Abstract:
:Medical data from 120 U.S. Marine Corps trauma admissions to second-echelon facilities during Operation Desert Shield/Storm were examined. Sixty-five percent of the admissions occurred between February 22 and February 28, the time frame corresponding to the ground war and the preliminary mobilization period. Penetrating wounds were the most prevalent types of injury, followed by lacerations, open fractures, and closed fractures. The most frequent anatomical regions sustaining injuries were the leg, head, hand, and arm. Fragments were the causative agent of 63% of the admissions that had this variable recorded, while gunfire was the cause in 20% of the cases. The median injury-to-admission interval increased from 0.67 hours in the non-ground war period to 4.41 during the ground war.
journal_name
Mil Medjournal_title
Military medicineauthors
Leedham CS,Blood CG,Newland Csubject
Has Abstractpub_date
1993-08-01 00:00:00pages
508-12issue
8eissn
0026-4075issn
1930-613Xjournal_volume
158pub_type
杂志文章abstract::Burkholderia pseudomallei and B. mallei are two highly pathogenic bacteria responsible for melioidosis and glanders, respectively. Our laboratory developed hydrolysis probe-based real-time polymerase chain reaction assays targeting type three secretion system (TTS) and transposase family protein (TFP) of B. pseudomall...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00232
更新日期:2012-02-01 00:00:00
abstract::Non-cardiogenic pulmonary edema (NCPE) is a rare entity manifested by pulmonary edema with normal pulmonary arterial pressures. NCPE has been described in children and recently reported in adults. Onset is rapid and late recognition or inappropriate treatment may lead to a fatal outcome. Most adult cases have been att...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::The USNS Mercy (T-AH 19) is a unique environment for its staff and patients. Several environmental influences distinctively affect health, medical, and nursing care. Six main areas of environmental concern for operational nursing were examined. The strengths, weaknesses, opportunities, and threats to the internal envi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-06-01 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::The two articles presented previously in this volume provide state-of-the-art reviews of the etiology, epidemiology, screening and treatment of substance use disorder (SUD). This article identifies next steps in research and development for understanding and treating SUD in Operation Enduring Freedom/Operation Iraqi F...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00126
更新日期:2012-08-01 00:00:00
abstract::There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00444
更新日期:2014-03-01 00:00:00
abstract::Expedited Partner Therapy (EPT) is the practice of treating the partners of patients with sexually transmitted infections by providing medications for the patient to deliver to his or her sexual partner (s) without direct clinical assessment of the partner(s). EPT is an evidence-based option that can augment existing ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00590
更新日期:2015-08-01 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::Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz316
更新日期:2020-06-08 00:00:00
abstract::This paper reports a survey of routine admission and preoperative diagnostic studies required by regulation at fifteen USAF hospitals. The results show that each hospital differs from the others on studies required. Clinical reports show that routine diagnostic studies are inappropriate on hospital admission. Clinical...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:Post-traumatic headache (PTH) is a commonly experienced symptom after mild traumatic brain injury (mTBI). Blast injury- or blunt injury-related mechanisms for mTBI in veterans can also affect musculoskeletal structures in the neck, resulting in comorbid neck pain (NP). However, it is unknown whether the pres...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa532
更新日期:2020-12-11 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: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:CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00545
更新日期:2016-02-01 00:00:00
abstract::To help preserve in-theater strength within deployed military units, commercially available, rapid, user-friendly ABO-Rh blood typing kits were evaluated to determine their stability in storage conditions commonly encountered by the warfighter. Methods for environmental exposure testing were based on MIL-STD-810F. Whe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-0909
更新日期:2009-10-01 00:00:00
abstract::A retrospective study was performed to evaluate breast imaging in the Wilford Hall Medical Center, the largest medical facility in the U.S. Air Force, from the time period of October 1997 to October 2000, in comparison with its civilian counterparts. The results demonstrate that although Wilford Hall Medical Center br...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.5.361
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to establish an efficient explosive model with spherical explosives for the study of blast injury and its wound characteristics in the maxillofacial region. METHODS:Different spherical explosives were used to produce blast waves and to establish the wound model. Fresh sheep heads a...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
abstract::Although research for accelerated resolution therapy (ART) has been predominately for post-traumatic stress disorder, ART has shown promise as a treatment for other behavioral health conditions as well. ART is a brief, trauma-focused, eye movement-based therapy that has been successfully utilized to treat a wide array...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy257
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate pregnancy during war-time deployment. METHODS:A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 77 demonstrated a positive pregnancy test. These charts were evaluated for factors ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.511
更新日期:2007-05-01 00:00:00
abstract::The increasing incidence of malignant melanoma challenges physicians to find innovative ways to preserve function and appearance in affected areas that require partial resection. We carefully planned the resection of a malignant lesion between the third and fourth toes of a 77-year-old man with the aid of computer tec...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract::Despite significant advances in hearing protection and compliance with protective standards, military personnel are still subject to noise-induced hearing loss in many combat and combat support operations. Although the Army has experienced a decrease of some 15% in primary hearing loss disability cases since 1986, a f...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Recently, fat distribution has become of clinical interest in assessing one's risk for coronary heart disease (CHD). Investigations have shown stronger relationships between abdominal, or central adiposity, and various well known risk factors for CHD, than peripheral and/or total adiposity. The simple waist-to-hip rat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00
abstract::Dietary supplement use is common among military service members; approximately 17 to 20% report using high-risk weight-loss, performance-enhancing, and bodybuilding supplements. To date, no overarching policy or program has been approved or implemented to inform service members or educate health care providers on the ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00249
更新日期:2012-12-01 00:00:00
abstract::Electrocardiographic changes and cardiac arrhythmias have been reported frequently in patients suffering high tension (greater than 1,000 V) electrical injuries as well as low tension (less than 350 V) electrical injuries. An association of atrial fibrillation with low tension electrical injury from a household applia...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::Hypothermia increases mortality rates and should be treated aggressively in the forward echelons of care, but no practical solution exists to accomplish such treatment. The enormous energy burden for this task requires maximal thermodynamic efficiency for a practical portable solution. This review article presents an ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.8.743
更新日期:2008-08-01 00:00:00
abstract:INTRODUCTION:The purpose of this evaluation was to determine the effectiveness of the clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one of the first evaluations conducted to document the outcomes of the Army Nurse Corps (ANC) transition-to practice residency program. MATERIALS AN...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz108
更新日期:2019-12-01 00:00:00
abstract::The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficie...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00148
更新日期:2014-11-01 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::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::Air National Guard (ANG) medical units perform 2 weeks of active duty training each year to develop and maintain essential medical skills. Providing meaningful training is, however, a great challenge to both the Guard unit and its active duty counterpart. Too often, annual training is not a relevant learning experienc...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00