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 breast imaging is faced with unique difficulties in having a relatively mobile patient and physician population, military breast imaging corresponds with civilian breast imaging in the following aspects: screening the eligible population according to age and risk factors, cancer and precancerous abnormality detection rate, and biopsy techniques, including stereotactic-guided vacuum-assisted, automated gun biopsy, ultrasound-guided biopsy, and needle localization-assisted excision biopsy. Positive predictive value based on biopsy recommendations are lower than in civilian practice, likely because military radiologists are keenly aware of the mobile status of their population and are more aggressive in recommending biopsy for a definitive diagnosis rather than mammographic follow up. In our practice, cancer diagnosed at stage 0 or 1 is 85%, 4.3% of patients have positive lymph nodes, the overall cancer detection rate per 1,000 population is 3.97, the recall rate is 8.8%, sensitivity is 100%, and specificity is 98.1%. All of these aspects are comparable with those of civilian practice.
journal_name
Mil Medjournal_title
Military medicineauthors
Gan FY,Wettlaufer JR,Lundell ALdoi
10.7205/milmed.169.5.361keywords:
subject
Has Abstractpub_date
2004-05-01 00:00:00pages
361-7issue
5eissn
0026-4075issn
1930-613Xjournal_volume
169pub_type
杂志文章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::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::Yellow fever is a mosquito-transmitted hemorrhagic viral disease that is endemic to tropical regions in South America and Africa. It remains a significant health concern for deploying military personnel, accordingly vaccination is frequently performed on troops. Although the vaccine is generally administered with only...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00304
更新日期:2012-04-01 00:00:00
abstract::Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz462
更新日期:2020-03-02 00:00:00
abstract::The Department of Defense Familial Breast/Ovarian Cancer Research Project has offered genetic counseling and testing for BRCA1 and BRCA2 on a research basis to patients meeting specific diagnostic criteria, with risk for BRCA1 and BRCA2 mutations calculated based on the Couch model. In 2.5 years, 250 patients were eva...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:
更新日期:2002-02-01 00:00:00
abstract:INTRODUCTION:Ibuprofen is commonly used by warfighters in the deployed environment. This study investigated its dose effects on in vitro coagulation in human and pig blood. METHODS:Blood samples were collected from 6 normal volunteers and 6 healthy pigs and processed to make platelet-adjusted samples (100 × 10(3)/μL, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00381
更新日期:2016-05-01 00:00:00
abstract::While providing health care in rural Bolivia, 349 children under 4 years old were seen. Height and weight were measured and demographic data obtained. The purpose was to describe the prevalence of malnutrition and its associated socioeconomic factors. The sample included Mataco Indians and Bolivians of European or of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::An estimated 400,000 non-melanoma skin cancers occur each year. A majority of them will develop on sun-exposed areas of the face, head, and neck. By virtue of having assignments that involve outdoor duty, often in areas of high ultraviolet radiation exposure, military personnel are at increased risk of developing thes...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract:INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz451
更新日期:2020-08-14 00:00:00
abstract::The aim of this study was to document risk factors for any injury and sports- and exercise-related injuries, including personal and occupational stress among active duty service members (SMs) in the Air Force, Army, Marine Corps, and Navy. A total of 10,692 SMs completed the April 2008 Status of Forces Survey of Activ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00080
更新日期:2014-11-01 00:00:00
abstract::Pseudolymphomas of the breast are extremely rare: the etiology of these lesions is unclear, but some believe they may represent a response to local injury. Although morphologically similar to malignant lymphomas, they are benign. Here we report a case of pseudolymphoma of the breast and present a review of the literat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
abstract:INTRODUCTION:Deployment-related mild traumatic brain injury (mTBI) affects a significant proportion of those who served in Post-9/11 combat operations. The prevalence of head injuries, including those that lead to mTBI, is often reported quantitatively. However, service member (SM) and Veteran firsthand accounts of the...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa308
更新日期:2021-01-25 00:00:00
abstract::Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract:INTRODUCTION:A variety of factors influence the motivation to choose a medical career; however, the influence of premedical experiences on health professional trainees' choices is a neglected one. We hypothesize that medical exposure during service in the Israeli Air Force special operations forces (SOFs) has an impact...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa335
更新日期:2021-01-25 00:00:00
abstract::The Israel Defense Forces Medical Corps operates a health network for Israel Defense Forces soldiers. Secondary medicine is included in the services to which soldiers are entitled. It is provided to military personnel through two parallel systems: within the Medical Corps specialists' clinics and through the auspices ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
abstract::Aeromedical (AM) evacuation of trauma victims from action is an integral part of trauma care. The Israeli Air Force Rescue and Evacuation Unit is responsible for nearly all AM evacuations in Israel. We present three recent cases, within 1 year of operation, of engagement process failure during evacuations performed by...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.10.1004
更新日期:2008-10-01 00:00:00
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::Of 782 Army families with children that were surveyed, over 10% reported one or more member with health problems or handicapping conditions requiring special ongoing treatment. However, less than half of these were enrolled in the Exceptional Family Member Program. Families with illnesses/handicaps that were enrolled ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::Like all health care delivery systems, the U.S. Department of Defense Military Health System (MHS) strives to achieve top preventative care and population health outcomes for its members while operating at an efficient level and containing costs. The objective of this study is to understand the overall efficiency perf...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00309
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate pregnancy during war-time deployment. METHODS:A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 77 demonstrated a positive pregnancy test. These charts were evaluated for factors ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.511
更新日期:2007-05-01 00:00:00
abstract:INTRODUCTION:Positioning of implant components for total hip arthroplasty (THA) is important for polyethylene liner wear, prosthesis joint stability, and range of motion. The introduction of fluoroscopy for the direct anterior approach has been shown to improve physician accuracy for component positioning. Few studies ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa415
更新日期:2020-11-24 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:INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa553
更新日期:2021-01-11 00:00:00
abstract:OBJECTIVE:Problematic anger is a significant clinical issue in military personnel, and is further complicated by comorbid post-traumatic stress disorder (PTSD). Despite increasing numbers of military personnel returning from deployment with anger and aggression difficulties, the treatment of problematic anger has recei...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx115
更新日期:2018-09-01 00:00:00
abstract::As researchers examine the efficacy of interventions that simultaneously target more than 1 symptom, it is important to identify ways to help guide research and program development. This study used electronic medical record data to examine the covariation of multiple risk factors regularly assessed among primary care ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00119
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The liver stages of Plasmodium parasites are important targets for the discovery and development of prophylactic drugs. METHODS:A real-time in vivo imaging system was used to determine the level of luminescence measured from firefly luciferase expression by sporozoites developing in hepatocytes in different...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00090
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:Commercially available junctional tourniquets (JTQs) have several drawbacks. We developed a low-cost, compact, easy to apply JTQ. The aim of this study was to assess the tourniquets' safety and efficacy in a swine model of controlled hemorrhage. MATERIALS AND METHODS:Five pigs were subjected to controlled...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz351
更新日期:2020-01-07 00:00:00
abstract:BACKGROUND:The Medical College Admissions Test (MCAT) is a high-stakes test required for entry to most U. S. medical schools; admissions committees use this test to predict future accomplishment. Although there is evidence that the MCAT predicts success on multiple choice-based assessments, there is little information ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00550
更新日期:2015-04-01 00:00:00
abstract::We present the case of a young woman presenting to a military field hospital in Afghanistan with a non-ST-elevation myocardial infarction (NSTEMI) associated with the diet drug sibutramine. We also provide a brief literature review on the association between sibutramine and myocardial infarction. ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00011
更新日期:2010-08-01 00:00:00
abstract::Use of blood products are recommended worldwide as a substitution for whole blood. In the case of war wounds, because of their specificity, this is not possible. We studied prospectively the use of blood and blood products during management of the wounded in a field hospital during the war in Croatia. During a 6-month...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-02-01 00:00:00