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 Geneva Convention of 1949 outlining care of enemy wounded and civilian populations, many stated that these guidelines did not apply to their practice experience. Thirty-three percent disagreed with medical need as the sole determinant for care in triage, and 22% stated that enemy prisoners of war should receive care only after allied forces had been treated. Other concerns about the ethical practice of medicine during and after war were raised to include access to care, balancing goods and harms, resource allocation, and the definition of medical futility.
journal_name
Mil Medjournal_title
Military medicineauthors
Carter BSsubject
Has Abstractpub_date
1994-01-01 00:00:00pages
55-9issue
1eissn
0026-4075issn
1930-613Xjournal_volume
159pub_type
杂志文章abstract:BACKGROUND:Addition of an oxygen concentrator into a control loop furthers previous work in autonomous control of oxygenation. Software integrates concentrator and ventilator function from a single control point, ensuring maximum efficiency by placing a pulse of oxygen at the beginning of the breath. We sought to verif...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00150
更新日期:2016-05-01 00:00:00
abstract::This study assessed the predictors for students' success in the 882d Training Group's (Air Force School of Health Care Sciences) allied health courses at Sheppard Air Force Base, Texas. Correlation and regression analyses provided many predictors of students' success. From these predictors, the researchers ascertained...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:As the healthcare system shifts from fee-for service toward value-driven healthcare, interest has grown in medication-related quality metrics to evaluate quality and value within the healthcare system. While the Defense Health Agency (DHA) has taken steps to align healthcare quality measures across the ent...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz435
更新日期:2020-06-08 00:00:00
abstract::We describe a patient originally diagnosed with clinically definite multiple sclerosis whose actual diagnosis of conversion disorder was revealed when his examination was found to be fictitious, his radiological, electrophysiological, and biochemical tests were determined to be normal, and his symptoms were reversed t...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-10-01 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::A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...
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:1994-01-01 00:00:00
abstract::The regulatory aspects of generic drug substitution and the scientific concepts that serve as the basis for generic drug approval are discussed, with emphasis on the source of therapeutic equivalence information compiled by the Food and Drug Administration in Approved Drug Products with Therapeutic Equivalence Evaluat...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-04-01 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 use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore fu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00315
更新日期:2016-08-01 00:00:00
abstract:INTRODUCTION:To train and prepare cadets for a career as firefighters in Rio de Janeiro, the second-year students of the Officers Training Course are submitted to a Search, Rescue, and Survival Training (SRST) course, which is characterized by long periods of high physical exertion and sleep restriction during a 9-day ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa571
更新日期:2021-01-05 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::This article describes, from the perspective of Project HOPE volunteers, the precedent-setting, military-civilian partnership in staffing the USNS Mercy as part of the rapid response of the United States to the overwhelming devastation and loss of life resulting from the tsunami off the coast of Indonesia. The article...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.1s.34
更新日期:2006-10-01 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::As researchers examine the efficacy of interventions that simultaneously target more than 1 symptom, it is important to identify ways to help guide research and program development. This study used electronic medical record data to examine the covariation of multiple risk factors regularly assessed among primary care ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00119
更新日期:2014-10-01 00:00:00
abstract:INTRODUCTION:Service members (SMs) who are injured on deployment are at risk for myriad long-term health problems that may be ancillary to their physical injury, including high rates of depression and posttraumatic stress disorder, and poor health behaviors (e.g., problem drinking, cigarette and tobacco use, poor sleep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa242
更新日期:2020-10-02 00:00:00
abstract:INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz132
更新日期:2020-02-13 00:00:00
abstract::Our purpose was to demonstrate the consistency of radiologists' three-dimensional measurements of simulated blast fragment locations in vitro in an effort to objectively localize retained fragments and wound paths. We designed a phantom consisting of 10 nail heads (simulating blast fragments) glued to wooden pegs that...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00058
更新日期:2011-11-01 00:00:00
abstract::This study analyzed differences in baseline, course of treatment, and post-quit variables of participants in a tobacco-cessation program to identify factors predictive of outcome that could be used as a focus for intervention. The program offered a 10-week course of transdermal nicotine replacement combined with educa...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract::Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid sten...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract::For nasopharyngeal carcinoma (NPC), radiotherapy is the primary treatment. However, complications occur after radiation to the nasopharynx, which could potentially affect the flying safety. Four fighter pilots with NPC were reported. With early to locally advanced NPC, they received radiotherapy with or without concur...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz276
更新日期:2020-03-02 00:00:00
abstract::Tick bites, associated clinical symptoms, and antibodies against Borrelia burgdorferi were investigated in 77 Finnish army recruits training during summer in an endemic region and 50 control recruits serving outside the habitat of ticks. During a follow-up of 6 months, 26.9% of the study recruits reported tick bites. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract::Anthrax is occasionally encountered by U.S. military physicians in the deployed setting, where limited resources make it difficult to obtain laboratory confirmation. We present a case of cutaneous anthrax diagnosed using a ruggedized polymerase chain reaction device in austere combat conditions. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00062
更新日期:2013-08-01 00:00:00
abstract::Protective gear is mandatory for medical personnel treating casualties in a contaminated environment. In the present study, we assessed the ability of emergency medical technicians to insert an intravenous line in this situation. Sixty emergency medical technicians were randomized to a control group, wearing fatigues,...
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:1999-10-01 00:00:00
abstract:INTRODUCTION:Hypersensitivity reactions to natural rubber latex are well-characterized occupational concerns for health care personnel. Health care providers are at increased risk for exposure and possibly transmission of vaccine preventable diseases. Therefore, many health care facilities require providers to be vacci...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz376
更新日期:2020-03-02 00:00:00
abstract:OBJECTIVE:To assess the impact of relaxed asthma recruitment standards adopted by the Australian Defence Force in 2007. METHODS:A retrospective audit was conducted on clinical and administrative data for recruits, with and without mild asthma, in their first year of service. RESULTS:There was no evidence that mild as...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00009
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.8.600
更新日期:2004-08-01 00:00:00
abstract::Heat stroke is a rare clinical phenomenon, characterized by systemic heat and cytokine-induced organ damage. Permanent neurological deficits rarely develop following heat strokes, and cerebellar dysfunction predominates among these rare cases. We report a case of severe heat stroke with recovery from severe multiorgan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.603
更新日期:2007-06-01 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::Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00229
更新日期:2015-09-01 00:00:00
abstract::The results of a drug use evaluation of lisinopril at a large teaching military medical center are reported. Indicators and thresholds were developed and approved by the Pharmacy and Therapeutics Committee. The medical charts of 227 patients for whom lisinopril was prescribed from June 1991 to June 1992 were reviewed ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00