Abstract：
:The physiological burden created by heat strain and physical exercise, also called thermal-work strain, was quantified for 10 male Marines (age 21.9 ± 2.3 years, height 180.3 ± 5.2 cm, and weight 85.2 ± 10.8 kg) during three dismounted missions in Helmand Province, Afghanistan. Heart rate (HR) and core body temperature (T core) were recorded every 15 seconds (Equivital EQ-01; Hidalgo, Cambridge, United Kingdom) during periods of light, moderate, and heavy work and used to estimate metabolic rate. Meteorological measures, clothing characteristics, anthropometrics, and estimated metabolic rates were used to predict T core for the same missions during March (spring) and July (summer) conditions. Thermal-work strain was quantified from HR and T core values using the Physiological Strain Index (PSI) developed by Moran et al. July PSI and T core values were predicted and not observed due to lack of access to in-theater warfighters at that time. Our methods quantify and compare the predicted and observed thermal-work strain resulting from environment and worn or carried equipment and illustrate that a small increase in ambient temperature and solar load might result in increased thermal-work strain.
journal_name
Mil Medjournal_title
Military medicineauthors
Welles AP,Buller MJ,Margolis L,Economos D,Hoyt RW,Richter MWdoi
10.7205/MILMED-D-12-00538subject
Has Abstractpub_date
2013-10-01 00:00:00pages
1141-8issue
10eissn
0026-4075issn
1930-613Xjournal_volume
178pub_type
杂志文章abstract：:Although research for accelerated resolution therapy (ART) has been predominately for post-traumatic stress disorder, ART has shown promise as a treatment for other behavioral health conditions as well. ART is a brief, trauma-focused, eye movement-based therapy that has been successfully utilized to treat a wide array...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy257
更新日期：2019-05-01 00:00:00
abstract：INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz209
更新日期：2020-01-07 00:00:00
abstract：OBJECTIVES:The current treatment options for neuropathic pain due to nerve injuries are limited and largely unsatisfactory. Mesenchymal stem cell transplantation (MSC) has shown promise as an emerging therapy for neuropathic pain. However, a number of critical parameters, including the sources of cells, the number of c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00096
更新日期：2017-03-01 00:00:00
abstract：:Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00536
更新日期：2016-10-01 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：:Patients are referred to the endodontist to have root canal therapy performed to treat pulpal and periradicular diseases. Routinely, the only radiograph to accompany the patient is the periapical radiograph. This radiograph is inadequate in the detection of asymptomatic pathosis that may be present in other areas of t...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：:With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz316
更新日期：2020-06-08 00:00:00
abstract：CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00545
更新日期：2016-02-01 00:00:00
abstract：:The potential of dental emergencies to reduce combat effectiveness is a major concern of military planners. The dental fitness classification is teh primary measure of an airman's dental readiness. A dental class 3 identification means that the airman has a dental condition that is likely to cause a dental emergency w...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:A 22-year-old active duty E1 Nepalese male who recently emigrated from Nepal suddenly exhibited strange behaviors and mutism during Advanced Individual Training. After receiving care from a hospital near his unit, he was transferred to Walter Reed Army Medical Center Inpatient Psychiatry for further evaluation and tre...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.11.1213
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Sexuality is an important part of health, quality of life, and general well-being, yet studies suggest that less than half of patients' sexual concerns are known by their physicians and that physicians are unaware of how common sexual concerns are among patients. The objective of this study was to determine ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-03-01 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：:The USNS Mercy (T-AH 19) is a unique environment for its staff and patients. Several environmental influences distinctively affect health, medical, and nursing care. Six main areas of environmental concern for operational nursing were examined. The strengths, weaknesses, opportunities, and threats to the internal envi...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-06-01 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：Introduction:This review summarizes the research conducted on botulinum toxin (BoTx) from 1943 to 1956 by a small group of Camp Detrick investigators and their staff. A systematic, cross-disciplinary approach was used to develop effective vaccines against this biological warfare threat agent. In response to the potenti...
journal_title：Military medicine
pub_type： 历史文章,杂志文章,评审
doi：10.1093/milmed/usx047
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVE:To optimally practice medicine, and to live healthy lives, providers and patients need convenient access to authoritative information. The goal of this study was to determine the information needs of naval primary care providers and patients at sea to aid development of a digital health sciences library for n...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVES:To evaluate a managed care demonstration project in CHAMPUS (Civilian Health and Medical Program of the Uniformed Services), the insurance program covering physical and mental health care services for the dependents of active duty military personnel, military retirees, and the retirees' dependents. The demon...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：2000-05-01 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：UNLABELLED:Complementary and alternative medicine (CAM) is a growing component of medicine within the U.S. civilian and military populations. Tripler Army Medical Center (TAMC) Family Medicine Clinic represents an overseas medical facility stationed among a diverse ethnic population. The impact that local cultures have...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00077
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:A cavum septum pellucidum is an anatomical variant that is usually considered an incidental finding of little clinical significance. This is a fluid-containing structure between the lateral ventricles whose walls exhibit lateral bowing and are 10-mm apart or greater. It has been hypothesized that enlarged cys...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00009
更新日期：2011-10-01 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：INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz132
更新日期：2020-02-13 00:00:00
abstract：INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz454
更新日期：2020-08-14 00:00:00
abstract：:Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies. This ca...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa029
更新日期：2020-09-18 00:00:00
abstract：:Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examin...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-08-01 00:00:00
abstract：Introduction:The increasing interest in electronic smoking devices (ESDs) among consumers shows promise for ESDs as a less harmful alternative for smoking and possibly for smoking cessation. Limited data on prevalence of ESD use in the military are available and data on perceptions of ESD use have not yet been publishe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx024
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS)...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-17-00010
更新日期：2017-09-01 00:00:00
abstract：:Peacekeepers deployed to Kosovo (N = 203) were evaluated prospectively, before the mission (August 2000) and at postdeployment, on a number of mental health and functional impairment variables. We examined the association between PTSD symptom subclusters and three indicators of functional impairment using hierarchical...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-03-2808
更新日期：2009-08-01 00:00:00
abstract：:The rules governing armed conflict are numerous and in many respects complex. In areas that are very complex, experts such as lawyers may be called in to assist, especially in the planning of military action. But the nature and tempo of warfare rarely allows a person in the field to enjoy such a luxury. Therefore, eve...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-08-01 00:00:00
