Abstract:
:When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He was ultimately diagnosed with acute hepatitis E, but his diagnosis was initially confounded by multiple exposures to supplements known to cause drug-induced liver injury. This case illustrates the importance of broadened serologic testing in patients with acute liver injury returning from countries endemic with hepatitis E and also highlights the challenges in diagnosis of acute hepatitis E with currently available testing.
journal_name
Mil Medjournal_title
Military medicineauthors
Bush A,Sadowski B,Torres Ddoi
10.1093/milmed/usy272subject
Has Abstractpub_date
2019-05-01 00:00:00pages
e480-e482issue
5-6eissn
0026-4075issn
1930-613Xpii
5160925journal_volume
184pub_type
杂志文章abstract::Orthopedic trauma remains one of the most survivable battlefield injuries seen in modern conflicts. Translating research into practice is a critical bridge that permits surgeons to further optimize medical outcomes. Orthopedic surgeons serving in the military may treat little to no trauma in their stateside practice. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00296
更新日期:2015-04-01 00:00:00
abstract::I visited Afghanistan during the recent conflict. The conditions were primitive, and all patients with major injuries died in the field. Those who could make the 2 to 3 week trip over the mountains to Pakistan received only basic medical care at best. Without air superiority and helicopter evacuation, this could be th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract::A new technique called osseointegration was introduced recently by intimately connecting the artificial limb prosthesis to the residual bone, eliminating the problematic socket-residuum interface. The objective here is to describe the two-stage strategy for the osseointegrated reconstruction of amputated limbs and dis...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx185
更新日期:2018-03-01 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 Navy Reserve Nurse Corps faces a nursing shortage that reflects the national picture and holds major implications for the military patient care readiness of this nation. This account of the changing climate of nursing practice in the Navy Reserves offers observations on recruitment and retention strategies for the...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:Introduction:This is an empirical study to better understand commonly used medical school admission measures and disenrollment decisions during undergraduate medical education as well as graduate medical education (GME) probation or termination decisions. Materials and Methods:Based on the data of USUHS medical studen...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy069
更新日期:2018-11-01 00:00:00
abstract::Using a postpartum survey, comparing singles to married, we sought to expand existing information on pregnancy occurring among active duty service women. The study instrument was a 59-question survey distributed in the initial 24 hours postpartum and collected prior to discharge. The majority affirmed that pregnancy h...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::In this study an all-male population of 256 U.S. Army basic trainees and 98 armor officer basic course students were surveyed concerning extent of use, knowledge of, and factors contributing to the use of smokeless tobacco (ST). The survey was administered at a dental clinic at Fort Knox, Kentucky. The data were analy...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:To increase accessibility and availability of secondary medical care, 10 secondary unit specialist clinics were established side-by-side with five existing regional specialist centers, thus achieving decentralization. The purpose was to analyze the impact of this reorganization on overall consumption of secon...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.12.1229
更新日期:2006-12-01 00:00:00
abstract:INTRODUCTION:Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-17-00060
更新日期:2017-11-01 00:00:00
abstract::Sulfur Mustard (SM) is a potent alkylating agent with electrophilic property which has been used as a chemical warfare agent in at least 12 conflicts. It has reemerged as a major threat in recent years. Medical attention is primarily concerned with its action on the skin, eyes, and respiratory tract which may be compl...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) is one of the more commonly occurring mental disorders following potentially traumatizing events soldiers may encounter when deployed abroad. One of the first-line recommended treatment options is eye movement desensitization and reprocessing (EMDR). The number of studie...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00307
更新日期:2017-05-01 00:00:00
abstract::A case series of 417 consecutive ward admissions onboard the USS Forrestal (CV59) is presented. During the 1-year study period, the inpatient ward was open for 260 days while the ship was underway, including workups and extended Mediterranean deployment. The case series displays the variety of clinical inpatient care ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::Army health care personnel play a key role in the Army's Family Advocacy Program, yet little is known about their beliefs toward domestic violence. This study surveyed the beliefs of selected Army Medical Department personnel concerning the extent, nature, causes, and management of spouse abuse. The study suggests tha...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::This study evaluated the risk to hearing health associated with duty on the flight deck of a Nimitz class aircraft carrier. Descriptive data includes time-weighted average noise exposure and an evaluation of temporary threshold shift for a group of nonaviator flight deck personnel (FD), and a comparison of accrued per...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.6.429
更新日期:2004-06-01 00:00:00
abstract:INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the family Coronaviridae and genus Betacoronavirus is the causative agent of COVID-19 disease and was first identified in Wuhan, China. SARS-CoV-2 spread globally with >28 million cases and 911,000 deaths recorded worldwide as of Sep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa525
更新日期:2020-11-30 00:00:00
abstract::This paper reports on U.S. service members' satisfaction with family dental care. The data come from a 26-site survey of active duty Army, Navy, Marine, and Air Force personnel conducted from April 1994 to January 1995. Of 12,050 respondents (81% response rate) to a prestratified, random sample, 4,412 had at least one...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract::This study assessed the effect of premilitary and military trauma on the psychological health of more than 1,000 female and male active duty soldiers. Questionnaire data provided information on demographics, history of trauma exposure, and general psychological health as assessed by the Brief Symptom Inventory (BSI). ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:Introduction:Mild traumatic brain injury (mTBI) and post-traumatic stress disorder (PTSD) are common military service-related conditions diagnosed both singly and together in veterans returning from recent military conflicts overseas. The impact of these disorders in real-world Veterans Health Administration practice h...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx050
更新日期:2018-03-01 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:OBJECTIVE:This study describes and categorizes the cultural frictions and conflicts within a successfully implemented Internal Medicine Patient-Centered Medical Home (PCMH) clinic at the National Naval Medical Center, and provides lessons learned for combating these concerns. METHODS:A semistructured interview protoco...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00146
更新日期:2013-02-01 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::Appropriate and consistent use of condom remains an effective approach to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) intervention. We analyzed the baseline data gathered for a situationally based HIV/AIDS intervention to assess the potential predictors of condom use among the Uniforme...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.10.1027
更新日期:2006-10-01 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::The purpose of this investigation is to determine if intraosseous infusion (IO) is a suitable method for the delivery of recombinant human factor VIIa (rFVIIa) during hemorrhagic shock. The measures that were used to evaluate IO delivery suitability included: (1) determination of clinically significant local or system...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-58-7608
更新日期:2009-02-01 00:00:00
abstract:UNLABELLED:The Department of Defense spends more than $50 million dollars a year on humanitarian assistance (HA) projects. Although the projects are perceived as beneficial, demonstrating sustainable long-term impact is not possible. METHODS:A seven-step monitoring and evaluation (M&E) process was adapted for this stu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.4.339
更新日期:2007-04-01 00:00:00
abstract:INTRODUCTION:Young military Service Members with traumatic unilateral lower limb amputations may be at a high risk for developing knee osteoarthritis (OA). There is growing evidence for potential influence and predictive value of nonsystemic risk factors on development and progression of primary knee OA in older adults...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-15-00510
更新日期:2016-11-01 00:00:00
abstract::A 36-year-old man with chronic severe exertional myalgias had a normal serum lactate elevation and diminished serum ammonia elevation on an ischemic forearm exercise test (IFET). The IFET is commonly performed in the evaluation of patients with complaints of exertional myalgias, cramps, and rhabdomyolysis. The finding...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract:Introduction:Few studies have reported the amount of physical activity (PA) and its associations to physical performance of warfighters during military field training (MFT). The purpose of this study was to investigate changes in neuromuscular performance and PA among male Finnish Army conscripts during a 21-d MFT and ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx049
更新日期:2018-05-01 00:00:00
abstract::Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and revi...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.1093/milmed/usy135
更新日期:2019-01-01 00:00:00