Abstract：
:A retrospective audit of 17,028 emergency charts at USAF Medical Center, Scott was performed over two time periods to compare patient waiting times and selected quality assurance parameters with two methods of physician staffing. Phase 1 consisted of 4 months when the Emergency Department (ED) was manned with five physicians assigned only to that department. Non-departmental physicians supplemented the full-time staff. Phase 2 was the corresponding 4 months the following year when the ED was staffed with six emergency physicians, and non-emergency physician coverage was minimal. The difference in daily census between the two periods of time was not statistically significant. The time required to be seen by a physician decreased from an average of 25.6 minutes per patient in phase 1 to 13.7 minutes per patient in phase 2. Time to disposition also decreased from 71.9 minutes per patient in phase 1 to 59.5 minutes per patient in phase 2. In the second phase the number of "positive" x-ray findings increased, while the number of incomplete charts and patients who left without being seen by a physician diminished.
journal_name
Mil Medjournal_title
Military medicineauthors
Howell JM,Torma MJ,Teneyck R,Burrow RE,Huang Esubject
Has Abstractpub_date
1990-01-01 00:00:00pages
30-3issue
1eissn
0026-4075issn
1930-613Xjournal_volume
155pub_type
杂志文章abstract：OBJECTIVE:To assess the impact of relaxed asthma recruitment standards adopted by the Australian Defence Force in 2007. METHODS:A retrospective audit was conducted on clinical and administrative data for recruits, with and without mild asthma, in their first year of service. RESULTS:There was no evidence that mild as...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00009
更新日期：2014-11-01 00:00:00
abstract：:These tests were conducted to develop a database that could be used to assess risks to soldiers from exposure to aerosolized metallic particulates when the crew compartment of an Abrams tank is perforated by a kinetic energy penetrator. Quantitative data are reported for aerosols produced by kinetic energy penetrators...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.4.393
更新日期：2007-04-01 00:00:00
abstract：INTRODUCTION:While previous studies have examined the stress of the military training environment, studies have not systematically examined the stress associated with attending the Defense Language Institute Foreign Language Center (DLIFLC). Service members assigned to DLIFLC endure intense academic pressure to succeed...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy359
更新日期：2019-07-01 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：: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：
更新日期：1993-01-01 00:00:00
abstract：:A series of 51 active duty patients who elected to undergo ambulatory surgery in a Navy Fleet Hospital Training Set (a modified field hospital) over a 2-year period were followed prospectively for perioperative complications. All patients were active duty personnel, ranging in grade from E1 to O5, who voluntarily gave...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:The first licensed Haemophilus influenzae type B (Hib) vaccines were of a purified capsular oligosaccharide. Unfortunately, oligosaccharides are poorly immunogenic in younger children and resulted in these vaccines not routinely being used until past the period of peak incidence of Hib disease. Subsequent Hib vaccine ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-10-01 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：OBJECTIVE:Complete occlusion of the contralateral carotid artery has been thought to increase the risk of carotid endarterectomy (CEA). This study was conducted to determine whether contralateral occlusion (CO) leads to a higher rate of complications among patients undergoing CEA or alters long-term outcomes. METHODS:...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.12.1069
更新日期：2005-12-01 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：:A case report is presented of a young male who sustained a second-degree frostbite injury to the oral cavity, to include lower lip, hard palate, tongue, and buccal mucosa. This unusual injury occurred as a result of substance abuse: an attempt to inhale an aerosolized propane propellant as a means to achieve euphoria....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:Mindfulness meditation training has been shown to reduce stress and improve short-term memory for military personnel. However, no studies have investigated the effects of in-person and virtual world (VW) mindfulness training on Post-Traumatic Stress Disorder (PTSD) or Attention Deficit Hyperactivity Disorder (ADHD) sy...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx227
更新日期：2018-03-01 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：:Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00423
更新日期：2014-04-01 00:00:00
abstract：:Post-conflict hospitalization rates of active duty Marines deployed to the Persian Gulf War were compared with hospitalization rates of similar Marine Corps units returning from the Vietnam conflict. The aggregated Gulf War units exhibited lower hospitalization rates than their Vietnam counterparts. Examined separatel...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：INTRODUCTION:Commercially available junctional tourniquets (JTQs) have several drawbacks. We developed a low-cost, compact, easy to apply JTQ. The aim of this study was to assess the tourniquets' safety and efficacy in a swine model of controlled hemorrhage. MATERIALS AND METHODS:Five pigs were subjected to controlled...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz351
更新日期：2020-01-07 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：:Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00057
更新日期：2012-09-01 00:00:00
abstract：:Musculoskeletal injuries (MSIs) are a concern for the military community because of medical expenses, possible disability, and separation from the military. This study investigated the prevalence of MSIs in deployed aeromedical evacuation (AE) populations reported on Post-Deployment Health Assessment (PDHA) forms. A s...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00606
更新日期：2015-12-01 00:00:00
abstract：:Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-02-01 00:00:00
abstract：:Gastric involvement in Hodgkin's disease is rare. A case of gastric Hodgkin's disease occurring after autologous bone marrow transplantation is presented. A retrospective review of 339 cases of Hodgkin's disease in the Tumor Registry at Brooke Army Medical Center revealed six additional cases of documented gastric inv...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1992-11-01 00:00:00
abstract：UNLABELLED:Complementary and alternative medicine (CAM) is a growing component of medicine within the U.S. civilian and military populations. Tripler Army Medical Center (TAMC) Family Medicine Clinic represents an overseas medical facility stationed among a diverse ethnic population. The impact that local cultures have...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00077
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00158
更新日期：2015-01-01 00:00:00
abstract：:An investigation was conducted to determine if testing machine crosshead speed influenced shear bond strength (SBS) or the failure mode of composite bonded to enamel and dentin. Composite cylinders were bonded to 50 enamel and 50 dentin surfaces and thermocycled. Groups of 10 samples were debonded at speeds of 0.1, 0....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
abstract：:Several important questions are addressed herein. What is graduate medical education (GME), and what is research? What is the history of the association between GME and research? Why is research required for GME? What research is required for GME? How will health care reform affect GME and biomedical research? How muc...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：INTRODUCTION AND SCOPE OF THE PROBLEM:Surgical site infections (SSIs) are associated with increased length of hospital stays, poor patient outcomes, and increased health care costs making prevention of SSI a high priority for the U.S. Military Health Care System. The focus of this project was to develop and pilot a pre...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz186
更新日期：2020-06-19 00:00:00
abstract：BACKGROUND:For more than a decade, primary care residency training programs have struggled to attract graduates of U.S. medical schools. Internal medicine (IM) interest groups (IMIGs) have been widely instituted to foster student interest in careers in IM. Residents can participate in many IMIG activities. Studies have...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：10.7205/milmed.172.2.210
更新日期：2007-02-01 00:00:00
abstract：:Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.10.1125
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.2.166
更新日期：2006-02-01 00:00:00
abstract：:The effects on hearing thresholds, sound attenuation, and consonant discrimination of wearing a balaclava under hearing-protecting earmuffs were studied. This combination is commonly worn during cold weather military operations. One group of 20 normal-hearing adults (10 male and 10 female subjects) was tested. Within-...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.10.976
更新日期：2006-10-01 00:00:00
