Abstract:
INTRODUCTION:Volunteering as a health promotion intervention is positively related to improved health and well-being in civilians and older adults. Yet, the impacts of participating in a community-based volunteering program on returning military veterans have not been studied, nor have the outcomes for veterans who have experienced a traumatic brain injury (TBI). MATERIALS AND METHODS:This observational, pre-post survey examines health, psychological, and social outcomes from a cohort of post-9/11/01 veterans with (N = 67) and without a reported TBI history (N = 273) who completed a 6-month, 20-hour per week veteran-focused civic service program. This study was approved by the Saint Louis University Institutional Review Board. RESULTS:Veterans with a TBI history who completed the 6-month civic service program conducted by a veteran-focused national nonprofit organization showed significant pre-post improvement (p < 0.05) in overall health, decreased post-traumatic stress disorder (PTSD) symptoms, increased perceived self-efficacy, decreased feelings of isolation and loneliness, and increased perceived availability of social support. These significant findings were not due to participants seeking external help for emotional problems. Out of four aspects of PTSD symptomatology assessed, "feeling numb or detached from others, activities, or surroundings" most accounted for the decrease in PTSD scores. Given this and taken together with the significant decrease in social isolation and loneliness and the social nature of the program, we posit that decreased social isolation and loneliness is the primary driver of the improved psychological and social outcomes documented here. Finally, pre-post change scores did not differ significantly between veterans with and without a TBI, indicating that TBI history did not hinder the ability to benefit from this program. CONCLUSION:Completion of this civic service program positively impacted veterans with TBI, especially on psychological and social outcomes important to recovery and life satisfaction after TBI. Civic service may provide an innovative approach to promoting wellness in returning veterans with a TBI. Results of this study provide preliminary evidence that civic service decreases social isolation and loneliness in veterans with a reported TBI history. Given our findings, volunteering may prevent against social isolation and be promotional of perceived social support in veterans with TBI.
journal_name
Mil Medjournal_title
Military medicineauthors
Lawrence KA,Matthieu MM,Robertson-Blackmore Edoi
10.7205/MILMED-D-16-00150subject
Has Abstractpub_date
2017-07-01 00:00:00pages
e1763-e1770issue
7eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
杂志文章abstract::Community-acquired pneumonia can compromise readiness of recruits and service members operating in confined spaces. Often respiratory pathogens are implicated in outbreaks. In July 2008, 5 Basic Underwater Demolition/SEAL students entering an intense period of training at Naval Amphibious Base Coronado reported with c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00370
更新日期:2011-03-01 00:00:00
abstract::Arteriopathy associated with human immunodeficiency virus infection and clinical acquired immunodeficiency syndrome is well-documented. The pathophysiology of this arteriopathy may vary in different vascular beds. Although arteriopathy of central nervous system (CNS) circulation has been recognized in pediatric patien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.647
更新日期:2007-06-01 00:00:00
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::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: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::The objective of the present study was to compare three specialized treatment programs for post-traumatic stress disorder (PTSD) in different Veterans Affairs medical centers, in terms of the format of therapeutic services and the medications prescribed for PTSD. Chart review methods were used to examine medical recor...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.7205/milmed.170.4.305
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:Alpha-blockers and calcium channel blockers have shown promise for medical expulsion therapy (MET) of distal ureteral calculi < 1 cm in size. Although MET has been discussed in urology for some time, little has been written about MET in the emergency medicine and primary care literature. We sought to evaluate c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00100
更新日期:2010-11-01 00:00:00
abstract::Leading a medical treatment facility (MTF) through the construction phases of a major upgrade, repair, or any sizable facility project is a challenging and complex endeavor. The Executive Staff can make the process easier on everyone and ensure the final product is in tune with the MTFs needs by taking positive leader...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::For nasopharyngeal carcinoma (NPC), radiotherapy is the primary treatment. However, complications occur after radiation to the nasopharynx, which could potentially affect the flying safety. Four fighter pilots with NPC were reported. With early to locally advanced NPC, they received radiotherapy with or without concur...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz276
更新日期:2020-03-02 00:00:00
abstract::Active duty military personnel and civilian government employees are at risk for exposure to a variety of pathogens as they meet their mission requirements throughout the world. When they present with a systemic disease, the clinician must entertain a broad differential diagnosis due to the multitude of infectious, ne...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00017
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:The goal was to show the epidemiological characteristics and clinical manifestations of Lyme borreliosis in Croatia. METHODS:Data on registered Lyme borreliosis cases were analyzed and the most common clinical manifestations of the disease, based on meta-analysis of the data collected, are described. RESULT...
journal_title:Military medicine
pub_type: 杂志文章,meta分析
doi:10.7205/milmed.171.11.1105
更新日期:2006-11-01 00:00:00
abstract::In open, intra-articular distal humerus fracture caused by gunshot injury, full functional recovery is difficult to obtain. Three basic treatment methods are available: minimal internal fixation, open reduction-internal fixation, and external fixation. In Gülhane Military Medical Academy Department of Orthopedics and ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:INTRODUCTION:The most common cause of preventable death on the battlefield is significant blood loss, eventually causing decrease in tissue oxygen delivery. Pulse oximeters (POs) are widely used by the Israeli Defense Forces to obtain fast and noninvasive information about peripheral oxygen saturation (SpO2). However, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa314
更新日期:2021-01-25 00:00:00
abstract::The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficie...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00148
更新日期:2014-11-01 00:00:00
abstract::Prostate cancer remains the second most commonly diagnosed cancer among the male population worldwide. Vitamin D deficiency has been linked to prostate cancer and its aggressiveness. Herein, we initiated a retrospective study to evaluate vitamin D status and monitoring in veterans with prostate cancer, and to examine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00540
更新日期:2014-01-01 00:00:00
abstract::Post-conflict hospitalization rates of active duty Marines deployed to the Persian Gulf War were compared with hospitalization rates of similar Marine Corps units returning from the Vietnam conflict. The aggregated Gulf War units exhibited lower hospitalization rates than their Vietnam counterparts. Examined separatel...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::Past research suggests that the negative consequences related to exposure to traumatic events and injury may impact cohesive work relationships. Additionally, trauma and low cohesive relationships independently predict poorer psychological and physical health in service members. The objective of the present study was ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.3.266
更新日期:2007-03-01 00:00:00
abstract::The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion E...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00258
更新日期:2010-07-01 00:00:00
abstract:Objective:Women are serving in the armed forces and deployed to areas of conflict in increasing numbers. Problems such as depressive symptoms and risks related to combat exposure can have negative effects on adjustment following service; understanding the relationship between these problems may contribute to strategies...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx065
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa359
更新日期:2021-01-25 00:00:00
abstract::Disseminated fungal infections are normally opportunistic infections in the immunocompromised population. Current literature has documented a high mortality rate with these infections in civilian trauma or as complications of severe burns. There is only one published case of fungal infection in a combat-injured indivi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00322
更新日期:2013-04-01 00:00:00
abstract::Over the past few years, the indications for resuscitative thoracotomy in civilian trauma have been refined. The use of this procedure for military casualities has received only brief mention. We have described our experience with 93 consecutive thoracotomies performed in a level I trauma center and have attempted to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 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:INTRODUCTION:The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States. MATERIALS AND METHODS:Retrospective comparison of all pectoralis major tendon repairs performed at Madigan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz068
更新日期:2019-12-01 00:00:00
abstract::Rationale for the decision to transport and assessment of available resources are integral components of the decision for aeromedical evacuation of critically ill patients. We present the case of a 20-year-old man who sustained significant trauma after his vehicle struck a land mine. This case reviews and emphasizes t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.7.586
更新日期:2006-07-01 00:00:00
abstract:INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz208
更新日期:2020-01-07 00:00:00
abstract:INTRODUCTION:Military helicopters are increasingly agile and capable of producing significant G forces experienced in the longitudinal (z) axis of the body in a head-to-foot direction (+Gz). Dehydration and fatigue can adversely affect a pilot's +Gz tolerance, leading to +Gz-induced symptomatology occurring at lower +G...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00073
更新日期:2016-11-01 00:00:00
abstract::Streptococcus pneumoniae causes severe morbidity and mortality worldwide and poses a significant threat to the health and readiness of U.S. military personnel. Although a vaccine to prevent pneumococcal infections has been available for almost 25 years, its use has been limited. Recently, increasing antibiotic resista...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::Rhabdomyolysis and myoglobinuric acute renal failure may occur following strenuous exercise and may be more common in less physically conditioned persons. A case of moderately severe acute renal failure after the exercise involved in a routine Army Physical Fitness Test (APFT) is described. This level of exertion, whi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Gastric involvement in Hodgkin's disease is rare. A case of gastric Hodgkin's disease occurring after autologous bone marrow transplantation is presented. A retrospective review of 339 cases of Hodgkin's disease in the Tumor Registry at Brooke Army Medical Center revealed six additional cases of documented gastric inv...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00