Abstract：
:Diarrheal disease affects a large proportion of military personnel deployed to developing countries, resulting in decreased job performance and operational readiness. Travelers' diarrhea is self-limiting and generally resolves within 5 days; however, antibiotic treatment significantly reduces symptom severity and duration of illness. Presently, azithromycin is the preferred first-line antibiotic for the treatment of acute watery diarrhea (single dose 500 mg), as well as for febrile diarrhea and dysentery (single dose 1,000 mg). Levofloxacin and ciprofloxacin are also options for acute watery diarrhea (single dose 500 mg and 750 mg, respectively) and febrile diarrhea/dysentery in areas with high rates of Shigella (500 mg once for 3 days [once daily with levofloxacin and twice daily with ciprofloxacin]), but are becoming less effective because of increasing fluoroquinolone resistance, particularly among Campylobacter spp. Another alternate for acute watery diarrhea is rifaximin (200 mg 3 times per day for 3 days); however, it should not be used with invasive illness. Use of loperamide in combination with antibiotic treatment is also beneficial as it has been shown to further reduce gastrointestinal symptoms and duration of illness. Because of regional differences in the predominance of pathogens and resistance levels, choice of antibiotic should take travel destination into consideration.
journal_name
Mil Medjournal_title
Military medicineauthors
Tribble DRdoi
10.7205/MILMED-D-17-00068subject
Has Abstractpub_date
2017-09-01 00:00:00pages
17-25issue
S2eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
杂志文章abstract：:We report on a 22-year-old infantryman who sustained a right frontal wound to his head. He was treated and returned to duty immediately. During a computed tomography scan, 38 years after the incident, a metallic foreign body and disruption of the brain consistent with a projectile track were discovered in his brain. I...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-10-00323
更新日期：2011-02-01 00:00:00
abstract：:Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:The purpose of this study was to examine changes in select anaerobic and aerobic dependent physical performance tasks in U.S. Marines exposured to field operations at moderate altitude. The subjects (N = 16) completed Wingate anaerobic power, submaximal aerobic cycle ergometry, hand grip strength, and push-up tests on...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies. This ca...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa029
更新日期：2020-09-18 00:00:00
abstract：:During Operation Desert Shield/Storm, it was necessary to activate and deploy a large number of U.S. Army Reserve and National Guard medical units to augment the active Army health care treatment capability. In addition, a significant number of active Army physicians, nurses, dentists, and other health care providers ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-03-01 00:00:00
abstract：:Today's military is experiencing rapid advances in technology and in manpower utilization. The Army Medical Department is redesigning the structure and function of deployable hospital systems as part of this effort. The transformation of deployable hospital systems requires that a critical analysis of manpower utiliza...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.8.770
更新日期：2006-08-01 00:00:00
abstract：:Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVE:To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. METHODS:The Department of Defense's Joint Theater Trauma Registry was que...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-13-00393
更新日期：2014-04-01 00:00:00
abstract：:A 22-year-old male U.S. Navy airman with new nontender subcutaneous, 4-cm mass inferior to the right anterior costal margin was sent for routine biopsy. Sudden appearance of axillary lymph nodes prompted immediate excisional biopsy of the primary mass. Pathological evaluation was initially read as Onchocerca volvulus,...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00400
更新日期：2011-09-01 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：Objective:To quantitatively measure tissue composition and hemodynamics during resuscitative endovascular balloon occlusion of the aorta (REBOA) in two tissue compartments using non-invasive two-channel broadband diffuse optical spectroscopy (DOS). Methods:Tissue concentrations of oxy- and deoxyhemoglobin (HbO2 and Hb...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx163
更新日期：2018-03-01 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：:When the patent on fluoxetine expired in 2001, prices for it fell sharply and marketing decreased. We investigated how market share for fluoxetine changed with the introduction of the generic. Prescribing information was tracked at a military hospital where providers knew the cost of medication, but were not compelled...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.1.100
更新日期：2008-01-01 00:00:00
abstract：:This research identifies variables affecting the length of time to process a soldier through the U.S. Army Physical Disability Evaluation System (PDES). The subjects are 8,301 soldiers whose disability records were processed in fiscal year 1996. The dependent variable examined was the average number of days a soldier ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:A duplication cyst of the ileum was initially observed in a fetus at 26 weeks gestation on prenatal ultrasonography. Repeated spontaneous resolution of the cyst by decompression into the adjacent bowel lumen delayed diagnosis and management until the child was 9 months of age. The child experienced two episodes of hem...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-11-01 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：:In March-May 1988, we collected data on enrollment of 1,445 Army families with grade school children in the Active Duty Dependents Dental Insurance Plan at two Army posts. We also surveyed their reactions to the plan. Results show that, although nearly two-thirds of families are enrolled in the plan, most consider the...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：INTRODUCTION:With more than 370,000 military and civilian personnel stationed across Pacific Command (PACOM), medical evacuation in this largest command presents unique challenges. The authors describe medical evacuations analyzed from the U.S. Air Force Transportation Command Regulating and Command & Control Evacuatio...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa289
更新日期：2020-11-21 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：:Critically injured patients are at risk for hypothermia. This study determined the efficacy of three hypothermia prevention strategies: the ChillBuster warming blanket, ChillBuster with a reflective blanket, and two wool blankets. A quasi-experimental design was used to compare changes in core temperature. Following r...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.3.322
更新日期：2007-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00446
更新日期：2014-07-01 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：:Tuberculosis (TB) is a common disease worldwide affecting more than 2 billion people, including latent, pulmonary, and extrapulmonary TB. The presentation of disseminated TB is variable and dependent on the organs affected. Therefore, making the diagnosis and providing appropriate treatment can be delayed. We present ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-15-00232
更新日期：2016-03-01 00:00:00
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journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：:Unit watch over suicidal patients by nonmedical soldiers is often necessary in a deployed environment, but this strategy's risks may outweigh its benefits in a garrison environment. This case study illustrates risks of unit watches that are difficult for medical personnel to effectively mitigate. The suicidal soldier ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00519
更新日期：2015-06-01 00:00:00
abstract：:A critical determinant of successful neck exploration for primary hyperparathyroidism (HPT) is the experience of the surgeon. Results of 17 patients treated surgically for HPT were reviewed to compare results at our medical center with results of large series reported from established national centers. Preoperative la...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：INTRODUCTION:Neck pain among rotary-wing aviators has been established as an important issue in the military community, yet no U.S. Army regulation defines exactly what cervical spine range of motion (CROM) is adequate for flight. This lack of regulation leaves flight surgeons to subjectively determine whether an aviat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa270
更新日期：2021-01-25 00:00:00
abstract：:Between 1954 and 1973, more than 2000 men entering military service as conscientious objectors participated in Project Whitecoat as medical research volunteers for the Army's biological warfare defense program. An assessment of self-reported, current health status among 358 "exposed" individuals and 164 unexposed cont...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.170.3.183
更新日期：2005-03-01 00:00:00
abstract：:The purpose of this case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy128
更新日期：2018-11-01 00:00:00
abstract：:In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are ass...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
