Abstract:
:Three time frames were studied during the 54-year history of the Golden Gate Bridge from 1937 to 1991. During that period of time, there were 918 documented jumps from this majestic structure to the water 250 feet below. The last 15 years provided us with 297 consecutive patients, all brought to one institution, which were retrospectively reviewed and categorized as to site and type of injury for survivors and fatalities. This is the largest high-velocity water impact trauma series in the world. Certain unique characteristics of the Golden Gate Bridge and the San Francisco Bay lend itself to this extremely popular and successful form of suicide. These characteristics, as well as personal factors of free-fall water impact from each patient, are summarized and discussed in this paper.
journal_name
Mil Medjournal_title
Military medicineauthors
Lafave M,LaPorta AJ,Hutton J,Mallory PL 2ndsubject
Has Abstractpub_date
1995-04-01 00:00:00pages
197-9issue
4eissn
0026-4075issn
1930-613Xjournal_volume
160pub_type
杂志文章abstract:INTRODUCTION:The U.S. Air Force utilizes specialized Critical Care Air Transport Teams (CCATT) for transporting "stabilized" patients. Given the drawdown of military forces from various areas of operation, recent CCATT operations have increasingly involved the evacuation of unstable and incompletely resuscitated patien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy371
更新日期:2019-05-01 00:00:00
abstract::Recent studies suggest an increased risk of respiratory complaints associated with deployment. The objective measurement of lung function provided by portable spirometry is likely to improve the ability of military providers to diagnose and treat lung disease. A portable spirometer was taken to southern Afghanistan on...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00175
更新日期:2013-01-01 00:00:00
abstract:INTRODUCTION:This pilot study was conducted to examine, for the first time, the ongoing systems biology research and development projects within the laboratories and centers of the U.S. Army Medical Research and Materiel Command (USAMRMC). The analysis has provided an understanding of the breadth of systems biology act...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00446
更新日期:2017-09-01 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:INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/MILMED-D-17-00107
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Sexuality is an important part of health, quality of life, and general well-being, yet studies suggest that less than half of patients' sexual concerns are known by their physicians and that physicians are unaware of how common sexual concerns are among patients. The objective of this study was to determine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract:INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa223
更新日期:2021-01-25 00:00:00
abstract::A functional capacity evaluation (FCE) evaluates the ability of an individual to perform activities related to employment. There is no FCE specific to the military population; therefore, a FCE for the military population (FCE-M) was developed to evaluate an injured service member's (SM) ability to return to duty. The ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00072
更新日期:2017-01-01 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:OBJECTIVE:This article addresses the design of a robust autopilot for the delivery of intravenous anesthesia drugs. METHODS:A mathematical framework that expresses the pharmacological variability of a patient population into uncertainty bounds is proposed. These bounds can be effectively used to tune the parameters of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00380
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:The French army has implemented an algorithm based on the acronym "MARCHE RYAN," each letter standing for a key action to complete in order to help first care providers during emergency casualty care. On the battlefield, the risk of error is increased, and the use of cognitive aids (CAs) might be helpful t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz482
更新日期:2020-08-14 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 case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy128
更新日期:2018-11-01 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::Twenty-four pilots (age 20-32 years) were monitored with a Holter monitor during 26 hours including a high-Gz flight in order to evaluate heart rate (HR) and cardiac rhythm. Flight experience did not predict the mean in-flight HR (range 69-121 beats/minute), which decreased with increasing age and correlated to the ma...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract:Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to d...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx152
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:Laparoscopic hernioplasty was performed by either transabdominal preperitoneal or totally extraperitoneal approaches, The purpose of this study was to demonstrate that laparoscopic hernioplasty is a way to treat military personnel in the army with less pain and for the patients to return to an active lifestyl...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.7.690
更新日期:2007-07-01 00:00:00
abstract::Gunshot wounds are the second leading cause of spinal cord injuries in developed countries, whereas in undeveloped and developing countries, this likelihood is much more. However, the weapon and injury characteristics are very different between those two groups of countries. The aim of this study was to review our exp...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::We report a case of a type IV hypersensitivity reaction causing oral stomatitis, presumed to be the result of common dental adhesives. The case was diagnosed using patch testing to the dental adhesives that were used in the patient. Both of the adhesives tested contained a form of acrylate that is being seen more freq...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00232
更新日期:2017-03-01 00:00:00
abstract::We utilize a mixed methods approach to provide three new, separate analyses as part of the development of the next aeromedical evacuation (MEDEVAC) platform of the Future of Vertical Lift (FVL) program. The research questions follow: RQ1) What are the optimal capabilities of a FVL MEDEVAC platform given an Afghanistan...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-12-00370
更新日期:2013-03-01 00:00:00
abstract::Military operations have produced neuropsychiatric (NP) casualties throughout history. The same is true for radiation accidents. Although we have not carried out military operations in nuclear environments, related experience suggests that operations performed under low-level radiation conditions could serve to compou...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
abstract:INTRODUCTION:Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. M...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx112
更新日期:2018-09-01 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:BACKGROUND:The liver stages of Plasmodium parasites are important targets for the discovery and development of prophylactic drugs. METHODS:A real-time in vivo imaging system was used to determine the level of luminescence measured from firefly luciferase expression by sporozoites developing in hepatocytes in different...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00090
更新日期:2017-03-01 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::Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy063
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:Commercially available junctional tourniquets (JTQs) have several drawbacks. We developed a low-cost, compact, easy to apply JTQ. The aim of this study was to assess the tourniquets' safety and efficacy in a swine model of controlled hemorrhage. MATERIALS AND METHODS:Five pigs were subjected to controlled...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz351
更新日期:2020-01-07 00:00:00
abstract:PURPOSE:Determine the short-term effects of creatine supplementation on performance of military tasks, thermoregulation, and health risks. METHODS:Male military personnel were randomly assigned to a creatine (CR; N = 8) or a placebo (CON; N = 8) supplementation group. Testing was conducted at baseline, after a 6-day l...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-11-01 00:00:00