Abstract：
:Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, when embedded in the body, is not known. Herein, we propose a multitiered assessment protocol that can be used to both determine future health issues associated with newly developed munitions and, once the composition has been identified, determine potential toxicity of embedded fragments as a result of an IED event. The main premise of this assessment protocol is to view the embedded fragment as an implanted medical device and to utilize the guidelines already in place for testing the safety of such materials. Use of this structured, tiered approach will yield information critical for informed medical decisions.
journal_name
Mil Medjournal_title
Military medicineauthors
Kane MA,Kasper CE,Kalinich JFdoi
10.7205/milmed-d-02-2808subject
Has Abstractpub_date
2009-03-01 00:00:00pages
265-9issue
3eissn
0026-4075issn
1930-613Xjournal_volume
174pub_type
杂志文章abstract：:The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.9.760
更新日期：2005-09-01 00:00:00
abstract：:From April 24 to 26, 2013, the Armed Forces Health Surveillance Center and the U.S. Africa Command cosponsored the inaugural meeting of the West Africa Malaria Task Force in Accra, Ghana. The meeting's purpose was to identify common challenges, explore regional and transcontinental collaborations, and to share knowled...
journal_title：Military medicine
pub_type：
doi：10.7205/MILMED-D-14-00406
更新日期：2015-01-01 00:00:00
abstract：INTRODUCTION:Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can ad...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa103
更新日期：2020-09-18 00:00:00
abstract：:The Armed Forces Regional Medical Examiner in Europe is responsible for medico-legal death investigations for the U.S. military in 89 countries in Europe, Southwest Asia, and Africa. The Disaster Mortuary Affairs Response Team (DMART) is a rapidly deployable, experienced, multidisciplinary team patterned after the reg...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Streptococcus pneumoniae causes severe morbidity and mortality worldwide and poses a significant threat to the health and readiness of U.S. military personnel. Although a vaccine to prevent pneumococcal infections has been available for almost 25 years, its use has been limited. Recently, increasing antibiotic resista...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：:Over 20 yr have elapsed since the end of the First Gulf War, yet approximately one-third of the veterans exhibit Gulf War Illness (GWI) symptoms, particularly depression and memory impairments. Exposure to organophosphate (OP) compounds is implicated for GWI development. The role of calcium (Ca2+) signaling in learnin...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx148
更新日期：2018-03-01 00:00:00
abstract：:Recent conflicts have contributed to an escalation in combat-related psychiatric disorders, including post-traumatic stress disorder (PTSD). Although technological advances have increased the speed from which battlefield injuries reach definitive care, mental health conditions have continued to rise. This study sought...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00018
更新日期：2016-11-01 00:00:00
abstract：:Expedited Partner Therapy (EPT) is the practice of treating the partners of patients with sexually transmitted infections by providing medications for the patient to deliver to his or her sexual partner (s) without direct clinical assessment of the partner(s). EPT is an evidence-based option that can augment existing ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-14-00590
更新日期：2015-08-01 00:00:00
abstract：:This study examined the impact of a history of childhood abuse and neglect on soldiers' adaptation to Army life including commitment to the Army, confidence in leaders, and perceptions of unit cohesion and readiness. Childhood abuse and neglect were measured by the 30-item Childhood Trauma Questionnaire (CTQ) which co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-11-01 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：:Leading a medical treatment facility (MTF) through the construction phases of a major upgrade, repair, or any sizable facility project is a challenging and complex endeavor. The Executive Staff can make the process easier on everyone and ensure the final product is in tune with the MTFs needs by taking positive leader...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：UNLABELLED:Musculoskeletal injuries are the most common cause for disability in deployed environments. Current research is limited to body region affected by the injury. OBJECTIVE:To determine the prevalence of musculoskeletal diagnoses and mechanisms of injury (MOI) as well as associations to specific Military Occupa...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00006
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
abstract：:Occupational upper-extremity disorders have been associated with prolonged pain and work disability. Using the U.S. Army Physical Disability Agency database, the present case-control studies (n = 434 and n = 342) investigated the contribution of demographic, physical, occupational psychosocial, and individual psychoso...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-08-01 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 26-year-old suspected Iraqi insurgent is brought to a Troop Medical Clinic in Baghdad, Iraq, with curious marks on his body. On questioning, he describes productive cough, subjective fever, drenching night sweats, and unintentional weight loss. This case shows a condition with which Western physicians are generally ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00219
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:To determine the clinical outcomes of an aggressive combined cooling technique for exertional heatstroke in Thailand. METHODS:We analyzed patients who were diagnosed with exertional heatstroke between 1995 and 2007. Outcomes were assessed both in hospital and at 3 months follow-up. RESULTS:Twenty-eight case...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-02-5908
更新日期：2009-05-01 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：:Telemedicine, an emerging technology which seeks to use advanced telecommunications equipment to enhance medical care, is progressing rapidly in the Department of Defense health care delivery system. This paper recommends that a cautious, preventive law approach be simultaneously initiated to ensure that the technolog...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:Our purpose was to demonstrate the consistency of radiologists' three-dimensional measurements of simulated blast fragment locations in vitro in an effort to objectively localize retained fragments and wound paths. We designed a phantom consisting of 10 nail heads (simulating blast fragments) glued to wooden pegs that...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00058
更新日期：2011-11-01 00:00:00
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：
更新日期：1999-09-01 00:00:00
abstract：:Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 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：:Protective gear is mandatory for medical personnel treating casualties in a contaminated environment. In the present study, we assessed the ability of emergency medical technicians to insert an intravenous line in this situation. Sixty emergency medical technicians were randomized to a control group, wearing fatigues,...
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：1999-10-01 00:00:00
abstract：:Individual fitness, an important component of combat readiness, has been found to be deficient in some Reserve Component units of the United States Army. We evaluated a program of monthly physical training in an environment of increasing emphasis on unit physical fitness in an effort to determine the effect on unit pe...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-05-01 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：OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00207
更新日期：2016-05-01 00:00:00
abstract：:The Israel Defense Forces Medical Corps operates a health network for Israel Defense Forces soldiers. Secondary medicine is included in the services to which soldiers are entitled. It is provided to military personnel through two parallel systems: within the Medical Corps specialists' clinics and through the auspices ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：BACKGROUND:Investigations into the financial relationships between orthopedic surgeons and device manufacturers have recently been investigated. Despite these investigations, the public appears to maintain trust and confidence that their surgeons are acting in patients' best interest. However, patient perceptions of th...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00207
更新日期：2014-12-01 00:00:00
abstract：:Two cases of pacemaker lead fracture associated with weight-lifting are presented. This is a rare association which has only recently been described in the literature. In both cases, the pacemaker lead was fractured between the clavicle and the first rib, suggesting crush injury. The chest X-ray, pacemaker telemetry w...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
