Abstract:
:Military personnel deployed to Iraq and Afghanistan often develop mental health difficulties, which may manifest as problematic driving behavior. Veterans may be more likely to engage in risky driving and to subsequently be involved in motor vehicle accidents and fatalities. This article reviews literature on driving difficulties among military veterans and evaluates available research on the potential pathways that underlie risky driving behavior. Current interventions for problematic driving behaviors are considered, and the necessity of modifying these interventions to address the unique difficulties encountered by military veterans is highlighted. The review concludes with a discussion of clinical implications of these findings and identification of possible avenues for future research and intervention.
journal_name
Mil Medjournal_title
Military medicineauthors
Possis E,Bui T,Gavian M,Leskela J,Linardatos E,Loughlin J,Strom Tdoi
10.7205/MILMED-D-13-00327subject
Has Abstractpub_date
2014-06-01 00:00:00pages
633-9issue
6eissn
0026-4075issn
1930-613Xjournal_volume
179pub_type
杂志文章,评审abstract:BACKGROUND:Fluid intake during military training is prescribed based on the interactions among work rates, environmental conditions, and uniform configurations. The efficacy of this guidance has not been empirically assessed in over a decade. To determine the acceptability of the fluid intake guidance, sweat losses wer...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy066
更新日期:2018-09-01 00:00:00
abstract::Clonidine is a central alpha-2 agonist well known to produce a syndrome of bradycardia and hypotension in overdose. However, few examples of overt clinical clonidine toxicity secondary to cutaneous absorption have been reported. We report a case of unintentional systemic clonidine toxicity in an adult because of a com...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa284
更新日期:2020-10-02 00:00:00
abstract::Summer exercises in the continental United States bring many military personnel in contact with our four types of indigenous venomous snakes. Personnel with a knowledge of these snakes, their habits, and habitat, and who exercise common sense are much less likely to fall victim to a venomous bite. When a bite does occ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-12-01 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::Severely injured patients have difficulty recalling their intensive care unit (ICU) experience which may contribute to emotional trauma. An ICU patient journal contains a short summary of key events during the ICU stay, and has been shown to improve emotional well-being. This project evaluated the feasibility and perc...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00210
更新日期:2016-08-01 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
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::Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococca...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00054
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:This study describes and categorizes the cultural frictions and conflicts within a successfully implemented Internal Medicine Patient-Centered Medical Home (PCMH) clinic at the National Naval Medical Center, and provides lessons learned for combating these concerns. METHODS:A semistructured interview protoco...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00146
更新日期:2013-02-01 00:00:00
abstract::A systematic random sample of 962 dental records of soldiers in class 2 was reviewed by six general dentists and their estimates of periodontal and non-periodontal treatment time were recorded. The majority (88.9%) required some treatment. Periodontal treatment time ranged from 0 to 18 hours with a median and mode of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract::The present review addresses the perceived stigma associated with admitting a mental health problem and seeking help for that problem in the military. Evidence regarding the public stigma associated with mental disorders is reviewed, indicating that the public generally holds negative stereotypes toward individuals wi...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.172.2.157
更新日期:2007-02-01 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::Ischemic colitis is the most common form of intestinal ischemia. It most commonly involves the left side of the colon presenting with acute onset of abdominal pain followed by bloody diarrhea. Involvement of only the right or ascending colon is an infrequent occurrence. Because this problem is less recognized than its...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.3.328
更新日期:2008-03-01 00:00:00
abstract:INTRODUCTION:We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested by Wagner's Chronic Care Model (CCM). MATERIALS AND METHODS:A c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx111
更新日期:2018-09-01 00:00:00
abstract::This article describes Humanitarian Civic Action (HCA) activities performed by the Medical Element (MED EL) of Joint Task Force-Bravo in Honduras during 1988. The effort was designed to assist Honduras in nation building, to provide a maximal training experience for U.S. personnel, and enhance the image of the U.S. Wh...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::A retrospective study reviewed medical records of military personnel who had participated in a vision readiness study the previous year. The review evaluated (1) the number of personnel who returned for an eye examination (as recommended), (2) the number of dilated eye examinations, (3) the number of optical devices o...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::Hemorrhagic fever with renal syndrome has been described among the U.S. and the U.N. troops assigned to the Republic of Korea since the Korean War. However, this appears to be the first case in which infection was acquired during garrison duty in an urban environment. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::Between 2006 and 2012, the Department of Defense trained thousands of military mental health providers in the use of evidence-based treatments for post-traumatic stress disorder. Most providers were trained in multiday workshops that focused on the use of Cognitive Processing Therapy and Prolonged Exposure. This study...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00072
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION:Military veterans diagnosed with dementia compose a large portion of our population. Often ignored are their caregivers and their plight as well as the availability, quality, and accessibility of health care for this demographic. The purpose of this systematic literature review is three fold: to identify o...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-16-00396
更新日期:2017-11-01 00:00:00
abstract::More than 300,000 cases of sudden cardiac death (SCD) occur in the United States each year. Left coronary artery anomaly (LCAA), although rare, is second only to hypertrophic cardiomyopathy as the most common cause of SCD associated with structural cardiovascular abnormalities. This case illustrates SCD secondary to L...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-02-01 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
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::The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion E...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00258
更新日期:2010-07-01 00:00:00
abstract::This paper reports on data from a survey of international military mental health professionals. In a series of open-ended questions, respondents were asked to describe their country in terms of the field of military psychology, the role of mental health professionals on deployment, the degree to which the field of men...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions. METHODS:Mixed methods study of resident ratings of medicine attendings (Period 1: 1994-1996, n = 250 and Period 2: 2007-2009, n = 152). Residents evalua...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00445
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:A retrospective study on the occurrence of septic syndrome and septic shock, as well as multiorgan failure, in the wounded at the Split Clinical Hospital Intensive Care Unit (ICU). PATIENTS AND METHODS:From 1991 to 1995, 257 wounded persons were treated at the Split Clinical Hospital ICU. Criteria for sep...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-05-01 00:00:00
abstract:INTRODUCTION:The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. MATERIALS AND METHODS:Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz198
更新日期:2020-01-07 00:00:00
abstract::In an attempt to overcome some of the difficulties encountered with transabdominal ultrasonography we report on 55 patients who underwent 88 transvaginally directed sonograms. In 24 patients in whom a diagnosis of an early intrauterine pregnancy was made, the mean crow-rump length (CRL) was 10.7 mm (range, 3 to 27). I...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:INTRODUCTION:Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. M...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx112
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:Alpha-blockers and calcium channel blockers have shown promise for medical expulsion therapy (MET) of distal ureteral calculi < 1 cm in size. Although MET has been discussed in urology for some time, little has been written about MET in the emergency medicine and primary care literature. We sought to evaluate c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00100
更新日期:2010-11-01 00:00:00