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-months postdeployment from assignment with line units vs. those Medics who had never deployed to combat. The primary data source was surveys of mental health service utilization, perceived stigma and barriers to care, and depression and post-traumatic stress disorder screens. Medics who received help in the past year from a mental health professional ranged from 18% to 30%, with 18% to 30% seeking mental health assistance from other sources. Previously deployed Medics were more likely to obtain assistance than those who never deployed. Those meeting a mental health screening criteria were more likely to report associated stigma and barriers to care. Findings indicate that Medics in need of assistance report greater perceived barriers to mental health care, as well as stigma from seeking treatment, and that depression may be a salient issue for Medics. The longitudinal nature of the ongoing study will help determine the actual trajectory and onset of depression and post-traumatic stress disorder.
journal_name
Mil Medjournal_title
Military medicineauthors
Chapman PL,Elnitsky C,Pitts B,Figley C,Thurman RM,Unwin Bdoi
10.7205/MILMED-D-12-00367subject
Has Abstractpub_date
2014-08-01 00:00:00pages
55-62issue
8 Suppleissn
0026-4075issn
1930-613Xjournal_volume
179pub_type
杂志文章abstract：:We describe a patient originally diagnosed with clinically definite multiple sclerosis whose actual diagnosis of conversion disorder was revealed when his examination was found to be fictitious, his radiological, electrophysiological, and biochemical tests were determined to be normal, and his symptoms were reversed t...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00257
更新日期：2016-04-01 00:00:00
abstract：:Trauma and cancer are entities that are encountered frequently by surgeons and occasionally may exist simultaneously in certain patients. Illustrated here is the case of a man with a perinephric mass, discovered during evaluation for blunt abdominal trauma, which was originally thought to be a perinephric hematoma and...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00085
更新日期：2017-03-01 00:00:00
abstract：:Over the last 50 years, members of the U.S. military have faced the threat of malaria in diverse geographical locations and operational situations, resulting in considerable morbidity and mortality. However, because malaria may be transported out of endemic areas and into areas that are free of malaria, the threat doe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.10.925
更新日期：2006-10-01 00:00:00
abstract：:From April 24 to 26, 2013, the Armed Forces Health Surveillance Center and the U.S. Africa Command cosponsored the inaugural meeting of the West Africa Malaria Task Force in Accra, Ghana. The meeting's purpose was to identify common challenges, explore regional and transcontinental collaborations, and to share knowled...
journal_title：Military medicine
pub_type：
doi：10.7205/MILMED-D-14-00406
更新日期：2015-01-01 00:00:00
abstract：:Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.5.551
更新日期：2007-05-01 00:00:00
abstract：:In open, intra-articular distal humerus fracture caused by gunshot injury, full functional recovery is difficult to obtain. Three basic treatment methods are available: minimal internal fixation, open reduction-internal fixation, and external fixation. In Gülhane Military Medical Academy Department of Orthopedics and ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:Questionnaires were sent to directors of the 118 oral and maxillofacial surgery training programs in the United States and its territories to survey current trends and recent experience with maxillo-mandibular fixation (MMF). Eighty-eight percent of the respondents indicated that it was customary to keep wire cutters ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
abstract：Introduction:To develop a short form (SF) of the 45-item multidimensional Moral Injury Symptom Scale - Military Version (MISS-M) to use when screening for moral injury and monitoring treatment response in veterans and active duty military with PTSD. Methods:A total of 427 veterans and active duty military with PTSD sy...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.1093/milmed/usy017
更新日期：2018-11-01 00:00:00
abstract：:Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid sten...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-12-01 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：: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：:A duplication cyst of the ileum was initially observed in a fetus at 26 weeks gestation on prenatal ultrasonography. Repeated spontaneous resolution of the cyst by decompression into the adjacent bowel lumen delayed diagnosis and management until the child was 9 months of age. The child experienced two episodes of hem...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.8.600
更新日期：2004-08-01 00:00:00
abstract：:The purpose of this study was to explore the nature of information in after-action reports in terms of nursing practice and the utility of using after-action reports in a feedback loop to improve nursing training. This was a three-phase, mixed-method, qualitative study, using focus groups, phone surveys, and e-mail su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.2.210
更新日期：2008-02-01 00:00:00
abstract：:To help preserve in-theater strength within deployed military units, commercially available, rapid, user-friendly ABO-Rh blood typing kits were evaluated to determine their stability in storage conditions commonly encountered by the warfighter. Methods for environmental exposure testing were based on MIL-STD-810F. Whe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-0909
更新日期：2009-10-01 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：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：STUDY OBJECTIVE:Many studies have shown that community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) is a very prevalent organism. However, no data have been published to date with regard to CAMRSA prevalence in patients presenting to the emergency department (ED) of a military medical facility. Our obj...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.10.945
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia. METHODS:This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00445
更新日期：2012-10-01 00:00:00
abstract：Introduction:Breast cancer care imposes a significant financial burden to U.S. healthcare systems. Health services factors, such as insurance benefit type and care source, may impact costs to the health system. Beneficiaries in the U.S. Military Health System (MHS) have universal healthcare coverage and access to a net...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy052
更新日期：2018-11-01 00:00:00
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 ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-13-00327
更新日期：2014-06-01 00:00:00
abstract：:Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00057
更新日期：2012-09-01 00:00:00
abstract：:Administrative and clinical considerations for the establishment of an ophthalmic laser program at a VA Outpatient Clinic are discussed. Outcomes of the first 320 patients treated over a 3-year period of time are presented. The program is evaluated from the perspectives of patient care, safety, maintenance, education,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-08-01 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：:The Department of Defense Familial Breast/Ovarian Cancer Research Project has offered genetic counseling and testing for BRCA1 and BRCA2 on a research basis to patients meeting specific diagnostic criteria, with risk for BRCA1 and BRCA2 mutations calculated based on the Couch model. In 2.5 years, 250 patients were eva...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：
更新日期：2002-02-01 00:00:00
abstract：OBJECTIVE:To examine incidence of mental health diagnoses during initial service of U.S. active duty military members and identify associations with deployment, attrition, and suicide. METHODS:A retrospective cohort of 576,502 service members (SMs) newly enlisted between 2003 and 2006 was identified. Data included med...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00051
更新日期：2012-10-01 00:00:00
abstract：:The Wars in Afghanistan and Iraq witnessed the first widespread use of U.S. Army Forward Surgical Teams (FSTs). Although doctrinally designed to support maneuver brigades in a linear front conflict, FSTs were quickly adapted to fulfill area support and special operation support missions as part of Operation Enduring F...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00137
更新日期：2012-11-01 00:00:00
