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 posterolateral neck dissection that was successfully managed with a combination of drain suction, pressure dressing, and a fat-restricted diet. However, the patient's course was complicated by repeated chyle leak recurrences that may have been associated with the initiation of medium-chain triglyceride supplementation. Although further research is required to establish a causal relationship, these findings support the concerns of other investigators about the possible counterproductive role of medium-chain triglyceride supplementation in the management of chyle leaks.
journal_name
Mil Medjournal_title
Military medicineauthors
Meyer CD,McLeod IK,Gallagher DJdoi
10.7205/MILMED-D-15-00240subject
Has Abstractpub_date
2016-09-01 00:00:00pages
e1180-4issue
9eissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
杂志文章abstract：INTRODUCTION:In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular co...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy375
更新日期：2019-07-01 00:00:00
abstract：:Military free fall or HALO (high altitude-low opening) is a distinct form of tactical parachuting used by the elite forces of the U.S. military. This study was undertaken to examine the type, location, and mechanism of injuries sustained by the military HALO parachutist during training. A retrospective study identifie...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-07-01 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：CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00545
更新日期：2016-02-01 00:00:00
abstract：:Of 782 Army families with children that were surveyed, over 10% reported one or more member with health problems or handicapping conditions requiring special ongoing treatment. However, less than half of these were enrolled in the Exceptional Family Member Program. Families with illnesses/handicaps that were enrolled ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：:Non-cardiogenic pulmonary edema (NCPE) is a rare entity manifested by pulmonary edema with normal pulmonary arterial pressures. NCPE has been described in children and recently reported in adults. Onset is rapid and late recognition or inappropriate treatment may lead to a fatal outcome. Most adult cases have been att...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:Weight or fat reduction and maintenance among military personnel and attainment of desired body composition and physical appearance are considered important. A high level of body fat has been shown to have an adverse effect on performance in a number of military activities. The effect of rapid weight loss on performan...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed.171.6.550
更新日期：2006-06-01 00:00:00
abstract：:Camp Bullis, Texas, is an active training facility for the U.S. Army and Air Force with a storied history dating back to the late 19th century. In the early 1940s, an epidemic of a seasonal tick-borne rickettsial-like illness occurred at Camp Bullis; the last case was reported in 1947. To date, the etiology of this di...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.169.11.863
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVES:A cuffed bag valve mask (BVM) is the most common device used by emergency medical responders to ventilate patients. The BVM can be difficult for users to seal around the patient's mouth and nose. An intraoral mask (IOM) with snorkel-like design may facilitate quicker and better ventilation particularly under...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy304
更新日期：2019-03-01 00:00:00
abstract：INTRODUCTION:Attention deficit hyperactive disorder (ADHD) is prevalent in 5.9-7.1% of children and adolescents, and 5% of adults. It results in poor academic, occupational, and social functioning. Pharmacotherapy improves core symptoms; however, average adherence levels are low and decrease at 16-17 years of age, just...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy161
更新日期：2018-09-01 00:00:00
abstract：:The purpose of this study was to determine the incidence of Clostridium perfringens-associated vomiting and diarrhea in canine and feline patients at the Okinawa Branch Veterinary Service and to establish a relationship between dietary indiscretion and the presence of clostridial enterotoxemia. Stool samples were obta...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-03-01 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：:The results of a drug use evaluation of lisinopril at a large teaching military medical center are reported. Indicators and thresholds were developed and approved by the Pharmacy and Therapeutics Committee. The medical charts of 227 patients for whom lisinopril was prescribed from June 1991 to June 1992 were reviewed ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-02-01 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：: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：: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：INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz451
更新日期：2020-08-14 00:00:00
abstract：:Despite significant advances in hearing protection and compliance with protective standards, military personnel are still subject to noise-induced hearing loss in many combat and combat support operations. Although the Army has experienced a decrease of some 15% in primary hearing loss disability cases since 1986, a f...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:Patients are referred to the endodontist to have root canal therapy performed to treat pulpal and periradicular diseases. Routinely, the only radiograph to accompany the patient is the periapical radiograph. This radiograph is inadequate in the detection of asymptomatic pathosis that may be present in other areas of t...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
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：:Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 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：:Microparticle immunoenzymatic assay (MEIA) is a new, ultrasensitive technique recently introduced for detection of prostatic specific antigen (PSA). It is easily performed, totally automated, and cheaper and faster than radioimmunometric techniques. In this study, the levels of PSA in 194 males with urologic problems ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-08-01 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：OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
abstract：:Piercing in general and particularly tongue piercing is gaining popularity in the Western world. The French army and so the French air force are concerned by this phenomenon. A case report of a pilot suffering from dental pain with operational consequences due to a dental fracture during Operation Trident (Kosovo) is ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00149
更新日期：2010-10-01 00:00:00
abstract：:Thousands of military members self-medicate with dietary supplements containing unknown quantities of pharmacologically active compounds. These poorly regulated substances can cause real harm to the military population, especially when they contain stimulants such as caffeine. When taken regularly, caffeine has severa...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00045
更新日期：2015-08-01 00:00:00
abstract：:Cold-water immersion can include aspects of both hypothermia and near drowning. We present a case of a 22-year-old active duty service member who became a victim of cold-water immersion in Alaska. His rescue by the U.S. Coast Guard and subsequent treatment in a small community emergency room are reviewed using a case ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.5.459
更新日期：2006-05-01 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：:This study surveyed 2,287 U.S. Navy health care providers (HCPs) regarding patient-care practices and attitudes related to tobacco use. Almost 80% of HCPs reported that they usually asked new patients about tobacco use. Of 11 recommended practices, two-thirds to three-quarters of HCPs engaged in only 4 behaviors with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
