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 were randomly situated at distances from a reference point within a plastic tub. The x, y, and z coordinates of simulated fragments were recorded in Cartesian 3-space relative to the reference point. Computed tomography images of the phantom were acquired. Differences in x, y, and z positions as determined by three observers were summed for each fragment. Agreement between recordings of coordinates across readers was assessed using the intraclass correlation coefficient. Summed differences in coordinate positions as determined by readers ranged between 0.00 and 1.204 cm (mean: 0.732 cm). Across readers, the intraclass correlation coefficient for each dimension was >0.99. We found excellent agreement among readers with minimal discrepancy of measured locations of simulated fragments. Our results provide a foundation for trajectory analysis necessary to lead to automated organ damage reporting for immediate assessment in the emergency department and for forensic investigation and long-term epidemiological analysis.
journal_name
Mil Medjournal_title
Military medicineauthors
Folio L,Fischer T,Shogan PJ,Frew M,Bunger R,Provenzale JMdoi
10.7205/milmed-d-11-00058subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1300-5issue
11eissn
0026-4075issn
1930-613Xjournal_volume
176pub_type
杂志文章abstract：:The establishment of the first dental office of the Croatian Dental Corps (CDC) in the city of Zadar represented at the same time the beginning of the CDC. This article describes the front-line experience of a dentist who volunteered to provide basic medical help, which eventually laid the groundwork for providing gen...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:Damage control resuscitation (DCR) is a strategy for resuscitating patients from hemorrhagic shock to rapidly restore homeostasis. Efforts are focused on blood product transfusion with whole blood or component therapy closely approximating whole blood, limited use of crystalloid to avoid dilutional coagulopathy, hypot...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy112
更新日期：2018-09-01 00:00:00
abstract：:In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome develop...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：INTRODUCTION:Today, the prevalence of overweight and obesity is, respectively, 49% and 17% among French adults. This research investigates their existence in the French Armed Forces, in terms of the impact on military operative response and military readiness. As no previous studies have evaluated the weight status of ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa369
更新日期：2020-12-17 00:00:00
abstract：:During Operation Desert Storm, in February 1991, Iraqi troops began burning Kuwaiti oil wells. Almost immediately there was concern about possible adverse health effects in U.S. personnel exposed to crude oil combustion products. Combustions products were predicted from the known composition of Kuwaiti crude oil. Moni...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00079
更新日期：2011-07-01 00:00:00
abstract：:The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00034
更新日期：2011-10-01 00:00:00
abstract：:Army active and reserve component personnel must be ready for rapid mobilization as world conflicts increase in number and intensity. Department of Defense civilian employees also need to be available to work long hours to maintain troop support. Healthy lifestyles are key to the physical and mental readiness demanded...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
abstract：:In response to the end of the cold war, the United States developed new foreign policy and national security strategies. As a result, many medical support concepts that were operative during the cold war were invalidated. Recently, the Chairman of the Joint Chiefs of Staff provided direction and guidance for long-rang...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 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：INTRODUCTION:This pilot study was conducted to examine, for the first time, the ongoing systems biology research and development projects within the laboratories and centers of the U.S. Army Medical Research and Materiel Command (USAMRMC). The analysis has provided an understanding of the breadth of systems biology act...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00446
更新日期：2017-09-01 00:00:00
abstract：:Aeromedical (AM) evacuation of trauma victims from action is an integral part of trauma care. The Israeli Air Force Rescue and Evacuation Unit is responsible for nearly all AM evacuations in Israel. We present three recent cases, within 1 year of operation, of engagement process failure during evacuations performed by...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.10.1004
更新日期：2008-10-01 00:00:00
abstract：:Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz106
更新日期：2019-12-01 00:00:00
abstract：:The prevalence of traumatic event exposure and post-traumatic stress disorder (PTSD) were surveyed in a cohort of 198 full-time operational members of the South African National Defence Force stationed in their "home" unit between deployments. Approximately 90% of members reported having experienced or witnessed traum...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：INTRODUCTION:Neck pain among rotary-wing aviators has been established as an important issue in the military community, yet no U.S. Army regulation defines exactly what cervical spine range of motion (CROM) is adequate for flight. This lack of regulation leaves flight surgeons to subjectively determine whether an aviat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa270
更新日期：2021-01-25 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：:Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.8.660
更新日期：2004-08-01 00:00:00
abstract：:The purpose of this study was to investigate an outbreak of tuberculosis (TB) in a bacillus Calmette-Guérin-vaccinated military population and propose an appropriate method of control. We divided 593 subjects into "close contacts" and "non-close contacts" of an index case and examined all subjects by chest X-radiograp...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.4.388
更新日期：2008-04-01 00:00:00
abstract：:Civil war prisoners of war fared badly. But there was one extraordinary wartime development that promoted the humane treatment of captive enemy soldiers. Beginning in June 1862, Union and Confederate authorities regarded medical officers as non-combatants. Largely attributable to the initiative of Hunter Holmes McGuir...
journal_title：Military medicine
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:A case of paraganglioma of the vagus nerve in a 69-year-old woman presented as a pulsatile neck mass of 20 years duration. Angiogram showed it to be a vascular tumor and suggested the diagnosis of carotid body tumor. At operation, the tumor was found to involve the vagus nerve, which needed to be resected. The relevan...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-02-01 00:00:00
abstract：:This study assessed the effect of premilitary and military trauma on the psychological health of more than 1,000 female and male active duty soldiers. Questionnaire data provided information on demographics, history of trauma exposure, and general psychological health as assessed by the Brief Symptom Inventory (BSI). ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：INTRODUCTION:Hypersensitivity reactions to natural rubber latex are well-characterized occupational concerns for health care personnel. Health care providers are at increased risk for exposure and possibly transmission of vaccine preventable diseases. Therefore, many health care facilities require providers to be vacci...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz376
更新日期：2020-03-02 00:00:00
abstract：OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutiv...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00234
更新日期：2012-08-01 00:00:00
abstract：UNLABELLED:Increased helmet-mounted mass and specific neck postures have been found to be a cause of increased muscular activity and stress. However, pilots who use night vision goggles (NVG) frequently use counterweight (CW) equipment such as a lead mass that is attached to the back of the flight helmet to provide bal...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.8.864
更新日期：2007-08-01 00:00:00
abstract：:Among Army aviators, the incidence of total hip arthroplasty (THA) is unknown. This study analyzes the incidence and aeromedical disposition of THA among Army aviators. The U.S. Army Epidemiology Data Register was queried for a 10-year period from calendar year 1987 to 1996. The aviators selected for this study cohort...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-02-01 00:00:00
abstract：:This study identified chemical and environmental exposures specifically associated with the 1991 Persian Gulf War. Exposures were self-reported in a postal questionnaire, in the period of 2000-2002, by 1,424 Australian male Persian Gulf War veterans in relation to their 1991 Persian Gulf War deployment and by 625 Pers...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.7.632
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND:Post-traumatic stress disorder (PTSD) is one of the more commonly occurring mental disorders following potentially traumatizing events soldiers may encounter when deployed abroad. One of the first-line recommended treatment options is eye movement desensitization and reprocessing (EMDR). The number of studie...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00307
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE:To review perennial and seasona...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.12.1026
更新日期：2005-12-01 00:00:00
abstract：:The Clinical Laboratory Improvement Amendments of 1988 (CLIA'88) established national standards of laboratory practice and test performance in the areas of registration and certification, inspection, proficiency testing, personnel qualifications, quality control, patient test management, and quality assurance. A memor...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：:A new technique called osseointegration was introduced recently by intimately connecting the artificial limb prosthesis to the residual bone, eliminating the problematic socket-residuum interface. The objective here is to describe the two-stage strategy for the osseointegrated reconstruction of amputated limbs and dis...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx185
更新日期：2018-03-01 00:00:00
abstract：INTRODUCTION:A retrospective study on the occurrence of septic syndrome and septic shock, as well as multiorgan failure, in the wounded at the Split Clinical Hospital Intensive Care Unit (ICU). PATIENTS AND METHODS:From 1991 to 1995, 257 wounded persons were treated at the Split Clinical Hospital ICU. Criteria for sep...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
