Abstract：
:The development of more effective medical simulators requires a collaborative team effort where three kinds of expertise are carefully coordinated: (1) exceptional medical expertise focused on providing complete and accurate information about the medical challenges (i.e., critical skills and knowledge) to be simulated; (2) instructional expertise focused on the design of simulation-based training and assessment methods that produce maximum learning and transfer to patient care; and (3) software development expertise that permits the efficient design and development of the software required to capture expertise, present it in an engaging way, and assess student interactions with the simulator. In this discussion, we describe a method of capturing more complete and accurate medical information for simulators and combine it with new instructional design strategies that emphasize the learning of complex knowledge. Finally, we describe three different types of software support (Development/Authoring, Run Time, and Post Run Time) required at different stages in the development of medical simulations and the instructional design elements of the software required at each stage. We describe the contributions expected of each kind of software and the different instructional control authoring support required.
journal_name
Mil Medjournal_title
Military medicineauthors
Munro A,Clark REdoi
10.7205/MILMED-D-13-00265subject
Has Abstractpub_date
2013-10-01 00:00:00pages
7-14issue
10 Suppleissn
0026-4075issn
1930-613Xjournal_volume
178pub_type
杂志文章abstract：BACKGROUND:Methemoglobinemia is a potentially life-threatening complication of local anesthetic sprays employed in upper endoscopy. There is limited information available on the incidence of this complication, and no prospective trial has ever undertaken to evaluate subclinical levels of methemoglobinemia. OBJECTIVE:T...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/MILMED-D-13-00035
更新日期：2013-06-01 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：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：:Between 1954 and 1973, more than 2000 men entering military service as conscientious objectors participated in Project Whitecoat as medical research volunteers for the Army's biological warfare defense program. An assessment of self-reported, current health status among 358 "exposed" individuals and 164 unexposed cont...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.170.3.183
更新日期：2005-03-01 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：:One hundred six astronaut applicants who had passed initial screening were evaluated for Axis I and Axis II DSM-III-R diagnoses using a structured psychiatric interview. Nine of 106 candidates (8.5%) met diagnostic criteria for six Axis I (including V-code), or Axis II disorders. The use of the NASA structured intervi...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：:Controversy exists over the use of atrioventricular synchronous pacing for patients with hypertrophic obstructive cardiomyopathy who are refractory to medical treatment. We present the case of an elderly man with severe-effort dyspnea attributable to hypertensive left ventricular hypertrophy with dynamic aortic outflo...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：:Genus Candida covers more than 50 species, half of which can cause infections in humans. Some of the Candida species exhibit drug resistance; therefore, there is an urgent need for rapid and accurate differentiation for rendering appropriate and effective management. Here, we report a new methodology employing real-ti...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00294
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:To determine the clinical outcomes of an aggressive combined cooling technique for exertional heatstroke in Thailand. METHODS:We analyzed patients who were diagnosed with exertional heatstroke between 1995 and 2007. Outcomes were assessed both in hospital and at 3 months follow-up. RESULTS:Twenty-eight case...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-02-5908
更新日期：2009-05-01 00:00:00
abstract：:Rapid user-friendly ABO-Rh blood typing kits (Eldon Home Kit 2511, ABO-Rh Combination Blood Typing Experiment Kit) were evaluated to determine their accuracy when used under simulated military field conditions and after long-term storage at various temperatures and humidities. Rates of positive tests between control g...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00339
更新日期：2011-04-01 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
abstract：:Operations Just Cause and Desert Storm were of relatively brief duration; however, severe wounds were produced that required complex reconstructive procedures. This paper describes the type of wounds managed in theater and subsequently at three U.S. military medical centers. Specific reconstructive techniques included...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-02-01 00:00:00
abstract：:A young man presented with a 4-month history of progressive, bilateral tender gynecomastia and underwent a bilateral subcutaneous mastectomy without regard for a possible occult testicular tumor. Following the mastectomy, metastatic testicular cancer was discovered; the patient had an overlooked scrotal mass and a ver...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-08-01 00:00:00
abstract：INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/MILMED-D-17-00107
更新日期：2017-11-01 00:00:00
abstract：INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.1093/milmed/usz224
更新日期：2020-01-07 00:00:00
abstract：PURPOSE:To evaluate the lid and meibomian gland status of active duty forces (ADF) and U.S. veterans (USV) to compare the prevalence of lid dysfunction and disease in each population. METHODS:One examiner observed 113 consecutive patients in both groups during a 2-week period at two federal service optometry clinics. ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-08-01 00:00:00
abstract：UNLABELLED:Ranger training includes strenuous physical activities and despite heat mitigations strategies, numerous cases of serious exertional heat illness (EHI) occur. We developed an Arm Immersion Cooling (AIC) system that is not logistically burdensome and may be easily employed in training environments. PURPOSE:T...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00727
更新日期：2015-11-01 00:00:00
abstract：:Osteomas of the mandibular condyle are rare. An unusual case of an osteoma occurring in the mandibular condyle of a 22-year-old man with mandibular deviation and malocclusion is reported; this represents the 14th documented case in the English language literature. The tumor was resected with condylectomy. Postoperativ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
abstract：INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa553
更新日期：2021-01-11 00:00:00
abstract：:Substantial research has demonstrated an association between post-traumatic stress disorder (PTSD) and quality of sleep, particularly in veteran populations. The exact nature of this relationship, however, is not clear. The possibility that poor sleep is a more general experience among veterans has not been explored t...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-04-0208
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVE:National Guard service members face deactivation from active duty soon after they return to the United States and rapid entry into the civilian workforce; therefore, it is important to examine employment among these Veterans. METHODS:The sample included 585 National Guard service members. Bivariate and multi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00450
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Malaria prevention and treatment are big challenges for the French forces deployed in sub-Saharan Africa. Since December 2013, 1,800 French soldiers have been deployed at any one time in the Central African Republic in the framework of "Operation Sangaris" and European Union Force (EUFOR). Over the 2014-2015...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx117
更新日期：2018-09-01 00:00:00
abstract：:Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and revi...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.1093/milmed/usy135
更新日期：2019-01-01 00:00:00
abstract：:Blast-induced neurotrauma has affected more than 300,000 service members. It is important to understand the effect of single and repeated shock-blast wave exposures on the neuropsychological behavior of soldiers, to offer them better protection, diagnostics, and treatment. Preclinical animal models and helmet design s...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00144
更新日期：2017-03-01 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
abstract：:Proper command of medical units is central to their effectiveness. For many years the majority of commands have been available only to physicians. This paper suggests a concept for structuring the way in which individuals are considered suitable for command assignments. In this regard, there is an ongoing process with...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
abstract：:The U.S. military health care system forms a vast network across thousands of miles to serve patients in the Pacific theater. The medical treatment facilities in the Pacific, however, act independently and do not effectively track patients in the air evacuation system. The patients and the tracking systems are so disc...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
abstract：INTRODUCTION:Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the r...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa102
更新日期：2020-09-18 00:00:00
abstract：:Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
