Intersex patients in military service.

Abstract:

:The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex condition, genetically male individuals do not form masculine genitalia, but have a female phenotype. Officially, Israel Defense Forces policy does not prohibit intersex patients' draft. However, it is uncommon to encounter intersex patients in the military setting. In this report, we describe a case of a combat Israeli Defense Forces female soldier, whose CAIS diagnosis was not reported to the military health authorities before her recruitment, but was revealed only during active service. Medical and other professional issues were discreetly handled, permitting her to successfully fulfill her 2 years of duty service. Although CAIS is a rare entity, it should be appropriately addressed in medical, psychological, social, and command aspects in the unique military setting. Our recommendation is to allow intersex patients military service, but not in combat units.

journal_name

Mil Med

journal_title

Military medicine

authors

Marom T,Itskoviz D,Ostfeld I

doi

10.7205/milmed.173.11.1132

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1132-5

issue

11

eissn

0026-4075

issn

1930-613X

journal_volume

173

pub_type

杂志文章
  • Effects of personal and occupational stress on injuries in a young, physically active population: a survey of military personnel.

    abstract::The aim of this study was to document risk factors for any injury and sports- and exercise-related injuries, including personal and occupational stress among active duty service members (SMs) in the Air Force, Army, Marine Corps, and Navy. A total of 10,692 SMs completed the April 2008 Status of Forces Survey of Activ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00080

    authors: Bedno S,Hauret K,Loringer K,Kao TC,Mallon T,Jones B

    更新日期:2014-11-01 00:00:00

  • Lower extremity lymphocele development after saphenous vein harvesting.

    abstract::Damage to the lymphatic vessels may occur after surgery on the greater saphenous vein. We describe the development of a lymphocele in a patient after saphenous vein harvesting for a coronary artery bypass graft. Treatment of these lymphoceles should initially be conservative, but if this approach fails, surgical excis...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Velanovich V,Mallory P,Collins PS

    更新日期:1991-03-01 00:00:00

  • System Design Verification for Closed Loop Control of Oxygenation With Concentrator Integration.

    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

    authors: Gangidine MM,Blakeman TC,Branson RD,Johannigman JA

    更新日期:2016-05-01 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

  • Chemical-biological warfare: medical logistics and defense.

    abstract::In this article, the authors discuss some of the hard realities of chemical and biological warfare defense in terms of the medical and medical logistics implications. In the opinion of the authors, there are no adequate defensive measures at present which would protect troops and sailors from the effects of either che...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hayes DP,Marrese M

    更新日期:1991-07-01 00:00:00

  • Establishing a Joint Theater Trauma System During Phase Zero Operations.

    abstract:OBJECTIVES:Military personnel risk injury due to accidents, disasters, and military threats during Phase Zero "shaping" operations. Medical facilities must be poised to respond. METHODS:The U.S. Pacific Command (PACOM) Area of Responsibility (AOR) covers more than 50% of the earth's surface; relevant Clinical Practice...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00167

    authors: Walker JJ,Stockinger ZT,Chinn CG

    更新日期:2017-03-01 00:00:00

  • Results of a structured psychiatric interview to evaluate NASA astronaut candidates.

    abstract::One hundred six astronaut applicants who had passed initial screening were evaluated for Axis I and Axis II DSM-III-R diagnoses using a structured psychiatric interview. Nine of 106 candidates (8.5%) met diagnostic criteria for six Axis I (including V-code), or Axis II disorders. The use of the NASA structured intervi...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Santy PA,Endicott J,Jones DR,Rose RM,Patterson J,Holland AW,Faulk DM,Marsh R

    更新日期:1993-01-01 00:00:00

  • Quantification of Dual-task Performance in Healthy Young Adults Suitable for Military Use.

    abstract:INTRODUCTION:Dual-task performance, in which an individual performs two tasks simultaneously, is compromised following mild traumatic brain injury (mTBI). Proficient dual-task performance is essential in a military setting for both military member safety and execution of skilled tasks. To address the unique needs of mi...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa404

    authors: Penko AL,Linder SM,Miller Koop M,Dey T,Alberts JL

    更新日期:2021-01-25 00:00:00

  • Use of a Digital Cognitive Aid in the Early Management of Simulated War Wounds in a Combat Environment, a Randomized Trial.

    abstract:INTRODUCTION:The French army has implemented an algorithm based on the acronym "MARCHE RYAN," each letter standing for a key action to complete in order to help first care providers during emergency casualty care. On the battlefield, the risk of error is increased, and the use of cognitive aids (CAs) might be helpful t...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz482

    authors: Truchot M,Balança B,Wey PF,Tazarourte K,Lecomte F,Le Goff A,Leigh-Smith S,Lehot JJ,Rimmele T,Cejka JC

    更新日期:2020-08-14 00:00:00

  • Organization and work of the war hospital in Tomislavgrad during the war in Bosnia and Herzegovina from 1992 to 1995.

    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:

    authors: Zic R,Skegro M,Mitar D,Gudelj A

    更新日期:2001-01-01 00:00:00

  • Behavioral and psychological responses to chemical and biological warfare.

    abstract::Understanding the behavioral and psychological responses in a chemical environment is critical to individual health and unit functioning. Reports of incidents of acute nerve agent and other organophosphate exposures and of repeated low-dose toxic exposures can provide information about psychiatric symptomatology, perf...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Fullerton CS,Ursano RJ

    更新日期:1990-02-01 00:00:00

  • Improved communications and hearing protection in helmet systems: the communications earplug.

    abstract::Despite significant advances in hearing protection and compliance with protective standards, military personnel are still subject to noise-induced hearing loss in many combat and combat support operations. Although the Army has experienced a decrease of some 15% in primary hearing loss disability cases since 1986, a f...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Powell JA,Kimball KA,Mozo BT,Murphy BA

    更新日期:2003-06-01 00:00:00

  • Impact on USAF tuberculosis detection and control program given a low facility tuberculosis prevalence rate.

    abstract::Isoniazid prophylaxis is a major part of the U.S. Air Force tuberculosis (TB) screening program and is closely tied to the efforts to eliminate TB. If a facility has a low prevalence rate of TB and there is no sound epidemiological evidence to rule out a false-positive TB skin test, a higher threshold for what constit...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Popper SE,Hebrink ST,Smith DA,Stewart TB

    更新日期:1996-07-01 00:00:00

  • International Classification of Disease Coding of Exertional Heat Illness in U.S. Army Soldiers.

    abstract:INTRODUCTION:The severity of exertional heat illnesses (EHI) ranges from relatively minor heat exhaustion to potentially life-threatening heat stroke. Epidemiological surveillance of the types of and trends in EHI incidence depends on application of the appropriate International Classification of Disease, 9th Revision ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00429

    authors: DeGroot DW,Mok G,Hathaway NE

    更新日期:2017-09-01 00:00:00

  • Attitudes toward intentional weight loss and dietary behavior among U.S. Army reserve soldiers during annual training.

    abstract:OBJECTIVE:The command of a U.S. Army Reserve Combat Support Hospital designed this study to evaluate soldiers' behavior related to and attitudes toward skipping meals while on annual training (AT). METHODS:The command administered an anonymous survey on attitudes about weight loss and weightloss behavior while on AT. ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.7.678

    authors: Harrow JJ,Cordovés RI,Hulette RB

    更新日期:2006-07-01 00:00:00

  • Antiphospholipid antibodies, ischemic stroke in young adults, and calcium supplementation: a hypothesis.

    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:

    authors: Newmark J,Newmark HL,Marden LA

    更新日期:2000-06-01 00:00:00

  • Serotonin syndrome in the deployed setting.

    abstract::Serotonin syndrome is a potential side effect of some psychotropic medications in common use today. With over 8000 adverse events related to this condition in 2004 alone, this risk warrants further attention. The deployed environment presents a unique set of stressors and risks involved in treatment with any psychothe...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00031

    authors: Lawyer TI,Jensen J,Welton RS

    更新日期:2010-12-01 00:00:00

  • When to use mesh in inguinal hernia repair.

    abstract::With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Chang EG

    更新日期:1991-07-01 00:00:00

  • Nomograms to follow recovery rate in status asthmaticus in a veteran population.

    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:

    authors: Klaustermeyer WB,Kinney JL

    更新日期:1998-03-01 00:00:00

  • Rubella outbreak, Fort Bragg, North Carolina, 1995: a clash of two preventive strategies.

    abstract::An outbreak of rubella occurred among visiting German troops involved in a combined military exercise at Fort Bragg, North Carolina, in April 1995. Public health and military operational concerns centered on the significant contact the German soldiers had had with host battalion dependents and the impact of the outbre...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Craig SC,Broughton G 2nd,Bean J,McKee KT Jr

    更新日期:1999-09-01 00:00:00

  • The military social health index: a partial multicultural validation.

    abstract::Routine military deployments place great stress on military families. Before South African soldiers can be deployed, they undergo a comprehensive health assessment, which includes a social work assessment. The assessment focuses on the resilience of the family system to estimate how well the family will cope when expo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.173.5.480

    authors: Van Breda AD

    更新日期:2008-05-01 00:00:00

  • Motor vehicle crashes among active duty U.S. Army personnel, 1999 to 2006.

    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

    authors: Rossen LM,Pollack KM,Canham-Chervak M,Canada S,Baker SP

    更新日期:2011-09-01 00:00:00

  • Medical problems of detainees after the conclusion of major ground combat during Operation Iraqi Freedom.

    abstract::After the conclusion of major ground combat operations during Operation Iraqi Freedom, the focus of the mission changed, although intense armed conflict continued. Included in this mission was management of security detainees, including provision of their medical care. We retrospectively reviewed the admission records...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.6.501

    authors: Murray CK,Roop SA,Hospenthal DR

    更新日期:2005-06-01 00:00:00

  • Atlas occipitalization in a supersonic fighter pilot involved in a midair collision: a case report.

    abstract::We report a case of a midair collision between two F16 fighter aircraft, in which one pilot survived and the other was ejected upon impact and his remains recovered from sea. In autopsy, no patholgy was detected, other than the expected evidence of mechanical trauma. No defects in the aircraft or faults in the parachu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00027

    authors: Gips H,Hiss J,Davidson B

    更新日期:2010-11-01 00:00:00

  • Preoperative whole-gut lavage vs. traditional three-day bowel preparation in left colon surgery.

    abstract::Isotonic, isosmotic lavage is a safe and effective means of mechanical preparation of the large bowel for left colon surgery. In this prospective, randomized trial comparing lavage with a more traditional three-day bowel preparation, the lavage was well tolerated, led to decreased preoperative hospital days, and produ...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Soballe PW,Greif JM

    更新日期:1989-04-01 00:00:00

  • Association among functional-movement ability, fatigue, sedentary time, and fitness in 40 years and older active duty military personnel.

    abstract::Identifying potential modifiable determinants of functional movement ability and fatigue may inform efforts to maintain constant physical readiness, especially in active duty military over 40 years of age, who are largely sedentary throughout their work day. The primary aim of this study was to determine the associati...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00186

    authors: Kennedy-Armbruster C,Evans EM,Sexauer L,Peterson J,Wyatt W

    更新日期:2013-12-01 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

  • Military free fall training injuries.

    abstract::Military free fall or HALO (high altitude-low opening) is a distinct form of tactical parachuting used by the elite forces of the U.S. military. This study was undertaken to examine the type, location, and mechanism of injuries sustained by the military HALO parachutist during training. A retrospective study identifie...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Glorioso JE Jr,Batts KB,Ward WS

    更新日期:1999-07-01 00:00:00

  • Functional Capacity Evaluation-Military: Program Description and Case Series.

    abstract::A functional capacity evaluation (FCE) evaluates the ability of an individual to perform activities related to employment. There is no FCE specific to the military population; therefore, a FCE for the military population (FCE-M) was developed to evaluate an injured service member's (SM) ability to return to duty. The ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00072

    authors: Cancio JM,Oliver RA,Yancosek KE

    更新日期:2017-01-01 00:00:00

  • Communicating Difficult and Taboo Information: A How-To Guide for Commanders.

    abstract::Military commanders frequently mention that communicating difficult or taboo information is especially challenging. In the context of gender-integrated ground combat service there may be additional communication challenges for military commanders who may be unaccustomed to leading both men and women. Often, military c...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00201

    authors: Moosey M

    更新日期:2016-01-01 00:00:00