Abstract:
OBJECTIVE:Several of the casualties from Operation Iraqi Freedom arriving at one Veterans Administration (VA) polytrauma rehabilitation center (PRC) were noted to have occipital pressure ulcers or hair loss. The objective of this study was to determine the prevalence and severity of pressure-related injuries in VA PRC admissions. METHODS:A retrospective review of admissions from active duty from 2004 to 2006 was performed. RESULTS:Thirty-eight percent of admissions to this VA PRC had pressure-related injuries on the day of admission. Casualties from Iraq had a higher rate of pressure ulcers (53%) than did those from elsewhere (22%). Occipital lesions constituted 50% of non-stage I pressure ulcers and were more severe than those of the sacrum or extremities. CONCLUSIONS:Further epidemiological research should be performed to identify risk factors for pressure injury in the military continuum of care, by linking specific military medical evacuation and treatment processes and characteristics of casualties with outcomes.
journal_name
Mil Medjournal_title
Military medicineauthors
Harrow JJ,Rashka SL,Fitzgerald SG,Nelson ALdoi
10.7205/milmed.173.11.1068subject
Has Abstractpub_date
2008-11-01 00:00:00pages
1068-72issue
11eissn
0026-4075issn
1930-613Xjournal_volume
173pub_type
杂志文章abstract:INTRODUCTION:Each year, a substantial proportion of trainees who enter the U.S. Air Force (USAF) Basic Military Training (BMT) are unable to complete training. Reentry to civilian life poses significant challenges, including finding employment, establishing a new career path, and paying for education. To our knowledge,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa110
更新日期:2020-09-18 00:00:00
abstract::This case report examines a vesiculopustular reaction which occurred in a young Marine 9 d after receiving the smallpox vaccination. Review of the CDC guidelines, ACAM2000 package insert, and literature surrounding the smallpox vaccine reveals several well-established adverse cutaneous reactions associated with vaccin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx133
更新日期:2018-09-01 00:00:00
abstract::From May 21 to June 4, 1993, a collaborative training project involving U.S. Army veterinary personnel, the Lao-American Integrated Rural Development Project, and the Lao Department of Livestock and Veterinary Services occurred in the Houa Muang District of Houa Phan Province in northeastern Laos. The project focus wa...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVES:Military medical subspecialists consult with referring physicians, direct patient care and education, support isolated subspecialists, and maintain cohesive readiness plans. The World Wide Web appears promising in fulfilling these roles. METHODS:A website providing directed resources, the Walter Reed Army M...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::As researchers examine the efficacy of interventions that simultaneously target more than 1 symptom, it is important to identify ways to help guide research and program development. This study used electronic medical record data to examine the covariation of multiple risk factors regularly assessed among primary care ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00119
更新日期:2014-10-01 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::Between 2006 and 2012, the Department of Defense trained thousands of military mental health providers in the use of evidence-based treatments for post-traumatic stress disorder. Most providers were trained in multiday workshops that focused on the use of Cognitive Processing Therapy and Prolonged Exposure. This study...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00072
更新日期:2013-09-01 00:00:00
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
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:Hemorrhage is the leading cause of potentially preventable death on the battlefield. The tactical combat casualty care guidelines recommend the use of the radial pulse strength to guide the administration of blood products or intravenous fluids when equipment for blood pressure monitoring is not available....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa197
更新日期:2020-12-30 00:00:00
abstract:BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's ...
journal_title:Military medicine
pub_type: 杂志文章,实务指引
doi:10.7205/MILMED-D-14-00113
更新日期:2014-12-01 00:00:00
abstract::Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usz224
更新日期:2020-01-07 00:00:00
abstract::A case of primary squamous cell carcinoma of the thyroid is presented. Squamous epithelium is normally not present in the thyroid gland, and this tumor is exceedingly rare. Proper workup is described, including the differentiation from metastatic disease. The case reported is of a 64-year-old woman who presented with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract::Dietary supplement use is common among military service members; approximately 17 to 20% report using high-risk weight-loss, performance-enhancing, and bodybuilding supplements. To date, no overarching policy or program has been approved or implemented to inform service members or educate health care providers on the ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00249
更新日期:2012-12-01 00:00:00
abstract:INTRODUCTION:The Assessment of Military Multitasking Performance (AMMP1) consists of six dual-task and multitask military-relevant performance-based assessments which were developed to provide assistance in making return-to-duty decisions after concussion or mild traumatic brain injury (mTBI.) The Run-Roll-Aim (RRA) ta...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy425
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:To investigate the delivery of health services to different ethnic groups in the war and postwar periods in the area of Livno, Bosnia and Herzegovina. METHODS:The total population, percentages by nationality, and numbers of persons medically or surgically treated at the War and General Hospital of Livno betw...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.810
更新日期:2005-09-01 00:00:00
abstract::We compared demographic profiles across two rural-urban classification schemes to determine whether rural-urban disparities in health status persisted among Veterans Administration (VA) users over time. Using demographic and SF-12 survey data collected from 2002 to 2006, we conducted serial cross-sectional analyses of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00048
更新日期:2010-04-01 00:00:00
abstract:CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00545
更新日期:2016-02-01 00:00:00
abstract::The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficie...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00148
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Combat casualties have endured an increase in traumatic lower extremity amputations secondary to improvised explosive devices. Often surgical control of the proximal vasculature is required. We evaluate the safety profile of exploratory laparotomy (EXLAP) for proximal control (PC) in combat-injured patients....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00155
更新日期:2016-05-01 00:00:00
abstract::The incidence of dengue infections has been increasing in the Caribbean, and cases have been identified among successive deployments of multinational peacekeepers to Haiti (1994-1997). In the absence of an effective vaccine or chemoprophylaxis to prevent dengue fever, vector-control operations and use of personal prot...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:Objective:Women are serving in the armed forces and deployed to areas of conflict in increasing numbers. Problems such as depressive symptoms and risks related to combat exposure can have negative effects on adjustment following service; understanding the relationship between these problems may contribute to strategies...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx065
更新日期:2018-03-01 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
abstract::The results from a study undertaken to assess the smoking behavior of Greek warship personnel found that of the 274 participants, ages 19 to 38 years, 59.5% were current smokers who started the habit between the ages of 15 and 21 years. However, 33.1% of these current smokers started smoking after entering the Greek N...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::The combined effects of injury from exposure to ionizing radiation and the potential biological warfare agent Venezuelan equine encephalitis (VEE) virus remain largely unknown. To study these effects, 4- to 5-week-old B6D2F1/J female mice were given a sublethal whole-body 7 Gy dose of 60Co gamma-photon radiation follo...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococca...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00054
更新日期:2017-07-01 00:00:00
abstract::We evaluated a patient who developed a psychotic disorder after 4 months of isoniazid prophylaxis for a positive tuberculosis tine test. His symptoms resolved within 2 weeks of discontinuing the isoniazid. Clinicians should be aware of the possibility of psychotic symptoms with the use of this agent. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::Hypothermia increases mortality rates and should be treated aggressively in the forward echelons of care, but no practical solution exists to accomplish such treatment. The enormous energy burden for this task requires maximal thermodynamic efficiency for a practical portable solution. This review article presents an ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.8.743
更新日期:2008-08-01 00:00:00
abstract::This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00079
更新日期:2014-09-01 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