Abstract:
OBJECTIVE:Postexposure prophylaxis (PEP) is an important strategy to prevent human immunodeficiency virus acquisition after occupational and nonoccupational exposures. Since exposures to blood and other body fluids commonly occur in a combat setting, it is important to evaluate PEP utilization in the deployed environment. METHODS:This is a retrospective review of Public Health, pharmacy, and medical records for PEP cases at a U.S. military trauma hospital in Afghanistan from February 1, 2007 through June 30, 2012. The decision to initiate PEP and the antiretroviral regimens selected were also evaluated for concordance with published Centers for Disease Control (CDC) guidelines. RESULTS:At total of 31 cases were prescribed PEP over the 65-month study period, including 27 occupational and 4 nonoccupational exposures. Of the 23 cases with sufficient data for evaluation, 18 (78.2%) initiated PEP in concordance with CDC guidelines and the discordant cases were prescribed PEP secondary to patient request. Antiretroviral regimens were in concordance with CDC guidelines in 27 of 31 (87.1%) cases, with most discordant cases prescribed differing durations of PEP. CONCLUSIONS:Despite the challenges of health care delivery in a deployed environment, the decisions to initiate human immunodeficiency virus PEP and the selection of antiretroviral regimens were typically concordant with CDC guidelines.
journal_name
Mil Medjournal_title
Military medicineauthors
Okulicz JF,Murray CKdoi
10.7205/milmed-d-12-00341subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1524-32issue
12eissn
0026-4075issn
1930-613Xjournal_volume
177pub_type
杂志文章abstract:INTRODUCTION:To train and prepare cadets for a career as firefighters in Rio de Janeiro, the second-year students of the Officers Training Course are submitted to a Search, Rescue, and Survival Training (SRST) course, which is characterized by long periods of high physical exertion and sleep restriction during a 9-day ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa571
更新日期:2021-01-05 00:00:00
abstract::Brief structured clinical interviews are a key component of the Department of Defense postdeployment health reassessment program. Such interviews are critical for recommending individuals for follow-up assessment and care. To standardize the interview process, U.S. Army Medical Research Unit-Europe developed a structu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.5.411
更新日期:2008-05-01 00:00:00
abstract:INTRODUCTION:The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States. MATERIALS AND METHODS:Retrospective comparison of all pectoralis major tendon repairs performed at Madigan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz068
更新日期:2019-12-01 00:00:00
abstract::A critical determinant of successful neck exploration for primary hyperparathyroidism (HPT) is the experience of the surgeon. Results of 17 patients treated surgically for HPT were reviewed to compare results at our medical center with results of large series reported from established national centers. Preoperative la...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-12-01 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
abstract:OBJECTIVES:Despite significant efforts in suicide prevention over the past several years, suicide rates in the U.S. Army remain largely unchanged. This paper describes a collaborative effort between line-unit leaders, medical personnel, and installation services to synchronize suicide risk identification and communicat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy284
更新日期:2019-03-01 00:00:00
abstract:Introduction:Bioelectrical impedance analysis (BIA) is a practical and rapid method for making a longitudinal analysis of changes in body composition. However, most BIA validation studies have been performed in a clinical population and only at one moment, or point in time (cross-sectional study). The aim of this study...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx223
更新日期:2018-07-01 00:00:00
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journal_title:Military medicine
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更新日期:2020-11-30 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.7.510
更新日期:2004-07-01 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::Arthrodesis is a surgical procedure that results in fusion of the joint and bony ankylosis. With this operation, we can achieve satisfactory function of the limb in cases in which options for different treatments no longer exist. Severe joint destruction, joint infections, and nonunions, as well as complex war injurie...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2005-02-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2020-09-18 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00208
更新日期:2017-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2004-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-01-01 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
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更新日期:2019-05-01 00:00:00
abstract::Sudden cardiac death in seemingly healthy young people during exertion has led to preparticipation assessment of athletes. Typically, cardiac evaluation is limited to auscultation by a primary care provider. Screening electrocardiography is controversial. The value of limited echocardiography is unknown. High school a...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2006-04-01 00:00:00
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journal_title:Military medicine
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更新日期:2014-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2020-02-13 00:00:00
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journal_title:Military medicine
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更新日期:2020-11-21 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,评审
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更新日期:2014-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2007-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa148
更新日期:2020-09-18 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-04-01 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::Breast infections caused by Mycobacterium tuberculosis, although rare in western countries, should not be forgotten as a cause of a breast lump presenting clinically and radiologically as a carcinoma in the older patient who gives a history of previous tuberculosis. We report the case of an 84-year-old woman with a br...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00