Abstract：
:Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examiners detected the presence of scleral icterus, respectively. Level of training appeared to influence specificity, as 6 of 8 apparent false-positives (total serum bilirubin = 12.0 mmol/l [0.7 mg/dl] and the presence of scleral icterus) were attributable to medical students. Level of training did not appear to influence sensitivity, as 3 of 11 apparent false-negatives (total serum bilirubin = 66.7 mmol/l [3.9 mg/dl] and the absence of detection of scleral icterus) were not attributable to medical students (p = 0.278). Even at the often-quoted estimate of 42.8 mmol/l (2.5 mg/dl) at which at scleral icterus is detected, approximately one-third of medical examiners in our study did not detect scleral icterus.
journal_name
Mil Medjournal_title
Military medicineauthors
Ruiz MA,Saab S,Rickman LSsubject
Has Abstractpub_date
1997-08-01 00:00:00pages
560-3issue
8eissn
0026-4075issn
1930-613Xjournal_volume
162pub_type
杂志文章abstract：INTRODUCTION:Military helicopters are increasingly agile and capable of producing significant G forces experienced in the longitudinal (z) axis of the body in a head-to-foot direction (+Gz). Dehydration and fatigue can adversely affect a pilot's +Gz tolerance, leading to +Gz-induced symptomatology occurring at lower +G...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00073
更新日期：2016-11-01 00:00:00
abstract：:Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation ...
journal_title：Military medicine
pub_type： 传,历史文章,杂志文章
doi：10.7205/milmed-d-11-00272
更新日期：2012-03-01 00:00:00
abstract：INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa223
更新日期：2021-01-25 00:00:00
abstract：:The prevalence of lifetime exposure to violence, natural disaster, or major accidents involving injuries or fatalities was examined in the largest population-based epidemiologic survey of U.S. military personnel to date. The psychosocial and health effects of types of exposure experience (witness only, victim/survivor...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.9.760
更新日期：2005-09-01 00:00:00
abstract：:Post-conflict hospitalization rates of active duty Marines deployed to the Persian Gulf War were compared with hospitalization rates of similar Marine Corps units returning from the Vietnam conflict. The aggregated Gulf War units exhibited lower hospitalization rates than their Vietnam counterparts. Examined separatel...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：:Hearing damage induced by blast exposure is a common injury in military personnel involved in most operation activities. Personal hearing protection devices such as earplugs come as a standard issue for Service members; however, it is not clear how to accurately evaluate the protection mechanisms of different hearing ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy299
更新日期：2019-03-01 00:00:00
abstract：:The physiological burden created by heat strain and physical exercise, also called thermal-work strain, was quantified for 10 male Marines (age 21.9 ± 2.3 years, height 180.3 ± 5.2 cm, and weight 85.2 ± 10.8 kg) during three dismounted missions in Helmand Province, Afghanistan. Heart rate (HR) and core body temperatur...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00538
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutiv...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00234
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that a supply of frozen red blood cells and a system for processing pyrogen-free crystalloid solution would meet the needs of an echelon 3 medical treatment facility in the U.S. military, caring for casualties during the initial phase of a military medical operation. DATA SOURCES:Blood...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
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：:The objective of this study was to assess the impact of a pilot nutrition intervention program on knowledge, attitudes, and behaviors of female combat soldiers in basic training serving in the Israeli army and to determine changes in nutrient intake. Seventy recruits participated in the intervention. Anthropometric me...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00439
更新日期：2013-05-01 00:00:00
abstract：BACKGROUND:Sexuality is an important part of health, quality of life, and general well-being, yet studies suggest that less than half of patients' sexual concerns are known by their physicians and that physicians are unaware of how common sexual concerns are among patients. The objective of this study was to determine ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：OBJECTIVE:We report a roadside cricothyroidotomy successfully performed with only a pocketknife and the drinking straw from a sports bottle. Our study compared the adequacy of standard medical airway devices with some readily available nonmedical items that might be used as temporary tracheostomy tubes (TT). METHODS:W...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVES:Military medical subspecialists consult with referring physicians, direct patient care and education, support isolated subspecialists, and maintain cohesive readiness plans. The World Wide Web appears promising in fulfilling these roles. METHODS:A website providing directed resources, the Walter Reed Army M...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：INTRODUCTION:Upon injury, skeletal muscle undergoes a multiphase process beginning with degeneration of the damaged tissue, which is accompanied by inflammation and finally regeneration. One consequence of an injured microenvironment is excessive production of reactive oxygen species, which results in attenuated regene...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz232
更新日期：2020-01-07 00:00:00
abstract：:We present the case of a 19-year-old woman with feeding intolerance, due to superior mesenteric artery (SMA) syndrome, after weight loss experienced during basic military training. She had previous good health and presented with vomiting 8 weeks after starting military training. She had experienced a 16-pound (7 kg) w...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.1.24
更新日期：2007-01-01 00:00:00
abstract：:One hundred six astronaut applicants who had passed initial screening were evaluated for Axis I and Axis II DSM-III-R diagnoses using a structured psychiatric interview. Nine of 106 candidates (8.5%) met diagnostic criteria for six Axis I (including V-code), or Axis II disorders. The use of the NASA structured intervi...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:Post-traumatic stress disorder (PTSD) is associated with poor health but there is a gap between need and receipt of care. It is useful to understand where to optimally locate in-person care and where video-based PTSD care would be most useful to minimize access to care barriers, care outside the Veterans Affairs syste...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00177
更新日期：2014-02-01 00:00:00
abstract：:Controversy exists over the use of atrioventricular synchronous pacing for patients with hypertrophic obstructive cardiomyopathy who are refractory to medical treatment. We present the case of an elderly man with severe-effort dyspnea attributable to hypertensive left ventricular hypertrophy with dynamic aortic outflo...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：:The objective of the present study was to compare three specialized treatment programs for post-traumatic stress disorder (PTSD) in different Veterans Affairs medical centers, in terms of the format of therapeutic services and the medications prescribed for PTSD. Chart review methods were used to examine medical recor...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：10.7205/milmed.170.4.305
更新日期：2005-04-01 00:00:00
abstract：:This cross-sectional telephone survey study assessed prevalence rates of current chemical sensitivity, frequency of chemical odor intolerance, and self-reported Persian Gulf chemical exposures among 41 randomly sampled Department of Veterans Affairs outpatients who were Persian Gulf War (PGW) and PGW-era veterans. The...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:In addition to common stressors, members of the U.S. Armed Forces experience a high level of stress unique to their status as service members. In an effort to combat stress, many military personnel report high levels of nicotine use. This study investigated the relationship between tobacco use and perceived stress amo...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.3.271
更新日期：2008-03-01 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：:This study examined the infleunce of three types of boot-sock systems on incidence and severity of foot blisters. Participants were 357 men undergoing U.S. Marine recruit training at Parris Island, South Carolina. Each participant was assigned to one of three treatment groups. The first group wore the standard militar...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-10-01 00:00:00
abstract：:Military graduate medical education has come under increasing scrutiny in recent years as the size of the military medical force declines. To document the outcomes of military graduate medical education in internal medicine, a cohort of Air Force internal medicine residency graduates from Wright-Patterson Medical Cent...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:One thousand five hundred thirty-eight U.S. Navy and Marine Corps enlisted recruits were tested for hepatitis A, B, and C serologic markers. The recruit population (mean age, 19 years) was 91% male, 69% white, 17% black, 9% Hispanic, 2% Filipino, and 2% "other" racial/ethnic group. Anti-HAV was found in 129 (8.4%) rec...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：INTRODUCTION:Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. M...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx112
更新日期：2018-09-01 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：:The National Academies of Sciences, Engineering, and Medicine Report on Zero Preventable Deaths highlighted the need for a military and civilian partnership to take lessons learned from the wars in Iraq and Afghanistan and incorporate them into a national learning trauma care system. One of the specific objectives in ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy149
更新日期：2018-09-01 00:00:00
