Abstract:
:The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort measures consistently reflects poor effort or even conscious exaggeration of symptoms. This study examines the issue of SVT failure as a reflection of cognitive impairment and/or neuropsychiatric impairment by presenting cases of three patients who were given full neuropsychological batteries but in each case failed the Word Memory Test (WMT), a verbal recognition SVT measure. One patient who failed the WMT was probably in the early stages of dementia. The WMT fit the "Genuine Memory Impaired Profile". Two mild traumatic brain injury patients failed the WMT but their patterns of performance suggested that cognitive deficits influenced WMT performance. In determining the validity of neuropsychological test data in the individual case, it is recommended that the examiner consider whether cognitive impairment could affect performance on effort measures and the recommended cut score. Also, it is recommended that examiners use multiple indicators of effort.
journal_name
Mil Medjournal_title
Military medicineauthors
Willis PF,Farrer TJ,Bigler EDdoi
10.7205/milmed-d-11-00168subject
Has Abstractpub_date
2011-12-01 00:00:00pages
1426-31issue
12eissn
0026-4075issn
1930-613Xjournal_volume
176pub_type
杂志文章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::The Clinical Breast Care Project (CBCP) is a congressionally mandated program that began in the year 2000. The military-civilian collaboration was founded on five pillars: (1) center of excellence in clinical care, (2) risk reduction for women at risk for developing breast cancer, (3) tissue banking to develop and mai...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00052
更新日期:2010-07-01 00:00:00
abstract::From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritone...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::The U.S. Department of Defense (DoD) conducts humanitarian assistance missions under the Overseas Humanitarian Disaster and Civic Aid program for the statutory purposes of training military personnel, serving the political interests of the host nation and United States, and providing humanitarian relief to foreign civ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
abstract::A systematic random sample of 962 dental records of soldiers in class 2 was reviewed by six general dentists and their estimates of periodontal and non-periodontal treatment time were recorded. The majority (88.9%) required some treatment. Periodontal treatment time ranged from 0 to 18 hours with a median and mode of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract::State-of-the-art three-dimensional motion analysis systems, which are utilized to predict, diagnose, and treat many musculoskeletal and neurological disorders, are expensive and space consuming. These systems have only been widely used in large research facilities because of their lack of this transportability. Since ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy312
更新日期:2019-03-01 00:00:00
abstract::A 26-year-old pregnant female was treated for an intralobar sequestration presenting as exsanguinating hemoptysis. The case brings forth strong evidence supporting an acquired rather than a congenital cause of some intralobar sequestrations. We discuss the anatomy, epidemiology, and pathogenesis of bronchopulmonary se...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-07-01 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: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::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:INTRODUCTION:Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic str...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz070
更新日期:2019-12-01 00:00:00
abstract::A young man evaluated for a testis tumor was found to have Burkitt's lymphoma. The presentation of Burkitt's lymphoma in the United States as a testis mass is unusual. The rapid proliferation and metastatic potential of the tumor mandates prompt evaluation and the early initiation of systemic chemotherapy. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVE:Several of the casualties from Operation Iraqi Freedom arriving at one Veterans Administration (VA) polytrauma rehabilitation center (PRC) were noted to have occipital pressure ulcers or hair loss. The objective of this study was to determine the prevalence and severity of pressure-related injuries in VA PRC ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.11.1068
更新日期:2008-11-01 00:00:00
abstract:INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the family Coronaviridae and genus Betacoronavirus is the causative agent of COVID-19 disease and was first identified in Wuhan, China. SARS-CoV-2 spread globally with >28 million cases and 911,000 deaths recorded worldwide as of Sep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa525
更新日期:2020-11-30 00:00:00
abstract::Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz462
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Decreased hip joint space has been associated with poorer outcomes after hip arthroscopy. The purpose of this study was to determine if a difference exists in hip joint degenerative findings in military versus civilian patients with FAI. METHODS:A single surgeon's case series was reviewed to identify all ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz058
更新日期:2019-12-01 00:00:00
abstract::A 36-year-old man with chronic severe exertional myalgias had a normal serum lactate elevation and diminished serum ammonia elevation on an ischemic forearm exercise test (IFET). The IFET is commonly performed in the evaluation of patients with complaints of exertional myalgias, cramps, and rhabdomyolysis. The finding...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-09-01 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::In June 1998, six unexpected anterior cruciate ligament (ACL) ruptures within 12 months were detected by routine injury surveillance in a cohort of Australian Army recruits. Local investigation, reported separately as a Case Report in this issue, suggested the cause to be an excessive coefficient of friction between r...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-04-01 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::This article describes the circumstances surrounding an intense, constant pain in the temporal region (visual analog scale 9-10) experienced by a 22-year-old combat officer in the Israel Defense Forces following a mild facial injury. The officer's wound included penetration of shrapnel particles into the facial skin, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.12.1284
更新日期:2007-12-01 00:00:00
abstract::Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, wh...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-02-2808
更新日期:2009-03-01 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:BACKGROUND:Global operations place large numbers of military and nonmilitary personnel in austere environments. Aeromedical evacuation for cardiovascular issues is periodically required. The Army Knowledge Online (AKO) Telemedicine Consultation Program was initiated by the Office of the Surgeon General to electronicall...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-2309
更新日期:2009-11-01 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:Emergency department (ED) utilization represents an expensive and growing means of accessing care for a variety of conditions. Prior studies have characterized ED utilization in the general population. We aim to identify the clinical conditions that drive ED utilization in a universally insured population ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa547
更新日期:2020-12-17 00:00:00
abstract::Past research suggests that the negative consequences related to exposure to traumatic events and injury may impact cohesive work relationships. Additionally, trauma and low cohesive relationships independently predict poorer psychological and physical health in service members. The objective of the present study was ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.3.266
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:Endotracheal intubation (ETI) is an important skill for all emergency providers; our ability to train and assess our learners is integral to providing optimal patient care. The primary aim of this study was to assess the inter-rater reliability (IRR) and discriminant validity of a novel field ETI assessment ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00570
更新日期:2016-11-01 00:00:00
abstract::This paper describes issues in the psychological assessment of individuals for security clearances, special duty, and sensitive positions. Using assessment for access to sensitive compartmented information as an example, the paper identifies, and explicates problems in criterion validity (the NEXUS issue), practical a...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00
abstract::The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.760
更新日期:2005-09-01 00:00:00