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 adversely affect hearing. The present study explored the prevalence of tinnitus and the association with self-rated health among military personnel injured during combat deployment. MATERIALS AND METHODS:A total of 1,026 U.S. military personnel who sustained an injury during operations (592 battle blast, 73 battle nonblast, 361 nonbattle) in Iraq were identified from clinical records. Post-Deployment Health Assessments administered at two separate points in time were used to identify self-reported tinnitus symptoms and self-rated health within 1 year of injury. RESULTS:Those with a battle blast injury had the highest prevalence of tinnitus with 19.1% and 31.3% on the first and second health assessments, respectively. In a multivariate model adjusting for combat exposure, concussion, posttraumatic stress disorder, and other covariates, tinnitus was associated with lower self-rated health for both the first (odds ratio [OR] = 3.31, 95% confidence interval [CI] = 2.07-5.30, P < 0.001) and second assessments (OR = 2.52, 95% CI = 1.76-3.61, P < 0.001). CONCLUSIONS:Tinnitus is a common source of impairment among military personnel injured during combat deployment and is associated with poorer self-rated health. Future research should determine whether timing of assessment is linked to symptom recognition or reporting, and what interventions are best suited for ameliorating the negative impact of tinnitus.
journal_name
Mil Medjournal_title
Military medicineauthors
MacGregor AJ,Joseph AR,Dougherty ALdoi
10.1093/milmed/usaa103subject
Has Abstractpub_date
2020-09-18 00:00:00pages
e1608-e1614issue
9-10eissn
0026-4075issn
1930-613Xpii
5850963journal_volume
185pub_type
杂志文章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：:Four cases of splenic infarction/sequestration in sickle cell trait (SCT) patients are presented. All four patients were undergoing moderate exercise at elevations ranging from 5,500 to 12,000 feet. The patients include two African-American males, a Hispanic male, and a white female. All four presented with the acute ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1999-03-01 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：UNLABELLED:Complementary and alternative medicine (CAM) is a growing component of medicine within the U.S. civilian and military populations. Tripler Army Medical Center (TAMC) Family Medicine Clinic represents an overseas medical facility stationed among a diverse ethnic population. The impact that local cultures have...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00077
更新日期：2010-07-01 00:00:00
abstract：:Squamous cell carcinoma of the uterine cervix typically has a curable precancerous phase of 5 to 10 years, during which the Papanicolaou (Pap) test can often detect characteristic cytologic features. The records of 126,024 Pap tests from January 1994 through June 1999 were reviewed. The distribution of cervical dyspla...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：:The purpose of this study was to evaluate the effects of the M17 and M43 protective masks on stereoacuity. Twelve subjects were tested on the Keystone diagnostic series stereopsis test at nearpoint and the Howard-Dolman apparatus at 40 cm and 6 m. Stereopsis was evaluated without a mask and with the M43 and M17 masks....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：BACKGROUND:Fluid intake during military training is prescribed based on the interactions among work rates, environmental conditions, and uniform configurations. The efficacy of this guidance has not been empirically assessed in over a decade. To determine the acceptability of the fluid intake guidance, sweat losses wer...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy066
更新日期：2018-09-01 00:00:00
abstract：:We compared demographic profiles across two rural-urban classification schemes to determine whether rural-urban disparities in health status persisted among Veterans Administration (VA) users over time. Using demographic and SF-12 survey data collected from 2002 to 2006, we conducted serial cross-sectional analyses of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00048
更新日期：2010-04-01 00:00:00
abstract：:In response to an apparent clustering of homicides at Fort Carson, Colorado, the U.S. Army Public Health Command (formerly the U.S. Army Center for Health Promotion and Preventive Medicine) Behavioral and Social Health Outcomes Program conducted a multidisciplinary epidemiologic consultation to identify factors contri...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00344
更新日期：2012-04-01 00:00:00
abstract：:Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-02-01 00:00:00
abstract：:This study's objective was to describe: (1) patterns of cancer prevalence and type, (2) patient demographics, and (3) the sources, and cost, of medical care in the military beneficiary population using the Military Health System administrative databases. Calendar year 2002 patient enrollment, inpatient and outpatient ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.10.1084
更新日期：2007-10-01 00:00:00
abstract：:The Wars in Afghanistan and Iraq witnessed the first widespread use of U.S. Army Forward Surgical Teams (FSTs). Although doctrinally designed to support maneuver brigades in a linear front conflict, FSTs were quickly adapted to fulfill area support and special operation support missions as part of Operation Enduring F...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00137
更新日期：2012-11-01 00:00:00
abstract：:Cognitive dysfunction is commonly observed among individuals with alcohol use disorder (AUD) and trauma exposure and is, in turn, associated with worse clinical outcomes. Accordingly, disruptions in cognitive functioning may be conceptualized as a trans-disease phenomenon representing a potential high-yield target for...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00228
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVES:Despite significant efforts in suicide prevention over the past several years, suicide rates in the U.S. Army remain largely unchanged. This paper describes a collaborative effort between line-unit leaders, medical personnel, and installation services to synchronize suicide risk identification and communicat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy284
更新日期：2019-03-01 00:00:00
abstract：:Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
abstract：:The physiological and cognitive performance of acclimatized soldiers undertaking routine patrol and reconnaissance activities in the tropics was investigated. Data were obtained during a patrol and a reconnaissance exercise followed by a short assault. Ambient conditions were characterized by temperatures of 30 to 33 ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
abstract：:The purpose of this article was to give a brief synopsis of the background and history of forensic nursing and how it can be translated into a military application. The unique setting of military health care and equally distinctive stressors placed upon members of the military calls for greater commitment by the Depar...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.1.42
更新日期：2008-01-01 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：: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 ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz462
更新日期：2020-03-02 00:00:00
abstract：:Civilian emergency response personnel who assist at chemical or biological disaster scenes are likely to be novices at functioning in chemical-biological (C-B) protective clothing (CBC) meant for use on contaminated battlefields. Such teams must be aware that CBC imposes numerous physiological, psychophysiological, an...
journal_title：Military medicine
pub_type：
doi：
更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS)...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-17-00010
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Military Service Members (SMs) with upper limb (UL) amputation have unrestricted access to occupational therapy (OT) services. Identifying OT interventions used based on clinical rationale and patient needs can provide insight toward developing best practice guidelines. The purpose of this retrospective ob...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz341
更新日期：2020-03-02 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：:Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians shoul...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.supplement_2.15
更新日期：2007-12-01 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：: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：INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa553
更新日期：2021-01-11 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
abstract：:The first licensed Haemophilus influenzae type B (Hib) vaccines were of a purified capsular oligosaccharide. Unfortunately, oligosaccharides are poorly immunogenic in younger children and resulted in these vaccines not routinely being used until past the period of peak incidence of Hib disease. Subsequent Hib vaccine ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-10-01 00:00:00
abstract：:In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-11-00067
更新日期：2011-11-01 00:00:00
