Abstract:
:The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion Evaluation (MACE) in Iraq. This is a two-part test, which incorporates the standardized assessment of concussion (SAC) as its objective score, although it has not been shown to be valid unless administered shortly after injury. A research team deployed to Iraq between January and April 2009 to examine the validity of several tests of neurocognitive function following a concussion, including the MACE. When administered more than 12 hours after the concussive injury, the MACE lacked sufficient sensitivity and specificity to be clinically useful.
journal_name
Mil Medjournal_title
Military medicineauthors
Coldren RL,Kelly MP,Parish RV,Dretsch M,Russell MLdoi
10.7205/milmed-d-09-00258subject
Has Abstractpub_date
2010-07-01 00:00:00pages
477-81issue
7eissn
0026-4075issn
1930-613Xjournal_volume
175pub_type
杂志文章abstract:BACKGROUND:Planning of dental support for populations serving in isolation is essential. Many programs of national or scientific interest such as U.S. Navy submarine missions, the manned space program, and research in Antarctica require long periods where dental care is not available. Submariners make an excellent stud...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.supplement_1.29
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To deliver optimal patient care and promote wellness, naval providers and patients require convenient access to medical information from isolated duty stations. The Internet can lower barriers to accessing information. The goal of this study was to determine the technical feasibility of using the Internet to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract::This study was designed to provide information to assist in planning health promotion and wellness programs for military trainees. During their first semester at West Point, 179 cadets completed measures of holistic wellness, perceived stress, and mattering. The highest wellness scores were in areas of social support,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.6.475
更新日期:2004-06-01 00:00:00
abstract::Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-06-01 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:INTRODUCTION:Repetitive transcranial magnetic stimulation (rTMS) as a treatment for depression has been studied for over two decades. Repetitive TMS was approved by the Food and Drug Administration in 2008 for the treatment of depression after at least one failed trial of an antidepressant medication of adequate dose a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa148
更新日期:2020-09-18 00:00:00
abstract::Physical combat readiness of military personnel ensures maximal effectiveness of combat forces during wartime. Combat readiness has always been linked to the Army Physical Fitness Test (APFT). Each raw score is converted to a standard score and corrected for age and gender. There is no standard measurement to evaluate...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.12.1234
更新日期:2007-12-01 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::Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Vitamin D insufficiency remains a costly pandemic in veterans. Treatment requires achievement of desired 25-hydroxyvitamin D [25(OH)D] concentrations. The frequency with which 25(OH)D should be measured following treatment remains speculative. A retrospective analysis of veterans with vitamin D insufficiency was condu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00282
更新日期:2010-06-01 00:00:00
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 con...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.11.1132
更新日期:2008-11-01 00:00:00
abstract:INTRODUCTION:Deployment-related mild traumatic brain injury (mTBI) affects a significant proportion of those who served in Post-9/11 combat operations. The prevalence of head injuries, including those that lead to mTBI, is often reported quantitatively. However, service member (SM) and Veteran firsthand accounts of the...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa308
更新日期:2021-01-25 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
abstract:INTRODUCTION:With more than 370,000 military and civilian personnel stationed across Pacific Command (PACOM), medical evacuation in this largest command presents unique challenges. The authors describe medical evacuations analyzed from the U.S. Air Force Transportation Command Regulating and Command & Control Evacuatio...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa289
更新日期:2020-11-21 00:00:00
abstract::This study profiles tobacco use by 2,241 dependent teenagers in grades 6-12 at two Army posts. Data were collected in February 1989 by self-administered questionnaires. Results show 40.9% of dependent teenagers have tried smoking and 16.4% have tried smokeless tobacco. Most youths who tried tobacco did so experimental...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:INTRODUCTION:Positioning of implant components for total hip arthroplasty (THA) is important for polyethylene liner wear, prosthesis joint stability, and range of motion. The introduction of fluoroscopy for the direct anterior approach has been shown to improve physician accuracy for component positioning. Few studies ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa415
更新日期:2020-11-24 00:00:00
abstract::Segmental bony defects in open fractures of the tibia are bridged with bone grafting, free vascularized fibular grafts, or an external ring fixator. A 33-year-old man sustained a gunshot injury to his left leg, resulting in Gustillo type IIIB open fractures of the tibia and fibula. The tibia had a segmental massive de...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.5.418
更新日期:2005-05-01 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::In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are ass...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::Hemorrhagic fever with renal syndrome has been described among the U.S. and the U.N. troops assigned to the Republic of Korea since the Korean War. However, this appears to be the first case in which infection was acquired during garrison duty in an urban environment. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
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:
更新日期:1997-03-01 00:00:00
abstract::Between December 2016 and April 2017, two cases of invasive Group A Streptococcus (GAS) infections were reported at a Canadian military training facility. An outbreak was declared and a field investigation was launched to characterize the outbreak and identify associated risk factors to limit transmission. Throat cult...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy198
更新日期:2019-03-01 00:00:00
abstract::National smoking cessation guidelines include recommended strategies for providers and health care organizations, but they offer little guidance on how to structure care. We conducted a cross-sectional survey at 40 Veterans Health Administration facilities, to describe the structure of smoking cessation care, to asses...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed.171.1.80
更新日期:2006-01-01 00:00:00
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:
更新日期:1996-07-01 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::This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service). Veterans (N = 20...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00123
更新日期:2010-08-01 00:00:00
abstract::This article considers two historical military casualties in the context of present day Advanced Trauma Life Support (ATLS) teaching. The death of Admiral Lord Nelson, Royal Navy, at the Battle of Trafalgar in 1805 has been well documented while that of Lieutenant Luke, an American aviator, U.S. Army Air Service, in F...
journal_title:Military medicine
pub_type: 传,历史文章,杂志文章
doi:10.7205/milmed-d-09-00261
更新日期:2010-11-01 00:00:00
abstract::Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.7.690
更新日期:2007-07-01 00:00:00
abstract::Discharge diagnoses from October 1, 1987 to September 30, 1988 were analyzed to quantitate infection. Four hundred forty-nine (4.8%) of 9,290 discharges (excluding 1-day stays) were infections. Pneumonia, caused by all etiological agents, was responsible for 2.4% of the principal diagnoses. These data help define the ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-02-01 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