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 psychotherapeutic agent. The following case illustrates one incidence of rapid titration of a selective serotonin reuptake inhibitor (SSRI) (fluoxetine) contributing to the emergence of serotonin syndrome.
journal_name
Mil Medjournal_title
Military medicineauthors
Lawyer TI,Jensen J,Welton RSdoi
10.7205/milmed-d-10-00031subject
Has Abstractpub_date
2010-12-01 00:00:00pages
950-2issue
12eissn
0026-4075issn
1930-613Xjournal_volume
175pub_type
杂志文章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
更新日期:2017-03-01 00:00:00
abstract::Four cases of splenic infarction/sequestration in sickle cell trait (SCT) patients are presented. All four patients were undergoing moderate exercise at elevations ranging from 5,500 to 12,000 feet. The patients include two African-American males, a Hispanic male, and a white female. All four presented with the acute ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-01 00:00:00
abstract::When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy272
更新日期:2019-05-01 00:00:00
abstract::Anthrax is occasionally encountered by U.S. military physicians in the deployed setting, where limited resources make it difficult to obtain laboratory confirmation. We present a case of cutaneous anthrax diagnosed using a ruggedized polymerase chain reaction device in austere combat conditions. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00062
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION:Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. M...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx112
更新日期:2018-09-01 00:00:00
abstract::This study compared general psychological symptoms measures on all Brief Symptom Inventory symptom dimensions and the Global Severity Index from samples of deployed and nondeployed U.S. Army soldiers. Psychological symptom measures were taken from samples of soldiers during deployment to operations in the Persian Gulf...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::The Sailors Health Inventory Program (SHIP) questionnaire is a medical and psychosocial history questionnaire completed by all Navy recruits. This study was an investigation of the potential usefulness of the SHIP questionnaire for screening to reduce basic training attrition. The sample consisted of 66,690 Navy recru...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::Suicide is currently the second leading cause of death in the U.S. military. Little recent research has been done on a well-defined cohort at high risk for death by suicide, which consist of military patients who attempt suicide or are admitted for suicidal ideation. As a pilot investigation based on a literature revi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::To determine the unique susceptibility of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) as a function of the presence or absence of risk factors in a military beneficiary population, we reviewed all MRSA cases between 1994 and 1997 in a military medical center. Of 67 cases, 24 were community ac...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract::During the War in Croatia from 1991 to 1992, we conducted an epidemiological study of the most frequent skin changes on the feet of 1,702 Croatian soldiers stationed in trenches and exposed to direct war activities. We saw significant increases in dermatomycosis, hyperhydrosis, and mechanical injury to the skin of the...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.8.796
更新日期:2008-08-01 00:00:00
abstract::Active duty military personnel and civilian government employees are at risk for exposure to a variety of pathogens as they meet their mission requirements throughout the world. When they present with a systemic disease, the clinician must entertain a broad differential diagnosis due to the multitude of infectious, ne...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00017
更新日期:2010-05-01 00:00:00
abstract::Prostate cancer remains the second most commonly diagnosed cancer among the male population worldwide. Vitamin D deficiency has been linked to prostate cancer and its aggressiveness. Herein, we initiated a retrospective study to evaluate vitamin D status and monitoring in veterans with prostate cancer, and to examine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00540
更新日期:2014-01-01 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::Penetrating trauma is frequently encountered in forward deployed military combat hospitals. Abdominal blast injuries represent nearly 11% of combat injuries, and multiplanar computed tomography imaging is optimal for injury assessment and surgical planning. We describe a multiplanar approach to assessment of blast and...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00130
更新日期:2012-01-01 00:00:00
abstract::Primary care providers are often the initial evaluators of soldiers presenting with acute eye complaints. It is crucial for these providers to master performing the basic eye examination with a systematic approach. Obtaining a thorough history is an important first step to the eye examination, but providers need to be...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00161
更新日期:2016-02-01 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::Military environmental survival training (EST) is designed and considered to evoke significant stressors to military personnel in preparation for combat-like scenarios. The aim of this study was to observe and report selected physiological, biochemical, psychological, and performance responses to this intense 15-day p...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00499
更新日期:2013-07-01 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::Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::Army health care personnel play a key role in the Army's Family Advocacy Program, yet little is known about their beliefs toward domestic violence. This study surveyed the beliefs of selected Army Medical Department personnel concerning the extent, nature, causes, and management of spouse abuse. The study suggests tha...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::We present the case of a 19-year-old woman with feeding intolerance, due to superior mesenteric artery (SMA) syndrome, after weight loss experienced during basic military training. She had previous good health and presented with vomiting 8 weeks after starting military training. She had experienced a 16-pound (7 kg) w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.1.24
更新日期:2007-01-01 00:00:00
abstract::Community-acquired pneumonia can compromise readiness of recruits and service members operating in confined spaces. Often respiratory pathogens are implicated in outbreaks. In July 2008, 5 Basic Underwater Demolition/SEAL students entering an intense period of training at Naval Amphibious Base Coronado reported with c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00370
更新日期:2011-03-01 00:00:00
abstract::This paper reports on data from a survey of international military mental health professionals. In a series of open-ended questions, respondents were asked to describe their country in terms of the field of military psychology, the role of mental health professionals on deployment, the degree to which the field of men...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to describe the epidemiology of suicides among U.S. Air Force, Army, Marine Corps, and Navy recruits from 1980 through 2004. METHODS:Recruit suicides were identified through the Department of Defense Recruit Mortality Registry. We calculated crude, category-specific, and age-adj...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1024
更新日期:2007-10-01 00:00:00
abstract:UNLABELLED:Ranger training includes strenuous physical activities and despite heat mitigations strategies, numerous cases of serious exertional heat illness (EHI) occur. We developed an Arm Immersion Cooling (AIC) system that is not logistically burdensome and may be easily employed in training environments. PURPOSE:T...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00727
更新日期:2015-11-01 00:00:00
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::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::Health care managers are faced with difficult decisions on a daily basis. Some of those issues involve productivity. Statistical analyses of patient and provider population dynamics offer an important tool with which to base decisions. In this study, two representative clinics out of seven were selected. The patient a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00037
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION:Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures u...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa070
更新日期:2020-09-18 00:00:00
abstract::Laser in situ keratomileusis (LASIK) has become the community standard in corneal refractive surgery and is being performed by surgeons in the Army, Navy, and Air Force. LASIK differs from photorefractive keratectomy (PRK) in that a partial-thickness corneal flap is created in the LASIK procedure before removing a mic...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.4.334
更新日期:2004-04-01 00:00:00