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

authors： Hooker RS

更新日期：2008-09-01 00:00:00

abstract：:Hypothermia increases mortality rates and should be treated aggressively in the forward echelons of care, but no practical solution exists to accomplish such treatment. The enormous energy burden for this task requires maximal thermodynamic efficiency for a practical portable solution. This review article presents an ...

journal_title：Military medicine

authors： Gill BS,Cox CS Jr

更新日期：2008-08-01 00:00:00

abstract：:During the War in Croatia from 1991 to 1992, we conducted an epidemiological study of the most frequent skin changes on the feet of 1,702 Croatian soldiers stationed in trenches and exposed to direct war activities. We saw significant increases in dermatomycosis, hyperhydrosis, and mechanical injury to the skin of the...

journal_title：Military medicine

authors： Biljan D,Pavić R,Situm M

更新日期：2008-08-01 00:00:00

abstract：:Adolescent pregnancy is a significant public health problem in the United States, but little is known about this condition in military-affiliated populations. This article reviews what is known about adolescent pregnancy among (1) dependent children of active duty and retired personnel and (2) active duty military per...

journal_title：Military medicine

authors： Klein DA,Adelman WP

更新日期：2008-07-01 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

authors： Romero AN,Kohart SR

更新日期：2008-07-01 00:00:00

abstract：OBJECTIVE:This study examined soldier attitudes about postdeployment mental health screening, treatment, barriers to care, strategies for overcoming barriers, and settings, personnel and timing for conducting postdeployment mental health screening. METHODS:Deploying soldiers participated in a voluntary anonymous surve...

journal_title：Military medicine

authors： Warner CH,Appenzeller GN,Mullen K,Warner CM,Grieger T

更新日期：2008-06-01 00:00:00

abstract：:Brief structured clinical interviews are a key component of the Department of Defense postdeployment health reassessment program. Such interviews are critical for recommending individuals for follow-up assessment and care. To standardize the interview process, U.S. Army Medical Research Unit-Europe developed a structu...

journal_title：Military medicine

authors： Wright KM,Adler AB,Bliese PD,Eckford RD

更新日期：2008-05-01 00:00:00

abstract：:Routine military deployments place great stress on military families. Before South African soldiers can be deployed, they undergo a comprehensive health assessment, which includes a social work assessment. The assessment focuses on the resilience of the family system to estimate how well the family will cope when expo...

journal_title：Military medicine

authors： Van Breda AD

更新日期：2008-05-01 00:00:00

abstract：:The purpose of this study was to investigate an outbreak of tuberculosis (TB) in a bacillus Calmette-Guérin-vaccinated military population and propose an appropriate method of control. We divided 593 subjects into "close contacts" and "non-close contacts" of an index case and examined all subjects by chest X-radiograp...

journal_title：Military medicine

authors： Lin JC,Lin TY,Perng WC,Mai CS,Chen YH,Ku CH,Chang FY

更新日期：2008-04-01 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

authors： Stein RJ,Pyle SA,Haddock CK,Poston WS,Bray R,Williams J

更新日期：2008-03-01 00:00:00

abstract：:Ischemic colitis is the most common form of intestinal ischemia. It most commonly involves the left side of the colon presenting with acute onset of abdominal pain followed by bloody diarrhea. Involvement of only the right or ascending colon is an infrequent occurrence. Because this problem is less recognized than its...

journal_title：Military medicine

authors： Lucha PA Jr

更新日期：2008-03-01 00:00:00

abstract：:Knowledge of the impact of childhood psychosocial problems on success in military service is scarce. The purpose of the study was to assess whether childhood psychosocial problems are associated with suitability for military service. The subjects were 2,622 Finnish boys born in 1981. They were first assessed with the ...

journal_title：Military medicine

authors： Multimäki P,Sourander A,Nikolakaros G,Helenius H,Aronen E,Tamminen T,Kumpulainen K,Moilanen I,Piha J,Almqvist F,Parkkola K

更新日期：2008-02-01 00:00:00

abstract：:The purpose of this study was to explore the nature of information in after-action reports in terms of nursing practice and the utility of using after-action reports in a feedback loop to improve nursing training. This was a three-phase, mixed-method, qualitative study, using focus groups, phone surveys, and e-mail su...

journal_title：Military medicine

authors： Ross MC,Smith KK,Smith A,Ryan R,Webb L,Humphreys S

更新日期：2008-02-01 00:00:00

abstract：BACKGROUND:Planning of dental support for populations serving in isolation is essential. Many programs of national or scientific interest such as U.S. Navy submarine missions, the manned space program, and research in Antarctica require long periods where dental care is not available. Submariners make an excellent stud...

journal_title：Military medicine

authors： Deutsch WM

更新日期：2008-01-01 00:00:00

abstract：:The purpose of this article was to give a brief synopsis of the background and history of forensic nursing and how it can be translated into a military application. The unique setting of military health care and equally distinctive stressors placed upon members of the military calls for greater commitment by the Depar...

journal_title：Military medicine

authors： Ortiz M

更新日期：2008-01-01 00:00:00

abstract：:When the patent on fluoxetine expired in 2001, prices for it fell sharply and marketing decreased. We investigated how market share for fluoxetine changed with the introduction of the generic. Prescribing information was tracked at a military hospital where providers knew the cost of medication, but were not compelled...

journal_title：Military medicine

authors： McLay R,Klinski A

更新日期：2008-01-01 00:00:00

abstract：:Physical combat readiness of military personnel ensures maximal effectiveness of combat forces during wartime. Combat readiness has always been linked to the Army Physical Fitness Test (APFT). Each raw score is converted to a standard score and corrected for age and gender. There is no standard measurement to evaluate...

journal_title：Military medicine

authors： Panichkul S,Hatthachote P,Napradit P,Khunphasee A,Nathalang O

更新日期：2007-12-01 00:00:00

abstract：:This article describes the circumstances surrounding an intense, constant pain in the temporal region (visual analog scale 9-10) experienced by a 22-year-old combat officer in the Israel Defense Forces following a mild facial injury. The officer's wound included penetration of shrapnel particles into the facial skin, ...

journal_title：Military medicine

authors： Zadik Y

更新日期：2007-12-01 00:00:00

abstract：:Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians shoul...

journal_title：Military medicine

authors： Singh JA

更新日期：2007-12-01 00:00:00

abstract：:The efficacy of ultraviolet C (UVC) light (100-280 nm) in the decontamination of three hospital-related surfaces, namely, unpainted/painted aluminum (bed railings), stainless steel (operating tables), and scrubs (laboratory coats), was investigated. Acinetobacter baumannii cells were inoculated (10(5) or 10(3) cells) ...

journal_title：Military medicine

authors： Rastogi VK,Wallace L,Smith LS

更新日期：2007-11-01 00:00:00

abstract：:A 22-year-old active duty E1 Nepalese male who recently emigrated from Nepal suddenly exhibited strange behaviors and mutism during Advanced Individual Training. After receiving care from a hospital near his unit, he was transferred to Walter Reed Army Medical Center Inpatient Psychiatry for further evaluation and tre...

journal_title：Military medicine

authors： Babikian S,Emerson L,Wynn GH

更新日期：2007-11-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to describe the epidemiology of suicides among U.S. Air Force, Army, Marine Corps, and Navy recruits from 1980 through 2004. METHODS:Recruit suicides were identified through the Department of Defense Recruit Mortality Registry. We calculated crude, category-specific, and age-adj...

journal_title：Military medicine

authors： Scoville SL,Gubata ME,Potter RN,White MJ,Pearse LA

更新日期：2007-10-01 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

authors： Crawford RS 3rd,Wu J,Park D,Barbour GL

更新日期：2007-10-01 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

authors： Lundy JB,Gallo DR,Eastman DP,Perkins JH

更新日期：2007-10-01 00:00:00

abstract：:Eating disorders are increasing in frequency among adolescents. The active duty military population has a high prevalence of eating disorders. This study, conducted at a major medical center, determined the prevalence of disordered eating among military dependents and the correlation between adolescent and parent eati...

journal_title：Military medicine

authors： Waasdorp CE,Caboot JB,Robinson CA,Abraham AA,Adelman WP

更新日期：2007-09-01 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

authors： Grant WD,Secreti L

更新日期：2007-08-01 00:00:00

abstract：UNLABELLED:Increased helmet-mounted mass and specific neck postures have been found to be a cause of increased muscular activity and stress. However, pilots who use night vision goggles (NVG) frequently use counterweight (CW) equipment such as a lead mass that is attached to the back of the flight helmet to provide bal...

journal_title：Military medicine

authors： Harrison MF,Neary JP,Albert WJ,Veillette MD,Forcest C,McKenzie NP,Croll JC

更新日期：2007-08-01 00:00:00

abstract：:Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...

journal_title：Military medicine

authors： Larson RJ,Welch HG

更新日期：2007-07-01 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

authors： Feldman RL,Nickell K

更新日期：2007-07-01 00:00:00

abstract：:Heat stroke is a rare clinical phenomenon, characterized by systemic heat and cytokine-induced organ damage. Permanent neurological deficits rarely develop following heat strokes, and cerebellar dysfunction predominates among these rare cases. We report a case of severe heat stroke with recovery from severe multiorgan...

journal_title：Military medicine

authors： Rav-Acha M,Shuvy M,Hagag S,Gomori M,Biran I

更新日期：2007-06-01 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

authors： Statler JD,Slaughter CR,Ronsivalle JA

更新日期：2007-06-01 00:00:00

abstract：:Receipt of public support payments is associated with beneficial outcomes for homeless people with mental illness. The purpose of this study was to identify factors associated with receipt of Department of Veterans Affairs (VA) pension and compensation benefits among homeless veterans after their initial contact with ...

journal_title：Military medicine

authors： Chen JH,Rosenheck RA,Kasprow WJ,Greenberg G

更新日期：2007-05-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to evaluate pregnancy during war-time deployment. METHODS:A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 77 demonstrated a positive pregnancy test. These charts were evaluated for factors ...

journal_title：Military medicine

authors： Albright TS,Gehrich AP,Wright J Jr,Lettieri CF,Dunlow SG,Buller JL

更新日期：2007-05-01 00:00:00

abstract：:Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...

journal_title：Military medicine

authors： Dedic G,Panic M

更新日期：2007-05-01 00:00:00

abstract：UNLABELLED:The Department of Defense spends more than $50 million dollars a year on humanitarian assistance (HA) projects. Although the projects are perceived as beneficial, demonstrating sustainable long-term impact is not possible. METHODS:A seven-step monitoring and evaluation (M&E) process was adapted for this stu...

journal_title：Military medicine

authors： Licina DJ,Schor K

更新日期：2007-04-01 00:00:00

abstract：:These tests were conducted to develop a database that could be used to assess risks to soldiers from exposure to aerosolized metallic particulates when the crew compartment of an Abrams tank is perforated by a kinetic energy penetrator. Quantitative data are reported for aerosols produced by kinetic energy penetrators...

journal_title：Military medicine

authors： Gold K,Cheng YS,Holmes TD

更新日期：2007-04-01 00:00:00

abstract：AIM:To evaluate magnetic resonance (MR) imaging as a direct-access diagnostic tool for primary care physicians. METHOD:Prospective, case-control study in a Royal Air Force setting. We obtained institutional review board approval and informed consent. Cases consisted of patients with acute knee injury and a physician-o...

journal_title：Military medicine

authors： Geary KG,Croft AM

更新日期：2007-04-01 00:00:00

abstract：:Past research suggests that the negative consequences related to exposure to traumatic events and injury may impact cohesive work relationships. Additionally, trauma and low cohesive relationships independently predict poorer psychological and physical health in service members. The objective of the present study was ...

journal_title：Military medicine

authors： Whealin JM,Batzer WB,Morgan CA 3rd,Detwiler HF Jr,Schnurr PP,Friedman MJ

更新日期：2007-03-01 00:00:00

abstract：:Critically injured patients are at risk for hypothermia. This study determined the efficacy of three hypothermia prevention strategies: the ChillBuster warming blanket, ChillBuster with a reflective blanket, and two wool blankets. A quasi-experimental design was used to compare changes in core temperature. Following r...

journal_title：Military medicine

authors： Schmelz JO,Bridges EJ,Wallace CM,Sanders SF,Shaw T,Kester N,Bauer S,Sylvester JC

更新日期：2007-03-01 00:00:00

abstract：:Epidemiological studies often have to rely on a participant's self-reporting of information. The validity of the self-report instrument is an important consideration in any study. The purpose of this investigation was to determine the validity of self-reported Army Physical Fitness Test (APFT) scores. The APFT is admi...

journal_title：Military medicine

authors： Jones SB,Knapik JJ,Sharp MA,Darakjy S,Jones BH

更新日期：2007-02-01 00:00:00