Abstract：
:Post-residency fellowship education has traditionally been a transitionary phase toward a possible career involving medical research and teaching. The increasing sophistication required for performing medical research, the emphasis on molecular medicine, significant overcrowding in specialty disciplines, high student indebtedness, declining availability of government research grant funding, and the rise or academic-corporate joint ventures facilitating technology transfer to the private sector are causing changes in the traditional approach to and content of fellowship programs. In light of the overall recent economic downturn with the consequent contraction in research budgeting, fewer fellows will probably be trained in the near future. Alternatives in fellowship programming and support are explored.
journal_name
Mil Medjournal_title
Military medicineauthors
Welner AHsubject
Has Abstractpub_date
1993-04-01 00:00:00pages
236-48issue
4eissn
0026-4075issn
1930-613Xjournal_volume
158pub_type
杂志文章abstract：:3,4-Methylenedioxymethamphetamine, or "Ecstasy," is a drug commonly used at "rave" parties to heighten energy and intimacy. Although its complications have been well described in Europe, including less common side effects such as hepatic failure and rhabdomyolysis, physicians in the United States have less experience ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：:The usability of a rapid point-of-care ABO-Rh blood typing kit was determined by comparing the performance of individuals with extensive medical training/experience to those with a lesser extent. Subjects were asked to use the blood typing kit with their own blood. These outcomes were compared to that listed in the su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00500
更新日期：2013-05-01 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
abstract：:Camp Bullis, Texas, is an active training facility for the U.S. Army and Air Force with a storied history dating back to the late 19th century. In the early 1940s, an epidemic of a seasonal tick-borne rickettsial-like illness occurred at Camp Bullis; the last case was reported in 1947. To date, the etiology of this di...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.169.11.863
更新日期：2004-11-01 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：INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz209
更新日期：2020-01-07 00:00:00
abstract：:Lower extremity amputee stump ulceration, irritation, and pain have been a deterrent to consistent long-term or continuous use of lower extremity prosthetics. This study is the first in a series that hypothesizes that these complications can be minimized through the insetting of a vascularized plantar free flap (VPFF)...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00298
更新日期：2013-02-01 00:00:00
abstract：:This report, in an effort to assist in the development of future operational and planning guidelines, presents data from a no-notice exercise involving an aviation brigade in Germany preparing for possible deployment to Bosnia. One hundred twenty-two soldiers (of 918) requested vision screening during predeployment pr...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-02-01 00:00:00
abstract：:Limited conflicts and the war against terrorism, in particular, have changed the emphasis in the present trend from preparing to cope with full-scale wars to the need to combat in limited conflicts. This shift has affected significantly medical units' preparations. Law enforcement organizations have come together with...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00245
更新日期：2012-01-01 00:00:00
abstract：:Using a postpartum survey, comparing singles to married, we sought to expand existing information on pregnancy occurring among active duty service women. The study instrument was a 59-question survey distributed in the initial 24 hours postpartum and collected prior to discharge. The majority affirmed that pregnancy h...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:Over 20 yr have elapsed since the end of the First Gulf War, yet approximately one-third of the veterans exhibit Gulf War Illness (GWI) symptoms, particularly depression and memory impairments. Exposure to organophosphate (OP) compounds is implicated for GWI development. The role of calcium (Ca2+) signaling in learnin...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx148
更新日期：2018-03-01 00:00:00
abstract：:Successful rehabilitation of female service members suffering traumatic injuries to the maxillofacial region is both a physiological and a psychological issue. A clinical evaluation to determine if an association exists between sex hormone levels and dental implant success was undertaken. Endosseous dental implants we...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：INTRODUCTION:Neck pain among rotary-wing aviators has been established as an important issue in the military community, yet no U.S. Army regulation defines exactly what cervical spine range of motion (CROM) is adequate for flight. This lack of regulation leaves flight surgeons to subjectively determine whether an aviat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa270
更新日期：2021-01-25 00:00:00
abstract：:Before 2011, Army commanders were unable to achieve complete visibility of soldiers possessing temporary medical limitations. The creation of time-limited definitions and technical categorization of this group, now known as the medically not ready (MNR) population, eventually allowed its quantification. With heightene...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00131
更新日期：2014-11-01 00:00:00
abstract：:Weight or fat reduction and maintenance among military personnel and attainment of desired body composition and physical appearance are considered important. A high level of body fat has been shown to have an adverse effect on performance in a number of military activities. The effect of rapid weight loss on performan...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed.171.6.550
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia. METHODS:This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00445
更新日期：2012-10-01 00:00:00
abstract：Objective:To quantitatively measure tissue composition and hemodynamics during resuscitative endovascular balloon occlusion of the aorta (REBOA) in two tissue compartments using non-invasive two-channel broadband diffuse optical spectroscopy (DOS). Methods:Tissue concentrations of oxy- and deoxyhemoglobin (HbO2 and Hb...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx163
更新日期：2018-03-01 00:00:00
abstract：:The difficulty and importance of developing and implementing a definition of quality in health care is discussed. Some current definitions are considered, and a recommended definition of quality health care is presented. ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:This study investigated influences on physical fitness improvement among Navy remedial exercise program participants. Subjects were 27 Navy personnel who had failed to pass the body composition, aerobic fitness, or curl-up portion of the semiannual physical readiness test. The remedial exercise program consisted of th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00085
更新日期：2017-03-01 00:00:00
abstract：:A case of human ehrlichiosis (caused by infection with Ehrlichia chaffeensis) is presented. The patient was a female Naval Academy midshipman with a 26-day history of daily field training with the U.S. Marines near Quantico, Virginia. She presented with a several-day history of myalgias, fever, and frontal headache. D...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-02-01 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：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：:Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy401
更新日期：2019-07-01 00:00:00
abstract：UNLABELLED:The Department of Defense spends more than $50 million dollars a year on humanitarian assistance (HA) projects. Although the projects are perceived as beneficial, demonstrating sustainable long-term impact is not possible. METHODS:A seven-step monitoring and evaluation (M&E) process was adapted for this stu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.4.339
更新日期：2007-04-01 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：:Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:A case of fly larva infestation of the eye (ophthalmomyiasis) is reported in an American soldier serving in Operation Desert Shield. Background information, prognosis, and treatment are discussed. ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-08-01 00:00:00
abstract：:A study of ambulatory mental health services on a U.S. Army post where logistic support personnel are stationed compared utilization of psychiatric services before, during, and after the Persian Gulf War. Rates were calculated for service utilization for the at-risk groups from consecutive cases presenting at the post...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-10-01 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
