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 vaccination. These dermatologic reactions are typically mild and self-limited, but do have the potential to be life threatening - especially in those with immunocompromise. Unfortunately, the correct diagnosis can often be difficult to make, as many of these rashes share similar characteristics. Furthermore, the low overall incidence of some exanthema associated with the smallpox vaccination makes familiarization with these rashes difficult for the primary provider. This case report includes a review of the associated literature and seeks to offer the clinician some familiarity of the skin eruptions associated with the smallpox vaccination. Self-limited skin eruptions such as autoinoculation, nonviral pustulosis, and generalized vaccinia will be distinguished from the more serious eczema vaccinatum, and from the potentially life-threatening progressive vaccinia.
journal_name
Mil Medjournal_title
Military medicineauthors
Kramer TRdoi
10.1093/milmed/usx133subject
Has Abstractpub_date
2018-09-01 00:00:00pages
e649-e653issue
9-10eissn
0026-4075issn
1930-613Xpii
4931755journal_volume
183pub_type
杂志文章abstract：INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcar...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz287
更新日期：2020-01-07 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：:The purpose of this work was to determine the concentration and ratio of uranium isotopes in allied forces Gulf War veterans. The 27 patients had their 24-hour urine samples analyzed for 234U, 235U, 236U, and 238U by mass spectrometry. The urine samples were evaporated and separated into isotopic dilution and concentr...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-08-01 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 objective of this study was to assess the impact of a pilot nutrition intervention program on knowledge, attitudes, and behaviors of female combat soldiers in basic training serving in the Israeli army and to determine changes in nutrient intake. Seventy recruits participated in the intervention. Anthropometric me...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00439
更新日期：2013-05-01 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：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：:In this report, we describe the organizational framework, operations and current status of the Central Simulation Committee (CSC). The CSC was established in 2007 with the goals of standardizing simulation-based training in Army graduate medical education programs, assisting in redeployment training of physicians retu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00065
更新日期：2012-07-01 00:00:00
abstract：:A diminution in the anticoagulant effect of IV heparin with concomitant use of IV nitroglycerin has been reported. However, recent reports have disputed the existence of this interaction. The objective of this study was to assess the potential interaction of these agents in a clinical setting. Forty-five patients hosp...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-08-01 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：:Damage to the lymphatic vessels may occur after surgery on the greater saphenous vein. We describe the development of a lymphocele in a patient after saphenous vein harvesting for a coronary artery bypass graft. Treatment of these lymphoceles should initially be conservative, but if this approach fails, surgical excis...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：:This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/MILMED-D-13-00039
更新日期：2013-08-01 00:00:00
abstract：:This report, in an effort to assist in the development of future operational and planning guidelines, presents data from a no-notice exercise involving an aviation brigade in Germany preparing for possible deployment to Bosnia. One hundred twenty-two soldiers (of 918) requested vision screening during predeployment pr...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-02-01 00:00:00
abstract：:Discharge diagnoses from October 1, 1987 to September 30, 1988 were analyzed to quantitate infection. Four hundred forty-nine (4.8%) of 9,290 discharges (excluding 1-day stays) were infections. Pneumonia, caused by all etiological agents, was responsible for 2.4% of the principal diagnoses. These data help define the ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-02-01 00:00:00
abstract：:This case study describes the rehabilitation of 10 active duty U.S. soldiers with exertional rhabdomyolysis. The pathophysiology of rhabdomyolysis is discussed. The initial management is concerned with accurate diagnosis and monitoring of laboratory values to prevent complications. Active and passive range of motion, ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：INTRODUCTION:Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can ad...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa103
更新日期：2020-09-18 00:00:00
abstract：:The radiopacity of intermediate restorative materials should be sufficient to enable the clinician to distinguish the material from normal and decalcified tooth structure. The purpose of this study was to determine the relative radiopacities of intermediate restorative materials, including a newly introduced high-visc...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：INTRODUCTION:Sexually transmitted diseases (STD) affect primarily young people (17-24 years). The U.S. Military, with many young people, strives to maintain effective STD treatment and prevention programs using current methods. Laboratory testing technology and capacity are important for appropriate clinical management...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00248
更新日期：2017-03-01 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：: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：:Wide use of a succession of different manufactured antimicrobial agents during the past 60 years has prompted the eventual emergence and progressive spread through the world's interconnecting bacterial populations of a growing variety of genes expressing resistance to those agents. The complex processes that spread an...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：:Civil war prisoners of war fared badly. But there was one extraordinary wartime development that promoted the humane treatment of captive enemy soldiers. Beginning in June 1862, Union and Confederate authorities regarded medical officers as non-combatants. Largely attributable to the initiative of Hunter Holmes McGuir...
journal_title：Military medicine
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:The Israel Defense Forces (IDF) Medical Corps provides medical services-routine and emergency--to all IDF personnel (conscripts, career personnel, and reservists). Despite the fact that there are no differences in prevalence of disease in the IDF compared with the civil sector, health consumer appraisal, in the milita...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.4.282
更新日期：2004-04-01 00:00:00
abstract：:Recently, observational studies analyzing prehospital blood product transfusions (PHT) for trauma have become more widespread in both military and civilian communities. Due to these studies' non-random treatment assignment, propensity score (PS) methodologies are often used to determine an intervention's effectiveness...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.1093/milmed/usx137
更新日期：2018-03-01 00:00:00
abstract：:This article reports preliminary data on trauma and post-traumatic stress disorder (PTSD) prevalence, as well as test psychometrics, among 35 cognitively intact veterans residing in long-term care settings. Participants received a traumatic event screening, the Mini-Mental Status Examination, Combat Exposure Scale (CE...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.10.862
更新日期：2005-10-01 00:00:00
abstract：:Several biochemical tests are available to screen for heavy drinking in patients. Most of these (e.g., liver function tests and macrocytic volume) rise due to adverse effects of alcohol on organs or the organ's functions. Carbohydrate-deficient transferrin, however, seems to elevate because of the direct action of alc...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2003-05-01 00:00:00
abstract：BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's ...
journal_title：Military medicine
pub_type： 杂志文章,实务指引
doi：10.7205/MILMED-D-14-00113
更新日期：2014-12-01 00:00:00
abstract：:Smoking prevention and cessation programs were implemented and evaluated in recruit training. Four groups of incoming recruits were compared: an education group, a no-smoking group, a health risk appraisal feedback group, and a no-treatment control group. Smoking behavior, perceptions related to smoking, and knowledge...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:The federal initiative for electronic health record (EHR) interoperability began in 2000 and set the stage for the establishment of the 2004 Executive Order for EHR interoperability by 2014. This article discusses the chronology from the 2001 e-Government Consolidated Health Informatics (CHI) initiative through the cu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-03-9708
更新日期：2009-05-01 00:00:00
abstract：:Occupational upper-extremity disorders have been associated with prolonged pain and work disability. Using the U.S. Army Physical Disability Agency database, the present case-control studies (n = 434 and n = 342) investigated the contribution of demographic, physical, occupational psychosocial, and individual psychoso...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-08-01 00:00:00
