Abstract：
:Post-traumatic stress disorder (PTSD) is associated with poor health but there is a gap between need and receipt of care. It is useful to understand where to optimally locate in-person care and where video-based PTSD care would be most useful to minimize access to care barriers, care outside the Veterans Affairs system, and total costs. We developed a service location systems engineering model based on 2010 to 2020 projected care needs for veterans across New England to help determine where to best locate and use in-person and video-based care. This analysis determined specific locations and capacities of each type of PTSD care relative to patient home locations to help inform allocation of mental health resources. Not surprisingly Massachusetts, Connecticut, and Rhode Island are well suited for in-person care, whereas some rural areas of Maine, Vermont, and New Hampshire where in-patient services are infeasible could be better served by video-based care than external care, if the latter is even available. Results in New England alone suggest a potential $3,655,387 reduction in average annual total costs by shifting 9.73% of care to video-based treatment, with an average 12.6 miles travel distance for the remaining in-person care.
journal_name
Mil Medjournal_title
Military medicineauthors
Musdal H,Shiner B,Chen T,Ceyhan ME,Watts BV,Benneyan Jdoi
10.7205/MILMED-D-13-00177subject
Has Abstractpub_date
2014-02-01 00:00:00pages
150-6issue
2eissn
0026-4075issn
1930-613Xjournal_volume
179pub_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: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：Introduction:The education of health professionals and the assessment of their long-term goals are essential. Additionally, in the military health system (MHS), such programs also have the goals of improving readiness, providing high-quality care and meeting the needs and challenges of the MHS. The Uniformed Services U...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy158
更新日期：2019-01-01 00:00:00
abstract：INTRODUCTION:Ibuprofen is commonly used by warfighters in the deployed environment. This study investigated its dose effects on in vitro coagulation in human and pig blood. METHODS:Blood samples were collected from 6 normal volunteers and 6 healthy pigs and processed to make platelet-adjusted samples (100 × 10(3)/μL, ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00381
更新日期：2016-05-01 00:00:00
abstract：:Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent human enzyme deficiency, affecting an estimated 400 million people worldwide. G6PD deficiency increases erythrocyte vulnerability to oxidative stress and may precipitate episodes of hemolysis when individuals are exposed to triggering agents. Al...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-7608
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:To compare responses of practicing military and civilian primary care physicians to a series of standardized inhalational anthrax cases. METHODS:A series of three randomly selected case vignettes adapted from the 2001 anthrax attack along the East Coast of the United States were mailed to a convenience sampl...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00057
更新日期：2010-09-01 00:00:00
abstract：:The purpose of this study was to determine the incidence of Clostridium perfringens-associated vomiting and diarrhea in canine and feline patients at the Okinawa Branch Veterinary Service and to establish a relationship between dietary indiscretion and the presence of clostridial enterotoxemia. Stool samples were obta...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-03-01 00:00:00
abstract：:In response to the end of the cold war, the United States developed new foreign policy and national security strategies. As a result, many medical support concepts that were operative during the cold war were invalidated. Recently, the Chairman of the Joint Chiefs of Staff provided direction and guidance for long-rang...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 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
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Trauma disclosure is the initial step toward healing trauma-related distress. This study used qualitative methods to better understand factors facilitating and inhibiting change in the disclosure process. Fifty-six veterans were interviewed about their disclosure experiences between August 2004 and 2005. Emerging them...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00054
更新日期：2010-10-01 00:00:00
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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：1999-10-01 00:00:00
abstract：BACKGROUND:Scientific publication in academic literature is a key venue in which the U.S. Department of Defense's Global Emerging Infections Surveillance and Response System (GEIS) program disseminates infectious disease surveillance data. Bibliometric analyses are tools to evaluate scientific productivity and impact o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00276
更新日期：2017-05-01 00:00:00
abstract：:Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Operation Desert Shield/Storm provided an opportunity to evaluate current medical assets and doctrine in support of Army air-land battle operations. The missions assigned to a medical company (clearing) during Operation Desert Shield/Storm demonstrated the value of the area support medical battalion as authorized unde...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:Little attention is given in psychiatry residency programs to preparing graduates to occupy division psychiatry slots. The first part of this paper discusses several guidelines: preparations to make before leaving for a new post; immediate steps to take upon arrival; the place of the Division Mental Health Service in ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:The U.S. Army Special Forces Medic, Military Occupational Specialty 18D, is a unique, enlisted, medical asset. The training of the 18D is demanding, lengthy, and selective. The 18D is trained to independently assess, and provide acute and long-term medical care for, a variety of medical conditions in support of the Sp...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to establish an efficient explosive model with spherical explosives for the study of blast injury and its wound characteristics in the maxillofacial region. METHODS:Different spherical explosives were used to produce blast waves and to establish the wound model. Fresh sheep heads a...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：:Over 20 yr have elapsed since the end of the First Gulf War, yet approximately one-third of the veterans exhibit Gulf War Illness (GWI) symptoms, particularly depression and memory impairments. Exposure to organophosphate (OP) compounds is implicated for GWI development. The role of calcium (Ca2+) signaling in learnin...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx148
更新日期：2018-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-11-00067
更新日期：2011-11-01 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：:In response to an apparent clustering of homicides at Fort Carson, Colorado, the U.S. Army Public Health Command (formerly the U.S. Army Center for Health Promotion and Preventive Medicine) Behavioral and Social Health Outcomes Program conducted a multidisciplinary epidemiologic consultation to identify factors contri...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00344
更新日期：2012-04-01 00:00:00
abstract：:This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/MILMED-D-13-00039
更新日期：2013-08-01 00:00:00
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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
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更新日期：2013-11-01 00:00:00
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pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00155
更新日期：2016-05-01 00:00:00
abstract：:Appropriate and consistent use of condom remains an effective approach to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) intervention. We analyzed the baseline data gathered for a situationally based HIV/AIDS intervention to assess the potential predictors of condom use among the Uniforme...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.10.1027
更新日期：2006-10-01 00:00:00
abstract：:Military graduate medical education has come under increasing scrutiny in recent years as the size of the military medical force declines. To document the outcomes of military graduate medical education in internal medicine, a cohort of Air Force internal medicine residency graduates from Wright-Patterson Medical Cent...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
