Abstract：
:Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently reliable. For the active duty military aviator with CHs, this is further compounded by the administrative restrictions to use many of those medications secondary to their unwanted and potentially dangerous side effects. We present a case of refractory CH in an active duty air crewman, treated with fluticasone, which resulted in a remarkable reduction in symptoms allowing him to resume his primary flight duties. We propose that fluticasone's effectiveness in improving his CH symptoms stems from its anti-inflammatory properties.
journal_name
Mil Medjournal_title
Military medicineauthors
Andicochea CT,Blalack PM,Fulkerson JA,Kidd GA,Taylor BMdoi
10.7205/MILMED-D-14-00713subject
Has Abstractpub_date
2015-10-01 00:00:00pages
e1123-6issue
10eissn
0026-4075issn
1930-613Xjournal_volume
180pub_type
杂志文章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：:Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed.172.7.753
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:Complete occlusion of the contralateral carotid artery has been thought to increase the risk of carotid endarterectomy (CEA). This study was conducted to determine whether contralateral occlusion (CO) leads to a higher rate of complications among patients undergoing CEA or alters long-term outcomes. METHODS:...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.12.1069
更新日期：2005-12-01 00:00:00
abstract：Introduction:This review summarizes the research conducted on botulinum toxin (BoTx) from 1943 to 1956 by a small group of Camp Detrick investigators and their staff. A systematic, cross-disciplinary approach was used to develop effective vaccines against this biological warfare threat agent. In response to the potenti...
journal_title：Military medicine
pub_type： 历史文章,杂志文章,评审
doi：10.1093/milmed/usx047
更新日期：2018-05-01 00:00:00
abstract：Introduction:Many service members experiencing symptoms of mental health conditions do not receive mental health care for these symptoms. The stigma associated with having a mental health condition or seeking treatment is often cited as a specific barrier to mental health care. However, study results bearing on the que...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.1093/milmed/usx219
更新日期：2018-11-01 00:00:00
abstract：:Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz209
更新日期：2020-01-07 00:00:00
abstract：Introduction:Few studies have reported the amount of physical activity (PA) and its associations to physical performance of warfighters during military field training (MFT). The purpose of this study was to investigate changes in neuromuscular performance and PA among male Finnish Army conscripts during a 21-d MFT and ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx049
更新日期：2018-05-01 00:00:00
abstract：:To-date, there has been no international review of mental health resilience training during Basic Training nor an assessment of what service members perceive as useful from their perspective. In response to this knowledge gap, the North Atlantic Treaty Organization (NATO) Human Factors & Medicine Research & Technology...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00549
更新日期：2013-07-01 00:00:00
abstract：:In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-11-00067
更新日期：2011-11-01 00:00:00
abstract：:National smoking cessation guidelines include recommended strategies for providers and health care organizations, but they offer little guidance on how to structure care. We conducted a cross-sectional survey at 40 Veterans Health Administration facilities, to describe the structure of smoking cessation care, to asses...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed.171.1.80
更新日期：2006-01-01 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：: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：: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：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：:In order to assess the reasons for high referral rates to secondary medical care services in the Israel Defence Force-Medical Corps, we conducted a study in which 28 physicians in five primary care clinics took part. Seven hundred thirty-seven patients were referred to specialists. The referral reasons were learned fr...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-08-01 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：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:To compare the influence of various statistical analysis approaches while assessing the marginal effect of polypharmacy (prescription of multiple psychotropics including a first-line antidepressant) on all-cause hospital admission among veterans diagnosed with post-traumatic stress disorder. METHODS:Data wer...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00327
更新日期：2016-10-01 00:00:00
abstract：:Chyle leaks are a rare but potentially fatal complication of head and neck surgery carrying an incidence as high as 8.3%. The development of a chyle leak carries significant morbidity ranging from delayed wound healing to oropharyngeal fistulas. Presented here is a case of a chyle leak that developed following a left ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00240
更新日期：2016-09-01 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
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：: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：:Mass casualties during war, civil unrest, or natural disasters can generate chaos and disarray in the emergency room setting. The influx of numerous casualties in a short period of time can paralyze the medical facility and cause irreparable damage to the injured. Maintaining calm and order is very essential for triag...
journal_title：Military medicine
pub_type：
doi：
更新日期：2001-12-01 00:00:00
abstract：:Osteomas of the mandibular condyle are rare. An unusual case of an osteoma occurring in the mandibular condyle of a 22-year-old man with mandibular deviation and malocclusion is reported; this represents the 14th documented case in the English language literature. The tumor was resected with condylectomy. Postoperativ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
abstract：:Medical data from 120 U.S. Marine Corps trauma admissions to second-echelon facilities during Operation Desert Shield/Storm were examined. Sixty-five percent of the admissions occurred between February 22 and February 28, the time frame corresponding to the ground war and the preliminary mobilization period. Penetrati...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：:From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritone...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort mea...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00168
更新日期：2011-12-01 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：:Experience with advanced surgery for the treatment of civilian gunshot injuries supports the changes in approach and indications for the treatment of war gunshot injuries. Eight patients with gluteal gunshot wounds are presented with typical war injuries. They were wounded during 1992 and 1993 in the war in Croatia an...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
