Abstract:
:Gunshot wounds to the head are usually fatal injuries, despite all medical and surgical interventions. Ventricular injury is a poor prognostic factor-for penetrating cranial gunshot wounds. Intraventricular hemorrhage and ventricular lacerations are the main components of such injuries. The incidence, management, and outcomes of cases of ventricular injury secondary to cranial gunshot wounds that were treated during a 9-year period at Gülhane Military Medical Academy were examined. The study group consisted of 67 consecutive patients who were admitted to the Department of Neurosurgery with the diagnosis of ventricular injury, with different penetration sites. The patients had been injured by either bullets or shrapnel. Surgical treatment was performed for all patients with ventricular injuries and 22 (32.8%) died. Ventricular injury in cranial gunshot wounds is a complex severe type of trauma that requires serious treatment. Early radiological diagnosis and accurate treatment frequently had lifesaving roles for these patients.
journal_name
Mil Medjournal_title
Military medicineauthors
Erdogan E,Izci Y,Gonul E,Timurkaynak Edoi
10.7205/milmed.169.9.691keywords:
subject
Has Abstractpub_date
2004-09-01 00:00:00pages
691-5issue
9eissn
0026-4075issn
1930-613Xjournal_volume
169pub_type
杂志文章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:BACKGROUND:Objective Structured Clinical Examinations (OSCEs) are used at the majority of U.S. medical schools. Given the high resource demands with constructing and administering OSCEs, understanding how OSCEs relate to typical performance measures in medical school could help educators more effectively design curricu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00237
更新日期:2012-09-01 00:00:00
abstract::Controversy exists over the use of atrioventricular synchronous pacing for patients with hypertrophic obstructive cardiomyopathy who are refractory to medical treatment. We present the case of an elderly man with severe-effort dyspnea attributable to hypertensive left ventricular hypertrophy with dynamic aortic outflo...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:Introduction:To develop a short form (SF) of the 45-item multidimensional Moral Injury Symptom Scale - Military Version (MISS-M) to use when screening for moral injury and monitoring treatment response in veterans and active duty military with PTSD. Methods:A total of 427 veterans and active duty military with PTSD sy...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usy017
更新日期:2018-11-01 00:00:00
abstract::Post-traumatic stress disorder (PTSD) is associated with poor health but there is a gap between need and receipt of care. It is useful to understand where to optimally locate in-person care and where video-based PTSD care would be most useful to minimize access to care barriers, care outside the Veterans Affairs syste...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00177
更新日期:2014-02-01 00:00:00
abstract::This study identified chemical and environmental exposures specifically associated with the 1991 Persian Gulf War. Exposures were self-reported in a postal questionnaire, in the period of 2000-2002, by 1,424 Australian male Persian Gulf War veterans in relation to their 1991 Persian Gulf War deployment and by 625 Pers...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.7.632
更新日期:2006-07-01 00:00:00
abstract::To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy291
更新日期:2019-03-01 00:00:00
abstract:INTRODUCTION:Despite greater than 60,000 nonfatal firearm injuries per year in the United States, retained shrapnel is a relatively rare cause of systemic lead toxicity with less than 100 cases reported in the medical literature since 1867. While intra-articular retained shrapnel as a cause of lead toxicity is well-des...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00231
更新日期:2017-03-01 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
abstract::Not since 1945 has the world experienced nuclear warfare, although there has been the threat of nuclear terrorism and a large number of nuclear/radiological accidents. Most people fear a nuclear/radiological threat even more than a conventional explosion due both to their inability to perceive the presence of radiatio...
journal_title:Military medicine
pub_type:
doi:
更新日期:2001-12-01 00:00:00
abstract:PURPOSE:The purpose of this study was to identify subpopulations at high risk for body composition assessment (BCA) failure within the Navy. METHODS:This study was an institutional review board-approved retrospective review of data retrieved from the Bureau of Medicine and Surgery Physical Readiness Information Manage...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00231
更新日期:2015-02-01 00:00:00
abstract::A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and revi...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.1093/milmed/usy135
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Nutritional information seldom reaches individuals with the most unhealthful dietary habits. OBJECTIVE:To explore whether an intervention focusing on a combination of nutritional information and increased availability of vegetables, fruits, and semi whole grain bread was effective to raise the intake, and k...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00046
更新日期:2014-09-01 00:00:00
abstract::Despite two decades of concerted federal government effort and the expenditure of billions of dollars, the war on cancer, as judged by mortality, is not going well. However, the mortality yardstick by which progress against cancer is often measured should be reassessed based upon current concepts of carcinogenesis. Th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:INTRODUCTION:Gestational diabetes mellitus (GDM) affects approximately 1-14% of all pregnancies in the United States and has significant maternal and neonatal consequences. Developing GDM can increase a patient's risk of developing overt diabetes in the future which may impact a soldier's readiness. The purpose of this...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa400
更新日期:2020-11-24 00:00:00
abstract::Medical data from 120 U.S. Marine Corps trauma admissions to second-echelon facilities during Operation Desert Shield/Storm were examined. Sixty-five percent of the admissions occurred between February 22 and February 28, the time frame corresponding to the ground war and the preliminary mobilization period. Penetrati...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract::Patients are referred to the endodontist to have root canal therapy performed to treat pulpal and periradicular diseases. Routinely, the only radiograph to accompany the patient is the periapical radiograph. This radiograph is inadequate in the detection of asymptomatic pathosis that may be present in other areas of t...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-07-01 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::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::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::Weight or fat reduction and maintenance among military personnel and attainment of desired body composition and physical appearance are considered important. A high level of body fat has been shown to have an adverse effect on performance in a number of military activities. The effect of rapid weight loss on performan...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.171.6.550
更新日期:2006-06-01 00:00:00
abstract:UNLABELLED:Physical therapists (PTs) serve as physician extenders performing direct access evaluations for musculoskeletal conditions. The previous war-time mission of PTs was limited to level III medical care. Recently PTs began providing care at levels I/II with brigade combat teams (BCTs). PURPOSE:Determine the sen...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00099
更新日期:2010-05-01 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::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
更新日期:2013-02-01 00:00:00
abstract::The planning and execution for contingency pharmacy services in support of Operations Desert Shield/Desert Storm in an overseas Air Force Medical Center are described. These operations presented the staff with far different challenges than the contingency support plan that had been in place for several years. That pla...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract:INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz454
更新日期:2020-08-14 00:00:00
abstract::Spectacle incompatibility has been a major problem in the fielding of advanced Army avionic and electro-optical systems. As a result, routine contact lens wear may be instituted as an option to spectacles. Refractive error data were extracted from the Aviation Epidemiological Data Registry, a computer-accessible repos...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-08-01 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::This paper describes issues in the psychological assessment of individuals for security clearances, special duty, and sensitive positions. Using assessment for access to sensitive compartmented information as an example, the paper identifies, and explicates problems in criterion validity (the NEXUS issue), practical a...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00