Abstract：
:Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million people worldwide. A seldom on the Primary Care Physician's differential diagnosis in the United States, Diphyllobothrium spp. should be considered more readily when treating operational service members as they are exposed to endemic regions more frequently than the civilian population. This case presents one such service member diagnosed with Diphyllobothrium while aboard a U.S. naval vessel at sea, illustrating the importance of military medical providers considering Tapeworm infection even when risk factors seem remote. Diagnostic considerations, practical limitations of the Ova and Parasite (O&P) exam, particulars of specimen collection and handling, and recommendations for empiric treatment in the operational setting will be reviewed.
journal_name
Mil Medjournal_title
Military medicineauthors
Reilly DFdoi
10.1093/milmed/usz462subject
Has Abstractpub_date
2020-03-02 00:00:00pages
e510-e512issue
3-4eissn
0026-4075issn
1930-613Xpii
5781835journal_volume
185pub_type
杂志文章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：: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 w...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy272
更新日期：2019-05-01 00:00:00
abstract：:Intravenous cannula and administration set fixation is crucial for fluid resuscitation and intravenous administration of medications. Because conventional hospital fixations are insufficient for the military field scenario, two consecutive, prospective, randomized, clinical trials were performed in the Israel Defense ...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed.170.11.931
更新日期：2005-11-01 00:00:00
abstract：OBJECTIVE:To investigate the delivery of health services to different ethnic groups in the war and postwar periods in the area of Livno, Bosnia and Herzegovina. METHODS:The total population, percentages by nationality, and numbers of persons medically or surgically treated at the War and General Hospital of Livno betw...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.9.810
更新日期：2005-09-01 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：UNLABELLED:Increased helmet-mounted mass and specific neck postures have been found to be a cause of increased muscular activity and stress. However, pilots who use night vision goggles (NVG) frequently use counterweight (CW) equipment such as a lead mass that is attached to the back of the flight helmet to provide bal...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.8.864
更新日期：2007-08-01 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：: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：INTRODUCTION:Combat deployment is associated with mental and physical health disorders and functional impairment. Mental health (MH) diagnoses such as adjustment and anxiety disorders have received little research attention but may reflect important postdeployment sequelae. The purpose of this study was to investigate ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa301
更新日期：2021-01-25 00:00:00
abstract：:A cross-sectional postal survey was conducted to evaluate the health of a random sample of United Kingdom Armed Forces personnel who were deployed to the 1990-1991 Persian Gulf conflict compared with nondeployed controls and controls deployed to Bosnia. The health of service women was examined and compared with that o...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
abstract：:Beginning in 1991, case reports of coccidioidomycosis in California increased dramatically, pursuant to a variety of natural and demographic factors. This highly infectious fungal disease with propensity to disseminate widely, mimic other conditions, and cause pathology at locations distant in place and time is readil...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：:The purpose of this study was to compare the relationship of Temperament and Character Inventory (TCI) scores of three groups of U.S. Air Force basic trainees. The following groups were used: those who were psychiatrically hospitalized, a control group, and a group identified as being at risk for early separation from...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
abstract：INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz454
更新日期：2020-08-14 00:00:00
abstract：INTRODUCTION:Canadian Armed Forces adopted fibrinogen concentrate (RiaSTAP) for hemostatic resuscitation in the far-forward combat setting, given its potential benefits of reducing blood loss, blood transfusion and mortality, and its long storage stability and high portability. The current guidance recommends that RiaS...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa409
更新日期：2020-11-16 00:00:00
abstract：:The Department of Defense Serum Repository (DoDSR) of the Armed Forces Health Surveillance Center (AFHSC), Silver Spring, Maryland, has over 55 million specimens. Over 80% of these specimens are linked to individual health data. In response to Congressional and Department of Defense (DoD) concern about toxic exposures...
journal_title：Military medicine
pub_type：
doi：10.7205/MILMED-D-15-00065
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVES:Soldiers failing to meet Army Regulation 600-9 (AR 600-9) for weight-to-height standards are required to undergo body fat taping assessment. This article describes a clinical performance improvement project in which battalion medical staff identified a simpler way to improve on meeting AR 600-9 standards wit...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00049
更新日期：2017-03-01 00:00:00
abstract：:Vitamin D insufficiency remains a costly pandemic in veterans. Treatment requires achievement of desired 25-hydroxyvitamin D [25(OH)D] concentrations. The frequency with which 25(OH)D should be measured following treatment remains speculative. A retrospective analysis of veterans with vitamin D insufficiency was condu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00282
更新日期：2010-06-01 00:00:00
abstract：INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa403
更新日期：2021-01-25 00:00:00
abstract：:This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursing practice and culture. A conceptual mo...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：10.7205/MILMED-D-13-00191
更新日期：2013-09-01 00:00:00
abstract：:An investigation was conducted to determine if testing machine crosshead speed influenced shear bond strength (SBS) or the failure mode of composite bonded to enamel and dentin. Composite cylinders were bonded to 50 enamel and 50 dentin surfaces and thermocycled. Groups of 10 samples were debonded at speeds of 0.1, 0....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-10-01 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：:The objective of this study was to compare military suicide rates with civilian suicide rates, adjusting for age and sex differences that exist between the two populations. The number of active component (AC) service members whose manner of death was certified as suicide was determined for specific age and sex groups ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx209
更新日期：2018-03-01 00:00:00
abstract：:The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkale...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00076
更新日期：2017-07-01 00:00:00
abstract：:Breast infections caused by Mycobacterium tuberculosis, although rare in western countries, should not be forgotten as a cause of a breast lump presenting clinically and radiologically as a carcinoma in the older patient who gives a history of previous tuberculosis. We report the case of an 84-year-old woman with a br...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
abstract：:Little attention is given in psychiatry residency programs to preparing graduates to occupy division psychiatry slots. The first part of this paper discusses several guidelines: preparations to make before leaving for a new post; immediate steps to take upon arrival; the place of the Division Mental Health Service in ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:The use of the pneumococcal 7-valent conjugate vaccine (PCV7 [Prevnar], Wyeth Lederle Vaccines), and the impact it is likely to have on pneumococcal disease are reviewed. Pneumococcal disease in infants and young children is a major health care burden, and the increase in antibiotic resistance among pneumococci has co...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2002-08-01 00:00:00
abstract：:This paper examines the role and implementation of a casualty processing unit (CPU) developed by a multi-service group during Operation Desert Storm in Saudi Arabia. Data were obtained from review of flight manifests, fleet hospital admission records, 24-hour follow-up of patients admitted to Fleet Hospital 15, and pa...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：:World War I recruits were screened for tuberculosis almost exclusively with a history and physical exam. Radiography was unavailable on a large scale and expensive. New techniques developed in Brazil and elsewhere in the 1930s made mass radiographic screening practical. During World War II, the U.S. Army and Navy took...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：
更新日期：1992-03-01 00:00:00
abstract：:At the direction of the Army Surgeon General, the Army behavioral health consultants in psychiatry, psychology, and social work assembled in Washington, DC immediately after the September 11, 2001 attack to plan and implement a proactive behavioral health response to the Pentagon attack. The goal was to minimize the s...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：INTRODUCTION:Respiratory tract infections (RTI), such as those caused by influenza viruses and, more recently, the severe acute respiratory syndrome coronavirus-2, pose a significant burden to military health care systems and force readiness. The gut microbiota influences immune function, is malleable, and may provide ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa261
更新日期：2020-11-02 00:00:00
