Abstract:
BACKGROUND:It was recently noted that a shortened activated partial thromboplastin time (aPTT) is associated with increased venous thromboembolic events. The prevalence of aPTT shortening remains unknown. METHODS:We conducted a retrospective analysis of aPTT results over a 2-month period. These results were not associated with patient clinical information. RESULTS:We obtained 3,376 aPTT samples, which were analyzed in groups: <25.0, 25.0-35.0, and >35.0 seconds (two standard deviations from our laboratory's normal values). Eighty-six samples had aPTT<25 (8.5%), 2,026 samples between 25.0-35.0 (60.0%), and 1,064 samples>35.0 (31.5%). Using chi-square goodness-of-fit, we found a clinically significant greater-than-expected prevalence of low aPTT levels (p<0.001). CONCLUSIONS:Although elevated aPTT samples could be explained by anticoagulation therapy, the reason for our findings of an increased number of low-aPTT studies remains unexplained. Further studies are required to investigate the clinical correlation of low aPTT levels and the incidence of venous thromboembolic events (VTEs) in our population.
journal_name
Mil Medjournal_title
Military medicineauthors
Smith JD,Amundson DE,Harrell Tdoi
10.7205/milmed-d-10-00165subject
Has Abstractpub_date
2011-08-01 00:00:00pages
956-8issue
8eissn
0026-4075issn
1930-613Xjournal_volume
176pub_type
杂志文章abstract:OBJECTIVE:To investigate the delivery of health services to different ethnic groups in the war and postwar periods in the area of Livno, Bosnia and Herzegovina. METHODS:The total population, percentages by nationality, and numbers of persons medically or surgically treated at the War and General Hospital of Livno betw...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.810
更新日期:2005-09-01 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:OBJECTIVES:Soldiers failing to meet Army Regulation 600-9 (AR 600-9) for weight-to-height standards are required to undergo body fat taping assessment. This article describes a clinical performance improvement project in which battalion medical staff identified a simpler way to improve on meeting AR 600-9 standards wit...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00049
更新日期:2017-03-01 00:00:00
abstract::This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial causes associated with 19 cases of diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and 11% heat-stable/ heat-labile prod...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract::This study evaluated the efficacy of a brief cognitive-behavioral program in modifying causal attributions, expectancy of control, coping strategies, and psychological adjustment in a sample of Australian Army soldiers undergoing a 45-day recruit training program. Participants (N = 174) were randomly allocated within ...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7205/milmed.173.12.1151
更新日期:2008-12-01 00:00:00
abstract::The objective of this study was to assess the impact of a pilot nutrition intervention program on knowledge, attitudes, and behaviors of female combat soldiers in basic training serving in the Israeli army and to determine changes in nutrient intake. Seventy recruits participated in the intervention. Anthropometric me...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00439
更新日期:2013-05-01 00:00:00
abstract::The difficulty and importance of developing and implementing a definition of quality in health care is discussed. Some current definitions are considered, and a recommended definition of quality health care is presented. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Ambulatory care federal pharmacists may be readily used by beneficiaries to obtain verbal and written pharmaceutical and/or medical information because of their high visibility and accessibility. In addition to information provided for prescription medications, pharmacists may provide medication and disease informatio...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-08-01 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::Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently rel...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00713
更新日期:2015-10-01 00:00:00
abstract::Military graduate medical education has come under increasing scrutiny in recent years as the size of the military medical force declines. To document the outcomes of military graduate medical education in internal medicine, a cohort of Air Force internal medicine residency graduates from Wright-Patterson Medical Cent...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-04-01 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:OBJECTIVE:Altered body structures that occur with the loss of a lower limb can impact mobility and quality of life. Specifically, biomechanical changes that result from wearing a prosthesis have been associated with an increased risk of falls or joint degeneration, as well as increased energy demands. While previous st...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00356
更新日期:2017-07-01 00:00:00
abstract::The Navy Reserve Nurse Corps faces a nursing shortage that reflects the national picture and holds major implications for the military patient care readiness of this nation. This account of the changing climate of nursing practice in the Navy Reserves offers observations on recruitment and retention strategies for the...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::We showed previously that treatment of gamma-irradiated female B6D2F1 mice with 5-androstenediol (AED) enhanced survival, stimulated myelopoiesis, and ameliorated radiation-induced decreases in circulating neutrophils and platelets. We have now tested survival in male CD2F1 mice, and we have investigated molecular and...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
abstract::The Department of Defense Serum Repository (DoDSR) of the Armed Forces Health Surveillance Center (AFHSC), Silver Spring, Maryland, has over 55 million specimens. Over 80% of these specimens are linked to individual health data. In response to Congressional and Department of Defense (DoD) concern about toxic exposures...
journal_title:Military medicine
pub_type:
doi:10.7205/MILMED-D-15-00065
更新日期:2015-10-01 00:00:00
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
更新日期:2010-12-01 00:00:00
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:
更新日期:1998-03-01 00:00:00
abstract::On May 19 to 21, 2010, the Armed Forces Health Surveillance Center and Uniformed Services University of the Health Sciences cosponsored an educational symposium on Assessing Potentially Hazardous Environmental Exposures among Military Populations. The meeting provided an opportunity for stakeholders and policy makers ...
journal_title:Military medicine
pub_type:
doi:10.7205/milmed-d-11-00073
更新日期:2011-07-01 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::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
更新日期:2008-05-01 00:00:00
abstract::Chyle leaks are a rare but potentially fatal complication of head and neck surgery carrying an incidence as high as 8.3%. The development of a chyle leak carries significant morbidity ranging from delayed wound healing to oropharyngeal fistulas. Presented here is a case of a chyle leak that developed following a left ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00240
更新日期:2016-09-01 00:00:00
abstract::Disease and non-battle injury (DNBI) rates were examined in conjunction with casualty rates across two Marine Corps operational scenarios, the assault on Okinawa and the Korean War. DNBI rates increased significantly with battle intensity among Marine infantry battalions involved in both operations. Highly significant...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::A diminution in the anticoagulant effect of IV heparin with concomitant use of IV nitroglycerin has been reported. However, recent reports have disputed the existence of this interaction. The objective of this study was to assess the potential interaction of these agents in a clinical setting. Forty-five patients hosp...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1994-08-01 00:00:00
abstract::In this study an all-male population of 256 U.S. Army basic trainees and 98 armor officer basic course students were surveyed concerning extent of use, knowledge of, and factors contributing to the use of smokeless tobacco (ST). The survey was administered at a dental clinic at Fort Knox, Kentucky. The data were analy...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Lean Six Sigma (LSS) is a process improvement methodology developed in the manufacturing industry to increase process efficiency while maintaining product quality. The efficacy of LSS application to the health care setting has not been adequately studied. This article presents a quality improvement project at the U.S....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00247
更新日期:2016-06-01 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 of fly larva infestation of the eye (ophthalmomyiasis) is reported in an American soldier serving in Operation Desert Shield. Background information, prognosis, and treatment are discussed. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract::In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-11-00067
更新日期:2011-11-01 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