解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:INTRODUCTION:Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can ad...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa103
更新日期:2020-09-18 00:00:00
abstract:INTRODUCTION:Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the r...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa102
更新日期:2020-09-18 00:00:00
abstract:INTRODUCTION:Each year, a substantial proportion of trainees who enter the U.S. Air Force (USAF) Basic Military Training (BMT) are unable to complete training. Reentry to civilian life poses significant challenges, including finding employment, establishing a new career path, and paying for education. To our knowledge,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa110
更新日期:2020-09-18 00:00:00
abstract:INTRODUCTION:Gathering end-user feedback about candidate technologies in the operational environment prior to fielding helps to ensure that far-forward medical teams receive the most suitable technology. It is therefore a crucial step in the defense medical acquisition process. The current article reviews the methodolo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa069
更新日期:2020-09-18 00:00:00
abstract::Pneumothorax is a condition where air exists in the chest cavity, outside the lung. The causes of pneumothorax are numerous and determining the etiology can aid in treatment and prevent recurrence. We describe a 47-year-old female patient with past medical history of endometriosis who presented to the emergency room w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz468
更新日期:2020-09-18 00:00:00
abstract:INTRODUCTION:Undergraduate and graduate medical education both have been reported to have high rates of depression, anxiety, and burnout as a result of the rigors of their educational curricula. Wellness, including physical fitness, is important to the profession because it may help mitigate these increased rates of de...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa251
更新日期:2020-09-10 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:INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz454
更新日期:2020-08-14 00:00:00
abstract:INTRODUCTION:The French army has implemented an algorithm based on the acronym "MARCHE RYAN," each letter standing for a key action to complete in order to help first care providers during emergency casualty care. On the battlefield, the risk of error is increased, and the use of cognitive aids (CAs) might be helpful t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz482
更新日期:2020-08-14 00:00:00
abstract:INTRODUCTION:The Veterans Team Recovery Integrative Immersion Process (Vet TRIIP) is a short-term multi-modality complementary, integrative immersion program for veterans with chronic pain, post-traumatic stress, and related symptoms. Geared toward Veterans, active duty servicemembers, family members, and caregivers, V...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa053
更新日期:2020-08-14 00:00:00
abstract:INTRODUCTION AND SCOPE OF THE PROBLEM:Surgical site infections (SSIs) are associated with increased length of hospital stays, poor patient outcomes, and increased health care costs making prevention of SSI a high priority for the U.S. Military Health Care System. The focus of this project was to develop and pilot a pre...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz186
更新日期:2020-06-19 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:Genital human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. The Center for Disease Control Advisory Committee on Immunization Practices (ACIP) has recognized the potential benefits of immunizing young men beginning at age 11 or 12 years and continuing through ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz403
更新日期:2020-06-08 00:00:00
abstract::Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz316
更新日期:2020-06-08 00:00:00
abstract:INTRODUCTION:Obesity is prevalent among users of Veteran's Health Administration services, where it is comorbid with depression, post-traumatic stress disorder, type 2 diabetes, cardiovascular disease, colon, and breast cancer. Among obese subjects, severe obesity represents a subpopulation with the highest risk of dep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz475
更新日期:2020-06-08 00:00:00
abstract::For nasopharyngeal carcinoma (NPC), radiotherapy is the primary treatment. However, complications occur after radiation to the nasopharynx, which could potentially affect the flying safety. Four fighter pilots with NPC were reported. With early to locally advanced NPC, they received radiotherapy with or without concur...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz276
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Hypersensitivity reactions to natural rubber latex are well-characterized occupational concerns for health care personnel. Health care providers are at increased risk for exposure and possibly transmission of vaccine preventable diseases. Therefore, many health care facilities require providers to be vacci...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz376
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Baseline symptom, balance, and neurocognitive scores have become an integral piece of the concussion management process. Factors such as sleep, learning disorders, fitness level, and sex have been linked to differences in performance on baseline assessments; however, it is unclear how tobacco use may affec...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz352
更新日期:2020-03-02 00:00:00
abstract::Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz462
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Medical error is the third leading cause of death in the United States, contributing to suboptimal care, serious patient injury, and mortality among beneficiaries in the Military Health System. Recent media reports have scrutinized the safety and quality of military healthcare, including surgical complicat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz330
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Military Service Members (SMs) with upper limb (UL) amputation have unrestricted access to occupational therapy (OT) services. Identifying OT interventions used based on clinical rationale and patient needs can provide insight toward developing best practice guidelines. The purpose of this retrospective ob...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz341
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Having a mentor is associated with higher job satisfaction among U.S. physicians. The objective of this study was to assess satisfaction among military medical officers and to assess if mentorship and job satisfaction are associated with intention to continue military service. MATERIALS AND METHODS:This i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz327
更新日期:2020-03-02 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:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz132
更新日期:2020-02-13 00:00:00
abstract:INTRODUCTION:Obstetric fistulae are a leading scourge for women in developing countries resulting, in severe individual suffering and devastating socio-economic repercussions for her family and community. The underlying causes of obstetric fistula stem from multiple factors to include poor nutrition, early marriage, in...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz172
更新日期:2020-02-12 00:00:00
abstract:INTRODUCTION:Carbon monoxide (CO) is produced from incomplete combustion of hydrocarbons and is a by-product of tobacco smoking. Chronic cigarette smokers often have carboxyhemoglobin (COHb) concentrations as high as 10%. We report a case of severely elevated COHb and polycythemia because of tobacco smoking and provide...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz280
更新日期:2020-02-12 00:00:00
abstract:INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz209
更新日期:2020-01-07 00:00:00
abstract:INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcar...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz287
更新日期:2020-01-07 00:00:00
abstract:INTRODUCTION:The objective was to determine if the Mobile Device Outcomes-based Rehabilitation Program (MDORP) improved strength, mobility, and gait quality in service members (SMs) and Veterans with lower limb amputation (LLA). METHODS:Seven SMs and 10 Veterans with LLA enrolled and were trained to use a mobile senso...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.1093/milmed/usz201
更新日期:2020-01-07 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:INTRODUCTION:This article presents an emerging capability to project damage control procedures far forward for situations where evacuation to a formal surgical team is delayed. Specifically, we demonstrate the plausibility of using a wearable augmented reality (AR) telestration device to guide a nonsurgeon through a da...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz298
更新日期:2020-01-07 00:00:00
abstract:INTRODUCTION:This study evaluates a large cohort of college students after the 2009-2010 pandemic H1N1 influenza season. The objective was to assess influenza vaccination status, influenzalike illnesses (ILIs), and other characteristics associated with attaining immunizations. METHODS:This study was conducted during t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz257
更新日期:2020-01-07 00:00:00
abstract:INTRODUCTION:The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. MATERIALS AND METHODS:Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz198
更新日期:2020-01-07 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:INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz208
更新日期:2020-01-07 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:INTRODUCTION:The purpose of this study is to characterize self-reported protective factors against suicide or self-harm within free-response comments from a harm-risk screening. MATERIALS AND METHODS:Veterans enrolled in Department of Veterans Affairs mental health care were administered a self-harm and suicide screen...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz111
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Military personnel must remain physically active to meet operational requirements. Military physical training not only provides the performance capabilities required for performing occupational tasks but also fosters the development of sport. Thus, Armed Forces across the world have historically invested i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz003
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Decreased hip joint space has been associated with poorer outcomes after hip arthroscopy. The purpose of this study was to determine if a difference exists in hip joint degenerative findings in military versus civilian patients with FAI. METHODS:A single surgeon's case series was reviewed to identify all ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz058
更新日期:2019-12-01 00:00:00
abstract::Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz106
更新日期:2019-12-01 00:00:00