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:Since January 2002, pre-deployment training of forward resuscitative and surgical units has taken place at the U.S. Army Trauma Training Center (ATTC) in Miami, FL. In June 2019, the 240th Forward Resuscitative Surgical Team (FRST) conducted the first pre-deployment Surgical Readiness Training Exercise (SU...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa545
更新日期:2021-01-27 00:00:00
abstract:INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa223
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Deployment-related mild traumatic brain injury (mTBI) affects a significant proportion of those who served in Post-9/11 combat operations. The prevalence of head injuries, including those that lead to mTBI, is often reported quantitatively. However, service member (SM) and Veteran firsthand accounts of the...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa308
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Neck pain among rotary-wing aviators has been established as an important issue in the military community, yet no U.S. Army regulation defines exactly what cervical spine range of motion (CROM) is adequate for flight. This lack of regulation leaves flight surgeons to subjectively determine whether an aviat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa270
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:A variety of factors influence the motivation to choose a medical career; however, the influence of premedical experiences on health professional trainees' choices is a neglected one. We hypothesize that medical exposure during service in the Israeli Air Force special operations forces (SOFs) has an impact...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa335
更新日期:2021-01-25 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:INTRODUCTION:Combat deployment is associated with mental and physical health disorders and functional impairment. Mental health (MH) diagnoses such as adjustment and anxiety disorders have received little research attention but may reflect important postdeployment sequelae. The purpose of this study was to investigate ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa301
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa403
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Dual-task performance, in which an individual performs two tasks simultaneously, is compromised following mild traumatic brain injury (mTBI). Proficient dual-task performance is essential in a military setting for both military member safety and execution of skilled tasks. To address the unique needs of mi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa404
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa359
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:The U.S. Navy Medicine has a long history of conducting global health missions that foster international diplomacy through medical knowledge exchange with a goal of increasing partner nation's health care capacity. Pacific Partnership is an annual U.S. Navy-sponsored joint operation that enhances medical c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa499
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa423
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:A new training and rehabilitation methodology called Sanomechanics® is presented based on a recent discovery of the anatomical system called Floating Skeleton System (FSS) responsible for redistributing contact pressures in the joint capsules and thus minimizing the loads on joint cartilages. MATERIALS AND ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa476
更新日期:2021-01-25 00:00:00
abstract:INTRODUCTION:Medical solider readiness processing (SRP) needed to continue during the COVID-19 pandemic. We developed a rapid practice improvement project to allow for a hybrid virtual medical SRP/in-person medical SRP to decrease exposure risk. A retrospective review comparing this virtual SRP to a historical in-perso...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa580
更新日期:2021-01-15 00:00:00
abstract:INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa553
更新日期:2021-01-11 00:00:00
abstract:INTRODUCTION:To train and prepare cadets for a career as firefighters in Rio de Janeiro, the second-year students of the Officers Training Course are submitted to a Search, Rescue, and Survival Training (SRST) course, which is characterized by long periods of high physical exertion and sleep restriction during a 9-day ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa571
更新日期:2021-01-05 00:00:00
abstract:INTRODUCTION:Nearly 10% of all combat injuries during the most recent conflicts in Iraq and Afghanistan involve thoracic trauma. The long-term outcomes of these combat-related injuries with respect to lung function have not been fully evaluated. Limited research in civilian polytrauma patients have shown significant ob...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa165
更新日期:2020-12-30 00:00:00
abstract:INTRODUCTION:Hemorrhage is the leading cause of potentially preventable death on the battlefield. The tactical combat casualty care guidelines recommend the use of the radial pulse strength to guide the administration of blood products or intravenous fluids when equipment for blood pressure monitoring is not available....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa197
更新日期:2020-12-30 00:00:00
abstract:INTRODUCTION:Military personnel with a diagnosis of asthma report increased respiratory symptoms in the deployment and post-deployment periods. The long-term effect of deployment on pulmonary function in this population is unknown. This study sought to determine the effect of deployment on post-deployment pulmonary fun...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa558
更新日期:2020-12-21 00:00:00
abstract:INTRODUCTION:Emergency department (ED) utilization represents an expensive and growing means of accessing care for a variety of conditions. Prior studies have characterized ED utilization in the general population. We aim to identify the clinical conditions that drive ED utilization in a universally insured population ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa547
更新日期:2020-12-17 00:00:00
abstract:INTRODUCTION:Today, the prevalence of overweight and obesity is, respectively, 49% and 17% among French adults. This research investigates their existence in the French Armed Forces, in terms of the impact on military operative response and military readiness. As no previous studies have evaluated the weight status of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa369
更新日期:2020-12-17 00:00:00
abstract:BACKGROUND:Post-traumatic headache (PTH) is a commonly experienced symptom after mild traumatic brain injury (mTBI). Blast injury- or blunt injury-related mechanisms for mTBI in veterans can also affect musculoskeletal structures in the neck, resulting in comorbid neck pain (NP). However, it is unknown whether the pres...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa532
更新日期:2020-12-11 00:00:00
abstract:INTRODUCTION:Chronic pain and post-traumatic stress disorder (PTSD) comorbidity is prevalent among veterans and is associated with increased levels of pain severity and pain-related disability. An improved understanding of the relationship between these co-occurring disorders, in addition to effective integrated treatm...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa529
更新日期:2020-12-10 00:00:00
abstract:INTRODUCTION:The prevalence of mild traumatic brain injury (mTBI) is commonly estimated based on indirect metrics such as emergency department visits and self-reporting tools. The study of postconcussive symptoms faces similar challenges because of their unspecific character and indistinct causality. In this article, w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa504
更新日期:2020-12-03 00:00:00
abstract:INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the family Coronaviridae and genus Betacoronavirus is the causative agent of COVID-19 disease and was first identified in Wuhan, China. SARS-CoV-2 spread globally with >28 million cases and 911,000 deaths recorded worldwide as of Sep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa525
更新日期:2020-11-30 00:00:00
abstract:INTRODUCTION:Interventions that encourage good nutrition-related behaviors in the dining environment can potentially influence the health of large numbers of military personnel. Thus, the Army has studied the effectiveness of implementing nutrition education and dining facility (DFAC) changes that included healthier re...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa522
更新日期:2020-11-30 00:00:00
abstract:INTRODUCTION:Positioning of implant components for total hip arthroplasty (THA) is important for polyethylene liner wear, prosthesis joint stability, and range of motion. The introduction of fluoroscopy for the direct anterior approach has been shown to improve physician accuracy for component positioning. Few studies ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa415
更新日期:2020-11-24 00:00:00
abstract:INTRODUCTION:Gestational diabetes mellitus (GDM) affects approximately 1-14% of all pregnancies in the United States and has significant maternal and neonatal consequences. Developing GDM can increase a patient's risk of developing overt diabetes in the future which may impact a soldier's readiness. The purpose of this...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa400
更新日期:2020-11-24 00:00:00
abstract:INTRODUCTION:With more than 370,000 military and civilian personnel stationed across Pacific Command (PACOM), medical evacuation in this largest command presents unique challenges. The authors describe medical evacuations analyzed from the U.S. Air Force Transportation Command Regulating and Command & Control Evacuatio...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa289
更新日期:2020-11-21 00:00:00
abstract::A case report of an army soldier presenting to the emergency department with acute metabolic derangement resulting in encephalopathy, cerebral edema, and death is presented. The patient had no medical diagnoses before entering military service and was triaged in the emergency department with the common complaint of pr...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa402
更新日期:2020-11-19 00:00:00
abstract:INTRODUCTION:Canadian Armed Forces adopted fibrinogen concentrate (RiaSTAP) for hemostatic resuscitation in the far-forward combat setting, given its potential benefits of reducing blood loss, blood transfusion and mortality, and its long storage stability and high portability. The current guidance recommends that RiaS...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa409
更新日期:2020-11-16 00:00:00
abstract:INTRODUCTION:Respiratory tract infections (RTI), such as those caused by influenza viruses and, more recently, the severe acute respiratory syndrome coronavirus-2, pose a significant burden to military health care systems and force readiness. The gut microbiota influences immune function, is malleable, and may provide ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa261
更新日期:2020-11-02 00:00:00
abstract:INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa293
更新日期:2020-10-03 00:00:00
abstract:INTRODUCTION:Service members (SMs) who are injured on deployment are at risk for myriad long-term health problems that may be ancillary to their physical injury, including high rates of depression and posttraumatic stress disorder, and poor health behaviors (e.g., problem drinking, cigarette and tobacco use, poor sleep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa242
更新日期:2020-10-02 00:00:00
abstract::Clonidine is a central alpha-2 agonist well known to produce a syndrome of bradycardia and hypotension in overdose. However, few examples of overt clinical clonidine toxicity secondary to cutaneous absorption have been reported. We report a case of unintentional systemic clonidine toxicity in an adult because of a com...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa284
更新日期:2020-10-02 00:00:00
abstract:INTRODUCTION:Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures u...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa070
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::Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies. This ca...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa029
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