Abstract：
AIM:To evaluate magnetic resonance (MR) imaging as a direct-access diagnostic tool for primary care physicians. METHOD:Prospective, case-control study in a Royal Air Force setting. We obtained institutional review board approval and informed consent. Cases consisted of patients with acute knee injury and a physician-ordered MR scan. Controls were matched for gender, age, and knee injury and had MR investigation ordered by an orthopedic specialist. RESULTS:MR imaging cost $341 U.S. dollars per scan. Sixteen patients were enrolled, ages 17 to 44 years, and there were 48 controls. There was a significant intergroup difference for time to MR scan (p < 0.001), and no difference in time to specialist orthopedic assessment (p = 0.39). There was a significant intergroup difference (p < 0.001) in time to return to full fitness. CONCLUSIONS:Used as a primary care diagnostic tool and in settings where times to surgery are unacceptably long, direct-access MR imaging significantly decreases the amount of time to definitive treatment for military personnel with acute knee injuries. It may also improve clinical outcomes. MR imaging technology should be made more widely available in military primary care, including during mature combat missions.
journal_name
Mil Medjournal_title
Military medicineauthors
Geary KG,Croft AMdoi
10.7205/milmed.172.4.436subject
Has Abstractpub_date
2007-04-01 00:00:00pages
436-9issue
4eissn
0026-4075issn
1930-613Xjournal_volume
172pub_type
杂志文章abstract：:Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00423
更新日期：2014-04-01 00:00:00
abstract：:This study investigated influences on physical fitness improvement among Navy remedial exercise program participants. Subjects were 27 Navy personnel who had failed to pass the body composition, aerobic fitness, or curl-up portion of the semiannual physical readiness test. The remedial exercise program consisted of th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：:The usability of a rapid point-of-care ABO-Rh blood typing kit was determined by comparing the performance of individuals with extensive medical training/experience to those with a lesser extent. Subjects were asked to use the blood typing kit with their own blood. These outcomes were compared to that listed in the su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00500
更新日期：2013-05-01 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：OBJECTIVE:To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. METHODS:The Department of Defense's Joint Theater Trauma Registry was que...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-13-00393
更新日期：2014-04-01 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：INTRODUCTION:The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States. MATERIALS AND METHODS:Retrospective comparison of all pectoralis major tendon repairs performed at Madigan...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz068
更新日期：2019-12-01 00:00:00
abstract：:In response to the end of the cold war, the United States developed new foreign policy and national security strategies. As a result, many medical support concepts that were operative during the cold war were invalidated. Recently, the Chairman of the Joint Chiefs of Staff provided direction and guidance for long-rang...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 00:00:00
abstract：:The proper treatment of younger patients who have suffered ischemic stroke and who have no stroke risk factors other than antiphospholipid antibodies is unsettled. We propose a rationale to support adding dietary supplementation with calcium and vitamin D to the present standard regimen of anticoagulant therapy for th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
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：:Rhabdomyolysis and myoglobinuric acute renal failure may occur following strenuous exercise and may be more common in less physically conditioned persons. A case of moderately severe acute renal failure after the exercise involved in a routine Army Physical Fitness Test (APFT) is described. This level of exertion, whi...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：:Acutely sprained ankles represent a frequent and common injury among active duty troops in training, and are a significant source of morbidity with respect to days lost to training. Swelling in the form of periarticular edema limits motion, causes pain, prevents wearing of normal foot gear, and slows the healing proce...
journal_title：Military medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1993-02-01 00:00:00
abstract：:The modern military battlefields are characterized by the use of nonconventional weapons such as encountered in the conflicts of the Gulf War I and Gulf War II. Recent warfare in Iraq, Afghanistan, and the Balkans has introduced radioactive weapons to the modern war zone scenarios. This presents the military medicine ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00256
更新日期：2017-03-01 00:00:00
abstract：:On May 19 to 21, 2010, the Armed Forces Health Surveillance Center and Uniformed Services University of the Health Sciences cosponsored an educational symposium on Assessing Potentially Hazardous Environmental Exposures among Military Populations. The meeting provided an opportunity for stakeholders and policy makers ...
journal_title：Military medicine
pub_type：
doi：10.7205/milmed-d-11-00073
更新日期：2011-07-01 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：:Mass casualties during war, civil unrest, or natural disasters can generate chaos and disarray in the emergency room setting. The influx of numerous casualties in a short period of time can paralyze the medical facility and cause irreparable damage to the injured. Maintaining calm and order is very essential for triag...
journal_title：Military medicine
pub_type：
doi：
更新日期：2001-12-01 00:00:00
abstract：:More than 300,000 cases of sudden cardiac death (SCD) occur in the United States each year. Left coronary artery anomaly (LCAA), although rare, is second only to hypertrophic cardiomyopathy as the most common cause of SCD associated with structural cardiovascular abnormalities. This case illustrates SCD secondary to L...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-02-01 00:00:00
abstract：:To maintain operational readiness, military personnel engage in vigorous physical and training activities that carry risk for injury. A 1-year prospective cohort study, starting April 1996, was conducted at Fort Bragg, North Carolina among 1,965 members of the 82nd Airborne Division to quantify musculoskeletal injurie...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：INTRODUCTION:Volunteering as a health promotion intervention is positively related to improved health and well-being in civilians and older adults. Yet, the impacts of participating in a community-based volunteering program on returning military veterans have not been studied, nor have the outcomes for veterans who hav...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00150
更新日期：2017-07-01 00:00:00
abstract：:Although Japanese military officials had discovered that an improved diet could prevent beriberi by the late 19th century, their soldiers in the army suffered from beriberi during the Russo-Japanese War and World War II. A change in diet at the end of the Russo-Japanese War solved the problem and the army applied the ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.171.4.333
更新日期：2006-04-01 00:00:00
abstract：Introduction:To introduce a trabectome-initiated gonioscopy-assisted transluminal trabeculotomy (TIGATT) procedure and to report preliminary results. Materials and Methods:A preliminary case series of eight patients who have undergone the newly proposed TIGATT procedure is presented. TIGATT is a new concept that modif...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx174
更新日期：2018-03-01 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：INTRODUCTION:Since January 2002, pre-deployment training of forward resuscitative and surgical units has taken place at the U.S. Army Trauma Training Center (ATTC) in Miami, FL. In June 2019, the 240th Forward Resuscitative Surgical Team (FRST) conducted the first pre-deployment Surgical Readiness Training Exercise (SU...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa545
更新日期：2021-01-27 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00037
更新日期：2010-12-01 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：BACKGROUND:For more than a decade, primary care residency training programs have struggled to attract graduates of U.S. medical schools. Internal medicine (IM) interest groups (IMIGs) have been widely instituted to foster student interest in careers in IM. Residents can participate in many IMIG activities. Studies have...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：10.7205/milmed.172.2.210
更新日期：2007-02-01 00:00:00
abstract：:Rhabdomyolysis is a painful and potentially life-threatening injury in which muscle breaks down in response to an insult. In this case report, we describe the clinical course of a 22-year-old man who developed paraspinal muscle rhabdomyolysis and possible compartment syndrome in association with strenuous activity and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00647
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:Planning of dental support for populations serving in isolation is essential. Many programs of national or scientific interest such as U.S. Navy submarine missions, the manned space program, and research in Antarctica require long periods where dental care is not available. Submariners make an excellent stud...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.supplement_1.29
更新日期：2008-01-01 00:00:00
abstract：:Community-acquired, methicillin-resistant Staphylococcus aureus (cMRSA), soft tissue infections are becoming increasingly prevalent in the outpatient setting. Few studies have been specifically designed to examine the efficacy of oral antibiotic therapy for these infections. We performed an observational study to dete...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.6.504
更新日期：2006-06-01 00:00:00
abstract：:A 36-year-old man with chronic severe exertional myalgias had a normal serum lactate elevation and diminished serum ammonia elevation on an ischemic forearm exercise test (IFET). The IFET is commonly performed in the evaluation of patients with complaints of exertional myalgias, cramps, and rhabdomyolysis. The finding...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
