abstract：:The use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore fu...

journal_title：Military medicine

authors： Pasquina PF,Isaacson BM,Johnson E,Rhoades DS,Lindholm MP,Grindle GG,Cooper RA

更新日期：2016-08-01 00:00:00

abstract：:Cognitive dysfunction is commonly observed among individuals with alcohol use disorder (AUD) and trauma exposure and is, in turn, associated with worse clinical outcomes. Accordingly, disruptions in cognitive functioning may be conceptualized as a trans-disease phenomenon representing a potential high-yield target for...

journal_title：Military medicine

authors： Heinz AJ,Pennington DL,Cohen N,Schmeling B,Lasher BA,Schrodek E,Batki SL

更新日期：2016-07-01 00:00:00

abstract：:Running-related musculoskeletal injuries among U.S. military recruits negatively impact military readiness. Low aerobic fitness, prior injury, and weekly running distance are known risk factors. Physical fitness screening and remedial physical training (or discharging the most poorly fit recruits) before entry-level m...

journal_title：Military medicine

authors： Molloy JM

更新日期：2016-06-01 00:00:00

abstract：:Lean Six Sigma (LSS) is a process improvement methodology developed in the manufacturing industry to increase process efficiency while maintaining product quality. The efficacy of LSS application to the health care setting has not been adequately studied. This article presents a quality improvement project at the U.S....

journal_title：Military medicine

authors： Ha C,McCoy DA,Taylor CB,Kirk KD,Fry RS,Modi JR

更新日期：2016-06-01 00:00:00

abstract：OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...

journal_title：Military medicine

authors： Balbale SN,Etingen B,Malhiot A,Miskevics S,LaVela SL

更新日期：2016-05-01 00:00:00

abstract：:The relationship between repeated exposure to blast overpressure and neurological function was examined in the context of breacher training at the U.S. Marine Corps Weapons Training Battalion Dynamic Entry School. During this training, Students are taught to apply explosive charges to achieve rapid ingress into secure...

journal_title：Military medicine

authors： Carr W,Stone JR,Walilko T,Young LA,Snook TL,Paggi ME,Tsao JW,Jankosky CJ,Parish RV,Ahlers ST

更新日期：2016-05-01 00:00:00

abstract：INTRODUCTION:Ibuprofen is commonly used by warfighters in the deployed environment. This study investigated its dose effects on in vitro coagulation in human and pig blood. METHODS:Blood samples were collected from 6 normal volunteers and 6 healthy pigs and processed to make platelet-adjusted samples (100 × 10(3)/μL, ...

journal_title：Military medicine

authors： Martini WZ,Rodriguez CM,Deguzman R,Guerra JB,Martin AK,Pusateri AE,Cap AP,Dubick MA

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:Addition of an oxygen concentrator into a control loop furthers previous work in autonomous control of oxygenation. Software integrates concentrator and ventilator function from a single control point, ensuring maximum efficiency by placing a pulse of oxygen at the beginning of the breath. We sought to verif...

journal_title：Military medicine

authors： Gangidine MM,Blakeman TC,Branson RD,Johannigman JA

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:Combat casualties have endured an increase in traumatic lower extremity amputations secondary to improvised explosive devices. Often surgical control of the proximal vasculature is required. We evaluate the safety profile of exploratory laparotomy (EXLAP) for proximal control (PC) in combat-injured patients....

journal_title：Military medicine

authors： Hathaway E,Glaser J,Cardarelli C,Dunne J,Elster E,Safford S,Rodriguez C

更新日期：2016-05-01 00:00:00

abstract：:Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...

journal_title：Military medicine

authors： Saitzyk A,Vorm E

更新日期：2016-04-01 00:00:00

abstract：UNLABELLED:The Eagle Tactical Athlete Program (ETAP) was scientifically developed for the U.S. Army's 101st Airborne Division (Air Assault) to counter unintentional musculoskeletal injuries (MSIs). PURPOSE:To determine if ETAP would reduce unintentional MSIs in a group of 101st Airborne Division (Air Assault) Soldiers...

journal_title：Military medicine

authors： Sell TC,Abt JP,Nagai T,Deluzio JB,Lovalekar M,Wirt MD,Lephart SM

更新日期：2016-03-01 00:00:00

abstract：:Tuberculosis (TB) is a common disease worldwide affecting more than 2 billion people, including latent, pulmonary, and extrapulmonary TB. The presentation of disseminated TB is variable and dependent on the organs affected. Therefore, making the diagnosis and providing appropriate treatment can be delayed. We present ...

journal_title：Military medicine

authors： Triplett D,Stewart E,Mathew S,Horne BR,Prakash V

更新日期：2016-03-01 00:00:00

abstract：CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...

journal_title：Military medicine

authors： Dobson A,El-Gamil A,Shimer M,DaVanzo JE

更新日期：2016-02-01 00:00:00

abstract：:The Department of Defense (DoD) requires service members to complete regular health assessments for identification of deployment-related physical/behavioral issues and environmental/occupational exposures. Compliance among active duty Department of the Navy personnel varies; however, and the impact of incomplete asses...

journal_title：Military medicine

authors： Luse TM,Slosek J,Rennix C

更新日期：2016-02-01 00:00:00

abstract：:Primary care providers are often the initial evaluators of soldiers presenting with acute eye complaints. It is crucial for these providers to master performing the basic eye examination with a systematic approach. Obtaining a thorough history is an important first step to the eye examination, but providers need to be...

journal_title：Military medicine

authors： Lee DY,Mathis DA

更新日期：2016-02-01 00:00:00

abstract：OBJECTIVES:To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions. METHODS:Mixed methods study of resident ratings of medicine attendings (Period 1: 1994-1996, n = 250 and Period 2: 2007-2009, n = 152). Residents evalua...

journal_title：Military medicine

authors： Mallory R,Jackson JL,Mondragon D,Hatzigeorgiou C,DeZee KJ,Greenburg D,O'Malley PG

更新日期：2016-01-01 00:00:00

abstract：:Military commanders frequently mention that communicating difficult or taboo information is especially challenging. In the context of gender-integrated ground combat service there may be additional communication challenges for military commanders who may be unaccustomed to leading both men and women. Often, military c...

journal_title：Military medicine

authors： Moosey M

更新日期：2016-01-01 00:00:00

abstract：:Musculoskeletal injuries (MSIs) are a concern for the military community because of medical expenses, possible disability, and separation from the military. This study investigated the prevalence of MSIs in deployed aeromedical evacuation (AE) populations reported on Post-Deployment Health Assessment (PDHA) forms. A s...

journal_title：Military medicine

authors： Fouts BL,Serres JL,Dukes SF,Maupin GM,Wade ME,Pohlman DM

更新日期：2015-12-01 00:00:00

abstract：UNLABELLED:Ranger training includes strenuous physical activities and despite heat mitigations strategies, numerous cases of serious exertional heat illness (EHI) occur. We developed an Arm Immersion Cooling (AIC) system that is not logistically burdensome and may be easily employed in training environments. PURPOSE:T...

journal_title：Military medicine

authors： DeGroot DW,Kenefick RW,Sawka MN

更新日期：2015-11-01 00:00:00

abstract：INTRODUCTION:The aims of this study were as follows: first to quantify and review the types of surgical procedures performed by military surgeons assigned to a Forward Surgical Team (FST) providing medical support to the population (MSP) in the Ivory Coast (IC), and second to analyze how this MSP was achieved. METHODS...

journal_title：Military medicine

authors： Bonnet S,Bertani A,Savoie PH,Mathieu L,Boddaert G,Gonzalez F,Poichotte A,Durand X,Rongiéras F,Balandraud P,Pons F,Rigal S

更新日期：2015-10-01 00:00:00

abstract：:Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently rel...

journal_title：Military medicine

authors： Andicochea CT,Blalack PM,Fulkerson JA,Kidd GA,Taylor BM

更新日期：2015-10-01 00:00:00

abstract：:The Department of Defense Serum Repository (DoDSR) of the Armed Forces Health Surveillance Center (AFHSC), Silver Spring, Maryland, has over 55 million specimens. Over 80% of these specimens are linked to individual health data. In response to Congressional and Department of Defense (DoD) concern about toxic exposures...

journal_title：Military medicine

authors： Baird CP

更新日期：2015-10-01 00:00:00

abstract：:Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...

journal_title：Military medicine

authors： Schultheis E,Glasmeier A

更新日期：2015-09-01 00:00:00

abstract：:Expedited Partner Therapy (EPT) is the practice of treating the partners of patients with sexually transmitted infections by providing medications for the patient to deliver to his or her sexual partner (s) without direct clinical assessment of the partner(s). EPT is an evidence-based option that can augment existing ...

journal_title：Military medicine

authors： Stidham RA,Garges EC,Knapp SA

更新日期：2015-08-01 00:00:00

abstract：:Thousands of military members self-medicate with dietary supplements containing unknown quantities of pharmacologically active compounds. These poorly regulated substances can cause real harm to the military population, especially when they contain stimulants such as caffeine. When taken regularly, caffeine has severa...

journal_title：Military medicine

authors： Lystrup RM,Leggit JC

更新日期：2015-08-01 00:00:00

abstract：INTRODUCTION:The role of testosterone in health and quality of life has become increasingly visible and overtly marketed to the public. Some evidence suggests that testosterone levels in men may be low because of a variety of reasons, including stress and environmental exposures. OBJECTIVE:This study examines trends i...

journal_title：Military medicine

authors： Canup R,Bogenberger K,Attipoe S,Jones DR,Olsen CH,Stephens MB,Deuster PA

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Cervical spine clearance requires clinicians to assess the reliability of physical examination based on a patient's mental status and distracting injuries. Distracting injuries have never been clearly defined in military casualties. METHODS:Retrospective review was conducted of patients entered into Departm...

journal_title：Military medicine

authors： Drew J,Chou VB,Miller C,Borg B,Ingalls N,Shackelford S

更新日期：2015-07-01 00:00:00

abstract：:Rhabdomyolysis is a painful and potentially life-threatening injury in which muscle breaks down in response to an insult. In this case report, we describe the clinical course of a 22-year-old man who developed paraspinal muscle rhabdomyolysis and possible compartment syndrome in association with strenuous activity and...

journal_title：Military medicine

authors： Jeter J,DeZee KJ,Kennedy L

更新日期：2015-07-01 00:00:00

abstract：:Genus Candida covers more than 50 species, half of which can cause infections in humans. Some of the Candida species exhibit drug resistance; therefore, there is an urgent need for rapid and accurate differentiation for rendering appropriate and effective management. Here, we report a new methodology employing real-ti...

journal_title：Military medicine

authors： Zhang B,Izadjoo M

更新日期：2015-06-01 00:00:00

abstract：:Unit watch over suicidal patients by nonmedical soldiers is often necessary in a deployed environment, but this strategy's risks may outweigh its benefits in a garrison environment. This case study illustrates risks of unit watches that are difficult for medical personnel to effectively mitigate. The suicidal soldier ...

journal_title：Military medicine

authors： Brown CS,Sheridan RJ Jr

更新日期：2015-06-01 00:00:00

abstract：OBJECTIVES:A prenatal vitamin supplementation program for female basic military trainees at Joint Base San Antonio-Lackland was initiated in June 2012 with the goals of decreasing attrition and improving performance. This project examined whether supplementation influences attrition rates, incidence of stress fractures...

journal_title：Military medicine

authors： Barnes KR,Tchandja JN,Webber BJ,Federinko SP,Cropper TL

更新日期：2015-05-01 00:00:00

abstract：:A 23-year-old active duty United States Air Force air crew male presented to the flight medicine clinic in Germany after experiencing sudden onset penile pain while flying as part of a long-range operational mission. He was admitted to the German hospital and empirically treated for infection with antibiotics, which d...

journal_title：Military medicine

authors： Eovaldi B,Dunn DP

更新日期：2015-05-01 00:00:00

abstract：:Orthopedic trauma remains one of the most survivable battlefield injuries seen in modern conflicts. Translating research into practice is a critical bridge that permits surgeons to further optimize medical outcomes. Orthopedic surgeons serving in the military may treat little to no trauma in their stateside practice. ...

journal_title：Military medicine

authors： Niles SE,Balazs GC,Cawley C,Bosse M,Mackenzie E,Li Y,Andersen RC

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:The Medical College Admissions Test (MCAT) is a high-stakes test required for entry to most U. S. medical schools; admissions committees use this test to predict future accomplishment. Although there is evidence that the MCAT predicts success on multiple choice-based assessments, there is little information ...

journal_title：Military medicine

authors： Saguil A,Dong T,Gingerich RJ,Swygert K,LaRochelle JS,Artino AR Jr,Cruess DF,Durning SJ

更新日期：2015-04-01 00:00:00

abstract：PURPOSE:To determine how students who are referred to a competency committee for concern over performance, and ultimately judged not to require remediation, perform during internship. METHODS:Uniformed Services University of the Health Sciences' students who graduated between 2007 and 2011 were included in this study....

journal_title：Military medicine

authors： Hemann BA,Durning SJ,Kelly WF,Dong T,Pangaro LN,Hemmer PA

更新日期：2015-04-01 00:00:00

abstract：:Pain management is vitally important to injured patients being evacuated from the warzone. A prospective assessment of real-time ratings of pain acceptability, intensity, and satisfaction of a convenience sample of 114 less severely ill and injured U.S. military patients being evacuated on Aeromedical Evacuation (AE) ...

journal_title：Military medicine

authors： Bridges E,Dukes S,Serres J

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVE:This article addresses the design of a robust autopilot for the delivery of intravenous anesthesia drugs. METHODS:A mathematical framework that expresses the pharmacological variability of a patient population into uncertainty bounds is proposed. These bounds can be effectively used to tune the parameters of...

journal_title：Military medicine

authors： Bibian S,Dumont GA,Black I

更新日期：2015-03-01 00:00:00

abstract：UNLABELLED:U.S. Marines perform mission tasks under heavy loads which may compromise performance of combat tasks. However, data supporting this performance decrement are limited. PURPOSE:The aim of this study was to determine the effects of load on performance of combat-related tasks. METHODS:Subjects (N=18) ran a mo...

journal_title：Military medicine

authors： Jaworski RL,Jensen A,Niederberger B,Congalton R,Kelly KR

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVES:We aimed to describe differences in combat experience for male and female veterans and characterize differential effects on postdeployment physical and mental health symptoms, including aggression. METHODS:Retrospective cross-sectional health screening data from 554 Operation Enduring Freedom and Operation ...

journal_title：Military medicine

authors： Afari N,Pittman J,Floto E,Owen L,Buttner M,Hossain N,Baker DG,Lindamer L,Lohr JB

更新日期：2015-03-01 00:00:00

abstract：PURPOSE:The purpose of this study was to identify subpopulations at high risk for body composition assessment (BCA) failure within the Navy. METHODS:This study was an institutional review board-approved retrospective review of data retrieved from the Bureau of Medicine and Surgery Physical Readiness Information Manage...

journal_title：Military medicine

authors： Lennon RP,Oberhofer AL,McQuade J

更新日期：2015-02-01 00:00:00