abstract：:The Military Health Services System (MHSS) is undergoing major modifications brought about by the Department of Defense health care reform program (TRICARE), a dynamic, multi-dimensional reform initiative affecting health care delivery to eligible beneficiaries. Military managers of the MHSS are currently being impact...

journal_title：Military medicine

authors： Texidor MS,Lamar SR,Roberts BJ

更新日期：1996-04-01 00:00:00

abstract：OBJECTIVE:To document the ongoing trauma experience of U.S. Army surgeons during peacetime clinical practice. METHODS:Surveys were mailed to the trauma directors of military surgical services worldwide. Questions focused on numbers of operative cases and availability of trauma resources. Laparotomy, thoracotomy, and v...

journal_title：Military medicine

authors： Knuth TE

更新日期：1996-03-01 00:00:00

abstract：:Trauma and cancer are entities that are encountered frequently by surgeons and occasionally may exist simultaneously in certain patients. Illustrated here is the case of a man with a perinephric mass, discovered during evaluation for blunt abdominal trauma, which was originally thought to be a perinephric hematoma and...

journal_title：Military medicine

authors： Blake DP,Bessey PQ

更新日期：1996-03-01 00:00:00

abstract：:Use of blood products are recommended worldwide as a substitution for whole blood. In the case of war wounds, because of their specificity, this is not possible. We studied prospectively the use of blood and blood products during management of the wounded in a field hospital during the war in Croatia. During a 6-month...

journal_title：Military medicine

authors： Horzic M,Bunoza D,Maric K,Poje A

更新日期：1996-02-01 00:00:00

abstract：:In this study an all-male population of 256 U.S. Army basic trainees and 98 armor officer basic course students were surveyed concerning extent of use, knowledge of, and factors contributing to the use of smokeless tobacco (ST). The survey was administered at a dental clinic at Fort Knox, Kentucky. The data were analy...

journal_title：Military medicine

authors： Kenny KK,Quigley NC,Regennitter FJ

更新日期：1996-01-01 00:00:00

abstract：:Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...

journal_title：Military medicine

authors： Zimmerman PA,Francis GL,Poth M

更新日期：1995-12-01 00:00:00

abstract：:American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...

journal_title：Military medicine

authors： Skelton WP 3rd,Skelton NK

更新日期：1995-11-01 00:00:00

abstract：:From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritone...

journal_title：Military medicine

authors： Deshmukh N,Kjellberg SI,Shaw PM

更新日期：1995-11-01 00:00:00

abstract：:A study of ambulatory mental health services on a U.S. Army post where logistic support personnel are stationed compared utilization of psychiatric services before, during, and after the Persian Gulf War. Rates were calculated for service utilization for the at-risk groups from consecutive cases presenting at the post...

journal_title：Military medicine

authors： Koshes RJ,Rothberg JM

更新日期：1995-10-01 00:00:00

abstract：:Tick bites, associated clinical symptoms, and antibodies against Borrelia burgdorferi were investigated in 77 Finnish army recruits training during summer in an endemic region and 50 control recruits serving outside the habitat of ticks. During a follow-up of 6 months, 26.9% of the study recruits reported tick bites. ...

journal_title：Military medicine

authors： Oksi J,Viljanen MK

更新日期：1995-09-01 00:00:00

abstract：:Administrative and clinical considerations for the establishment of an ophthalmic laser program at a VA Outpatient Clinic are discussed. Outcomes of the first 320 patients treated over a 3-year period of time are presented. The program is evaluated from the perspectives of patient care, safety, maintenance, education,...

journal_title：Military medicine

authors： Newcomb RD

更新日期：1995-08-01 00:00:00

abstract：:Microparticle immunoenzymatic assay (MEIA) is a new, ultrasensitive technique recently introduced for detection of prostatic specific antigen (PSA). It is easily performed, totally automated, and cheaper and faster than radioimmunometric techniques. In this study, the levels of PSA in 194 males with urologic problems ...

journal_title：Military medicine

authors： Sánchez de la Muela P,Povo Castilla J,Bobillo de Lamo M,Rosales F,Pérez-Piqueras JL

更新日期：1995-08-01 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

authors： Bombard CF

更新日期：1995-07-01 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

authors： Bohnker BK

更新日期：1995-06-01 00:00:00

abstract：:Beginning in 1991, case reports of coccidioidomycosis in California increased dramatically, pursuant to a variety of natural and demographic factors. This highly infectious fungal disease with propensity to disseminate widely, mimic other conditions, and cause pathology at locations distant in place and time is readil...

journal_title：Military medicine

authors： Olson PE,Bone WD,LaBarre RC,Martin CR,Utz GC,Miller LK,Gresham L

更新日期：1995-06-01 00:00:00

abstract：:A mathematical model revealing the relationships between bed capacity, average patient admission rate, average patient length of stay, utilization rate, and overfill rate in intensive care units is developed and explained. Mathematical model predictions are compared to predictions of two kinds of discrete event intens...

journal_title：Military medicine

authors： Lamiell JM

更新日期：1995-05-01 00:00:00

abstract：:Three time frames were studied during the 54-year history of the Golden Gate Bridge from 1937 to 1991. During that period of time, there were 918 documented jumps from this majestic structure to the water 250 feet below. The last 15 years provided us with 297 consecutive patients, all brought to one institution, which...

journal_title：Military medicine

authors： Lafave M,LaPorta AJ,Hutton J,Mallory PL 2nd

更新日期：1995-04-01 00:00:00

abstract：:Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid sten...

journal_title：Military medicine

authors： Hargraves RW,Theodore N,Pulliam MW

更新日期：1995-03-01 00:00:00

abstract：:Operations Just Cause and Desert Storm were of relatively brief duration; however, severe wounds were produced that required complex reconstructive procedures. This paper describes the type of wounds managed in theater and subsequently at three U.S. military medical centers. Specific reconstructive techniques included...

journal_title：Military medicine

authors： Thurman RT,Walker GM,Reid 4th DS

更新日期：1995-02-01 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

authors： Splonskowski JM,Twiss JJ

更新日期：1995-01-01 00:00:00

abstract：:The purpose of this study was to evaluate the effects of the M17 and M43 protective masks on stereoacuity. Twelve subjects were tested on the Keystone diagnostic series stereopsis test at nearpoint and the Howard-Dolman apparatus at 40 cm and 6 m. Stereopsis was evaluated without a mask and with the M43 and M17 masks....

journal_title：Military medicine

authors： Harmel LA,Wingert TA,McAlister WH,Bachman WG

更新日期：1994-12-01 00:00:00

abstract：:Several important questions are addressed herein. What is graduate medical education (GME), and what is research? What is the history of the association between GME and research? Why is research required for GME? What research is required for GME? How will health care reform affect GME and biomedical research? How muc...

journal_title：Military medicine

authors： Lamiell JM

更新日期：1994-11-01 00:00:00

abstract：:From May 21 to June 4, 1993, a collaborative training project involving U.S. Army veterinary personnel, the Lao-American Integrated Rural Development Project, and the Lao Department of Livestock and Veterinary Services occurred in the Houa Muang District of Houa Phan Province in northeastern Laos. The project focus wa...

journal_title：Military medicine

authors： Stanley OL

更新日期：1994-10-01 00:00:00

abstract：:The challenges of managing military medicine over the last three decades have been complicated by rapidly changing priorities and redirections. Inspired by Kuhn's theory of "paradigm shifts," we can identify five distinct paradigms and four paradigm shifts that have dominated military medicine over the last 25 years. ...

journal_title：Military medicine

authors： Brown FW

更新日期：1994-09-01 00:00:00

abstract：:A diminution in the anticoagulant effect of IV heparin with concomitant use of IV nitroglycerin has been reported. However, recent reports have disputed the existence of this interaction. The objective of this study was to assess the potential interaction of these agents in a clinical setting. Forty-five patients hosp...

journal_title：Military medicine

authors： Nottestad SY,Mascette AM

更新日期：1994-08-01 00:00:00

abstract：:Twenty-four pilots (age 20-32 years) were monitored with a Holter monitor during 26 hours including a high-Gz flight in order to evaluate heart rate (HR) and cardiac rhythm. Flight experience did not predict the mean in-flight HR (range 69-121 beats/minute), which decreased with increasing age and correlated to the ma...

journal_title：Military medicine

authors： Skyttä J,Karjalainen J,Aho J,Laitinen LA,Lindqvist A

更新日期：1994-07-01 00:00:00

abstract：:A case is presented in which a patient was placed on phenytoin following open depressed skull fracture. He subsequently was lost to follow-up, and then presented with several complaints, among them mutism, found to be related to phenytoin toxicity. There are no reports to date of this condition being caused by phenyto...

journal_title：Military medicine

authors： Berigan T,Watt TJ

更新日期：1994-07-01 00:00:00

abstract：:From August 1, 1991, to May 30, 1992, 148 severely wounded military and civilian casualties with the injury severity score of 3 to 5 were treated in the intensive care unit of the Zadar General Hospital. There were 138 male and 10 female patients; their mean age was 32 years. There were 64 wounded civilians and 84 wou...

journal_title：Military medicine

authors： Mlinarić J,Nincević N,Peranić H,Kostov D,Gnjatović D,Dominis M,Tolić I,Mitrović N,Serić J

更新日期：1994-06-01 00:00:00

abstract：:Pseudolymphomas of the breast are extremely rare: the etiology of these lesions is unclear, but some believe they may represent a response to local injury. Although morphologically similar to malignant lymphomas, they are benign. Here we report a case of pseudolymphoma of the breast and present a review of the literat...

journal_title：Military medicine

authors： Maldonado ME,Sierra RD

更新日期：1994-06-01 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

authors： Rosenblatt MS,Hirsch EF,Valeri CR

更新日期：1994-05-01 00:00:00

abstract：:Despite two decades of concerted federal government effort and the expenditure of billions of dollars, the war on cancer, as judged by mortality, is not going well. However, the mortality yardstick by which progress against cancer is often measured should be reassessed based upon current concepts of carcinogenesis. Th...

journal_title：Military medicine

authors： Riggs JE

更新日期：1994-04-01 00:00:00

abstract：:In a community sample of 573 New Zealand Vietnam War veterans, 20% were identified as posttraumatic stress disorder (PTSD) cases. The association between PTSD diagnoses and a range of military experience variables and current demographic variables was examined. Significant differences were reported between cases and n...

journal_title：Military medicine

authors： Vincent C,Chamberlain K,Long N

更新日期：1994-04-01 00:00:00

abstract：:A young man evaluated for a testis tumor was found to have Burkitt's lymphoma. The presentation of Burkitt's lymphoma in the United States as a testis mass is unusual. The rapid proliferation and metastatic potential of the tumor mandates prompt evaluation and the early initiation of systemic chemotherapy. ...

journal_title：Military medicine

authors： Rozanski TA,Castillo IC

更新日期：1994-04-01 00:00:00

abstract：:The massive Department of Defense deployment in support of Hurricane Andrew relief cast the military medical departments in a new role. Military medical personnel were challenged to apply the traditional principles of combat medicine to a noncombat environment, within the continental United States, within an existing ...

journal_title：Military medicine

authors： Holsenbeck LS

更新日期：1994-03-01 00:00:00

abstract：:Since opening the Air Force's first in-hospital birth center, the United States Air Force Academy Hospital has followed a policy of 24-hour discharge of mothers and babies--a major paradigm shift in traditional military treatment facility practice. This study was conducted to evaluate this change. Records were reviewe...

journal_title：Military medicine

authors： Rhodes MK

更新日期：1994-03-01 00:00:00

abstract：:Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...

journal_title：Military medicine

authors： Grinkemeyer MD,LaBarre RC,Yaszemski MJ,Klucznik RP,Blatt SP,Drehner DM

更新日期：1994-03-01 00:00:00

abstract：:A systematic random sample of 962 dental records of soldiers in class 2 was reviewed by six general dentists and their estimates of periodontal and non-periodontal treatment time were recorded. The majority (88.9%) required some treatment. Periodontal treatment time ranged from 0 to 18 hours with a median and mode of ...

journal_title：Military medicine

authors： Shulman JD,Williams TR,Lalumandier JA

更新日期：1994-02-01 00:00:00

abstract：:A case of paraganglioma of the vagus nerve in a 69-year-old woman presented as a pulsatile neck mass of 20 years duration. Angiogram showed it to be a vascular tumor and suggested the diagnosis of carotid body tumor. At operation, the tumor was found to involve the vagus nerve, which needed to be resected. The relevan...

journal_title：Military medicine

authors： Deshmukh N,Horbowyj R

更新日期：1994-02-01 00:00:00

abstract：:A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...

journal_title：Military medicine

authors： Dettori JR,Pearson BD,Basmania CJ,Lednar WM

更新日期：1994-01-01 00:00:00

abstract：:A survey of 600 Army and Navy physicians deployed to the Persian Gulf during Operation Desert Storm was conducted to ascertain their concerns pertaining to the ethics of combat medicine and note any similarities with common ethical concerns in the peacetime practice of medicine. Despite expressed familiarity with the ...

journal_title：Military medicine

authors： Carter BS

更新日期：1994-01-01 00:00:00