Abstract:
:This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial causes associated with 19 cases of diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and 11% heat-stable/ heat-labile producers); enteropathogenic E. coli (5.3%); and enteroadherent E. coli (42%). Four cases of diarrhea were associated with enteroaggregative E. coli based on probe analysis for enteroaggregative heat-stable enterotoxin 1. Protozoan causes included; Entamoeba histolytica (11%), E. hartmanni (5%), E. nana (5%), Blastocystis hominis (5%), Chilomastix mesnili (11%), Dientamoeba fragilis (5%), Entamoeba coli (5%), and Cryptosporidium (5%). Shigella, Aeromonas, Plesiomonas, Vibrio, Campylobacter, and Salmonella were not detected. Of the eight ETEC cases, one was colonization factor antigen (CFA)/I only, one was both CFA/I and CFA/III, three were CFA/II, two were CFA/IV, and two were CFA-negative. Antibiograms of the ETEC and enteroadherent E. coli strains showed that all isolates were susceptible to norfloxacin, ciprofloxacin, and nalidixic acid but resistant to ampicillin, tetracycline, chloramphenicol, and sulfamethoxazole.
journal_name
Mil Medjournal_title
Military medicineauthors
Oyofo BA,Peruski LF,Ismail TF,el-Etr SH,Churilla AM,Wasfy MO,Petruccelli BP,Gabriel MEsubject
Has Abstractpub_date
1997-06-01 00:00:00pages
396-400issue
6eissn
0026-4075issn
1930-613Xjournal_volume
162pub_type
杂志文章abstract:BACKGROUND:Army vision standards have varied little from Aviation's nominal birth. On the basis of classic Snellen acuity, we simply cannot predict threshold skill levels of any one individual(s). A growing number of Army Flight Surgeons, clinicians, and vision scientists have argued for the inclusion of contrast acuit...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00208
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcar...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz287
更新日期:2020-01-07 00:00:00
abstract::Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-01-01 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::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:OBJECTIVES:A prenatal vitamin supplementation program for female basic military trainees at Joint Base San Antonio-Lackland was initiated in June 2012 with the goals of decreasing attrition and improving performance. This project examined whether supplementation influences attrition rates, incidence of stress fractures...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00258
更新日期:2015-05-01 00:00:00
abstract::The work of the War Hospital in Tomislavgrad during the war in Bosnia and Herzegovina from 1992 to 1995 is described. The War Hospital in Tomislavgrad was one of the first medical institutions organized in Bosnia and Herzegovina, with the intention of providing surgical treatment and care to soldiers, local civilians,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Investigations into the financial relationships between orthopedic surgeons and device manufacturers have recently been investigated. Despite these investigations, the public appears to maintain trust and confidence that their surgeons are acting in patients' best interest. However, patient perceptions of th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00207
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population. MATERIALS AND METHODS:Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.) obtained ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz096
更新日期:2019-12-01 00:00:00
abstract::Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00057
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz454
更新日期:2020-08-14 00:00:00
abstract::Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Little attention is given in psychiatry residency programs to preparing graduates to occupy division psychiatry slots. The first part of this paper discusses several guidelines: preparations to make before leaving for a new post; immediate steps to take upon arrival; the place of the Division Mental Health Service in ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-10-01 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: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::This study was undertaken to determine why U.S. Marine Hospital #17, Port Townsend, Washington, closed at the peak of its utilization. A social history approach was taken, examining the hospital's developmental changes in the context of its role in the larger society. Both firsthand and interpretive sources were revie...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.170.4.259
更新日期:2005-04-01 00:00:00
abstract::Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.172.7.753
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00158
更新日期:2015-01-01 00:00:00
abstract::Military commanders frequently mention that communicating difficult or taboo information is especially challenging. In the context of gender-integrated ground combat service there may be additional communication challenges for military commanders who may be unaccustomed to leading both men and women. Often, military c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00201
更新日期:2016-01-01 00:00:00
abstract::Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1125
更新日期:2007-10-01 00:00:00
abstract:INTRODUCTION:Military personnel with a diagnosis of asthma report increased respiratory symptoms in the deployment and post-deployment periods. The long-term effect of deployment on pulmonary function in this population is unknown. This study sought to determine the effect of deployment on post-deployment pulmonary fun...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa558
更新日期:2020-12-21 00:00:00
abstract:INTRODUCTION:Obesity and overweight, defined as body mass index (BMI) of 30.0 and above or 25.0-29.9, respectively, are of significant concern to the military population, due to their associated comorbidities and potential for impaired readiness. In 2016, the US Army reported a prevalence of 17.3% obesity and 52.9% ove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz032
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:Medical solider readiness processing (SRP) needed to continue during the COVID-19 pandemic. We developed a rapid practice improvement project to allow for a hybrid virtual medical SRP/in-person medical SRP to decrease exposure risk. A retrospective review comparing this virtual SRP to a historical in-perso...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa580
更新日期:2021-01-15 00:00:00
abstract::This research identifies variables affecting the length of time to process a soldier through the U.S. Army Physical Disability Evaluation System (PDES). The subjects are 8,301 soldiers whose disability records were processed in fiscal year 1996. The dependent variable examined was the average number of days a soldier ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::The rate of war-related amputations in current U.S. military personnel is now twice that experienced by military personnel in previous wars. We reviewed the literature for health outcomes following war-related amputations and 17 studies were retrieved with evidence that (a) amputees are at a significant risk for devel...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-0608
更新日期:2009-06-01 00:00:00
abstract::The results from a study undertaken to assess the smoking behavior of Greek warship personnel found that of the 274 participants, ages 19 to 38 years, 59.5% were current smokers who started the habit between the ages of 15 and 21 years. However, 33.1% of these current smokers started smoking after entering the Greek N...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-11-01 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::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:OBJECTIVE:To compare responses of practicing military and civilian primary care physicians to a series of standardized inhalational anthrax cases. METHODS:A series of three randomly selected case vignettes adapted from the 2001 anthrax attack along the East Coast of the United States were mailed to a convenience sampl...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00057
更新日期:2010-09-01 00:00:00
abstract::The federal government is the largest single employer of clinically active physician assistants (PAs) in the United States, with > 3,000 PAs in 2008. PAs are present within the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Most are civil servants or hold a commiss...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.9.895
更新日期:2008-09-01 00:00:00