Abstract:
INTRODUCTION:Amputations are increasingly prevalent because of medical complications associated with diabetes, meningitis, peripheral vascular disease, and neoplasms as well as road traffic accidents and war. The use of ultrasound (U/S) to diagnose the cause of pain in the residual limb of amputees is presented together with a review of the literature. PATIENTS AND METHODS:133 civilian patients with one or more amputations were included in the study. They were seen over a 2-year period, at the Douglas Bader Unit, Queen Mary's Hospital, Roehampton, Surrey, United Kingdom, in an outpatient setting. Patients were scanned using a Philips ATL/HDI 5000 U/S scanner. RESULTS:There were 89 male and 44 female patients, age range 14 to 91 years, with a total of 136 amputated sites. 80% of amputations involved the lower limb. Neuromas were the most frequently found lesions, followed by inflammatory edema, soft-tissue calcifications, bony spurs, soft-tissue infection, overuse injuries, bursae, and skin lesions. Scar tissue, bony erosion, bone infection, aneurysm formation, venous thrombosis, and myodesis failure were less frequently seen. CONCLUSIONS:There is a wide spectrum of lesions in the amputated limb, which can be visualized by high-resolution U/S. Neuromas were the most frequent lesions seen.
journal_name
Mil Medjournal_title
Military medicineauthors
O'Reilly MA,O'Reilly PM,O'Reilly HM,Sullivan J,Sheahan Jdoi
10.7205/MILMED-D-13-00273subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1291-7issue
12eissn
0026-4075issn
1930-613Xjournal_volume
178pub_type
杂志文章,评审abstract::The possibility that western diets poor in omega-3 and rich in omega-6 fatty acids contribute to the increasing burden of chronic diseases including neurological problems is becoming recognized. Modern, westernized diets provide 80 to 90% of polyunsaturated fatty acids as omega-6 linoleic acid (LA) and are depleted in...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00147
更新日期:2014-11-01 00:00:00
abstract::Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract:INTRODUCTION:Respiratory tract infections (RTI), such as those caused by influenza viruses and, more recently, the severe acute respiratory syndrome coronavirus-2, pose a significant burden to military health care systems and force readiness. The gut microbiota influences immune function, is malleable, and may provide ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa261
更新日期:2020-11-02 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 use of the pneumococcal 7-valent conjugate vaccine (PCV7 [Prevnar], Wyeth Lederle Vaccines), and the impact it is likely to have on pneumococcal disease are reviewed. Pneumococcal disease in infants and young children is a major health care burden, and the increase in antibiotic resistance among pneumococci has co...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract::Although Japanese military officials had discovered that an improved diet could prevent beriberi by the late 19th century, their soldiers in the army suffered from beriberi during the Russo-Japanese War and World War II. A change in diet at the end of the Russo-Japanese War solved the problem and the army applied the ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.171.4.333
更新日期:2006-04-01 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:INTRODUCTION:Military personnel with a diagnosis of asthma report increased respiratory symptoms in the deployment and post-deployment periods. The long-term effect of deployment on pulmonary function in this population is unknown. This study sought to determine the effect of deployment on post-deployment pulmonary fun...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa558
更新日期:2020-12-21 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:BACKGROUND:Tourniquets are issued to deployed members of both the United States (U.S. military and the Australian Defence Force (ADF). The ease of removing the tourniquet from the pocket of the combat uniform may influence its time to application. The ADF uniform uses buttons to secure the pocket, whereas the U.S. unif...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00028
更新日期:2016-08-01 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 case report is presented of a young male who sustained a second-degree frostbite injury to the oral cavity, to include lower lip, hard palate, tongue, and buccal mucosa. This unusual injury occurred as a result of substance abuse: an attempt to inhale an aerosolized propane propellant as a means to achieve euphoria....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::This study seeks to investigate the mortality rates of U.K. servicemen with postcombat syndromes following the Boer War and World War I. Random samples of veterans awarded war pensions for either disordered action of the heart (DAH) or neurasthenia/shellshock were compared with gunshot wounded ex-servicemen as control...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:This article addresses the design of a robust autopilot for the delivery of intravenous anesthesia drugs. METHODS:A mathematical framework that expresses the pharmacological variability of a patient population into uncertainty bounds is proposed. These bounds can be effectively used to tune the parameters of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00380
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:Dual-task performance, in which an individual performs two tasks simultaneously, is compromised following mild traumatic brain injury (mTBI). Proficient dual-task performance is essential in a military setting for both military member safety and execution of skilled tasks. To address the unique needs of mi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa404
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:The aims of this study were as follows: first to quantify and review the types of surgical procedures performed by military surgeons assigned to a Forward Surgical Team (FST) providing medical support to the population (MSP) in the Ivory Coast (IC), and second to analyze how this MSP was achieved. METHODS...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00688
更新日期:2015-10-01 00:00:00
abstract::Today's military is experiencing rapid advances in technology and in manpower utilization. The Army Medical Department is redesigning the structure and function of deployable hospital systems as part of this effort. The transformation of deployable hospital systems requires that a critical analysis of manpower utiliza...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.8.770
更新日期:2006-08-01 00:00:00
abstract::A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1994-01-01 00:00:00
abstract::Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy063
更新日期:2018-09-01 00:00:00
abstract::This case study describes the rehabilitation of 10 active duty U.S. soldiers with exertional rhabdomyolysis. The pathophysiology of rhabdomyolysis is discussed. The initial management is concerned with accurate diagnosis and monitoring of laboratory values to prevent complications. Active and passive range of motion, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:INTRODUCTION:Longer steps with load carriage is common in shorter Soldiers when matching pace with taller Soldiers whereas shorter steps are hypothesized to reduce risk of injury with load carriage. The effects of load carriage with and without step length manipulation on loading patterns of three commonly injured stru...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz031
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00207
更新日期:2016-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.1.38
更新日期:2004-01-01 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
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract::In this article, the authors discuss some of the hard realities of chemical and biological warfare defense in terms of the medical and medical logistics implications. In the opinion of the authors, there are no adequate defensive measures at present which would protect troops and sailors from the effects of either che...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
abstract::U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources. Yet little is known about their help-seeking behavior and perceived stigma and barriers to care. Participants were three groups of U.S. Army Combat Medics surveyed at 3- and 12-mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00367
更新日期:2014-08-01 00:00:00
abstract::Cigarette smoking disproportionately affects veterans, particularly those with psychiatric diagnoses. Chaplains working within the Department of Veterans Affairs (VA) play key roles in emotional, physical, and spiritual health care of veterans, and veterans often turn to chaplains with mental health concerns. The VA/D...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00380
更新日期:2014-05-01 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::Presented is the first descriptive data on a large military Podiatry Clinic supporting largely combat troops. Data consist of initial podiatric problems of soldiers and other beneficiaries of podiatric care. Demographic, physician referral patterns, and other pertinent summarized survey information of outpatient utili...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00