Abstract：
:The relationship between repeated exposure to blast overpressure and neurological function was examined in the context of breacher training at the U.S. Marine Corps Weapons Training Battalion Dynamic Entry School. During this training, Students are taught to apply explosive charges to achieve rapid ingress into secured buildings. For this study, both Students and Instructors participated in neurobehavioral testing, blood toxin screening, vestibular/auditory testing, and neuroimaging. Volunteers wore instrumentation during training to allow correlation of human response measurements and blast overpressure exposure. The key findings of this study were from high-memory demand tasks and were limited to the Instructors. Specific tests showing blast-related mean differences were California Verbal Learning Test II, Automated Neuropsychological Assessment Metrics subtests (Match-to-Sample, Code Substitution Delayed), and Delayed Matching-to-Sample 10-second delay condition. Importantly, apparent deficits were paralleled with functional magnetic resonance imaging using the n-back task. The findings of this study are suggestive, but not conclusive, owing to small sample size and effect. The observed changes yield descriptive evidence for potential neurological alterations in the subset of individuals with occupational history of repetitive blast exposure. This is the first study to integrate subject instrumentation for measurement of individual blast pressure exposure, neurocognitive testing, and neuroimaging.
journal_name
Mil Medjournal_title
Military medicineauthors
Carr W,Stone JR,Walilko T,Young LA,Snook TL,Paggi ME,Tsao JW,Jankosky CJ,Parish RV,Ahlers STdoi
10.7205/MILMED-D-15-00137subject
Has Abstractpub_date
2016-05-01 00:00:00pages
28-39issue
5 Suppleissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
杂志文章abstract：OBJECTIVES:The U.S. Army emplaces physician assistants (PAs) in its maneuver battalions. When contingencies arise, clinic-based physicians join them to augment capability. Because both entities operate similarly, the policy permits a comparison of perceptions of optimal skill sets for the battalion medical mission. ME...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00246
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can ad...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa103
更新日期：2020-09-18 00:00:00
abstract：:Gunshot wounds to the head are usually fatal injuries, despite all medical and surgical interventions. Ventricular injury is a poor prognostic factor-for penetrating cranial gunshot wounds. Intraventricular hemorrhage and ventricular lacerations are the main components of such injuries. The incidence, management, and ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.9.691
更新日期：2004-09-01 00:00:00
abstract：:As researchers examine the efficacy of interventions that simultaneously target more than 1 symptom, it is important to identify ways to help guide research and program development. This study used electronic medical record data to examine the covariation of multiple risk factors regularly assessed among primary care ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00119
更新日期：2014-10-01 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：:A case is presented in which a patient was placed on phenytoin following open depressed skull fracture. He subsequently was lost to follow-up, and then presented with several complaints, among them mutism, found to be related to phenytoin toxicity. There are no reports to date of this condition being caused by phenyto...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：OBJECTIVE:Problematic anger is a significant clinical issue in military personnel, and is further complicated by comorbid post-traumatic stress disorder (PTSD). Despite increasing numbers of military personnel returning from deployment with anger and aggression difficulties, the treatment of problematic anger has recei...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx115
更新日期：2018-09-01 00:00:00
abstract：:Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent human enzyme deficiency, affecting an estimated 400 million people worldwide. G6PD deficiency increases erythrocyte vulnerability to oxidative stress and may precipitate episodes of hemolysis when individuals are exposed to triggering agents. Al...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-7608
更新日期：2009-05-01 00:00:00
abstract：:The Sailors Health Inventory Program (SHIP) questionnaire is a medical and psychosocial history questionnaire completed by all Navy recruits. This study was an investigation of the potential usefulness of the SHIP questionnaire for screening to reduce basic training attrition. The sample consisted of 66,690 Navy recru...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVE:Laparoscopic hernioplasty was performed by either transabdominal preperitoneal or totally extraperitoneal approaches, The purpose of this study was to demonstrate that laparoscopic hernioplasty is a way to treat military personnel in the army with less pain and for the patients to return to an active lifestyl...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：PURPOSE:To evaluate the lid and meibomian gland status of active duty forces (ADF) and U.S. veterans (USV) to compare the prevalence of lid dysfunction and disease in each population. METHODS:One examiner observed 113 consecutive patients in both groups during a 2-week period at two federal service optometry clinics. ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-08-01 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：:Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation ...
journal_title：Military medicine
pub_type： 传,历史文章,杂志文章
doi：10.7205/milmed-d-11-00272
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:Reorganization of the Army and critical assessment of Army Graduate Medical Education programs prompted the Occupational and Environmental Medicine (OEM) Consultant to the Army Surgeon General to initiate a review of current Army OEM residency training. Available information indicated the Army OEM residency ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/MILMED-D-16-00118
更新日期：2016-11-01 00:00:00
abstract：:This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial causes associated with 19 cases of diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and 11% heat-stable/ heat-labile prod...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVE:This article addresses the design of a robust autopilot for the delivery of intravenous anesthesia drugs. METHODS:A mathematical framework that expresses the pharmacological variability of a patient population into uncertainty bounds is proposed. These bounds can be effectively used to tune the parameters of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00380
更新日期：2015-03-01 00:00:00
abstract：:There is little research on whether the transient nature of the military family contributes to transition difficulty to parenthood or to the type of social supports utilized. Data were collected by mailed survey from a convenience sample of military and civilian mothers at 3 months after delivery. No significant diffe...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：:This study identified chemical and environmental exposures specifically associated with the 1991 Persian Gulf War. Exposures were self-reported in a postal questionnaire, in the period of 2000-2002, by 1,424 Australian male Persian Gulf War veterans in relation to their 1991 Persian Gulf War deployment and by 625 Pers...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.7.632
更新日期：2006-07-01 00:00:00
abstract：:Our purpose was to demonstrate the consistency of radiologists' three-dimensional measurements of simulated blast fragment locations in vitro in an effort to objectively localize retained fragments and wound paths. We designed a phantom consisting of 10 nail heads (simulating blast fragments) glued to wooden pegs that...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00058
更新日期：2011-11-01 00:00:00
abstract：:U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title：Military medicine
pub_type： 历史文章,杂志文章,评审
doi：10.7205/milmed.170.4s.17
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVE:The study of physical injury from terrorist explosives is an increasing international area of research. However, there are few data sets to characterize the scope of injury and death from these devices. Therefore, one option is to begin evaluating statistics reported by a nontraditional public health data sou...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.7.595
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutiv...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00234
更新日期：2012-08-01 00:00:00
abstract：:We present a 30-year-old combat veteran with an unclear exposure history, with multiple deployments who was later diagnosed with acute renal failure as a result of light-chain deposition disease. Despite a drastic decline in kappa light chains following chemotherapy; his renal function worsened, and he progressed to e...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-17-00164
更新日期：2017-11-01 00:00:00
abstract：:A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...
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：1994-01-01 00:00:00
abstract：:This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service). Veterans (N = 20...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00123
更新日期：2010-08-01 00:00:00
abstract：:This is a case report of a patient who prematurely terminated two previous magnetic resonance imaging procedures because of his highly claustrophobic condition. The patient was induced into a hypnotic trance twice before his third magnetic resonance imaging examination and he was given posthypnotic suggestions for dec...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：INTRODUCTION:Emergency department (ED) utilization represents an expensive and growing means of accessing care for a variety of conditions. Prior studies have characterized ED utilization in the general population. We aim to identify the clinical conditions that drive ED utilization in a universally insured population ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa547
更新日期：2020-12-17 00:00:00
abstract：:The effects on hearing thresholds, sound attenuation, and consonant discrimination of wearing a balaclava under hearing-protecting earmuffs were studied. This combination is commonly worn during cold weather military operations. One group of 20 normal-hearing adults (10 male and 10 female subjects) was tested. Within-...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.10.976
更新日期：2006-10-01 00:00:00
abstract：INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the family Coronaviridae and genus Betacoronavirus is the causative agent of COVID-19 disease and was first identified in Wuhan, China. SARS-CoV-2 spread globally with >28 million cases and 911,000 deaths recorded worldwide as of Sep...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa525
更新日期：2020-11-30 00:00:00
abstract：:The modern military battlefields are characterized by the use of nonconventional weapons such as encountered in the conflicts of the Gulf War I and Gulf War II. Recent warfare in Iraq, Afghanistan, and the Balkans has introduced radioactive weapons to the modern war zone scenarios. This presents the military medicine ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00256
更新日期：2017-03-01 00:00:00
