Abstract:
BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's medical fitness for deployment. OBJECTIVE:To set the minimum medical standards for NATO deployments. METHODS:A seven nation task group met periodically from 2008 to 2012 to develop guidelines for frontline military physicians to assess medical fitness for deployment. RESULTS:A medical deployment guide for 31 specific diseases/conditions using a rational, standardized and algorithmic approach based on a red-yellow-green risk stratification. CONCLUSIONS:If adopted as a NATO policy, this guide could then be kept up-to-date through a process that allows nations to track individuals with known chronic disease who were deployed into a theater of operations, allowing the guide to become increasingly evidence-based, and also more accurate in quantifying the risk of exacerbation based on individual and disease characteristics, as well as the nature and length of the deployment.
journal_name
Mil Medjournal_title
Military medicineauthors
Russell R,Reid A,Borgers G,Wassink H,Grove A,Niebuhr DW,North Atlantic Treaty Organization.doi
10.7205/MILMED-D-14-00113subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1404-11issue
12eissn
0026-4075issn
1930-613Xjournal_volume
179pub_type
杂志文章,实务指引abstract::Isotonic, isosmotic lavage is a safe and effective means of mechanical preparation of the large bowel for left colon surgery. In this prospective, randomized trial comparing lavage with a more traditional three-day bowel preparation, the lavage was well tolerated, led to decreased preoperative hospital days, and produ...
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:1989-04-01 00:00:00
abstract:BACKGROUND:Investigations into the financial relationships between orthopedic surgeons and device manufacturers have recently been investigated. Despite these investigations, the public appears to maintain trust and confidence that their surgeons are acting in patients' best interest. However, patient perceptions of th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00207
更新日期:2014-12-01 00:00:00
abstract::Using a gas mask (GM) may involve considerable inconvenience, impairment of respiration and communication, and serious psychological reactions. The medical literature is primarily focused on the occupational aspects of using the GM by young and healthy workers. In contrast, there is hardly any information concerning t...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::Three time frames were studied during the 54-year history of the Golden Gate Bridge from 1937 to 1991. During that period of time, there were 918 documented jumps from this majestic structure to the water 250 feet below. The last 15 years provided us with 297 consecutive patients, all brought to one institution, which...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::The planning and execution for contingency pharmacy services in support of Operations Desert Shield/Desert Storm in an overseas Air Force Medical Center are described. These operations presented the staff with far different challenges than the contingency support plan that had been in place for several years. That pla...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::The establishment of the first dental office of the Croatian Dental Corps (CDC) in the city of Zadar represented at the same time the beginning of the CDC. This article describes the front-line experience of a dentist who volunteered to provide basic medical help, which eventually laid the groundwork for providing gen...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::The federal initiative for electronic health record (EHR) interoperability began in 2000 and set the stage for the establishment of the 2004 Executive Order for EHR interoperability by 2014. This article discusses the chronology from the 2001 e-Government Consolidated Health Informatics (CHI) initiative through the cu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-03-9708
更新日期:2009-05-01 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:OBJECTIVES:Little is known about the numbers of children who will be left without one or both parents because of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. This report evaluates childbearing patterns among U.S. Army reserve component members, a group largely made up of men with limited conta...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.7.690
更新日期:2007-07-01 00:00:00
abstract::An investigation was conducted to determine if testing machine crosshead speed influenced shear bond strength (SBS) or the failure mode of composite bonded to enamel and dentin. Composite cylinders were bonded to 50 enamel and 50 dentin surfaces and thermocycled. Groups of 10 samples were debonded at speeds of 0.1, 0....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Many people are unaware of the science underlying the biophysical properties of Soldier clothing and personal protective equipment, yet there is a well-refined biomedical methodology initiated by Army physiologists in World War II. This involves a methodical progression of systematic material testing technol...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00156
更新日期:2017-07-01 00:00:00
abstract::Pseudolymphomas of the breast are extremely rare: the etiology of these lesions is unclear, but some believe they may represent a response to local injury. Although morphologically similar to malignant lymphomas, they are benign. Here we report a case of pseudolymphoma of the breast and present a review of the literat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. METHODS:The Department of Defense's Joint Theater Trauma Registry was que...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-13-00393
更新日期:2014-04-01 00:00:00
abstract:INTRODUCTION:Department of Defense (DoD) has identified problem-solving training (PST) as a promising prevention/early intervention for mental health disorders. PST is a four-session group intervention that emphasizes building problem-solving and coping skills to mitigate emotional dysregulation and the adverse effects...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy229
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:The command of a U.S. Army Reserve Combat Support Hospital designed this study to evaluate soldiers' behavior related to and attitudes toward skipping meals while on annual training (AT). METHODS:The command administered an anonymous survey on attitudes about weight loss and weightloss behavior while on AT. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.7.678
更新日期:2006-07-01 00:00:00
abstract::Laser in situ keratomileusis (LASIK) has become the community standard in corneal refractive surgery and is being performed by surgeons in the Army, Navy, and Air Force. LASIK differs from photorefractive keratectomy (PRK) in that a partial-thickness corneal flap is created in the LASIK procedure before removing a mic...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.4.334
更新日期:2004-04-01 00:00:00
abstract::We present the case of a 19-year-old woman with feeding intolerance, due to superior mesenteric artery (SMA) syndrome, after weight loss experienced during basic military training. She had previous good health and presented with vomiting 8 weeks after starting military training. She had experienced a 16-pound (7 kg) w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.1.24
更新日期:2007-01-01 00:00:00
abstract:INTRODUCTION:The prevalence of mild traumatic brain injury (mTBI) is commonly estimated based on indirect metrics such as emergency department visits and self-reporting tools. The study of postconcussive symptoms faces similar challenges because of their unspecific character and indistinct causality. In this article, w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa504
更新日期:2020-12-03 00:00:00
abstract:INTRODUCTION:Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-17-00060
更新日期:2017-11-01 00:00:00
abstract::Health information booklets deliver information to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know of the materials produced to meet this need so that they can facilitate booklet distribution....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::A 30-year review of the Armed Forces Tumor Registry revealed that of 3,126 thyroid cancers on file, 82 were in the pediatric population. All of these cases were reviewed, and the mean age was found to be 13.8 years. There as a male-to-female ratio of 1:2.3. At the time of diagnosis, 33% had regional nodes and 6% had d...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract::Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract::Spontaneous pneumomediastinum (SPM) with associated subcutaneous emphysema is an uncommon and generally benign condition. We describe an occurrence of SPM that occurred from yelling in a U.S. Marine Corps Drill Instructor. The patient describes yelling at Marine recruits the day prior when he felt a pop "behind his no...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00243
更新日期:2012-11-01 00:00:00
abstract::This study was designed to provide information to assist in planning health promotion and wellness programs for military trainees. During their first semester at West Point, 179 cadets completed measures of holistic wellness, perceived stress, and mattering. The highest wellness scores were in areas of social support,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.6.475
更新日期:2004-06-01 00:00:00
abstract::A series of 51 active duty patients who elected to undergo ambulatory surgery in a Navy Fleet Hospital Training Set (a modified field hospital) over a 2-year period were followed prospectively for perioperative complications. All patients were active duty personnel, ranging in grade from E1 to O5, who voluntarily gave...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Manufacturers' recommended temperatures for pharmaceuticals were compared with actual field temperatures that the medications were exposed to during the winter months of December and February in the Republic of Korea. Two daily temperatures of field pharmaceuticals were taken in a M577 armored aid station. These tempe...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To increase accessibility and availability of secondary medical care, 10 secondary unit specialist clinics were established side-by-side with five existing regional specialist centers, thus achieving decentralization. The purpose was to analyze the impact of this reorganization on overall consumption of secon...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.12.1229
更新日期:2006-12-01 00:00:00
abstract::Brief structured clinical interviews are a key component of the Department of Defense postdeployment health reassessment program. Such interviews are critical for recommending individuals for follow-up assessment and care. To standardize the interview process, U.S. Army Medical Research Unit-Europe developed a structu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.5.411
更新日期:2008-05-01 00:00:00