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 civilians. These purposes are undertaken via the humanitarian assistance (HA), humanitarian and civic assistance, and excess property donation programs. DoD conducts over 200 such projects annually at a direct cost of approximately 27 million dollars in fiscal year 2001. Although varying by year and command, as many as one-half of these projects involve aspects of health care. These range from short-term patient care to donation of medical supplies and equipment excess to the needs of the DoD. Despite the considerable resources invested and importance of international actions, there is presently no formal evaluation system for these HA projects. Current administrative staffing of these programs by military personnel is often by individuals with many other duties and responsibilities. As a result, humanitarian projects are often inadequately coordinated with nongovernmental organizations, private volunteer organizations, or host-nation officials. Nonmedical military personnel sometimes plan health-related projects with little or no coordination with medical experts, military or civilian. After action reports (AARs) on these humanitarian projects are often subjective, lack quantitative details, and are devoid of measures of effectiveness. AARs are sometimes inconsistently completed, and there is no central repository of information for analysis of lessons learned. (The approximate 100 AARs used in the conduct of these studies are available for official use in the Learning Resources Center, Uniformed Services University of Health Sciences.) Feedback from past humanitarian projects is rare and with few exceptions; DoD-centric projects of a similar design are often repeated. Critical reviews to determine whether other kinds of projects might be more effective are rarely conducted. Recommendations for improving the effectiveness of DoD HA under Overseas Humanitarian Disaster and Civic Aid programs include: ensuring adequate staffing to meet the complex, dynamic nature of humanitarian missions and measuring the effectiveness of each project in mandatory, standardized AARs. For medical HA projects, application of public health strategies would compliment the patient care approach of the majority of medical projects to date. This offers possibilities for enhancing host nation infrastructure, allowing improvements beyond the short period of most military humanitarian projects.
journal_name
Mil Medjournal_title
Military medicineauthors
Drifmeyer J,Llewellyn Ckeywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
975-80issue
12eissn
0026-4075issn
1930-613Xjournal_volume
168pub_type
杂志文章abstract:OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.2.166
更新日期:2006-02-01 00:00:00
abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.10.815
更新日期:2005-10-01 00:00:00
abstract::Suicidal ideation may be associated with all-cause mortality. Available research shows that treatment of depression reduces the risk of all-cause mortality in patients with suicidal ideation. However, this finding has not been replicated in a clinical population, where patients have various mental health conditions. W...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00496
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:We report a roadside cricothyroidotomy successfully performed with only a pocketknife and the drinking straw from a sports bottle. Our study compared the adequacy of standard medical airway devices with some readily available nonmedical items that might be used as temporary tracheostomy tubes (TT). METHODS:W...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Post-residency fellowship education has traditionally been a transitionary phase toward a possible career involving medical research and teaching. The increasing sophistication required for performing medical research, the emphasis on molecular medicine, significant overcrowding in specialty disciplines, high student ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-01-01 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::This study investigates the effects of long-term passive heat exposure and a 16-week basic military training program on heat acclimatization. Thirty recruits were tested on the zero (T1), 2nd (T2), 6th (T3), and 16th (T4) weeks of the basic military training program. The trials involved 1 hour of marching on a treadmi...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract::The first licensed Haemophilus influenzae type B (Hib) vaccines were of a purified capsular oligosaccharide. Unfortunately, oligosaccharides are poorly immunogenic in younger children and resulted in these vaccines not routinely being used until past the period of peak incidence of Hib disease. Subsequent Hib vaccine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract:OBJECTIVE:The study of physical injury from terrorist explosives is an increasing international area of research. However, there are few data sets to characterize the scope of injury and death from these devices. Therefore, one option is to begin evaluating statistics reported by a nontraditional public health data sou...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.7.595
更新日期:2005-07-01 00:00:00
abstract::For nasopharyngeal carcinoma (NPC), radiotherapy is the primary treatment. However, complications occur after radiation to the nasopharynx, which could potentially affect the flying safety. Four fighter pilots with NPC were reported. With early to locally advanced NPC, they received radiotherapy with or without concur...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz276
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz209
更新日期:2020-01-07 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
pub_type: 杂志文章
doi:10.7205/milmed.173.2.210
更新日期:2008-02-01 00:00:00
abstract:INTRODUCTION:Obesity and overweight, defined as body mass index (BMI) of 30.0 and above or 25.0-29.9, respectively, are of significant concern to the military population, due to their associated comorbidities and potential for impaired readiness. In 2016, the US Army reported a prevalence of 17.3% obesity and 52.9% ove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz032
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:Complete occlusion of the contralateral carotid artery has been thought to increase the risk of carotid endarterectomy (CEA). This study was conducted to determine whether contralateral occlusion (CO) leads to a higher rate of complications among patients undergoing CEA or alters long-term outcomes. METHODS:...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.12.1069
更新日期:2005-12-01 00:00:00
abstract::The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00034
更新日期:2011-10-01 00:00:00
abstract::When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy272
更新日期:2019-05-01 00:00:00
abstract::The radiopacity of intermediate restorative materials should be sufficient to enable the clinician to distinguish the material from normal and decalcified tooth structure. The purpose of this study was to determine the relative radiopacities of intermediate restorative materials, including a newly introduced high-visc...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-04-01 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::In June 1988, the armed forces of the United States began testing prospective candidates for military service for alcohol, marijuana metabolite (THC-COOH), and cocaine metabolite (benzoylecgonine) through the Military Entrance Processing Station (MEPS) program. Comparison of the confirmed positive drug rates for pre-i...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. MATERIALS AND METHODS:Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz198
更新日期:2020-01-07 00:00:00
abstract:Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to d...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx152
更新日期:2018-03-01 00:00:00
abstract::This study surveyed 2,287 U.S. Navy health care providers (HCPs) regarding patient-care practices and attitudes related to tobacco use. Almost 80% of HCPs reported that they usually asked new patients about tobacco use. Of 11 recommended practices, two-thirds to three-quarters of HCPs engaged in only 4 behaviors with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::The Israel Defense Forces (IDF) Medical Corps provides medical services-routine and emergency--to all IDF personnel (conscripts, career personnel, and reservists). Despite the fact that there are no differences in prevalence of disease in the IDF compared with the civil sector, health consumer appraisal, in the milita...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.4.282
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00158
更新日期:2015-01-01 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::This study compared the effects of a higher protein supplement manufactured from milk vs. a commercially available higher carbohydrate supplement on serum markers of muscle damage, anaerobic exercise, choice reaction time, and body composition during 2 weekends of vigorous hikes with simulated mountain skirmishes. Thi...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed-d-11-00396
更新日期:2012-06-01 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: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::Hip fractures in the young are exceedingly rare and are usually seen in instances of high energy trauma or metabolically altered bone states. In this case report, we present an occult femoral neck fracture, diagnosed by magnetic resonance imaging, in an otherwise healthy, young, active duty male patient with an isolat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00321
更新日期:2012-05-01 00:00:00