 for 1 df, p < 0.03 for each change in incidence). The temporal relationships between hazard introduction or removal and changes in the incidence of ACL rupture were strong. The average institutional cost of each ACL rupture was AU$54,627 or US$34,322. Rubber matting on obstacle courses increases the risk of ACL rupture in the presence of speed and rubber-soled footwear. Routine injury surveillance and simple preventive processes save money and personnel.
journal_name
Mil Medjournal_title
Military medicineauthors
Pope RPkeywords:
subject
Has Abstractpub_date
2002-04-01 00:00:00pages
355-8issue
4eissn
0026-4075issn
1930-613Xjournal_volume
167pub_type
杂志文章abstract：:Tibial nonunions are a challenging situation for both healing and reconstruction when infection is added. In this retrospective study, we discuss the cases in which we had managed to obtain union by aggressive debridement, circular external fixature, and internal bone transport. Fourteen cases had been treated between...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：:Between 1954 and 1973, more than 2000 men entering military service as conscientious objectors participated in Project Whitecoat as medical research volunteers for the Army's biological warfare defense program. An assessment of self-reported, current health status among 358 "exposed" individuals and 164 unexposed cont...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.170.3.183
更新日期：2005-03-01 00:00:00
abstract：:Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz316
更新日期：2020-06-08 00:00:00
abstract：:Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00229
更新日期：2015-09-01 00:00:00
abstract：INTRODUCTION:Military veterans diagnosed with dementia compose a large portion of our population. Often ignored are their caregivers and their plight as well as the availability, quality, and accessibility of health care for this demographic. The purpose of this systematic literature review is three fold: to identify o...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-16-00396
更新日期：2017-11-01 00:00:00
abstract：:Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.8.660
更新日期：2004-08-01 00:00:00
abstract：BACKGROUND:It was recently noted that a shortened activated partial thromboplastin time (aPTT) is associated with increased venous thromboembolic events. The prevalence of aPTT shortening remains unknown. METHODS:We conducted a retrospective analysis of aPTT results over a 2-month period. These results were not associ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00165
更新日期：2011-08-01 00:00:00
abstract：:Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00057
更新日期：2012-09-01 00:00:00
abstract：:During the War in Croatia from 1991 to 1992, we conducted an epidemiological study of the most frequent skin changes on the feet of 1,702 Croatian soldiers stationed in trenches and exposed to direct war activities. We saw significant increases in dermatomycosis, hyperhydrosis, and mechanical injury to the skin of the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.8.796
更新日期：2008-08-01 00:00:00
abstract：:A duplication cyst of the ileum was initially observed in a fetus at 26 weeks gestation on prenatal ultrasonography. Repeated spontaneous resolution of the cyst by decompression into the adjacent bowel lumen delayed diagnosis and management until the child was 9 months of age. The child experienced two episodes of hem...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：:Damage control resuscitation (DCR) is a strategy for resuscitating patients from hemorrhagic shock to rapidly restore homeostasis. Efforts are focused on blood product transfusion with whole blood or component therapy closely approximating whole blood, limited use of crystalloid to avoid dilutional coagulopathy, hypot...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy112
更新日期：2018-09-01 00:00:00
abstract：:This study examined predictors of smoking relapse in the year after the mandatory smoking ban during basic military training (BMT) in the U.S. Air Force. Participants were all smokers who completed BMT from August 1995 to August 1996 and relapsed to smoking in the subsequent year (N = 4,303). Results demonstrated that...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
abstract：:In a community sample of 573 New Zealand Vietnam War veterans, 20% were identified as posttraumatic stress disorder (PTSD) cases. The association between PTSD diagnoses and a range of military experience variables and current demographic variables was examined. Significant differences were reported between cases and n...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:This study assessed the predictors for students' success in the 882d Training Group's (Air Force School of Health Care Sciences) allied health courses at Sheppard Air Force Base, Texas. Correlation and regression analyses provided many predictors of students' success. From these predictors, the researchers ascertained...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00257
更新日期：2016-04-01 00:00:00
abstract：:The Wars in Afghanistan and Iraq witnessed the first widespread use of U.S. Army Forward Surgical Teams (FSTs). Although doctrinally designed to support maneuver brigades in a linear front conflict, FSTs were quickly adapted to fulfill area support and special operation support missions as part of Operation Enduring F...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00137
更新日期：2012-11-01 00:00:00
abstract：:Cognitive dysfunction is commonly observed among individuals with alcohol use disorder (AUD) and trauma exposure and is, in turn, associated with worse clinical outcomes. Accordingly, disruptions in cognitive functioning may be conceptualized as a trans-disease phenomenon representing a potential high-yield target for...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00228
更新日期：2016-07-01 00:00:00
abstract：:Pain management is vitally important to injured patients being evacuated from the warzone. A prospective assessment of real-time ratings of pain acceptability, intensity, and satisfaction of a convenience sample of 114 less severely ill and injured U.S. military patients being evacuated on Aeromedical Evacuation (AE) ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00407
更新日期：2015-03-01 00:00:00
abstract：:The federal initiative for electronic health record (EHR) interoperability began in 2000 and set the stage for the establishment of the 2004 Executive Order for EHR interoperability by 2014. This article discusses the chronology from the 2001 e-Government Consolidated Health Informatics (CHI) initiative through the cu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-03-9708
更新日期：2009-05-01 00:00:00
abstract：INTRODUCTION:It is important to monitor the use of optometric services by Veterans and consider the implications for other optometric and vision rehabilitation services. We did not find public health reports documenting the recent utilization of Veterans Health Administration (VHA) optometric eye exam services. METHOD...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx192
更新日期：2018-09-01 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：:The proper treatment of younger patients who have suffered ischemic stroke and who have no stroke risk factors other than antiphospholipid antibodies is unsettled. We propose a rationale to support adding dietary supplementation with calcium and vitamin D to the present standard regimen of anticoagulant therapy for th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:Between December 2016 and April 2017, two cases of invasive Group A Streptococcus (GAS) infections were reported at a Canadian military training facility. An outbreak was declared and a field investigation was launched to characterize the outbreak and identify associated risk factors to limit transmission. Throat cult...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy198
更新日期：2019-03-01 00:00:00
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
更新日期：2019-03-01 00:00:00
abstract：:The U.S. Department of Defense (DoD) conducts humanitarian assistance missions under the Overseas Humanitarian Disaster and Civic Aid program for the statutory purposes of training military personnel, serving the political interests of the host nation and United States, and providing humanitarian relief to foreign civ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：INTRODUCTION:Volunteering as a health promotion intervention is positively related to improved health and well-being in civilians and older adults. Yet, the impacts of participating in a community-based volunteering program on returning military veterans have not been studied, nor have the outcomes for veterans who hav...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00150
更新日期：2017-07-01 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：: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：
更新日期：1989-04-01 00:00:00
abstract：:The Physical Training and Rehabilitation Program (PTRP) is a recovery and reintegration program for recruits in Initial Entry Training (IET) who are unable to continue training because of serious injury. This investigation examined PTRP admission incidence among recruits in IET at Forts Jackson, Leonard Wood, Benning,...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00361
更新日期：2014-05-01 00:00:00
