Abstract:
:The authors describe the case of a giant osteochondroma emanating from the L5 vertebral body and extending into the retroperitoneum of a 40-year-old man, causing low back pain. Osteochondromas are benign bony tumors that typically occur within the appendicular skeleton, although in the sporadic form, up to 4% occur in the spine. A review of the English language literature has returned 44 cases of lumbar osteochondroma, including the present example. The lesions were sporadic in 81% of cases. Mean age of presentation overall is 39.5 years, with a mean age of 18.4 years (range 8-34 years) for hereditary cases and 45.7 years (range 11-81 years) for solitary lesions. Of the instances where gender was reported, 64% were male. The most common level of origin was L4 (38%). The most common anatomic site of origin was the inferior articular process (one-third). Of those lesions treated operatively, 46% underwent simple decompression, with 22% requiring decompression and fusion. This particular lesion was resected via a transperitoneal approach performed by a multidisciplinary team of neurosurgeons, vascular surgeons, and urologists. The bony tumor measured 6.1 × 7.8 × 7.7 cm. Removal of the lesion resulted in a significant improvement of the patient's symptoms.
journal_name
Mil Medjournal_title
Military medicineauthors
Rymarczuk GN,Dirks MS,Whittaker DR,Neal CJdoi
10.7205/MILMED-D-14-00239subject
Has Abstractpub_date
2015-01-01 00:00:00pages
e129-33issue
1eissn
0026-4075issn
1930-613Xjournal_volume
180pub_type
杂志文章,评审abstract:OBJECTIVES:We aimed to describe differences in combat experience for male and female veterans and characterize differential effects on postdeployment physical and mental health symptoms, including aggression. METHODS:Retrospective cross-sectional health screening data from 554 Operation Enduring Freedom and Operation ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00255
更新日期:2015-03-01 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::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::The study determines the extent to which payment thresholds for reporting malpractice claims to the National Practitioner Data Bank identifies substandard health care delivery in the Department of Defense. Relevant data were available on 2,291 of 2,576 medical malpractice claims reported to the closed medical malpract...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-04-01 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::AFR 35-11, dated 10 April 1985, included standards for physical fitness performance tests with the option of a 1.5-mile run or a 3-mile walk. Since that time, ANG units have begun initial physical fitness testing of all personnel. This program brought with it new responsibilities for ANG medical units including the sc...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::A case report is presented of a young male who sustained a second-degree frostbite injury to the oral cavity, to include lower lip, hard palate, tongue, and buccal mucosa. This unusual injury occurred as a result of substance abuse: an attempt to inhale an aerosolized propane propellant as a means to achieve euphoria....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:UNLABELLED:U.S. Marines perform mission tasks under heavy loads which may compromise performance of combat tasks. However, data supporting this performance decrement are limited. PURPOSE:The aim of this study was to determine the effects of load on performance of combat-related tasks. METHODS:Subjects (N=18) ran a mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00432
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:The Beck Depression Inventory-II (BDI-II) is widely used as a screening instrument for depressive symptomatology in clinical settings. The factor structure has been researched in a variety of settings with results ranging from a single factor to a five-factor structure. The purpose of this study was to examin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00048
更新日期:2014-08-01 00:00:00
abstract::Routine military deployments place great stress on military families. Before South African soldiers can be deployed, they undergo a comprehensive health assessment, which includes a social work assessment. The assessment focuses on the resilience of the family system to estimate how well the family will cope when expo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.5.480
更新日期:2008-05-01 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:OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00158
更新日期:2015-01-01 00:00:00
abstract::Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00229
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:To explore the relationship between adult attention deficit hyperactivity disorder (ADHD) subtypes and neuropsychological functioning among U.S. soldiers. METHODS:Deploying soldiers (N = 260) completed the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener. Cognitive tests, a deployment ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00340
更新日期:2012-06-01 00:00:00
abstract::In a deployment setting, orthopedic and musculoskeletal injuries represent the majority of both combat-related and noncombat-related injuries. To expeditiously and efficiently manage the large influx of patients, our experience revealed the tremendous benefits of having physical therapy colocated with an orthopedic su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.3.220
更新日期:2006-03-01 00:00:00
abstract::A 26-year-old suspected Iraqi insurgent is brought to a Troop Medical Clinic in Baghdad, Iraq, with curious marks on his body. On questioning, he describes productive cough, subjective fever, drenching night sweats, and unintentional weight loss. This case shows a condition with which Western physicians are generally ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00219
更新日期:2013-07-01 00:00:00
abstract::Japanese encephalitis is a viral disease emerging in areas of influence for the Australian Defence Force immediately north of the continent, including the Torres Strait border of Australia and Papua, New Guinea. Only the mouse brain-derived, inactivated, Nakayama strain vaccine is commercially available to the Austral...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7205/milmed.171.12.1190
更新日期:2006-12-01 00:00:00
abstract::The incidence of dengue infections has been increasing in the Caribbean, and cases have been identified among successive deployments of multinational peacekeepers to Haiti (1994-1997). In the absence of an effective vaccine or chemoprophylaxis to prevent dengue fever, vector-control operations and use of personal prot...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE:To review perennial and seasona...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.12.1026
更新日期:2005-12-01 00:00:00
abstract::Electrocardiographic changes and cardiac arrhythmias have been reported frequently in patients suffering high tension (greater than 1,000 V) electrical injuries as well as low tension (less than 350 V) electrical injuries. An association of atrial fibrillation with low tension electrical injury from a household applia...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::This study evaluated the efficacy of a brief cognitive-behavioral program in modifying causal attributions, expectancy of control, coping strategies, and psychological adjustment in a sample of Australian Army soldiers undergoing a 45-day recruit training program. Participants (N = 174) were randomly allocated within ...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7205/milmed.173.12.1151
更新日期:2008-12-01 00:00:00
abstract::We report on a 22-year-old infantryman who sustained a right frontal wound to his head. He was treated and returned to duty immediately. During a computed tomography scan, 38 years after the incident, a metallic foreign body and disruption of the brain consistent with a projectile track were discovered in his brain. I...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00323
更新日期:2011-02-01 00:00:00
abstract::Since opening the Air Force's first in-hospital birth center, the United States Air Force Academy Hospital has followed a policy of 24-hour discharge of mothers and babies--a major paradigm shift in traditional military treatment facility practice. This study was conducted to evaluate this change. Records were reviewe...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::This study examined the infleunce of three types of boot-sock systems on incidence and severity of foot blisters. Participants were 357 men undergoing U.S. Marine recruit training at Parris Island, South Carolina. Each participant was assigned to one of three treatment groups. The first group wore the standard militar...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::The proper treatment of younger patients who have suffered ischemic stroke and who have no stroke risk factors other than antiphospholipid antibodies is unsettled. We propose a rationale to support adding dietary supplementation with calcium and vitamin D to the present standard regimen of anticoagulant therapy for th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::The USNS Mercy (T-AH 19) is a unique environment for its staff and patients. Several environmental influences distinctively affect health, medical, and nursing care. Six main areas of environmental concern for operational nursing were examined. The strengths, weaknesses, opportunities, and threats to the internal envi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::To determine the unique susceptibility of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) as a function of the presence or absence of risk factors in a military beneficiary population, we reviewed all MRSA cases between 1994 and 1997 in a military medical center. Of 67 cases, 24 were community ac...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract::The aim of this study was to screen leukocyte cell surface markers to identify possible predictors for infection related to physical training. Ten healthy soldiers (mean age, 19.1; mean body mass, 77.4 kg; mean VO2 peak, 4.54 L min(-1)/58.6 mL min(-1) kg(-1)) were included. Blood samples were collected and number of i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00427
更新日期:2011-07-01 00:00:00
abstract::Disease and non-battle injury (DNBI) rates were examined in conjunction with casualty rates across two Marine Corps operational scenarios, the assault on Okinawa and the Korean War. DNBI rates increased significantly with battle intensity among Marine infantry battalions involved in both operations. Highly significant...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:To document the ongoing trauma experience of U.S. Army surgeons during peacetime clinical practice. METHODS:Surveys were mailed to the trauma directors of military surgical services worldwide. Questions focused on numbers of operative cases and availability of trauma resources. Laparotomy, thoracotomy, and v...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00