Abstract:
:A 30-year review of the Armed Forces Tumor Registry revealed that of 3,126 thyroid cancers on file, 82 were in the pediatric population. All of these cases were reviewed, and the mean age was found to be 13.8 years. There as a male-to-female ratio of 1:2.3. At the time of diagnosis, 33% had regional nodes and 6% had distant metastasis. The malignancies were 60% papillary, 13% follicular, 10% papillary-follicular variant, and 6% medullary. Treatment included 41% lobectomies with or without isthmectomy, 27% total thyroidectomies with or without node sampling, 20% total thyroidectomies with neck dissections, and 12% surgical treatment not otherwise specified. Of the surgical patients, 30% received postoperative 131I ablation. An average patient follow-up of 8.6 years showed that 65 remained disease-free, 5 had disease, 1 was dead of disease, and 10 were unknown. The results of our pediatric thyroid carcinoma review are compared with previously published figures.
journal_name
Mil Medjournal_title
Military medicineauthors
Wassmuth Z,Ramirez SGsubject
Has Abstractpub_date
1997-07-01 00:00:00pages
489-91issue
7eissn
0026-4075issn
1930-613Xjournal_volume
162pub_type
杂志文章abstract::Since 1997, the absence of a global, DoD public health laboratory system has been identified as a vulnerability in the U.S. military's effort to identify and quickly respond to emerging infections. The AFHSC Division of GEIS Operations has attempted to mitigate this vulnerability by supporting initiatives such as the ...
journal_title:Military medicine
pub_type: 社论
doi:10.7205/milmed-d-11-00356
更新日期:2012-03-01 00:00:00
abstract::Community-acquired, methicillin-resistant Staphylococcus aureus (cMRSA), soft tissue infections are becoming increasingly prevalent in the outpatient setting. Few studies have been specifically designed to examine the efficacy of oral antibiotic therapy for these infections. We performed an observational study to dete...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.6.504
更新日期:2006-06-01 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:INTRODUCTION:The U.S. Navy Medicine has a long history of conducting global health missions that foster international diplomacy through medical knowledge exchange with a goal of increasing partner nation's health care capacity. Pacific Partnership is an annual U.S. Navy-sponsored joint operation that enhances medical c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa499
更新日期:2021-01-25 00:00:00
abstract::Individual fitness, an important component of combat readiness, has been found to be deficient in some Reserve Component units of the United States Army. We evaluated a program of monthly physical training in an environment of increasing emphasis on unit physical fitness in an effort to determine the effect on unit pe...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:BACKGROUND:Global operations place large numbers of military and nonmilitary personnel in austere environments. Aeromedical evacuation for cardiovascular issues is periodically required. The Army Knowledge Online (AKO) Telemedicine Consultation Program was initiated by the Office of the Surgeon General to electronicall...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-2309
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:To determine how students who are referred to a competency committee for concern over performance, and ultimately judged not to require remediation, perform during internship. METHODS:Uniformed Services University of the Health Sciences' students who graduated between 2007 and 2011 were included in this study....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00575
更新日期:2015-04-01 00:00:00
abstract::In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-11-00067
更新日期:2011-11-01 00:00:00
abstract::This article examines the history of battlefield tourniquets. The tourniquet, if used properly, is perhaps the leading lifesaving device available to soldiers in the field. However, tourniquet use has been surrounded throughout history by controversy and dogma which continue today. Only after examining the historical ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.5.352
更新日期:2006-05-01 00:00:00
abstract::This investigation assessed the extent to which various health factors are associated with difficulties initiating and maintaining sleep (DIMS) and nightmares among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans reporting a trauma (combat, noncombat, or a trauma before service). Veterans (N = 20...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00123
更新日期:2010-08-01 00:00:00
abstract::Over the last 50 years, members of the U.S. military have faced the threat of malaria in diverse geographical locations and operational situations, resulting in considerable morbidity and mortality. However, because malaria may be transported out of endemic areas and into areas that are free of malaria, the threat doe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.10.925
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To investigate the delivery of health services to different ethnic groups in the war and postwar periods in the area of Livno, Bosnia and Herzegovina. METHODS:The total population, percentages by nationality, and numbers of persons medically or surgically treated at the War and General Hospital of Livno betw...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.810
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Objective Structured Clinical Examinations (OSCEs) are used at the majority of U.S. medical schools. Given the high resource demands with constructing and administering OSCEs, understanding how OSCEs relate to typical performance measures in medical school could help educators more effectively design curricu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00237
更新日期:2012-09-01 00:00:00
abstract:PURPOSE:Evaluate the effectiveness of a 2-day, 3-night outdoor recreation intervention involving fly-fishing in reducing the psychological concomitants of stress among 74 veterans (M = 47.27, SD = 14.55 years) with post-traumatic stress disorder (PTSD). METHODS:Participants completed repeated assessments of attentiven...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00308
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract:INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz451
更新日期:2020-08-14 00:00:00
abstract:BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's ...
journal_title:Military medicine
pub_type: 杂志文章,实务指引
doi:10.7205/MILMED-D-14-00113
更新日期:2014-12-01 00:00:00
abstract::Congress established the TriService Nursing Research Program (TSNRP) in 1992 to serve the nursing research needs of the military. The TSNRP advances the science of military nursing to support mission readiness and deployment, improves the health and quality of life of military personnel, and provides optimal nursing c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.5.362
更新日期:2005-05-01 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::At the direction of the Army Surgeon General, the Army behavioral health consultants in psychiatry, psychology, and social work assembled in Washington, DC immediately after the September 11, 2001 attack to plan and implement a proactive behavioral health response to the Pentagon attack. The goal was to minimize the s...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::Sarcoidosis has been associated with various demographic risk factors, yet findings may be falsely influenced by effects such as socioeconomic status. We used univariate and multiple logistic regression to compare demographic data from military sarcoidosis hospitalizations with similar data from the general military p...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-08-01 00:00:00
abstract::Rhabdomyolysis and myoglobinuric acute renal failure may occur following strenuous exercise and may be more common in less physically conditioned persons. A case of moderately severe acute renal failure after the exercise involved in a routine Army Physical Fitness Test (APFT) is described. This level of exertion, whi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Smoking prevention and cessation programs were implemented and evaluated in recruit training. Four groups of incoming recruits were compared: an education group, a no-smoking group, a health risk appraisal feedback group, and a no-treatment control group. Smoking behavior, perceptions related to smoking, and knowledge...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::A case series of 417 consecutive ward admissions onboard the USS Forrestal (CV59) is presented. During the 1-year study period, the inpatient ward was open for 260 days while the ship was underway, including workups and extended Mediterranean deployment. The case series displays the variety of clinical inpatient care ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::A complete dental examination is the basis for identifying the dental readiness of Air Force Reserve Command members. Historically, these were done on an infrequent basis. Recently, an annual dental examination has been mandated for all military members. Current dental personnel manning and resources are not sufficien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.1.26
更新日期:2005-01-01 00:00:00
abstract:UNLABELLED:Ranger training includes strenuous physical activities and despite heat mitigations strategies, numerous cases of serious exertional heat illness (EHI) occur. We developed an Arm Immersion Cooling (AIC) system that is not logistically burdensome and may be easily employed in training environments. PURPOSE:T...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00727
更新日期:2015-11-01 00:00:00
abstract::Between 1954 and 1973, more than 2000 men entering military service as conscientious objectors participated in Project Whitecoat as medical research volunteers for the Army's biological warfare defense program. An assessment of self-reported, current health status among 358 "exposed" individuals and 164 unexposed cont...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.170.3.183
更新日期:2005-03-01 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:Extremity war-wounds present an elevated risk of infection and compromise reconstructive procedures. In a French military hospital, a multi-disciplinary meeting (MDM) was created to standardize the care given to soldiers with osteoarticular infection. The aim of this study was to evaluate the usefulness of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy369
更新日期:2019-05-01 00:00:00
abstract::Military free fall or HALO (high altitude-low opening) is a distinct form of tactical parachuting used by the elite forces of the U.S. military. This study was undertaken to examine the type, location, and mechanism of injuries sustained by the military HALO parachutist during training. A retrospective study identifie...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00