Abstract:
:There is a lack of published cost and outcome data concerning bone marrow transplant (BMT) patients treated in a military health care setting. The objectives of this prospective investigation were to collect demographic data concerning the characteristics of patients using the service, to track outcomes of length of stay, relapse, and mortality, and to analyze cost data based on a specific cost accounting system that was created to accurately capture individual versus aggregate costs. The sample consisted of 106 patients, 71 adults and 35 children. The mean cost of an adult autologous BMT was $45,600, the mean cost for a pediatric autologous BMT was $60,725, and the mean cost of a pediatric allogeneic BMT was $68,930. Previously, $100,000 to $500,000 per transplant was paid for military beneficiaries receiving BMTs in the civilian sector. Expenditures related to treating adult patients were reduced by $50,000 to $100,000 per patient. Savings associated with each pediatric transplant ranged from $100,000 to $200,000.
journal_name
Mil Medjournal_title
Military medicineauthors
Yoder LHsubject
Has Abstractpub_date
1998-10-01 00:00:00pages
661-6issue
10eissn
0026-4075issn
1930-613Xjournal_volume
163pub_type
杂志文章abstract:OBJECTIVE:The Beck Depression Inventory-II (BDI-II) is widely used as a screening instrument for depressive symptomatology in clinical settings. The factor structure has been researched in a variety of settings with results ranging from a single factor to a five-factor structure. The purpose of this study was to examin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00048
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. METHODS:The Department of Defense's Joint Theater Trauma Registry was que...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-13-00393
更新日期:2014-04-01 00:00:00
abstract::There is little research on whether the transient nature of the military family contributes to transition difficulty to parenthood or to the type of social supports utilized. Data were collected by mailed survey from a convenience sample of military and civilian mothers at 3 months after delivery. No significant diffe...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract:INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usz224
更新日期:2020-01-07 00:00:00
abstract::In combat, the tactical situation can prevent rapid evacuation to definitive care, or casualty overload can tie up the surgical teams. All medical personnel and their supporting cadre should have the ability to manage wounds and burns. Controlling bleeding and airways, cleaning and debriding wounds, and dressing or sp...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract::The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort mea...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00168
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:The most common cause of preventable death on the battlefield is significant blood loss, eventually causing decrease in tissue oxygen delivery. Pulse oximeters (POs) are widely used by the Israeli Defense Forces to obtain fast and noninvasive information about peripheral oxygen saturation (SpO2). However, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa314
更新日期:2021-01-25 00:00:00
abstract::Malaria was eradicated and the Republic of Korea (ROK) declared "malaria free" in 1979. However, in 1993, a temperate strain of vivax malaria, expressing both latent and nonlatent disease populations, re-emerged near the demilitarized zone (DMZ), rapidly spread to civilian sectors near the DMZ, and increased exponenti...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-01-6208
更新日期:2009-07-01 00:00:00
abstract::A case report is presented of a young male who sustained a second-degree frostbite injury to the oral cavity, to include lower lip, hard palate, tongue, and buccal mucosa. This unusual injury occurred as a result of substance abuse: an attempt to inhale an aerosolized propane propellant as a means to achieve euphoria....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-01-01 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
abstract::The establishment of the first dental office of the Croatian Dental Corps (CDC) in the city of Zadar represented at the same time the beginning of the CDC. This article describes the front-line experience of a dentist who volunteered to provide basic medical help, which eventually laid the groundwork for providing gen...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-01-01 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::Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,2...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00049
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask condit...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::We utilize a mixed methods approach to provide three new, separate analyses as part of the development of the next aeromedical evacuation (MEDEVAC) platform of the Future of Vertical Lift (FVL) program. The research questions follow: RQ1) What are the optimal capabilities of a FVL MEDEVAC platform given an Afghanistan...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-12-00370
更新日期:2013-03-01 00:00:00
abstract::On May 19 to 21, 2010, the Armed Forces Health Surveillance Center and Uniformed Services University of the Health Sciences cosponsored an educational symposium on Assessing Potentially Hazardous Environmental Exposures among Military Populations. The meeting provided an opportunity for stakeholders and policy makers ...
journal_title:Military medicine
pub_type:
doi:10.7205/milmed-d-11-00073
更新日期:2011-07-01 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::Suicide is currently the second leading cause of death in the U.S. military. Little recent research has been done on a well-defined cohort at high risk for death by suicide, which consist of military patients who attempt suicide or are admitted for suicidal ideation. As a pilot investigation based on a literature revi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title:Military medicine
pub_type: 历史文章,杂志文章,评审
doi:10.7205/milmed.170.4s.17
更新日期:2005-04-01 00:00:00
abstract:Introduction:Few studies have reported the amount of physical activity (PA) and its associations to physical performance of warfighters during military field training (MFT). The purpose of this study was to investigate changes in neuromuscular performance and PA among male Finnish Army conscripts during a 21-d MFT and ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx049
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION:It is important to monitor the use of optometric services by Veterans and consider the implications for other optometric and vision rehabilitation services. We did not find public health reports documenting the recent utilization of Veterans Health Administration (VHA) optometric eye exam services. METHOD...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx192
更新日期:2018-09-01 00:00:00
abstract::This study compared general psychological symptoms measures on all Brief Symptom Inventory symptom dimensions and the Global Severity Index from samples of deployed and nondeployed U.S. Army soldiers. Psychological symptom measures were taken from samples of soldiers during deployment to operations in the Persian Gulf...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:Many people are unaware of the science underlying the biophysical properties of Soldier clothing and personal protective equipment, yet there is a well-refined biomedical methodology initiated by Army physiologists in World War II. This involves a methodical progression of systematic material testing technol...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00156
更新日期:2017-07-01 00:00:00
abstract::After-action reports on the 2005 hurricane relief efforts pointed to the need for effective and efficient civilian/military operational cooperation. Cited for particular attention was the interface with National Guard units. This article describes an exercise conducted with National Guard units and members of the Cent...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.8.806
更新日期:2007-08-01 00:00:00
abstract::Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loa...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00299
更新日期:2014-02-01 00:00:00
abstract::Health information booklets deliver information to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know of the materials produced to meet this need so that they can facilitate booklet distribution....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::This article describes Humanitarian Civic Action (HCA) activities performed by the Medical Element (MED EL) of Joint Task Force-Bravo in Honduras during 1988. The effort was designed to assist Honduras in nation building, to provide a maximal training experience for U.S. personnel, and enhance the image of the U.S. Wh...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::This study's objective was to describe: (1) patterns of cancer prevalence and type, (2) patient demographics, and (3) the sources, and cost, of medical care in the military beneficiary population using the Military Health System administrative databases. Calendar year 2002 patient enrollment, inpatient and outpatient ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1084
更新日期:2007-10-01 00:00:00
abstract::Gastric involvement in Hodgkin's disease is rare. A case of gastric Hodgkin's disease occurring after autologous bone marrow transplantation is presented. A retrospective review of 339 cases of Hodgkin's disease in the Tumor Registry at Brooke Army Medical Center revealed six additional cases of documented gastric inv...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00