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 end-stage renal disease, requiring hemodialysis. Light-chain-mediated acute tubular interstitial nephritis is an uncommon type of monoclonal gammopathy of renal significance presenting with acute renal failure without significant glomerular disease. Our case illustrates that light-chain-mediated acute tubular interstitial nephritis may present clinically like acute interstitial nephritis and that renal biopsy is critical for diagnosis. We also explore possible links between various environmental and occupational exposures that could have precipitated his disease process at such a young age.
journal_name
Mil Medjournal_title
Military medicineauthors
Forster BM,Hinton AP,Thurlow JSdoi
10.7205/MILMED-D-17-00164subject
Has Abstractpub_date
2017-11-01 00:00:00pages
e2099-e2103issue
11eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
杂志文章abstract：:Air National Guard (ANG) medical units perform 2 weeks of active duty training each year to develop and maintain essential medical skills. Providing meaningful training is, however, a great challenge to both the Guard unit and its active duty counterpart. Too often, annual training is not a relevant learning experienc...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：:Operation Desert Shield/Storm provided an opportunity to evaluate current medical assets and doctrine in support of Army air-land battle operations. The missions assigned to a medical company (clearing) during Operation Desert Shield/Storm demonstrated the value of the area support medical battalion as authorized unde...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:This study reports dental emergency rates and distribution of causes of dental emergencies at two expeditionary medical support facilities supporting operations Enduring Freedom/ Iraqi Freedom. A retrospective cohort analysis of 9948 soldiers deployed to Prince Sultan Air Base, Kingdom of Saudi Arabia, and 1467 soldie...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.7.510
更新日期：2004-07-01 00:00:00
abstract：UNLABELLED:Ranger training includes strenuous physical activities and despite heat mitigations strategies, numerous cases of serious exertional heat illness (EHI) occur. We developed an Arm Immersion Cooling (AIC) system that is not logistically burdensome and may be easily employed in training environments. PURPOSE:T...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00727
更新日期：2015-11-01 00:00:00
abstract：:Fixed wing aircraft are the primary means of deployment for designated U.S. contingency forces. The majority of logistical constraints medical units encounter during deployment (in support of contingency forces) are a direct result of limited airframes dedicated to their movement into an area of operations. The compet...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
abstract：:The contribution of American military surgeons to the development of orthopedic surgery has not previously been explored. The experiences of American military surgeons in conflicts from the Civil War to Iraq and Afghanistan have advanced the orthopedic discipline, resulting in important developments within the field, ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed-d-10-00374
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION:Medical solider readiness processing (SRP) needed to continue during the COVID-19 pandemic. We developed a rapid practice improvement project to allow for a hybrid virtual medical SRP/in-person medical SRP to decrease exposure risk. A retrospective review comparing this virtual SRP to a historical in-perso...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa580
更新日期：2021-01-15 00:00:00
abstract：:The prevalence of traumatic event exposure and post-traumatic stress disorder (PTSD) were surveyed in a cohort of 198 full-time operational members of the South African National Defence Force stationed in their "home" unit between deployments. Approximately 90% of members reported having experienced or witnessed traum...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:A case of fly larva infestation of the eye (ophthalmomyiasis) is reported in an American soldier serving in Operation Desert Shield. Background information, prognosis, and treatment are discussed. ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-08-01 00:00:00
abstract：:Malaria was eradicated and the Republic of Korea (ROK) declared "malaria free" in 1979. However, in 1993, a temperate strain of vivax malaria, expressing both latent and nonlatent disease populations, re-emerged near the demilitarized zone (DMZ), rapidly spread to civilian sectors near the DMZ, and increased exponenti...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-01-6208
更新日期：2009-07-01 00:00:00
abstract：:One of the goals of the 1999 International Conference on Low-Level Radiation Injury and Medical Countermeasures was to review current and anticipated capabilities for measuring the quantity and quality of radiation exposures using personal dosimetry systems, fieldable spectroscopy equipment, and modeling strategies. T...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：:Improvised explosive devices and mines pose a formidable threat to military convoys traveling in Iraq. This study evaluated battle injuries sustained by a mechanized battalion operating against this threat. The objective was to gain insight into injury profiles and prevention. In the period examined, 32 attacks injure...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.6.546
更新日期：2005-06-01 00:00:00
abstract：:Recently, fat distribution has become of clinical interest in assessing one's risk for coronary heart disease (CHD). Investigations have shown stronger relationships between abdominal, or central adiposity, and various well known risk factors for CHD, than peripheral and/or total adiposity. The simple waist-to-hip rat...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
abstract：INTRODUCTION:The use of opioids has increased drastically over the past few years and decades. As a result, concerns have mounted over serious outcomes associated with chronic opioid use (COU), including dependency and death. A greater understanding of the factors that are associated with COU will be critical if prescr...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy026
更新日期：2018-09-01 00:00:00
abstract：:This paper describes the results of a nonexperimental descriptive research study in which specific positive and negative health behaviors used by soldiers in a medical reserve unit to ensure compliance with the Army Weight Control standards were surveyed using a questionnaire. The findings of the survey, particularly ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-06-01 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：:Trauma disclosure is the initial step toward healing trauma-related distress. This study used qualitative methods to better understand factors facilitating and inhibiting change in the disclosure process. Fifty-six veterans were interviewed about their disclosure experiences between August 2004 and 2005. Emerging them...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00054
更新日期：2010-10-01 00:00:00
abstract：:A case is presented of a young active duty woman who experienced nonpsychotic denial of pregnancy until she precipitously delivered a healthy full-term infant. Despite the lack of prenatal care and the requirement for neonatal resuscitation, the child has apparently developed normally. The woman had no ongoing psychia...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 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：:A 30-year review of the Armed Forces Tumor Registry revealed that of 3,126 thyroid cancers on file, 82 were in the pediatric population. All of these cases were reviewed, and the mean age was found to be 13.8 years. There as a male-to-female ratio of 1:2.3. At the time of diagnosis, 33% had regional nodes and 6% had d...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：BACKGROUND:Objective Structured Clinical Examinations (OSCEs) are used at the majority of U.S. medical schools. Given the high resource demands with constructing and administering OSCEs, understanding how OSCEs relate to typical performance measures in medical school could help educators more effectively design curricu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00237
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:A new training and rehabilitation methodology called Sanomechanics® is presented based on a recent discovery of the anatomical system called Floating Skeleton System (FSS) responsible for redistributing contact pressures in the joint capsules and thus minimizing the loads on joint cartilages. MATERIALS AND ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa476
更新日期：2021-01-25 00:00:00
abstract：:This study examines the attitudes of 176 Israel Defense Forces officers toward combat stress reaction (CSR) in four areas: (1) the degree of personal responsibility the officer accepts for the treatment of the CSR casualty; (2) the type of treatment the officer views as most effective for CSR; (3) the officer's willin...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:This cross-sectional telephone survey study assessed prevalence rates of current chemical sensitivity, frequency of chemical odor intolerance, and self-reported Persian Gulf chemical exposures among 41 randomly sampled Department of Veterans Affairs outpatients who were Persian Gulf War (PGW) and PGW-era veterans. The...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:Using a gas mask (GM) may involve considerable inconvenience, impairment of respiration and communication, and serious psychological reactions. The medical literature is primarily focused on the occupational aspects of using the GM by young and healthy workers. In contrast, there is hardly any information concerning t...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
abstract：INTRODUCTION:The objective was to determine if the Mobile Device Outcomes-based Rehabilitation Program (MDORP) improved strength, mobility, and gait quality in service members (SMs) and Veterans with lower limb amputation (LLA). METHODS:Seven SMs and 10 Veterans with LLA enrolled and were trained to use a mobile senso...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：10.1093/milmed/usz201
更新日期：2020-01-07 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：:This case report examines a vesiculopustular reaction which occurred in a young Marine 9 d after receiving the smallpox vaccination. Review of the CDC guidelines, ACAM2000 package insert, and literature surrounding the smallpox vaccine reveals several well-established adverse cutaneous reactions associated with vaccin...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx133
更新日期：2018-09-01 00:00:00
abstract：:In a 2-year retrospective study, suicide prevention efforts produced a significant reduction in suicide attempts at a U.S. Navy training command. Evidence was presented that suicide prevention may be a more pressing issue at training commands than operational commands. The approach described here focused on instructor...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：INTRODUCTION:Computer-aided design/computer-aided manufacturing (CAD/CAM) has gained increasing popularity since the first commercially viable dental system was introduced in the mid-1980s. Digitally milled dental restorations can be fabricated chairside in the course of one dental appointment, reducing time, cost, and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy260
更新日期：2019-05-01 00:00:00
