Abstract:
:The purpose of this study was to investigate an outbreak of tuberculosis (TB) in a bacillus Calmette-Guérin-vaccinated military population and propose an appropriate method of control. We divided 593 subjects into "close contacts" and "non-close contacts" of an index case and examined all subjects by chest X-radiography (CXR). For "close contacts," we performed several tests for patients with abnormal CXRs. "Non-close contacts" had no pulmonary infiltration and no evidence of TB. We administered tuberculin skin tests (TST) to 21 "close contacts" who had pulmonary infiltrations. Seven patients had a TST > or =18 mm, two of whom had active pulmonary TB. We administered antituberculous agents to all seven patients for 6 months. Fourteen subjects with TSTs <18 mm had no evidence of TB during the 18-month follow-up period. Among the other 178 "close contact" subjects with no infiltrations evident on the initial CXR, one patient developed TB pleuritis. We conclude that it is important to use early treatment for "close contacts" of a TB index case by performing the TST and testing for pulmonary infiltration on CXRs.
journal_name
Mil Medjournal_title
Military medicineauthors
Lin JC,Lin TY,Perng WC,Mai CS,Chen YH,Ku CH,Chang FYdoi
10.7205/milmed.173.4.388subject
Has Abstractpub_date
2008-04-01 00:00:00pages
388-92issue
4eissn
0026-4075issn
1930-613Xjournal_volume
173pub_type
杂志文章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 ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.9.691
更新日期:2004-09-01 00:00:00
abstract:INTRODUCTION:Military personnel must remain physically active to meet operational requirements. Military physical training not only provides the performance capabilities required for performing occupational tasks but also fosters the development of sport. Thus, Armed Forces across the world have historically invested i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz003
更新日期:2019-12-01 00:00:00
abstract::This study describes injury and illness rates and some risk factors among soldiers from an armor division during a rotation at the National Training Center (Fort Irwin, California). Soldiers from a brigade of the 1st Cavalry Division were involved in a 5-week training exercise at the National Training Center. Health c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.11.1051
更新日期:2006-11-01 00:00:00
abstract::Rationale for the decision to transport and assessment of available resources are integral components of the decision for aeromedical evacuation of critically ill patients. We present the case of a 20-year-old man who sustained significant trauma after his vehicle struck a land mine. This case reviews and emphasizes t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.7.586
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVES:This was a pilot study to determine (1) whether it is feasible to effectively blind human subjects to the presence of the insect repellents N,N-diethyl-m-toluamide (DEET) and permethrin; (2) whether DEET affects the absorption of permethrin; and (3) whether combat videotape viewing and mental arithmetic are ...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed.171.2.122
更新日期:2006-02-01 00:00:00
abstract::In this report, we describe the organizational framework, operations and current status of the Central Simulation Committee (CSC). The CSC was established in 2007 with the goals of standardizing simulation-based training in Army graduate medical education programs, assisting in redeployment training of physicians retu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00065
更新日期:2012-07-01 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::We report on a 22-year-old infantryman who sustained a right frontal wound to his head. He was treated and returned to duty immediately. During a computed tomography scan, 38 years after the incident, a metallic foreign body and disruption of the brain consistent with a projectile track were discovered in his brain. I...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00323
更新日期:2011-02-01 00:00:00
abstract::The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00034
更新日期:2011-10-01 00:00:00
abstract::To-date, there has been no international review of mental health resilience training during Basic Training nor an assessment of what service members perceive as useful from their perspective. In response to this knowledge gap, the North Atlantic Treaty Organization (NATO) Human Factors & Medicine Research & Technology...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00549
更新日期:2013-07-01 00:00:00
abstract::The National Academies of Sciences, Engineering, and Medicine Report on Zero Preventable Deaths highlighted the need for a military and civilian partnership to take lessons learned from the wars in Iraq and Afghanistan and incorporate them into a national learning trauma care system. One of the specific objectives in ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy149
更新日期:2018-09-01 00:00:00
abstract::This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursing practice and culture. A conceptual mo...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:10.7205/MILMED-D-13-00191
更新日期:2013-09-01 00:00:00
abstract::The work of the War Hospital in Tomislavgrad during the war in Bosnia and Herzegovina from 1992 to 1995 is described. The War Hospital in Tomislavgrad was one of the first medical institutions organized in Bosnia and Herzegovina, with the intention of providing surgical treatment and care to soldiers, local civilians,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::A case is presented of a young active duty woman who experienced nonpsychotic denial of pregnancy until she precipitously delivered a healthy full-term infant. Despite the lack of prenatal care and the requirement for neonatal resuscitation, the child has apparently developed normally. The woman had no ongoing psychia...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 00:00:00
abstract::The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkale...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00076
更新日期:2017-07-01 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::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: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: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:INTRODUCTION:The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. MATERIALS AND METHODS:Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz198
更新日期:2020-01-07 00:00:00
abstract::Musculoskeletal disorders represent a prevalent source of outpatient visits, lost work time, hospitalization, and disability in the military. Recent research has identified patterns among military occupations, gender, and musculoskeletal disability. Although back disorders accounted for a high percentage of all cases,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::This article describes Humanitarian Civic Action (HCA) activities performed by the Medical Element (MED EL) of Joint Task Force-Bravo in Honduras during 1988. The effort was designed to assist Honduras in nation building, to provide a maximal training experience for U.S. personnel, and enhance the image of the U.S. Wh...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::The purpose of this case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy128
更新日期:2018-11-01 00:00:00
abstract::The contribution of American military surgeons to the development of orthopedic surgery has not previously been explored. The experiences of American military surgeons in conflicts from the Civil War to Iraq and Afghanistan have advanced the orthopedic discipline, resulting in important developments within the field, ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed-d-10-00374
更新日期:2011-06-01 00:00:00
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
更新日期:2010-03-01 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::Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loa...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00299
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:The goal was to show the epidemiological characteristics and clinical manifestations of Lyme borreliosis in Croatia. METHODS:Data on registered Lyme borreliosis cases were analyzed and the most common clinical manifestations of the disease, based on meta-analysis of the data collected, are described. RESULT...
journal_title:Military medicine
pub_type: 杂志文章,meta分析
doi:10.7205/milmed.171.11.1105
更新日期:2006-11-01 00:00:00
abstract:PURPOSE:Evaluate the effectiveness of a 2-day, 3-night outdoor recreation intervention involving fly-fishing in reducing the psychological concomitants of stress among 74 veterans (M = 47.27, SD = 14.55 years) with post-traumatic stress disorder (PTSD). METHODS:Participants completed repeated assessments of attentiven...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00308
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00367
更新日期:2016-09-01 00:00:00