Abstract：
:Before 2011, Army commanders were unable to achieve complete visibility of soldiers possessing temporary medical limitations. The creation of time-limited definitions and technical categorization of this group, now known as the medically not ready (MNR) population, eventually allowed its quantification. With heightened visibility of the group, leaders in the Fort Stewart community facilitated its management through soldier medical readiness councils. In this commentary, we introduce a project that identified and tracked a cohort of 2,490 MNR soldiers for a 1-year period until they either recovered or entered the medical separation process. We identified that musculoskeletal injuries accounted for a heretofore unrecognized 87.4% majority of the MNR population. Prognosis of the MNR population was generally good. Fifty percent of the population returned to duty within 90 days of illness/injury. Seventy-seven percent returned to duty during the follow-up period. Although low back and knee/leg injuries were the largest contributors to the MNR population, low back issues were more likely to result in medical separation. Traumatic brain injury and post-traumatic stress disorder did not contribute significantly to the MNR population. This article seeks to describe the natural history of the MNR category of temporary disability for commanders, providers, and soldiers alike.
journal_name
Mil Medjournal_title
Military medicineauthors
Malish RG,Arnett AD,Place RJdoi
10.7205/MILMED-D-14-00131subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1190-7issue
11eissn
0026-4075issn
1930-613Xjournal_volume
179pub_type
杂志文章abstract：BACKGROUND:The liver stages of Plasmodium parasites are important targets for the discovery and development of prophylactic drugs. METHODS:A real-time in vivo imaging system was used to determine the level of luminescence measured from firefly luciferase expression by sporozoites developing in hepatocytes in different...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00090
更新日期：2017-03-01 00:00:00
abstract：INTRODUCTION:Despite greater than 60,000 nonfatal firearm injuries per year in the United States, retained shrapnel is a relatively rare cause of systemic lead toxicity with less than 100 cases reported in the medical literature since 1867. While intra-articular retained shrapnel as a cause of lead toxicity is well-des...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00231
更新日期：2017-03-01 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：:This cross-sectional telephone survey study assessed prevalence rates of current chemical sensitivity, frequency of chemical odor intolerance, and self-reported Persian Gulf chemical exposures among 41 randomly sampled Department of Veterans Affairs outpatients who were Persian Gulf War (PGW) and PGW-era veterans. The...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy291
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:Cervical spine clearance requires clinicians to assess the reliability of physical examination based on a patient's mental status and distracting injuries. Distracting injuries have never been clearly defined in military casualties. METHODS:Retrospective review was conducted of patients entered into Departm...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00635
更新日期：2015-07-01 00:00:00
abstract：:During Operation Desert Storm, in February 1991, Iraqi troops began burning Kuwaiti oil wells. Almost immediately there was concern about possible adverse health effects in U.S. personnel exposed to crude oil combustion products. Combustions products were predicted from the known composition of Kuwaiti crude oil. Moni...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00079
更新日期：2011-07-01 00:00:00
abstract：PURPOSE:To determine how students who are referred to a competency committee for concern over performance, and ultimately judged not to require remediation, perform during internship. METHODS:Uniformed Services University of the Health Sciences' students who graduated between 2007 and 2011 were included in this study....
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00575
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to evaluate pregnancy during war-time deployment. METHODS:A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 77 demonstrated a positive pregnancy test. These charts were evaluated for factors ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.5.511
更新日期：2007-05-01 00:00:00
abstract：:A quasi-experimental prospective study was conducted to assess the stage of change progression and elimination of unhealthy behaviors among active duty Army soldiers and their spouses (N = 245) before and after attending a community-based wellness program. Significant differences in stage progression between the inter...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.3.227
更新日期：2005-03-01 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：INTRODUCTION:Computer-aided design/computer-aided manufacturing (CAD/CAM) has gained increasing popularity since the first commercially viable dental system was introduced in the mid-1980s. Digitally milled dental restorations can be fabricated chairside in the course of one dental appointment, reducing time, cost, and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy260
更新日期：2019-05-01 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：:American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:A functional capacity evaluation (FCE) evaluates the ability of an individual to perform activities related to employment. There is no FCE specific to the military population; therefore, a FCE for the military population (FCE-M) was developed to evaluate an injured service member's (SM) ability to return to duty. The ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00072
更新日期：2017-01-01 00:00:00
abstract：:Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselv...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：Objective:Women are serving in the armed forces and deployed to areas of conflict in increasing numbers. Problems such as depressive symptoms and risks related to combat exposure can have negative effects on adjustment following service; understanding the relationship between these problems may contribute to strategies...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx065
更新日期：2018-03-01 00:00:00
abstract：INTRODUCTION:Service members (SMs) who are injured on deployment are at risk for myriad long-term health problems that may be ancillary to their physical injury, including high rates of depression and posttraumatic stress disorder, and poor health behaviors (e.g., problem drinking, cigarette and tobacco use, poor sleep...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa242
更新日期：2020-10-02 00:00:00
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：:A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
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 togethe...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-13-00273
更新日期：2013-12-01 00:00:00
abstract：:In combat, the tactical situation can prevent rapid evacuation to definitive care, or casualty overload can tie up the surgical teams. All medical personnel and their supporting cadre should have the ability to manage wounds and burns. Controlling bleeding and airways, cleaning and debriding wounds, and dressing or sp...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-08-01 00:00:00
abstract：INTRODUCTION:The severity of exertional heat illnesses (EHI) ranges from relatively minor heat exhaustion to potentially life-threatening heat stroke. Epidemiological surveillance of the types of and trends in EHI incidence depends on application of the appropriate International Classification of Disease, 9th Revision ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00429
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Since January 2002, pre-deployment training of forward resuscitative and surgical units has taken place at the U.S. Army Trauma Training Center (ATTC) in Miami, FL. In June 2019, the 240th Forward Resuscitative Surgical Team (FRST) conducted the first pre-deployment Surgical Readiness Training Exercise (SU...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa545
更新日期：2021-01-27 00:00:00
abstract：:A medical readiness training exercise was conducted in conjunction with Task Force Bravo in Honduras during July and August 2000. Surgical teams from Madigan Army Medical Center performed 46 major pelvic reconstructive surgical procedures and treated more than 300 patients. The mission was an exceptional training oppo...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-14-00079
更新日期：2014-09-01 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：:Ankle-arm index (AAI) and pulse volume recording (PVR) are commonly used in the early postoperative period to measure the outcome after lower-extremity revascularization. They are also used in addition to duplex scan for long-term follow-up of these patients. We noticed that in some patients the AAI and/or PVR after r...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa423
更新日期：2021-01-25 00:00:00
abstract：:Foreign bodies, in particular sand and soil particles, can cause considerable reaction in wounds and remain in tissues indefinitely. The introduction of foreign material as a contaminant in wounds and intracavitary injuries to military personnel deployed in the Persian Gulf region can be a complicating factor in treat...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
