Abstract：
:Prior to recent advances in the field of molecular biology, prenatal diagnosis of hemoglobinopathies was accomplished by direct analysis of the gene product(s) in samples obtained by fetoscopy or, more recently, percutaneous umbilical blood sampling. The use of the polymerase chain reaction enables quicker diagnosis than with indirect or cumbersome Southern blot techniques. This case, reporting a couple at risk for fetal sickle cell disease, is a model for rapid prenatal diagnosis and demonstrates the capabilities which exist in the military health care referral system. Within 24 hours of a couple's presentation for consultation and accomplishment of chorionic villus sampling (CVS), preliminary results of both cytogenetic and sickle cell status of an at-risk fetus were determined. Final analysis was accomplished by 48 hours. The combination of early referral, early sampling by CVS, and application of advances in DNA laboratory technologies offers tremendous improvements for care heretofore unavailable as a complete "package" in the military. The implications and limitations for prenatal testing for single gene disorders within the military medical health care system will be discussed.
journal_name
Mil Medjournal_title
Military medicineauthors
Bombard AT,Bartholomew DWsubject
Has Abstractpub_date
1991-12-01 00:00:00pages
678-80issue
12eissn
0026-4075issn
1930-613Xjournal_volume
156pub_type
杂志文章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
更新日期：2016-08-01 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：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：OBJECTIVE:To examine incidence of mental health diagnoses during initial service of U.S. active duty military members and identify associations with deployment, attrition, and suicide. METHODS:A retrospective cohort of 576,502 service members (SMs) newly enlisted between 2003 and 2006 was identified. Data included med...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00051
更新日期：2012-10-01 00:00:00
abstract：:Civil war prisoners of war fared badly. But there was one extraordinary wartime development that promoted the humane treatment of captive enemy soldiers. Beginning in June 1862, Union and Confederate authorities regarded medical officers as non-combatants. Largely attributable to the initiative of Hunter Holmes McGuir...
journal_title：Military medicine
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：INTRODUCTION:Amputations are increasingly prevalent because of medical complications associated with diabetes, meningitis, peripheral vascular disease, and neoplasms as well as road traffic accidents and war. The use of ultrasound (U/S) to diagnose the cause of pain in the residual limb of amputees is presented togethe...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-13-00273
更新日期：2013-12-01 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：BACKGROUND:Addition of an oxygen concentrator into a control loop furthers previous work in autonomous control of oxygenation. Software integrates concentrator and ventilator function from a single control point, ensuring maximum efficiency by placing a pulse of oxygen at the beginning of the breath. We sought to verif...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00150
更新日期：2016-05-01 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：:Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：INTRODUCTION:It is important to monitor the use of optometric services by Veterans and consider the implications for other optometric and vision rehabilitation services. We did not find public health reports documenting the recent utilization of Veterans Health Administration (VHA) optometric eye exam services. METHOD...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx192
更新日期：2018-09-01 00:00:00
abstract：:A cluster-randomized trial evaluating the effectiveness of chlorhexidine gluconate-impregnated wipes against skin and soft tissue infections (SSTIs) and colonization with methicillin-resistant Staphylococcus aureus (MRSA) was conducted among military recruits attending Officer Candidate School at Marine Corps Base Qua...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed-d-12-00145
更新日期：2012-11-01 00:00:00
abstract：:Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：BACKGROUND:Scientific publication in academic literature is a key venue in which the U.S. Department of Defense's Global Emerging Infections Surveillance and Response System (GEIS) program disseminates infectious disease surveillance data. Bibliometric analyses are tools to evaluate scientific productivity and impact o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00276
更新日期：2017-05-01 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：: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：:Wide use of a succession of different manufactured antimicrobial agents during the past 60 years has prompted the eventual emergence and progressive spread through the world's interconnecting bacterial populations of a growing variety of genes expressing resistance to those agents. The complex processes that spread an...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：:Deep water running (DWR) has become a well-recognized from of cardiovascular conditioning for injured athletes and has been used successfully to maintain running performance. DWR provides for decreased stress and weightbearing to injured tissue and joints, allows for maintenance of cardiovascular fitness and a trainin...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：:This research identifies variables affecting the length of time to process a soldier through the U.S. Army Physical Disability Evaluation System (PDES). The subjects are 8,301 soldiers whose disability records were processed in fiscal year 1996. The dependent variable examined was the average number of days a soldier ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：PURPOSE:The objective of this study is to directly compare different types of cervical artificial disc implants using an in vivo model capable of simulating the axial load on a neck that is similar to the human neck. METHODS:Cervical arthroplasty was performed at C3-4 in 14 healthy female adult Alpine goats. The goats...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy395
更新日期：2019-03-01 00:00:00
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
更新日期：2019-12-01 00:00:00
abstract：INTRODUCTION:This article presents an emerging capability to project damage control procedures far forward for situations where evacuation to a formal surgical team is delayed. Specifically, we demonstrate the plausibility of using a wearable augmented reality (AR) telestration device to guide a nonsurgeon through a da...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz298
更新日期：2020-01-07 00:00:00
abstract：INTRODUCTION:This study evaluates a large cohort of college students after the 2009-2010 pandemic H1N1 influenza season. The objective was to assess influenza vaccination status, influenzalike illnesses (ILIs), and other characteristics associated with attaining immunizations. METHODS:This study was conducted during t...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz257
更新日期：2020-01-07 00:00:00
abstract：:Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examin...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-08-01 00:00:00
abstract：:3,4-Methylenedioxymethamphetamine, or "Ecstasy," is a drug commonly used at "rave" parties to heighten energy and intimacy. Although its complications have been well described in Europe, including less common side effects such as hepatic failure and rhabdomyolysis, physicians in the United States have less experience ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：INTRODUCTION:Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic str...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz070
更新日期：2019-12-01 00:00:00
abstract：:Within the past few years, the U.S. Army and U.S. Marine Corps have either incorporated or in the process of incorporating physical fitness tests that assess a soldier's fitness capability in a combat environment. In this article, we investigate how the U.S. Air Force Physical Fitness Test (AFPFT) events compare to si...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00066
更新日期：2012-09-01 00:00:00
abstract：:In 1991-1992, a pelvic stress fracture incidence of 11.2% was recorded in a cohort of 143 female Australian Army recruits. An incidence of 0.1% was recorded in a cohort of male recruits trained in the 1992-1993 year using a nearly identical program. A number of preventive strategies were instituted in an attempt to re...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：:U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title：Military medicine
pub_type： 历史文章,杂志文章,评审
doi：10.7205/milmed.170.4s.17
更新日期：2005-04-01 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
