Abstract：
INTRODUCTION:Post-traumatic stress disorder (PTSD) is a severe and debilitating condition affecting a significant proportion of the veteran community. A substantial number of veterans with PTSD fail to benefit from trauma-focused psychological therapies or pharmacotherapy or are left with residual symptoms, and therefore, investigation of new and innovative treatment is required. Theta Burst Stimulation (TBS) is a novel form of Repetitive Transcranial Magnetic Stimulation, which has been shown to improve depression symptoms and associated cognitive deficits. The current pilot study aimed to explore the acceptability, safety, and tolerability of intermittent TBS (iTBS) as a treatment for PTSD in Australian veterans. MATERIALS AND METHODS:This study employed a case series, repeated-measures design. Eight Australian Defence Force veterans with PTSD received 20 bilateral iTBS treatments (1 session per day, 5 days per week over a 4-week period) and were assessed on a range of mental health and neuropsychological measures, including the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) and Hamilton Depression Rating Scale (HAM-D), at pretreatment, post-treatment, and a 3-month follow-up. RESULTS:Treatment was generally welltolerated, with reported side-effects including mild to moderate site-specific cranial pain and headaches during stimulation, which were relieved with the use of low dose analgesics. No serious side effects or adverse events were reported. Participants exhibited reductions in both PTSD and depression symptom severity (the repeated-measures effect size [dRM] for the CAPS-5 was -1.78, and the HAM-D was -1.16 post-treatment), as well as improvements in working memory and processing speed. Although significance cannot be inferred, these preliminary estimates of effect size indicate change over time. CONCLUSIONS:Bilateral iTBS appears to be welltolerated by Australian veterans. Within this repeated-measures case series, iTBS treatment shows promise in reducing both PTSD and mood symptoms, as well as improving cognitive difficulties associated with these disorders. Large-scale randomized controlled trials of this promising treatment are warranted.
journal_name
Mil Medjournal_title
Military medicineauthors
Nursey J,Sbisa A,Knight H,Ralph N,Cowlishaw S,Forbes D,O'Donnell M,Hinton M,Cooper J,Hopwood M,McFarlane A,Herring S,Fitzgerald Pdoi
10.1093/milmed/usaa149subject
Has Abstractpub_date
2020-09-18 00:00:00pages
e1770-e1778issue
9-10eissn
0026-4075issn
1930-613Xpii
5864875journal_volume
185pub_type
杂志文章abstract：OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
abstract：BACKGROUND:Transfusion of freshly collected blood products (FCBP) is sometimes necessary to save service member (SM) lives in austere deployed environments. Recipients of FCBPs are administratively tracked and offered serial serologic testing via the Armed Services Blood Program "Blood Look Back" (BLB) program to assur...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00512
更新日期：2016-09-01 00:00:00
abstract：:In March-May 1988, we collected data on enrollment of 1,445 Army families with grade school children in the Active Duty Dependents Dental Insurance Plan at two Army posts. We also surveyed their reactions to the plan. Results show that, although nearly two-thirds of families are enrolled in the plan, most consider the...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：BACKGROUND:Foot friction blisters in military personnel lessen a soldier's mobility, concentration, and critical decision-making skills. OBJECTIVE:To determine the prevalence of and factors associated with friction blisters during deployment in all military personnel who nonurgently presented to the 28th Combat Suppor...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00325
更新日期：2012-02-01 00:00:00
abstract：:In combat, the tactical situation can prevent rapid evacuation to definitive care, or casualty overload can tie up the surgical teams. All medical personnel and their supporting cadre should have the ability to manage wounds and burns. Controlling bleeding and airways, cleaning and debriding wounds, and dressing or sp...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-08-01 00:00:00
abstract：:We report on two patients with head and neck injuries, who remained asymptomatic after the earthquake for 1 and 2 years, respectively. They developed late transient ischemic neurological signs and eventually presented with complete occlusion of the internal carotid artery. They made a good recovery with medical treatm...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.7.556
更新日期：2004-07-01 00:00:00
abstract：:The United States Army Europe Stress Management Team (USAREUR SMT) is designed to assist victims of hostage, terrorist, and disaster situations. Early intervention is intended to prevent the development of chronic posttraumatic stress disorder. This paper describes the operation of the SMT following the missile attack...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：:Telemedicine, an emerging technology which seeks to use advanced telecommunications equipment to enhance medical care, is progressing rapidly in the Department of Defense health care delivery system. This paper recommends that a cautious, preventive law approach be simultaneously initiated to ensure that the technolog...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:Piercing in general and particularly tongue piercing is gaining popularity in the Western world. The French army and so the French air force are concerned by this phenomenon. A case report of a pilot suffering from dental pain with operational consequences due to a dental fracture during Operation Trident (Kosovo) is ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00149
更新日期：2010-10-01 00:00:00
abstract：:Segmental bony defects in open fractures of the tibia are bridged with bone grafting, free vascularized fibular grafts, or an external ring fixator. A 33-year-old man sustained a gunshot injury to his left leg, resulting in Gustillo type IIIB open fractures of the tibia and fibula. The tibia had a segmental massive de...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.5.418
更新日期：2005-05-01 00:00:00
abstract：:Osteomas of the mandibular condyle are rare. An unusual case of an osteoma occurring in the mandibular condyle of a 22-year-old man with mandibular deviation and malocclusion is reported; this represents the 14th documented case in the English language literature. The tumor was resected with condylectomy. Postoperativ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2005-02-01 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：: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：:A survey of 600 Army and Navy physicians deployed to the Persian Gulf during Operation Desert Storm was conducted to ascertain their concerns pertaining to the ethics of combat medicine and note any similarities with common ethical concerns in the peacetime practice of medicine. Despite expressed familiarity with the ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:This study was designed to provide information to assist in planning health promotion and wellness programs for military trainees. During their first semester at West Point, 179 cadets completed measures of holistic wellness, perceived stress, and mattering. The highest wellness scores were in areas of social support,...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.6.475
更新日期：2004-06-01 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：:The massive Department of Defense deployment in support of Hurricane Andrew relief cast the military medical departments in a new role. Military medical personnel were challenged to apply the traditional principles of combat medicine to a noncombat environment, within the continental United States, within an existing ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,2...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00049
更新日期：2010-03-01 00:00:00
abstract：:This study explores what factors influence whether active duty U.S. military personnel enroll their families in Department of Defense (DoD) or non-DoD dental insurance plans. The data come from a 26-site, cross-sectional survey of U.S. service members conducted from April 1994 to January 1995. A prestratified, randoml...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：:This article describes the postinjury cognitive functioning of a sample of active duty, retired, and military beneficiaries who received traumatic brain injuries. Patients were seen in the neuropsychology clinic at Brooke Army Medical Center for a detailed cognitive and personality assessment. The scores on a major co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:Over the last 50 years, members of the U.S. military have faced the threat of malaria in diverse geographical locations and operational situations, resulting in considerable morbidity and mortality. However, because malaria may be transported out of endemic areas and into areas that are free of malaria, the threat doe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.10.925
更新日期：2006-10-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to examine the way in which the oral health of recruits changed during the 4 years immediately after entry on active duty. METHODS:In 1998, 1,331 dental records of recruits in the 1994 Tri-Service Comprehensive Oral Health Survey were located, and treatment data were analyzed....
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.1.38
更新日期：2004-01-01 00:00:00
abstract：INTRODUCTION:Dietary intake of military initial entry trainees is often inadequate because of the structured food environment, lack of snacking, and limited time for meals. Inadequate intake during training increases risk for injury, poor performance, and attrition from training. A performance nutrition initiative was ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00451
更新日期：2017-01-01 00:00:00
abstract：:This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-14-00079
更新日期：2014-09-01 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：OBJECTIVE:To document the ongoing trauma experience of U.S. Army surgeons during peacetime clinical practice. METHODS:Surveys were mailed to the trauma directors of military surgical services worldwide. Questions focused on numbers of operative cases and availability of trauma resources. Laparotomy, thoracotomy, and v...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：INTRODUCTION:This study evaluates a large cohort of college students after the 2009-2010 pandemic H1N1 influenza season. The objective was to assess influenza vaccination status, influenzalike illnesses (ILIs), and other characteristics associated with attaining immunizations. METHODS:This study was conducted during t...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz257
更新日期：2020-01-07 00:00:00
abstract：:In the easily surveyable and rather homogeneous military population of the Norwegian Armed Forces, a group of 112 male suicide-attempting conscripts was studied retrospectively. Compared to a normal conscript population, suicide attempters more often had troublesome backgrounds, had experienced psychiatric problems an...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-12-01 00:00:00
abstract：:Pneumothorax is a condition where air exists in the chest cavity, outside the lung. The causes of pneumothorax are numerous and determining the etiology can aid in treatment and prevent recurrence. We describe a 47-year-old female patient with past medical history of endometriosis who presented to the emergency room w...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz468
更新日期：2020-09-18 00:00:00
abstract：:Community-acquired pneumonia can compromise readiness of recruits and service members operating in confined spaces. Often respiratory pathogens are implicated in outbreaks. In July 2008, 5 Basic Underwater Demolition/SEAL students entering an intense period of training at Naval Amphibious Base Coronado reported with c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00370
更新日期：2011-03-01 00:00:00
