Expanding the role of the nurse practitioner in the deployed setting.

Abstract:

:Today's military is experiencing rapid advances in technology and in manpower utilization. The Army Medical Department is redesigning the structure and function of deployable hospital systems as part of this effort. The transformation of deployable hospital systems requires that a critical analysis of manpower utilization be undertaken to optimize the employment of soldier-medics. The objective of this article was to describe the use of nurse practitioners as primary care providers during deployment. The lived experiences of five nurse practitioners deployed to Operation Iraqi Freedom are presented. Data gathered during the deployment and an analysis of the literature clearly support expanded and legitimized roles for these health care professionals in future conflicts and peacekeeping operations.

journal_name

Mil Med

journal_title

Military medicine

authors

Dargis J,Horne T,Tillman-Ortiz S,Scherr D,Yackel EE

doi

10.7205/milmed.171.8.770

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

770-3

issue

8

eissn

0026-4075

issn

1930-613X

journal_volume

171

pub_type

杂志文章
  • Survey of Sexually Transmitted Disease Laboratory Methods in U.S. Army Laboratories, 2012.

    abstract:INTRODUCTION:Sexually transmitted diseases (STD) affect primarily young people (17-24 years). The U.S. Military, with many young people, strives to maintain effective STD treatment and prevention programs using current methods. Laboratory testing technology and capacity are important for appropriate clinical management...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00248

    authors: Leamer NK,Jordan NN,Pacha LA,Latif NH,Garges EC,Gaydos JC

    更新日期:2017-03-01 00:00:00

  • The Virtual Naval Hospital: a digital library for naval primary care providers and patients.

    abstract:OBJECTIVE:To deliver optimal patient care and promote wellness, naval providers and patients require convenient access to medical information from isolated duty stations. The Internet can lower barriers to accessing information. The goal of this study was to determine the technical feasibility of using the Internet to ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: D'Alessandro MP,D'Alessandro DM,Hendrix MJ,Bakalar RS

    更新日期:1998-11-01 00:00:00

  • Reorganization of secondary medical care in the Israeli Defense Forces Medical Corps: A cost-effect analysis.

    abstract:OBJECTIVE:To increase accessibility and availability of secondary medical care, 10 secondary unit specialist clinics were established side-by-side with five existing regional specialist centers, thus achieving decentralization. The purpose was to analyze the impact of this reorganization on overall consumption of secon...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.12.1229

    authors: Yagil Y,Arnon R,Ezra V,Ashkenazi I

    更新日期:2006-12-01 00:00:00

  • Bangladesh Fistula Mission Partnership: Leveraging Assets from the United States Agency for International Development and the Department of Defense to Address a Health Care Crisis in a Developing Nation.

    abstract:INTRODUCTION:Obstetric fistulae are a leading scourge for women in developing countries resulting, in severe individual suffering and devastating socio-economic repercussions for her family and community. The underlying causes of obstetric fistula stem from multiple factors to include poor nutrition, early marriage, in...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz172

    authors: Gehrich AP,Dietrich C,Licina D,Satin M,Ahmed S,Huda N

    更新日期:2020-02-12 00:00:00

  • Leiomyosarcoma of the urinary bladder in a teenage male.

    abstract::Malignant neoplasms of the bladder are typically transitional cell carcinoma with squamous cell carcinoma and adenocarcinoma comprising nearly all of the remaining cases. Leiomyosarcoma is a rarely seen neoplasm of the bladder with a generally poor prognosis. It is important to distinguish leiomyosarcomas from rhabdom...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.2.155

    authors: Richter ER,Dean RC

    更新日期:2004-02-01 00:00:00

  • Dirofilariasis in a 22-year-old airman deployed to the Mediterranean.

    abstract::A 22-year-old male U.S. Navy airman with new nontender subcutaneous, 4-cm mass inferior to the right anterior costal margin was sent for routine biopsy. Sudden appearance of axillary lymph nodes prompted immediate excisional biopsy of the primary mass. Pathological evaluation was initially read as Onchocerca volvulus,...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00400

    authors: Udall DN

    更新日期:2011-09-01 00:00:00

  • Damage Control Resuscitation.

    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

    authors: Cap AP,Pidcoke HF,Spinella P,Strandenes G,Borgman MA,Schreiber M,Holcomb J,Tien HC,Beckett AN,Doughty H,Woolley T,Rappold J,Ward K,Reade M,Prat N,Ausset S,Kheirabadi B,Benov A,Griffin EP,Corley JB,Simon CD,Fahie

    更新日期:2018-09-01 00:00:00

  • Long-Term Outcomes of Refractive Surgery Performed During the Military.

    abstract:INTRODUCTION:To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population. MATERIALS AND METHODS:Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.) obtained ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz096

    authors: Godiwalla RY,Magone MT,Kaupp SB,Jung H,Cason JB

    更新日期:2019-12-01 00:00:00

  • Effect of Uniform Design on the Speed of Combat Tourniquet Application: A Simulation Study.

    abstract:BACKGROUND:Tourniquets are issued to deployed members of both the United States (U.S. military and the Australian Defence Force (ADF). The ease of removing the tourniquet from the pocket of the combat uniform may influence its time to application. The ADF uniform uses buttons to secure the pocket, whereas the U.S. unif...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00028

    authors: Higgs AR,Maughon MJ,Ruland RT,Reade MC

    更新日期:2016-08-01 00:00:00

  • Stinging the Conscience: A Case of Severe Hymenoptera Anaphylaxis and the Need for Provider Awareness.

    abstract::Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00536

    authors: Mikals K,Beakes D,Banks TA

    更新日期:2016-10-01 00:00:00

  • Pregnancy during Operation Iraqi Freedom/Operation Enduring Freedom.

    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

    authors: Albright TS,Gehrich AP,Wright J Jr,Lettieri CF,Dunlow SG,Buller JL

    更新日期:2007-05-01 00:00:00

  • Effect of pre-enlistment testing on the confirmed drug-positive rate for Navy recruits.

    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:

    authors: Romberg RW,Needleman SB,Porvaznik M,Past M,Beasley W

    更新日期:1993-01-01 00:00:00

  • World War II military led the way in screening chest radiography.

    abstract::World War I recruits were screened for tuberculosis almost exclusively with a history and physical exam. Radiography was unavailable on a large scale and expensive. New techniques developed in Brazil and elsewhere in the 1930s made mass radiographic screening practical. During World War II, the U.S. Army and Navy took...

    journal_title:Military medicine

    pub_type: 历史文章,杂志文章

    doi:

    authors: Haygood TM,Briggs JE

    更新日期:1992-03-01 00:00:00

  • Gluteal gunshot wounds.

    abstract::Experience with advanced surgery for the treatment of civilian gunshot injuries supports the changes in approach and indications for the treatment of war gunshot injuries. Eight patients with gluteal gunshot wounds are presented with typical war injuries. They were wounded during 1992 and 1993 in the war in Croatia an...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Vukić Z

    更新日期:2000-03-01 00:00:00

  • Treatment for Uncomplicated Plasmodium falciparum Malaria in French Soldiers Deployed in Sub-Saharan Africa: Gaps Between Policy and Field Practice.

    abstract:BACKGROUND:Malaria prevention and treatment are big challenges for the French forces deployed in sub-Saharan Africa. Since December 2013, 1,800 French soldiers have been deployed at any one time in the Central African Republic in the framework of "Operation Sangaris" and European Union Force (EUFOR). Over the 2014-2015...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx117

    authors: Perisse A,Velut G,Javelle E,Loarer G,Michel R,Simon F

    更新日期:2018-09-01 00:00:00

  • Body Composition Modifications Due to the "Search, Rescue and Survival Training" in Male Military Firefighter Cadets.

    abstract:INTRODUCTION:To train and prepare cadets for a career as firefighters in Rio de Janeiro, the second-year students of the Officers Training Course are submitted to a Search, Rescue, and Survival Training (SRST) course, which is characterized by long periods of high physical exertion and sleep restriction during a 9-day ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa571

    authors: de Barros TR,Salerno VP,Ponce T,Mainenti MRM

    更新日期:2021-01-05 00:00:00

  • Lessons learned from producing health information booklets for deploying U.S. military personnel.

    abstract::Health information booklets deliver information to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know of the materials produced to meet this need so that they can facilitate booklet distribution....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Huycke KA,Gambel JM,Petruccelli BP,Wasserman GM

    更新日期:1997-03-01 00:00:00

  • Noise attenuation of hearing protectors against heavy weapon noise.

    abstract::This study evaluated the noise attenuation of earplugs and earmuffs or their combined use against heavy weapon noise in field conditions for military personnel. The noise attenuation was measured with a miniature microphone inserted into the ear canal. The subjects (13) were tested against pink noise and against the n...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Pääkkönen R,Lehtomäki K,Savolainen S,Myllyniemi J,Hämäläinen E

    更新日期:2000-09-01 00:00:00

  • The comparative radiopacity of Fuji IX-GP, an intermediate restorative material.

    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:

    authors: DuBois DJ,Reichl RB,Hondrum SO

    更新日期:2000-04-01 00:00:00

  • En Route Resuscitation - Utilization of CCATT to Transport and Stabilize Critically Injured and Unstable Casualties.

    abstract:INTRODUCTION:The U.S. Air Force utilizes specialized Critical Care Air Transport Teams (CCATT) for transporting "stabilized" patients. Given the drawdown of military forces from various areas of operation, recent CCATT operations have increasingly involved the evacuation of unstable and incompletely resuscitated patien...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy371

    authors: Maddry JK,Ball EM,Cox DB,Flarity KM,Bebarta VS

    更新日期:2019-05-01 00:00:00

  • Cerebellar ischemia manifesting as vertical diplopia: a case study on skew deviation.

    abstract:PURPOSE:Skew deviation mimics superior oblique palsy. Associated findings can include ocular torsion, head tilt, headache, and neurologic symptoms that may help localize the responsible intracranial lesion. Accurate diagnosis is essential in determining and treating the underlying cause. Imaging options will be reviewe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00292

    authors: Bateman JA,Chang A,Capo-Aponte J

    更新日期:2015-01-01 00:00:00

  • Military operations at moderate altitude: effects on physical performance.

    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:

    authors: Hackney AC,Kelleher DL,Coyne JT,Hodgdon JA

    更新日期:1992-12-01 00:00:00

  • Field-expedient gynecologic examination table.

    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:

    authors: Hughey MJ,Patel TG,Herrold SB

    更新日期:1997-10-01 00:00:00

  • Survey of smokeless tobacco use in basic trainees and armor basic course officers.

    abstract::In this study an all-male population of 256 U.S. Army basic trainees and 98 armor officer basic course students were surveyed concerning extent of use, knowledge of, and factors contributing to the use of smokeless tobacco (ST). The survey was administered at a dental clinic at Fort Knox, Kentucky. The data were analy...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Kenny KK,Quigley NC,Regennitter FJ

    更新日期:1996-01-01 00:00:00

  • Malaria in the Republic of Korea, 1993-2007. Variables related to re-emergence and persistence of Plasmodium vivax among Korean populations and U.S. forces in Korea.

    abstract::Malaria was eradicated and the Republic of Korea (ROK) declared "malaria free" in 1979. However, in 1993, a temperate strain of vivax malaria, expressing both latent and nonlatent disease populations, re-emerged near the demilitarized zone (DMZ), rapidly spread to civilian sectors near the DMZ, and increased exponenti...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-01-6208

    authors: Kim HC,Pacha LA,Lee WJ,Lee JK,Gaydos JC,Sames WJ,Lee HC,Bradley K,Jeung GG,Tobler SK,Klein TA

    更新日期:2009-07-01 00:00:00

  • Evaluation of Clinical Nurse Transition Program at US Army Hospitals.

    abstract:INTRODUCTION:The purpose of this evaluation was to determine the effectiveness of the clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one of the first evaluations conducted to document the outcomes of the Army Nurse Corps (ANC) transition-to practice residency program. MATERIALS AN...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz108

    authors: Oblea PN,Berry-Caban CS,Dumayas JY,Adams AR,Beltran TA

    更新日期:2019-12-01 00:00:00

  • Analysis of U.S. Pacific Command Area of Operations Military Medical Transportations of Adult Patients, 2008 to 2018.

    abstract:INTRODUCTION:With more than 370,000 military and civilian personnel stationed across Pacific Command (PACOM), medical evacuation in this largest command presents unique challenges. The authors describe medical evacuations analyzed from the U.S. Air Force Transportation Command Regulating and Command & Control Evacuatio...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa289

    authors: Pawlukiewicz AJ,Bridwell RE,Carius BM,Schauer SG,Maddry JK,Davis WT

    更新日期:2020-11-21 00:00:00

  • Safety and efficacy of DEET and permethrin in the prevention of arthropod attack.

    abstract::Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Young GD,Evans S

    更新日期:1998-05-01 00:00:00

  • Repeated Noise Exposure Does Not Reach Hazardous Levels During Total Joint Arthroplasty.

    abstract:INTRODUCTION:Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the r...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa102

    authors: Slaven SE,Wheatley BM,Christensen DL,Saxena SK,McGill RJ

    更新日期:2020-09-18 00:00:00

  • Meals ready to eat: a brief history and clinical vignette with discussion on civilian applications.

    abstract::Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,2...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-09-00049

    authors: Feagans JM,Jahann DA,Barkin JS

    更新日期:2010-03-01 00:00:00