Abstract:
:The Military Health Services System (MHSS) is undergoing major modifications brought about by the Department of Defense health care reform program (TRICARE), a dynamic, multi-dimensional reform initiative affecting health care delivery to eligible beneficiaries. Military managers of the MHSS are currently being impacted by the changes secondary to the implementation of TRICARE. By reviewing needs assessments conducted with these managers, surveying currently available programs and curricula aimed at military health care manager development, and examining the TRICARE concept, it is clear that executive education must be adapted to fit the needs of those who will manage this newly designed and rapidly evolving health care system. This report summarizes current military executive education options and specifically examines the Naval Postgraduate School Executive (Medical) Management Education (EME) Program. This EME Program can support military medical treatment facility and lead agents (Health Service Regions) executive managers in the execution of their TRICARE mission.
journal_name
Mil Medjournal_title
Military medicineauthors
Texidor MS,Lamar SR,Roberts BJsubject
Has Abstractpub_date
1996-04-01 00:00:00pages
217-20issue
4eissn
0026-4075issn
1930-613Xjournal_volume
161pub_type
杂志文章,评审abstract::National smoking cessation guidelines include recommended strategies for providers and health care organizations, but they offer little guidance on how to structure care. We conducted a cross-sectional survey at 40 Veterans Health Administration facilities, to describe the structure of smoking cessation care, to asses...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed.171.1.80
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:To explore the relationship between adult attention deficit hyperactivity disorder (ADHD) subtypes and neuropsychological functioning among U.S. soldiers. METHODS:Deploying soldiers (N = 260) completed the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener. Cognitive tests, a deployment ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00340
更新日期:2012-06-01 00:00:00
abstract::Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococca...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00054
更新日期:2017-07-01 00:00:00
abstract::The challenges of managing military medicine over the last three decades have been complicated by rapidly changing priorities and redirections. Inspired by Kuhn's theory of "paradigm shifts," we can identify five distinct paradigms and four paradigm shifts that have dominated military medicine over the last 25 years. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract:INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa423
更新日期:2021-01-25 00:00:00
abstract::A young man evaluated for a testis tumor was found to have Burkitt's lymphoma. The presentation of Burkitt's lymphoma in the United States as a testis mass is unusual. The rapid proliferation and metastatic potential of the tumor mandates prompt evaluation and the early initiation of systemic chemotherapy. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:INTRODUCTION:Department of Defense (DoD) has identified problem-solving training (PST) as a promising prevention/early intervention for mental health disorders. PST is a four-session group intervention that emphasizes building problem-solving and coping skills to mitigate emotional dysregulation and the adverse effects...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy229
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION:Nearly 10% of all combat injuries during the most recent conflicts in Iraq and Afghanistan involve thoracic trauma. The long-term outcomes of these combat-related injuries with respect to lung function have not been fully evaluated. Limited research in civilian polytrauma patients have shown significant ob...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa165
更新日期:2020-12-30 00:00:00
abstract:OBJECTIVES:This was a pilot study to determine (1) whether it is feasible to effectively blind human subjects to the presence of the insect repellents N,N-diethyl-m-toluamide (DEET) and permethrin; (2) whether DEET affects the absorption of permethrin; and (3) whether combat videotape viewing and mental arithmetic are ...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed.171.2.122
更新日期:2006-02-01 00:00:00
abstract::The impact of a pharmacy officer on patient compliance and blood pressure control on a deployed nuclear-powered aircraft carrier for a 2-week at-sea period was evaluated. Before any counseling by a pharmacy officer, 43 crewmembers on chronic medications anonymously completed a compliance questionnaire. The pharmacy of...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract::Swimming-induced pulmonary edema (SIPE) is a noncardiogenic form of acute pulmonary edema infrequently described in the general military literature. Its pathophysiology is poorly understood. Treatment is supportive. Knowledge of SIPE is important for the military physician and should remain a top differential for any ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa118
更新日期:2020-09-18 00:00:00
abstract::Rapid user-friendly ABO-Rh blood typing kits (Eldon Home Kit 2511, ABO-Rh Combination Blood Typing Experiment Kit) were evaluated to determine their accuracy when used under simulated military field conditions and after long-term storage at various temperatures and humidities. Rates of positive tests between control g...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00339
更新日期:2011-04-01 00:00:00
abstract:INTRODUCTION:With more than 370,000 military and civilian personnel stationed across Pacific Command (PACOM), medical evacuation in this largest command presents unique challenges. The authors describe medical evacuations analyzed from the U.S. Air Force Transportation Command Regulating and Command & Control Evacuatio...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa289
更新日期:2020-11-21 00:00:00
abstract::Arteriopathy associated with human immunodeficiency virus infection and clinical acquired immunodeficiency syndrome is well-documented. The pathophysiology of this arteriopathy may vary in different vascular beds. Although arteriopathy of central nervous system (CNS) circulation has been recognized in pediatric patien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.647
更新日期:2007-06-01 00:00:00
abstract::Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz106
更新日期:2019-12-01 00:00:00
abstract::Army health care personnel play a key role in the Army's Family Advocacy Program, yet little is known about their beliefs toward domestic violence. This study surveyed the beliefs of selected Army Medical Department personnel concerning the extent, nature, causes, and management of spouse abuse. The study suggests tha...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:INTRODUCTION:Baseline symptom, balance, and neurocognitive scores have become an integral piece of the concussion management process. Factors such as sleep, learning disorders, fitness level, and sex have been linked to differences in performance on baseline assessments; however, it is unclear how tobacco use may affec...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz352
更新日期:2020-03-02 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:OBJECTIVE:The objective was to test, refine, and implement an algorithm for early detection and referral of clinical scaphoid fractures by U.S. Army medical personnel. Our goal was to reduce complications resulting from delayed diagnosis and to improve outcomes affecting soldier health and unit readiness. METHODS:Data...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.5.404
更新日期:2006-05-01 00:00:00
abstract::Serotonin syndrome is a potential side effect of some psychotropic medications in common use today. With over 8000 adverse events related to this condition in 2004 alone, this risk warrants further attention. The deployed environment presents a unique set of stressors and risks involved in treatment with any psychothe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00031
更新日期:2010-12-01 00:00:00
abstract::Personality characteristics associated with successful adaptation to military life are often described in gender-related terms. However, valid, reliable measures of gender-related personality characteristics have not been established for military populations. The purpose of this study was to validate an instrument for...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:INTRODUCTION:Reiki, a biofield energy therapy, continues to struggle in finding its permanent place among the portfolio of complementary and alternative medicine modalities in many military health care facilities. Although it has been shown to help in the management of pain, lack of knowledge and limited first-hand exp...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz271
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Combat deployment is associated with mental and physical health disorders and functional impairment. Mental health (MH) diagnoses such as adjustment and anxiety disorders have received little research attention but may reflect important postdeployment sequelae. The purpose of this study was to investigate ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa301
更新日期:2021-01-25 00:00:00
abstract::Correspondence of three core Trauma Symptom Inventory (TSI) posttraumatic stress disorder (PTSD) scales (Intrusive Experiences, Defensive Avoidance, and Anxious Arousal) and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV) PTSD module were examined among 72 veterans with traumatic brain injury (...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-9509
更新日期:2009-10-01 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::The medical literature describes very few cases of bilateral femoral neck stress fractures in healthy adolescents. We studied the case of a healthy adolescent male Marine who suffered severe bilateral femoral neck stress fractures within a span of 7 months. As his level of exercise was no different than his other coll...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.7.711
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.2.166
更新日期:2006-02-01 00:00:00
abstract::We report a case of a midair collision between two F16 fighter aircraft, in which one pilot survived and the other was ejected upon impact and his remains recovered from sea. In autopsy, no patholgy was detected, other than the expected evidence of mechanical trauma. No defects in the aircraft or faults in the parachu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00027
更新日期:2010-11-01 00:00:00
abstract::U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources. Yet little is known about their help-seeking behavior and perceived stigma and barriers to care. Participants were three groups of U.S. Army Combat Medics surveyed at 3- and 12-mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00367
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Deployed service members exposed to burn pit smoke can experience a multitude of symptoms. Respiratory symptoms after burn pit smoke exposure are well recognized, but neurologic symptoms are less well recognized. There are reports of migraines triggered by odors but no specific reports of new onset migraines...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00200
更新日期:2017-05-01 00:00:00