Abstract：
:Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococcal, and antifungal treatments, there was no improvement. The skin progressed to an erythematous plaque and hemorrhagic ulcer; punch biopsy and speciation revealed Leishmaniasis guyanensis. The patient was switched to a seven-dose course of intravenous L-amphotericin B (visceral leishmaniasis protocol). Within 21 days, pain and edema resolved and the ulcers healed. Three-month follow-up demonstrated no recurrence. Further studies are needed to evaluate the use of L-amphotericin B in Leishmaniasis guyanensis.
journal_name
Mil Medjournal_title
Military medicineauthors
Goodrich ES,Sears SC,Sorrells T,Radike JK,Miladi A,Glass JSdoi
10.7205/MILMED-D-17-00054subject
Has Abstractpub_date
2017-07-01 00:00:00pages
e1969-e1972issue
7eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
杂志文章abstract：BACKGROUND:Addition of an oxygen concentrator into a control loop furthers previous work in autonomous control of oxygenation. Software integrates concentrator and ventilator function from a single control point, ensuring maximum efficiency by placing a pulse of oxygen at the beginning of the breath. We sought to verif...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00150
更新日期：2016-05-01 00:00:00
abstract：:A 26-year-old pregnant female was treated for an intralobar sequestration presenting as exsanguinating hemoptysis. The case brings forth strong evidence supporting an acquired rather than a congenital cause of some intralobar sequestrations. We discuss the anatomy, epidemiology, and pathogenesis of bronchopulmonary se...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examin...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-08-01 00:00:00
abstract：:In June 1988, the armed forces of the United States began testing prospective candidates for military service for alcohol, marijuana metabolite (THC-COOH), and cocaine metabolite (benzoylecgonine) through the Military Entrance Processing Station (MEPS) program. Comparison of the confirmed positive drug rates for pre-i...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:Few studies have evaluated high altitude headache (HAH) and acute mountain sickness (AMS) in military populations training at moderate (1,500-2,500 m) to high altitudes (>2,500 m). In the current study, researchers interviewed active duty personnel training at Marine Corps Mountain Warfare Training Center. Participant...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00007
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To optimally practice medicine, and to live healthy lives, providers and patients need convenient access to authoritative information. The goal of this study was to determine the information needs of naval primary care providers and patients at sea to aid development of a digital health sciences library for n...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00367
更新日期：2016-09-01 00:00:00
abstract：:Lean Six Sigma (LSS) is a process improvement methodology developed in the manufacturing industry to increase process efficiency while maintaining product quality. The efficacy of LSS application to the health care setting has not been adequately studied. This article presents a quality improvement project at the U.S....
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00247
更新日期：2016-06-01 00:00:00
abstract：:Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy401
更新日期：2019-07-01 00:00:00
abstract：:The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.9.760
更新日期：2005-09-01 00:00:00
abstract：:The Physical Training and Rehabilitation Program (PTRP) is a recovery and reintegration program for recruits in Initial Entry Training (IET) who are unable to continue training because of serious injury. This investigation examined PTRP admission incidence among recruits in IET at Forts Jackson, Leonard Wood, Benning,...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00361
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVES:To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions. METHODS:Mixed methods study of resident ratings of medicine attendings (Period 1: 1994-1996, n = 250 and Period 2: 2007-2009, n = 152). Residents evalua...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00445
更新日期：2016-01-01 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：:The two articles presented previously in this volume provide state-of-the-art reviews of the etiology, epidemiology, screening and treatment of substance use disorder (SUD). This article identifies next steps in research and development for understanding and treating SUD in Operation Enduring Freedom/Operation Iraqi F...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00126
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask condit...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa553
更新日期：2021-01-11 00:00:00
abstract：OBJECTIVE:To describe the demographic characteristics and postwar health status of U.S. Gulf War veterans who participated in the Department of Veterans Affairs health examination registry program. DESIGN:Case records of 52,835 veterans who participated in a standardized health examination program were reviewed. SETT...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-05-01 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：:In 1991-1992, a pelvic stress fracture incidence of 11.2% was recorded in a cohort of 143 female Australian Army recruits. An incidence of 0.1% was recorded in a cohort of male recruits trained in the 1992-1993 year using a nearly identical program. A number of preventive strategies were instituted in an attempt to re...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.8.600
更新日期：2004-08-01 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
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：UNLABELLED:Musculoskeletal injuries are the most common cause for disability in deployed environments. Current research is limited to body region affected by the injury. OBJECTIVE:To determine the prevalence of musculoskeletal diagnoses and mechanisms of injury (MOI) as well as associations to specific Military Occupa...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00006
更新日期：2011-08-01 00:00:00
abstract：:Serotonin syndrome is a potential side effect of some psychotropic medications in common use today. With over 8000 adverse events related to this condition in 2004 alone, this risk warrants further attention. The deployed environment presents a unique set of stressors and risks involved in treatment with any psychothe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00031
更新日期：2010-12-01 00:00:00
abstract：:The Military Health Services System is undergoing tremendous changes paralleling those seen in the civilian health care system. Many of the same problems and frustrations are being encountered in the military as it builds TRICARE, one of the largest managed care systems in the country. This paper describes how a team ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：:Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy063
更新日期：2018-09-01 00:00:00
abstract：:In June 1998, six unexpected anterior cruciate ligament (ACL) ruptures within 12 months were detected by routine injury surveillance in a cohort of Australian Army recruits. Local investigation, reported separately as a Case Report in this issue, suggested the cause to be an excessive coefficient of friction between r...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
abstract：:Isoniazid prophylaxis is a major part of the U.S. Air Force tuberculosis (TB) screening program and is closely tied to the efforts to eliminate TB. If a facility has a low prevalence rate of TB and there is no sound epidemiological evidence to rule out a false-positive TB skin test, a higher threshold for what constit...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVE:The objective was to test, refine, and implement an algorithm for early detection and referral of clinical scaphoid fractures by U.S. Army medical personnel. Our goal was to reduce complications resulting from delayed diagnosis and to improve outcomes affecting soldier health and unit readiness. METHODS:Data...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.5.404
更新日期：2006-05-01 00:00:00
abstract：INTRODUCTION:The purpose of this evaluation was to determine the effectiveness of the clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one of the first evaluations conducted to document the outcomes of the Army Nurse Corps (ANC) transition-to practice residency program. MATERIALS AN...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz108
更新日期：2019-12-01 00:00:00
