63,011 results match your criteria Armed Forces & Society[Journal]


The Patterns and Associated Cost of Serologic Testing for Helicobacter pylori in the U.S. Military Health System.

Mil Med 2020 Jul 7. Epub 2020 Jul 7.

Gastroenterology Service, Department of Internal Medicine, WRNMMC, Department of Medicine, Uniformed Services University of the Health Sciences, 8901 Rockville Pike, Bethesda, MD 20889.

Introduction: Helicobacter pylori (H. pylori) infection affects about half of the world's population and can lead to multiple complications if left untreated. Testing for H. Read More

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http://dx.doi.org/10.1093/milmed/usaa141DOI Listing

Relationship between Difficulty in Emotion Regulation and Internet Addiction in College Students: A One-Year Prospective Study.

Int J Environ Res Public Health 2020 Jul 2;17(13). Epub 2020 Jul 2.

Department of Psychiatry, School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

This prospective study evaluated the predictive effect of difficulty in emotion regulation on the occurrence and remission of Internet addiction (IA) and determined whether IA has a role in changing emotion regulation among college students during a follow-up period of 1 year. A total of 500 college students (262 women and 238 men) were recruited. In baseline and follow-up investigations, the levels of IA and difficulty in emotion regulation were evaluated using the Chen Internet Addiction Scale and the Difficulties in Emotion Regulation Scale (DERS), respectively. Read More

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http://dx.doi.org/10.3390/ijerph17134766DOI Listing

Exploring smoking cessation behaviors of outpatients in outpatient clinics: Application of the transtheoretical model.

Medicine (Baltimore) 2020 Jul;99(27):e20971

Nursing Department, Zouying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.

To examine the knowledge, attitudes, and behaviors of smokers towards smoking prevention and provide high-quality smoking cessation services and education on tobacco prevention and establish a smoke-free care network.This study is a cross-sectional survey. The research tool is a questionnaire composed of 4 sub-scales, namely, "tobacco harm awareness," "tobacco prevention attitude," "quitting smoking self-efficacy scale," and "intentional behavior to quit smoking. Read More

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http://dx.doi.org/10.1097/MD.0000000000020971DOI Listing

Association of early vertebroplasty with risk of hip replacement: A nationwide population-based cohort study in Taiwan.

Medicine (Baltimore) 2020 Jul;99(27):e20926

Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei.

Studies show that vertebral fractures could predict the risk of hip fractures. We aimed to evaluate the potential benefits of whether the timing of vertebroplasty (VP) for vertebral fracture associated with the risk of hip fracture for hip replacement.We identified 142,782 patients from the Taiwan National Health Insurance Database with thoracolumbar vertebral fracture (International Classification of Diseases, Ninth Revision, Clinical Modification:805. Read More

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http://dx.doi.org/10.1097/MD.0000000000020926DOI Listing

Rising temperature and its impact on receptivity to malaria transmission in Europe: A systematic review.

Travel Med Infect Dis 2020 Jul 3:101815. Epub 2020 Jul 3.

University of Zurich Centre for Travel Medicine, WHO Collaborating Centre for Travellers' Health, Department of Public and Global Health, MilMedBiol Competence Centre, Institute for Epidemiology, Biostatistics and Prevention, University of Zurich, Zurich, Switzerland. Electronic address:

Background: Malaria is one of the most life-threatening vector-borne diseases globally. Recent autochthonous cases registered in several European countries have raised awareness regarding the threat of malaria reintroduction to Europe. An increasing number of imported malaria cases today occur due to international travel and migrant flows from malaria-endemic countries. Read More

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http://dx.doi.org/10.1016/j.tmaid.2020.101815DOI Listing

Effects of the COVID-19 pandemic on supply and use of blood for transfusion.

Lancet Haematol 2020 Jul 3. Epub 2020 Jul 3.

Manchester University NHS Foundation Trust, Manchester, UK.

The COVID-19 pandemic has major implications for blood transfusion. There are uncertain patterns of demand, and transfusion institutions need to plan for reductions in donations and loss of crucial staff because of sickness and public health restrictions. We systematically searched for relevant studies addressing the transfusion chain-from donor, through collection and processing, to patients-to provide a synthesis of the published literature and guidance during times of potential or actual shortage. Read More

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http://dx.doi.org/10.1016/S2352-3026(20)30186-1DOI Listing

Identifying and Quantifying Cannabinoids in Biological Matrices in the Medical and Legal Cannabis Era.

Clin Chem 2020 Jul;66(7):888-914

Institute of Emerging Health Professions, Thomas Jefferson University, Philadelphia, PA.

Background: Cannabinoid analyses generally included, until recently, the primary psychoactive cannabis compound, Δ9-tetrahydrocannabinol (THC), and/or its inactive metabolite, 11-nor-9-carboxy-THC, in blood, plasma, and urine. Technological advances revolutionized the analyses of major and minor phytocannabinoids in diverse biological fluids and tissues. An extensive literature search was conducted in PubMed for articles on cannabinoid analyses from 2000 through 2019. Read More

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http://dx.doi.org/10.1093/clinchem/hvaa113DOI Listing

Comparing the Efficiency of Software-Based Speech Recognition Versus Traditional Telephone Transcription in an Outpatient Physical Medicine and Rehabilitation Practice.

Mil Med 2020 Jul 6. Epub 2020 Jul 6.

Alan Edwards Pain Management Unit, Canada.

Introduction: Speech recognition (SR) uses computerized word recognition software that automatically transcribes spoken words to written text. Some studies indicate that SR may improve efficiency of electronic charting as well as associated cost and turnaround time1,2, but it remains unclear in the literature whether SR is superior to traditional transcription (TT). This study compared the impact of report generation efficiency of SR to TT at the Canadian Armed Forces Health Services Centre. Read More

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http://dx.doi.org/10.1093/milmed/usz374DOI Listing

Balloon Dilation of the Eustachian Tube for Baro-Challenge-Induced Otologic Symptoms in Military Divers and Aviators: A Retrospective Analysis.

Ear Nose Throat J 2020 Jul 5:145561320938156. Epub 2020 Jul 5.

Department of Otolaryngology, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

Objective: To evaluate the effectiveness of balloon dilation (tuboplasty) of the Eustachian tube (BET) in active duty military personnel working in hyper- and hypobaric environments suffering from baro-challenge-induced ETD using functional outcomes.

Methods: Military divers and aviators diagnosed with persistent baro-challenge-induced ETD resulting in disqualification from performing flight and dive duties and who elected for treatment with BET were included for analysis. Posttreatment follow-up assessments were undertaken at 1, 6, and 12 months. Read More

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http://dx.doi.org/10.1177/0145561320938156DOI Listing

Occupational therapy for military personnel and military veterans experiencing post-traumatic stress disorder: A scoping review.

Aust Occup Ther J 2020 Jul 5. Epub 2020 Jul 5.

School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.

Introduction: As the rate of post-traumatic stress disorder (PTSD) among military personnel and military veterans continues to rise, occupational therapists are increasingly concerned with the impact of this disorder on health, occupational performance, and quality of life. However, the literature on occupational therapy for military personnel and military veterans with PTSD has not been summarised.

Method: The objective was to identify what is known from the published, peer-reviewed literature, about the services provided by occupational therapists to military personnel and military veterans experiencing PTSD. Read More

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http://dx.doi.org/10.1111/1440-1630.12684DOI Listing

Upregulated expression of MMP family genes is associated with poor survival in patients with esophageal squamous cell carcinoma via regulation of proliferation and epithelial‑mesenchymal transition.

Oncol Rep 2020 Jul 7;44(1):29-42. Epub 2020 May 7.

School of Pharmaceutical Sciences, Shenzhen University Health Science Center, Shenzhen, Guangdong 518060, P.R. China.

Matrix metalloproteinases (MMPs) are involved in the cleavage of several components of the extracellular matrix and serve important roles in tumor growth, metastasis and invasion. Previous studies have focused on the expression of one or several MMPs in esophageal squamous cell carcinoma (ESCC); however, in the present study, the transcriptomics of all 23 MMPs were systematically investigated with a focus on the prognostic value of the combination of MMPs. In this study, 8 overlapping differentially expressed genes of the MMP family were identified based on data obtained from Gene Expression Omnibus and The Cancer Genome Atlas. Read More

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http://dx.doi.org/10.3892/or.2020.7606DOI Listing

Artificial intelligence method to classify ophthalmic emergency severity based on symptoms: a validation study.

Authors:
Hyunmin Ahn

BMJ Open 2020 Jul 5;10(7):e037161. Epub 2020 Jul 5.

Ophthalmology, Armed Forces Daegu Hospital, Daegu, Korea (the Republic of)

Objectives: We investigated the usefulness of machine learning artificial intelligence (AI) in classifying the severity of ophthalmic emergency for timely hospital visits.

Study Design: This retrospective study analysed the patients who first visited the Armed Forces Daegu Hospital between May and December 2019. General patient information, events and symptoms were input variables. Read More

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http://dx.doi.org/10.1136/bmjopen-2020-037161DOI Listing

Dual RNA-seq of Orientia tsutsugamushi informs on host-pathogen interactions for this neglected intracellular human pathogen.

Nat Commun 2020 Jul 3;11(1):3363. Epub 2020 Jul 3.

Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

Studying emerging or neglected pathogens is often challenging due to insufficient information and absence of genetic tools. Dual RNA-seq provides insights into host-pathogen interactions, and is particularly informative for intracellular organisms. Here we apply dual RNA-seq to Orientia tsutsugamushi (Ot), an obligate intracellular bacterium that causes the vector-borne human disease scrub typhus. Read More

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http://dx.doi.org/10.1038/s41467-020-17094-8DOI Listing

Health related quality of life and mortality 10 years after a femoral neck fracture in patients younger than 70 years.

Injury 2020 Jun 17. Epub 2020 Jun 17.

Karolinska Institutet, Department of Clinical Science Intervention and Technology, Sweden; Department of Orthopaedics, Karolinska University Hospital, Huddinge, Sweden.

Background And Purpose: A femoral neck fracture (FNF) may have long term effects on the patient's health related quality of life (HRQoL) and mortality, especially in patients younger than 70 years. These long-term effects are unknown since most studies have a short follow-up. The aim of this study was to investigate self-assessed hip function, HRQoL and factors associated with 10-years mortality after a FNF. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.029DOI Listing

Safety and immunogenicity of a Zika purified inactivated virus vaccine given via standard, accelerated, or shortened schedules: a single-centre, double-blind, sequential-group, randomised, placebo-controlled, phase 1 trial.

Lancet Infect Dis 2020 May 6. Epub 2020 May 6.

Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center, Boston, MA, USA; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Cambridge, MA, USA. Electronic address:

Background: The development of an effective vaccine against Zika virus remains a public health priority. A Zika purified inactivated virus (ZPIV) vaccine candidate has been shown to protect animals against Zika virus challenge and to be well tolerated and immunogenic in humans up to 8 weeks of follow-up. We aimed to assess the safety and immunogenicity of ZPIV in humans up to 52 weeks of follow-up when given via standard or accelerated vaccination schedules. Read More

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http://dx.doi.org/10.1016/S1473-3099(20)30085-2DOI Listing

Risk of chronic kidney disease in patients with heat injury: A nationwide longitudinal cohort study in Taiwan.

PLoS One 2020 2;15(7):e0235607. Epub 2020 Jul 2.

Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Global climate change has led to a significant increase in temperature over the last century and has been associated with significant increases in the severity and frequency of heat injury (HI). The consequences of HI included dehydration and rhabdomyolysis, leading to acute kidney injury, which is now recognized as a clear risk factor for chronic kidney disease (CKD). We aimed to investigate the effects of HI on the risk of CKD. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235607PLOS

Synergistic effects of extracellular vesicle phenotyping and AFP in hepatobiliary cancer differentiation.

Liver Int 2020 Jul 2. Epub 2020 Jul 2.

Department of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany.

Background: Biliary cancer, comprising cholangio- and gallbladder carcinomas, is associated with high mortality due to asymptomatic disease onset and resulting late diagnosis. Currently, no robust diagnostic biomarker is clinically available. Therefore, we explored the feasibility of extracellular vesicles (EVs) as a liquid biopsy tool for biliary cancer screening and hepatobiliary cancer differentiation. Read More

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http://dx.doi.org/10.1111/liv.14585DOI Listing

Local injection of a hexametaphosphate formulation reduces heterotopic ossification .

Mater Today Bio 2020 Jun 2;7:100059. Epub 2020 Jun 2.

Healthcare Technologies Institute, School of Chemical Engineering, University of Birmingham, Edgbaston, B15 2TT, UK.

Heterotopic ossification (HO), the pathological formation of ectopic bone, is a debilitating condition which can cause chronic pain, limit joint movement, and prevent prosthetic limb fitting. The prevalence of this condition has risen in the military population, due to increased survivorship following blast injuries. Current prophylaxes, which aim to target the complex upstream biological pathways, are inconsistently effective ​and have a range of side-effects that make them unsuitable for combat-injured personnel. Read More

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http://dx.doi.org/10.1016/j.mtbio.2020.100059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322360PMC

Qualitative Systematic Review of Emotional Processes and Social Interaction: Behavioral Analysis in Contexts of Political Violence.

Int J Psychol Res (Medellin) 2019 Jul-Dec;12(2):91-104

Laboratory of studies and clinical applications in contexts of political violence, Faculty of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia Fundación Universitaria Konrad Lorenz Bogotá Colombia.

Emotional processes and social interactions are relevant units in the study of the actors involved in contexts of political violence, since they have been exposed to constant conflict and they can develop inappropriate behaviors in daily life. Despite the fact that works on the subject are outlined, very few approach the phenomenon from a perspective of behavioral analysis, specially because of the advances that are denoted in related topics. That is why this review seeks to analyze the conceptual and methodological trends in written production on this subject from this theoretical perspective. Read More

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http://dx.doi.org/10.21500/20112084.4053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318383PMC

Temporal trends in the healthy soldier effect in a cohort of Royal Norwegian Navy servicemen followed for 67 years.

Occup Environ Med 2020 Jul 1. Epub 2020 Jul 1.

Norwegian Armed Forces Joint Medical Services, Institute of Military Medicine and Epidemiology, Norwegian Armed Forces, Ullensaker, Norway.

Objectives: To investigate temporal trends in the 'healthy soldier effect' (HSE) among 28 300 Royal Norwegian Navy servicemen who served during 1950-2004.

Methods: Standardised mortality ratios (SMRs) for all causes, diseases and external causes were calculated from national rates for the entire study period (1951-2017), and for seven successive follow-up periods after the first recorded day of Naval service, for the overall cohort and for two subgroups: land-based personnel and vessel crews. Poisson regression, expressed as rate ratios, was used to compare all-cause mortality between the subgroups. Read More

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http://dx.doi.org/10.1136/oemed-2020-106475DOI Listing

Comparative Analysis of Clinical and Biochemical Profile of Exertional Heat Related Illness Among Cadets in a Military Training Centre in South India: A Single Centre Experience.

J Assoc Physicians India 2020 Apr;68(4):29-31

Senior Advisor Medicine and Oncology, Command Hospital, Bengaluru, Karnataka.

Background: Heat-related illnesses includes a range of manifestation starting from minor illness like heat rashes/ heat cramps to more complicated illness like heat exhaustion and the most severe heat stroke. Often derangements in biochemical parameters including metabolic acidosis, respiratory alkalosis, electrolytes, transminitis and renal dysfunction are noticed in patients with heat stroke. Objective: The present study was an attempt to compare the clinical and changes in biochemical parameters in exertional heat exhaustion and heat stroke patients among cadets from a military training centre admitted to an Armed forces hospital in South India. Read More

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Biomimetic Trace Metals Improve Bone Regenerative Properties of Calcium Phosphate Bioceramics.

J Biomed Mater Res A 2020 Jun 30. Epub 2020 Jun 30.

Faculty of dentistry, McGill University, Montreal, Canada.

The bone regenerative capacity of synthetic calcium phosphates (CaPs) can be enhanced through the enrichment with selected metal trace ions. However, defining the optimal elemental composition required for bone formation is challenging due to a large number of possible concentrations and combinations of these elements. We hypothesized that the ideal elemental composition exists in the inorganic phase of the bone extracellular matrix (ECM). Read More

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http://dx.doi.org/10.1002/jbm.a.37051DOI Listing

Factors Associated With Delayed Concussion Reporting by United States Service Academy Cadets.

J Athl Train 2020 Jun 30. Epub 2020 Jun 30.

Keller Army Community Hospital, West Point, NY.

Context: Approximately half of individuals who sustain a concussion do not immediately report their injuries. Motivators for not reporting include thinking the suspected concussion was not a serious injury and wanting to continue participating in activity. Additionally, military personnel have concerns about how concussions may affect their careers. Read More

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http://dx.doi.org/10.4085/1062-6050-362-19DOI Listing

Vitamin-Responsive Movement Disorders in Children.

Ann Indian Acad Neurol 2020 May-Jun;23(3):325-331. Epub 2020 Jun 5.

Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India.

Movement disorders in childhood comprise a heterogeneous group of conditions that lead to impairment of voluntary movement, abnormal postures, or inserted involuntary movements. Movement disorders in children are frequently caused by metabolic disorders, both inherited and acquired. Many of these respond to vitamin supplementation. Read More

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http://dx.doi.org/10.4103/aian.AIAN_678_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313573PMC

Ridge augmentation in implant dentistry.

J Korean Assoc Oral Maxillofac Surg 2020 Jun;46(3):211-217

Editorial Board of J Korean Assoc Oral Maxillofac Surg, Seongnam, Korea.

In patients with insufficient bone height and width, the successful placement of dental implants is difficult with regards to maintaining an ideal pathway and avoiding important anatomical structures. Vertical and/or horizontal ridge augmentation may be necessary using various bone substitute materials and bone graft procedures. However, effective one-wall reconstruction has been challenging due to its poor blood supply and insufficient graft stability. Read More

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http://dx.doi.org/10.5125/jkaoms.2020.46.3.211DOI Listing

Hospital preparedness for mass critical care during SARS-CoV-2 pandemic.

Crit Care 2020 06 30;24(1):386. Epub 2020 Jun 30.

Federal Office for Civil Protection and Disaster Assistance, Bonn, Germany.

Mass critical care caused by the severe acute respiratory syndrome corona virus 2 pandemic poses an extreme challenge to hospitals. The primary goal of hospital disaster preparedness and response is to maintain conventional or contingency care for as long as possible. Crisis care must be delayed as long as possible by appropriate measures. Read More

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http://dx.doi.org/10.1186/s13054-020-03104-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325193PMC

Simultaneous Bilateral Fractures of the Tali.

J Orthop Sports Phys Ther 2020 Jul;50(7):409

A 22-year-old male US Military Academy cadet fell while sidestepping across the 8-ft-high bar portion of the indoor obstacle course. The cadet, in immense pain, was unable to bear weight immediately after the fall. Following examination by physical therapists within the fitness center, emergency medical service personnel transported the cadet to the emergency department for definitive care. Read More

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http://dx.doi.org/10.2519/jospt.2020.9098DOI Listing

Acne keloidalis nuchae in the armed forces.

Cutis 2020 May;105(5):223-226

Department of Dermatology, James A. Lovell Federal Health Care Center, North Chicago, Illinois, USA.

Acne keloidalis nuchae (AKN) is a chronic inflammatory skin disease characterized by the development of keloidlike papules, pustules, and plaques on the occipital scalp and posterior neck following mechanical trauma and irritation. First-line therapy involves avoidance of aggravating factors including short and frequent haircuts. Medical treatments-from topical and intralesional steroids, oral antibiotics, and UV light to laser and surgical excision-have demonstrated varying degrees of efficacy. Read More

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Machine learning prediction of combat basic training injury from 3D body shape images.

PLoS One 2020 30;15(6):e0235017. Epub 2020 Jun 30.

United States Military Academy, West Point, New York, United States of America.

Introduction: Athletes and military personnel are both at risk of disabling injuries due to extreme physical activity. A method to predict which individuals might be more susceptible to injury would be valuable, especially in the military where basic recruits may be discharged from service due to injury. We postulate that certain body characteristics may be used to predict risk of injury with physical activity. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235017PLOS

Impact of multi-professional simulation-based training on the perception of safety and preparedness among health workers caring for COVID-19 patients in Pakistan.

J Educ Eval Health Prof 2020 29;17:19. Epub 2020 Jun 29.

Department of Internal Medicine, Continuing Medical Education, Combined Military Hospital Landi Kotal Cantt, Khyber Pakhtunkhwa, Pakistan.

It aimed to evaluate the perception of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers' perception of preparedness, safety, and their willingness to care for COVID-19 patients were measured before after attending a simulation-based training course to prepare them to care for COVID-19 patients, in Combined Military Hospital Landi Kotal Cantt, from 1st March 2020 to 30th April 2020. : The participants' perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low but increased after completing it (P<0. Read More

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http://dx.doi.org/10.3352/jeehp.2020.17.19DOI Listing

Mortality among US military participants at eight aboveground nuclear weapons test series.

Int J Radiat Biol 2020 Jun 30:1-64. Epub 2020 Jun 30.

Risk Assessment Corporation, Neeses, South Carolina, USA.

: Approximately 235,000 military personnel participated at one of 230 U.S. atmospheric nuclear weapons tests from 1945 through 1962. Read More

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http://dx.doi.org/10.1080/09553002.2020.1787543DOI Listing

Testing Armed Forces recruits for COVID-19.

Tidsskr Nor Laegeforen 2020 Jun 21;140(10). Epub 2020 May 21.

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http://dx.doi.org/10.4045/tidsskr.20.0384DOI Listing

Air Force Medical Personnel: Perspectives Across Deployment.

Mil Med 2020 Jun 30. Epub 2020 Jun 30.

University of Texas Health Science Center at San Antonio, 7550 Interstate Highway 10 West, Suite 1325, San Antonio, TX 78229.

Introduction: Contingency operations during the past 18 years have exposed millions of U.S. military service members to numerous combat and operational stressors. Read More

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http://dx.doi.org/10.1093/milmed/usaa115DOI Listing

Attendance and Quality and Quantity of Research Presentations at an Obstetrics and Gynecology Regional Meeting Pre- and Postchanges in Federal Funding.

Mil Med 2020 Jun 30. Epub 2020 Jun 30.

Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708.

Introduction: Participating in scientific meetings offers value to physician trainees and faculty. In 2012, the U.S. Read More

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http://dx.doi.org/10.1093/milmed/usaa150DOI Listing

Clinical Validation of a Deep Learning Algorithm for Detection of Pneumonia on Chest Radiographs in Emergency Department Patients with Acute Febrile Respiratory Illness.

J Clin Med 2020 Jun 24;9(6). Epub 2020 Jun 24.

Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea.

Early identification of pneumonia is essential in patients with acute febrile respiratory illness (FRI). We evaluated the performance and added value of a commercial deep learning (DL) algorithm in detecting pneumonia on chest radiographs (CRs) of patients visiting the emergency department (ED) with acute FRI. This single-centre, retrospective study included 377 consecutive patients who visited the ED and the resulting 387 CRs in August 2018-January 2019. Read More

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http://dx.doi.org/10.3390/jcm9061981DOI Listing

Melatonin promotes neuroprotection of H2O2-induced neural stem cells via lncRNA MEG3/miRNA-27a-3p/MAP2K4 axis.

Neuroscience 2020 Jun 26. Epub 2020 Jun 26.

Department of Spine Surgery, The 3rd Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630, China; Guangdong Provincial Center for Quality Control of Minimally Invasive Spine Surgery, Guangzhou, Guangdong 510630, China; Guangdong Provincial Center for Engineering and Technology Research of Minimally Invasive Spine Surgery, Guangzhou, Guangdong 510630, China. Electronic address:

Melatonin is crucial for protecting neural stem cells (NSCs) from reactive oxygen species. However, the mechanism underlying these processes is unclear. In this study, we first investigated the significantly upregulated lncRNA MEG3 biomarker in the HO-induced NSCs and control groups. Read More

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http://dx.doi.org/10.1016/j.neuroscience.2020.06.026DOI Listing

Incidence Rates of Posttraumatic Stress Disorder Over a 17-Year Period in Active Duty Military Service Members.

J Trauma Stress 2020 Jun 29. Epub 2020 Jun 29.

Department of Psychology, The University of Texas at San Antonio, San Antonio, Texas, USA.

Posttraumatic stress disorder (PTSD) affects approximately 8% of the general population. The prevalence of PTSD is twice as high in active duty service members and military veterans. Few studies have investigated the incidence rates of PTSD in active duty military personnel. Read More

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http://dx.doi.org/10.1002/jts.22558DOI Listing

Rosamultin Attenuates Acute Hypobaric Hypoxia-Induced Bone Injuries by Regulation of Sclerostin and Its Downstream Signals.

High Alt Med Biol 2020 Jun 25. Epub 2020 Jun 25.

Key Laboratory of Interforce Functionality and Personalization of Bone Implants, Tianjin, China.

Rosamultin, one of the compounds extracted from L., exhibited significant pharmacological activity against oxidative stress and hypoxic injury in our previous study. However, the effect of rosamultin on bone damage induced by acute hypobaric hypoxia (HH) has not been thoroughly studied. Read More

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http://dx.doi.org/10.1089/ham.2019.0113DOI Listing

First Russian experience with endovascular balloon occlusion of the aorta in a zone of combat operations.

Angiol Sosud Khir 2020 ;26(2):61-75

Field Surgery Department, Military Medical Academy named after S.M. Kirov under the Ministry of Defence of the Russian Federation, Saint Petersburg, Russia.

Resuscitative endovascular balloon occlusion of the aorta has increasingly been used all the world over for arresting ongoing intraabdominal and intrapelvic bleeding accompanied by unstable haemodynamics. However, the use of resuscitative endovascular balloon occlusion of the aorta in a zone of military operations has been limited to sporadic cases only. This article deals with 3 clinical case reports regarding rendering medical care for the wounded presenting with extremely unstable haemodynamics and/or a terminal state in a field hospital, where insertion of a balloon into the aorta made it possible to stabilize the condition, to perform the basic scope of diagnosis, and to finally control the continuing bleeding: in one case - intraabdominal (due to splenic rupture) and in 2 cases - intrapelvic (unstable fractures of pelvic bones). Read More

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http://dx.doi.org/10.33529/ANGI02020204DOI Listing
January 2020

Social isolation and loneliness of UK veterans: a Delphi study.

Occup Med (Lond) 2020 Jun 29. Epub 2020 Jun 29.

Faculty of Health and Life Sciences, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle-upon-Tyne, UK.

Background: Evidence increasingly acknowledges the impact of social isolation and loneliness on the lives of military veterans and the wider Armed Forces Community.

Aims: The study gathered expert consensus to (i) understand if veterans are considered 'unique' in their experiences of social isolation and loneliness; (ii) examine perceived factors leading to social isolation and loneliness of veterans; (iii) identify ways to tackle veterans' social isolation and loneliness.

Methods: This study adopted a three-phase Delphi method. Read More

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http://dx.doi.org/10.1093/occmed/kqaa105DOI Listing

[Advances in the research of application of virtual reality technology in war trauma treatment training].

Authors:
Y Peng L Y Lyu B Ma

Zhonghua Shao Shang Za Zhi 2020 Jun;36(6):515-518

Burn Institute of PLA, Department of Burn Surgery, the Changhai Hospital, Naval Medical University, Shanghai 200433, China.

As an important medical support component for the army to preserve and enhance combat effectiveness and minimize the reduction rate of combat personnel, war trauma treatment has been highly valued. Modern war puts forward higher requirements for the pertinence, practicality, and efficiency of war trauma treatment training. With the comprehensive development of national defense and military modernization, the contradiction between the increasing demand of modern war medical service and the relatively backward training mode of war trauma treatment becomes more and more prominent. Read More

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http://dx.doi.org/10.3760/cma.j.cn501120-20190425-00215DOI Listing

Social distancing alters the clinical course of COVID-19 in young adults: A comparative cohort study.

Clin Infect Dis 2020 Jun 29. Epub 2020 Jun 29.

Swiss Armed Forces, Medical Services, Worblentalstrasse, Ittigen, Switzerland.

Background: Social distancing and stringent hygiene seem effective in reducing the number of transmitted virus particles, and therefore the infectivity, of coronavirus disease 2019 (COVID-19) and could alter the mode of transmission of the disease. However, it is not known if such practices can change the clinical course in infected individuals.

Methods: We prospectively studied an outbreak of COVID-19 in Switzerland among a population of 508 predominantly male soldiers with a median age of 21 years. Read More

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http://dx.doi.org/10.1093/cid/ciaa889DOI Listing

Reduction in Medical Evacuations from Iraq and Syria Following Introduction of an Asynchronous Telehealth System.

Mil Med 2020 Jun 27. Epub 2020 Jun 27.

Pediatric Subspecialty Services, Department of Pediatrics, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889.

Introduction: While deployed, military medical personnel manage routine medical issues that fall under the category of Disease Non-Battle Injury (DNBI). The 86th Combat Support Hospital (CSH) partnered with Combined Joint Task Force-Operation Inherent Resolve (CJTF-OIR) Surgeon Cell, and Special Operations Joint Task Force-Operation Inherent Resolve (SOJTF-OIR) Surgeon Cell, to introduce the Health Experts onLine Portal (HELP) telemedicine system to medical personnel in Iraq and Syria. HELP is an asynchronous (store and forward) online system that provides secure provider-to-provider teleconsultation services for routine patient care and medical evacuation (MEDEVAC) coordination. Read More

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http://dx.doi.org/10.1093/milmed/usaa091DOI Listing

Prevalence of Tinnitus and Association with Self-Rated Health among Military Personnel Injured on Combat Deployment.

Mil Med 2020 Jun 27. Epub 2020 Jun 27.

Medical Modeling, Simulation, and Mission Support Department, Naval Health Research Center, San Diego, CA 92106.

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 adversely affect hearing. The present study explored the prevalence of tinnitus and the association with self-rated health among military personnel injured during combat deployment. Read More

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http://dx.doi.org/10.1093/milmed/usaa103DOI Listing

Biomechanical Comparison of Knotless All-Suture Anchors and Knotted All-Suture Anchors in Type II SLAP Lesions: A Cadaveric Study.

Arthroscopy 2020 Jun 17. Epub 2020 Jun 17.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.. Electronic address:

Purpose: To compare the biomechanical performance of knotless versus knotted all-suture anchors for the repair of type II SLAP lesions with a simulated peel-back mechanism.

Methods: Twenty paired cadaveric shoulders were used. A standardized type II SLAP repair was performed using knotless (group A) or knotted (group B) all-suture anchors. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.04.026DOI Listing

Body Composition Differences in Military Pilots and Aircrew.

Aerosp Med Hum Perform 2020 Jul;91(7):565-570

This research aimed to analyze the body composition (BC) of different military units in the Spanish Armed Forces. We studied 179 male aircrew members (86 airplane pilots, 15 helicopter pilots and 78 transport aircrew) using bioimpedance. Airplane pilots (AP) had higher means than transport aircrew (TA) in height (179. Read More

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http://dx.doi.org/10.3357/AMHP.5401.2020DOI Listing

Cardiac herniation following pulmonary tuberculosis infection with sequential autopneumonectomy.

Br J Hosp Med (Lond) 2020 Jun 8;81(6):1-2. Epub 2020 Jun 8.

Department of Radiology, Section of Thoracic and Circulation Imaging, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

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http://dx.doi.org/10.12968/hmed.2020.0088DOI Listing
June 2020
0.366 Impact Factor

Animal-related injuries in veterinary services personnel, U.S. Army, 2001-2018.

MSMR 2020 Jun;27(6):10-15

Limited data exist on animal-related injuries in the U.S. Army veterinary service (VS). Read More

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Summary of the 2018-2019 influenza season among Department of Defense service members and other beneficiaries.

MSMR 2020 Jun;27(6):3-7

The Armed Forces Health Surveillance Branch conducts weekly surveillance of influenza activity among Department of Defense (DoD) populations each influenza season. This report provides a summary of the data from the 2018-2019 influenza season. Ambulatory data for influenza-like illnesses (ILIs), influenza hospitalization data, and lab data for influenza-confirmed cases were used for the surveillance. Read More

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Comparable Disease Severity by Influenza Virus Subtype in the Acute Respiratory Infection Consortium Natural History Study.

Mil Med 2020 Jun 26. Epub 2020 Jun 26.

Infectious Diseases Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD 2088.

Introduction: Since the influenza A/H1N1 pandemic of 2009 to 2010, numerous studies have described the clinical course and outcome of the different subtypes of influenza (A/H1N1, A/H3N2, and B). A recent systematic literature review concluded that there were no appreciable differences in either clinical presentation or disease severity among these subtypes, but study parameters limit the applicability of these results to military populations. We sought to evaluate differences in disease severity among influenza subtypes in a cohort of healthy, primarily outpatient adult U. Read More

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http://dx.doi.org/10.1093/milmed/usaa120DOI Listing