Abstract:
:This study was undertaken to determine why U.S. Marine Hospital #17, Port Townsend, Washington, closed at the peak of its utilization. A social history approach was taken, examining the hospital's developmental changes in the context of its role in the larger society. Both firsthand and interpretive sources were reviewed, and numerous photographs and drawings confirmed the hospital was an active participant in the economy. Regarding the hospital's transitions over time as a life cycle was a useful organizing framework. Inpatient census patterns as a measure of the hospital's growth and development informed and enlightened this study. It became clear the Marine Hospital responded to and influenced events in the Port Townsend seaport whose importance diminished when other port cities at the base of the Puget Sound began and sustained rapid growth.
journal_name
Mil Medjournal_title
Military medicineauthors
Reed MMdoi
10.7205/milmed.170.4.259keywords:
subject
Has Abstractpub_date
2005-04-01 00:00:00pages
259-67issue
4eissn
0026-4075issn
1930-613Xjournal_volume
170pub_type
历史文章,杂志文章abstract::Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::This retrospective study examined spinal-related hospitalizations of U.S. Army soldiers deployed to Afghanistan and Iraq. Spinal cord injuries (SCI) and vertebral column injuries (VCI) were identified using International Classification of Disease, 9th Revision, Clinical Modification diagnosis codes. In our study, spin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00061
更新日期:2015-02-01 00:00:00
abstract:INTRODUCTION:This pilot study was conducted to examine, for the first time, the ongoing systems biology research and development projects within the laboratories and centers of the U.S. Army Medical Research and Materiel Command (USAMRMC). The analysis has provided an understanding of the breadth of systems biology act...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00446
更新日期:2017-09-01 00:00:00
abstract::U.S. Army Iodine Water Purification Tablets were tested to determine their efficacy against Cryptosporidium parvum, a protozoan resistant to chemical disinfection. Purified oocysts in phosphate-buffered water were treated with varying concentrations of iodine or with iodine tablets as per U.S. Army protocol. Neonatal ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.1.83
更新日期:2005-01-01 00:00:00
abstract::Two cases of pacemaker lead fracture associated with weight-lifting are presented. This is a rare association which has only recently been described in the literature. In both cases, the pacemaker lead was fractured between the clavicle and the first rib, suggesting crush injury. The chest X-ray, pacemaker telemetry w...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::Primary care providers are often the initial evaluators of soldiers presenting with acute eye complaints. It is crucial for these providers to master performing the basic eye examination with a systematic approach. Obtaining a thorough history is an important first step to the eye examination, but providers need to be...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00161
更新日期:2016-02-01 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: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::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00482
更新日期:2011-09-01 00:00:00
abstract::The difficulty and importance of developing and implementing a definition of quality in health care is discussed. Some current definitions are considered, and a recommended definition of quality health care is presented. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::This study compared general psychological symptoms measures on all Brief Symptom Inventory symptom dimensions and the Global Severity Index from samples of deployed and nondeployed U.S. Army soldiers. Psychological symptom measures were taken from samples of soldiers during deployment to operations in the Persian Gulf...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::Summer exercises in the continental United States bring many military personnel in contact with our four types of indigenous venomous snakes. Personnel with a knowledge of these snakes, their habits, and habitat, and who exercise common sense are much less likely to fall victim to a venomous bite. When a bite does occ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract:INTRODUCTION:Chronic pain and post-traumatic stress disorder (PTSD) comorbidity is prevalent among veterans and is associated with increased levels of pain severity and pain-related disability. An improved understanding of the relationship between these co-occurring disorders, in addition to effective integrated treatm...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa529
更新日期:2020-12-10 00:00:00
abstract::After the conclusion of major ground combat operations during Operation Iraqi Freedom, the focus of the mission changed, although intense armed conflict continued. Included in this mission was management of security detainees, including provision of their medical care. We retrospectively reviewed the admission records...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.6.501
更新日期:2005-06-01 00:00:00
abstract::Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy401
更新日期:2019-07-01 00:00:00
abstract::Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.551
更新日期:2007-05-01 00:00:00
abstract::In response to an apparent clustering of homicides at Fort Carson, Colorado, the U.S. Army Public Health Command (formerly the U.S. Army Center for Health Promotion and Preventive Medicine) Behavioral and Social Health Outcomes Program conducted a multidisciplinary epidemiologic consultation to identify factors contri...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00344
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:This article addresses the design of a robust autopilot for the delivery of intravenous anesthesia drugs. METHODS:A mathematical framework that expresses the pharmacological variability of a patient population into uncertainty bounds is proposed. These bounds can be effectively used to tune the parameters of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00380
更新日期:2015-03-01 00:00:00
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:
更新日期:1993-05-01 00:00:00
abstract:INTRODUCTION:Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa359
更新日期:2021-01-25 00:00:00
abstract::The purpose of this study was to assess changes in alcohol, tobacco, and other drug use after the terrorist attacks of September 11 among a cohort of young military personnel consisting of 661 active duty Navy personnel, including 164 women. Paired sample t tests were computed to assess mean differences in substance u...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.10.829
更新日期:2004-10-01 00:00:00
abstract::Gingival diseases are the most widely dispersed diseases in the United States. In some patients, periodontal disease appears in a generalized form, but more often it appears in localized areas. Furthermore, after treatment with scaling and root planing in generalized cases, the disease is often reduced to a few local ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-01 00:00:00
abstract:Introduction:Bioelectrical impedance analysis (BIA) is a practical and rapid method for making a longitudinal analysis of changes in body composition. However, most BIA validation studies have been performed in a clinical population and only at one moment, or point in time (cross-sectional study). The aim of this study...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx223
更新日期:2018-07-01 00:00:00
abstract::The challenges of managing military medicine over the last three decades have been complicated by rapidly changing priorities and redirections. Inspired by Kuhn's theory of "paradigm shifts," we can identify five distinct paradigms and four paradigm shifts that have dominated military medicine over the last 25 years. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract::This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-13-00039
更新日期:2013-08-01 00:00:00
abstract::Mental health problems are a well-known consequence of combat exposure, and the problem of barriers to receiving mental health care for veterans is well known. The current heavy reliance on reserve component soldiers may aggravate this problem. This study tries to characterize problems with access to mental health car...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00219
更新日期:2011-03-01 00:00:00
abstract::This article presents the results of a survey distributed to military women within and outside the continental United States (CONUS and OCONUS) who had received prenatal care and delivered at one of six Army, Navy, or Air Force military facilities. This comparative descriptive study was undertaken to determine from th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-05-01 00:00:00
abstract:Introduction:In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy059
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:This study assesses the sensitivity of self-collected rectovaginal culture specimens for group B Streptococcus by pregnant patients. METHODS:A volunteer sample of 240 pregnant women at 28 weeks gestation self-collected rectovaginal culture swabs to screen for the presence of group B Streptococcus. The patien...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::Identifying potential modifiable determinants of functional movement ability and fatigue may inform efforts to maintain constant physical readiness, especially in active duty military over 40 years of age, who are largely sedentary throughout their work day. The primary aim of this study was to determine the associati...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00186
更新日期:2013-12-01 00:00:00