59,441 results match your criteria Armed Forces & Society[Journal]


Impact of Deployment on Reproductive Health in U.S. Active-Duty Servicewomen and Veterans.

Semin Reprod Med 2018 Nov 19;36(6):361-370. Epub 2019 Apr 19.

Informatics, Decision Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System, Salt Lake City, Utah.

Reproductive-age women are a fast-growing component of active-duty military personnel who experience deployment and combat more frequently than previous service-era women Veterans. With the expansion of the number of women and their roles, the United States Departments of Defense and Veterans Affairs have prioritized development and integration of reproductive services into their health systems. Thus, understanding associations between deployments or combat exposures and short- or long-term adverse reproductive health outcomes is imperative for policy and programmatic development. Read More

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http://dx.doi.org/10.1055/s-0039-1678749DOI Listing
November 2018

The Department of Defense Birth and Infant Health Research Program: Assessing the Reproductive Health of U.S. Active-Duty Women.

Semin Reprod Med 2018 Nov 19;36(6):351-360. Epub 2019 Apr 19.

The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland.

As the percentage of women serving in the active-duty military continues to grow, and as their roles continue to expand, the importance of monitoring reproductive health in the military community increases. The Department of Defense Birth and Infant Health Research (BIHR) program conducts ongoing epidemiologic studies to assess potential increased risks for adverse reproductive and infant health outcomes in the military population. Military personnel endure unique physical and mental demands as a part of their occupational duties (e. Read More

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http://dx.doi.org/10.1055/s-0039-1678751DOI Listing
November 2018

Worldwide Network for Blood and Marrow Transplantation (WBMT) recommendations for establishing a hematopoietic stem cell transplantation program in countries with limited resources (Part II): clinical, technical and socio-economic considerations.

Biol Blood Marrow Transplant 2019 Apr 16. Epub 2019 Apr 16.

Center for Hematopoietic Stem Cell Transplantation, Aichi Medical University Hospital, Nagakute; Department of Hematology and Medical Oncology, University Hospital, Leipzig, Germany.

The development of hematopoietic stem cell transplantation (HSCT) programs can face significant challenges in most developing countries because such endeavors must compete with other government health care priorities, including the delivery of basic services. While this is may be a limiting factor, these countries should prioritize development of the needed expertise to offer state of the art treatments including transplantation, by providing financial, technological, legal, ethical and other needed support. This would prove beneficial in providing successful programs customized to the needs of their population, and potentially provide long-term cost-savings by circumventing the need for their citizens to seek care abroad. Read More

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http://dx.doi.org/10.1016/j.bbmt.2019.04.012DOI Listing

Association of Diabetes With All-Cause and Cause-Specific Mortality in Asia: A Pooled Analysis of More Than 1 Million Participants.

JAMA Netw Open 2019 Apr 5;2(4):e192696. Epub 2019 Apr 5.

Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee.

Importance: Asia is home to the largest diabetic populations in the world. However, limited studies have quantified the association of diabetes with all-cause and cause-specific mortality in Asian populations.

Objectives: To evaluate the association of diabetes with all-cause and cause-specific mortality in Asia and to investigate potential effect modifications of the diabetes-mortality associations by participants' age, sex, education level, body mass index, and smoking status. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.2696DOI Listing

The Impact of Environmental Stress on Cognitive Performance: A Systematic Review.

Hum Factors 2019 Apr 19:18720819839817. Epub 2019 Apr 19.

University of Canberra, Australian Capital Territory, Australia.

Objective: In this review, we detail the impact of environmental stress on cognitive and military task performance and highlight any individual characteristics or interventions which may mitigate any negative effect.

Background: Military personnel are often deployed in regions markedly different from their own, experiencing hot days, cold nights, and trips both above and below sea level. In spite of these stressors, high-level cognitive and operational performance must be maintained. Read More

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http://dx.doi.org/10.1177/0018720819839817DOI Listing

A Rare Case of Thoracic Subdural Hematoma after Recovery from Dengue Fever.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):380-381

Department of Anaesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India.

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http://dx.doi.org/10.4103/jnrp.jnrp_314_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454941PMC

Safety and efficacy of VRC01 broadly neutralising antibodies in adults with acutely treated HIV (RV397): a phase 2, randomised, double-blind, placebo-controlled trial.

Lancet HIV 2019 Apr 15. Epub 2019 Apr 15.

US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA; Henry M Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA; SEARCH, the Thai Red Cross AIDS Research Center, Bangkok, Thailand; Department of Global Health, University of Amsterdam, Amsterdam, Netherlands.

Background: HIV-1-specific broadly neutralising antibodies such as VRC01 could promote HIV remission by halting viral replication and clearing infected cells. We investigated whether VRC01 could promote sustained viral control off antiretroviral therapy (ART) in adults who initiated ART during acute HIV infection.

Methods: We did a randomised, double-blind, placebo-controlled trial at the Thai Red Cross AIDS Research Centre in Bangkok, Thailand. Read More

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http://dx.doi.org/10.1016/S2352-3018(19)30053-0DOI Listing

Contraceptive use and childbirth rates by service branch during the first 24 months on active duty in the United States military from 2013 to 2018: a retrospective cohort analysis.

Contraception 2019 Apr 15. Epub 2019 Apr 15.

Division of Adolescent Medicine, Children's Mercy Hospital, Kansas City; University of Missouri, Kansas City, School of Medicine.

Objective: To measure the association of military branch-specific contraceptive education and access policy during basic training with contraceptive use and childbirth among new recruits.

Study Design: Secondary analysis of insurance records from 92,072 active duty servicewomen who started basic training between 2013 and 2017.

Results: Exposure to reproductive health education and access to contraception during basic training differs by military branch. Read More

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http://dx.doi.org/10.1016/j.contraception.2019.04.002DOI Listing

The health and well-being of LGBTQ serving and ex-serving personnel: a narrative review.

Int Rev Psychiatry 2019 Apr 18:1-20. Epub 2019 Apr 18.

a King's Centre for Military Health Research , King's College London , London , UK.

The relaxation of discriminatory policies against lesbian, gay, bisexual, transgender, and queer (LGBTQ) service personnel has led to increased diversity among military populations. Given this increase, it is important to assess sexual and gender minority groups' health and well-being in the context of military service. This narrative review assessed these outcomes in LGBTQ military personnel. Read More

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http://dx.doi.org/10.1080/09540261.2019.1575190DOI Listing

Migrate your mind: the role of palliative care in transcultural cancer treatment : A qualitative analysis.

Wien Klin Wochenschr 2019 Apr 17. Epub 2019 Apr 17.

Department of Psychiatry and Psychotherapy, University Hospital Tulln, Karl Landsteiner University of Health Sciences, Tulln, Austria.

Background: In increasingly multi-ethnic societies fostering cultural awareness and integration of immigrants is not only a political duty but also an obligation for social and healthcare systems. Importantly, cultural beliefs and needs strongly impact on the quality of life of cancer patients and may become even more crucial at the end of life. However, to date, ethnic and cultural aspects of palliative care are insufficiently researched. Read More

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http://dx.doi.org/10.1007/s00508-019-1474-9DOI Listing

Evaluation of Total Alloplastic Temporomandibular Joint Replacement in TMJ Ankylosis.

J Maxillofac Oral Surg 2019 Jun 27;18(2):293-298. Epub 2018 Jul 27.

Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, Maharashtra 411040 India.

Introduction: Total joint reconstruction using autologous or alloplastic materials is one of the treatment options for the reconstruction of the affected joint in TMJ ankylosis. The clinical results of alloplastic TM joint replacement (Biomet Microfixation system) that was carried out for the treatment and reconstruction of TMJ ankylosis have been summarised.

Materials And Methods: A retrospective analysis of eight cases clinically and radiographically diagnosed as TMJ ankylosis with minimal facial asymmetry presenting beyond the growth period and willing for at least 12 months of follow-up who have been taken up for gap arthroplasty and reconstruction using Biomet Microfixation TMJ replacement system was carried out. Read More

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http://dx.doi.org/10.1007/s12663-018-1136-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441411PMC

Changes in sleep architecture in German Armed Forces personnel with posttraumatic stress disorder compared with depressed and healthy control subjects.

PLoS One 2019 17;14(4):e0215355. Epub 2019 Apr 17.

German Armed Forces Hospital Hamburg, Centre for Mental Health, Hamburg, Germany.

Background: This study compares the sleep architecture of patients with posttraumatic stress disorder (PTSD) with that of both patients with depression and subjects with no mental disorder.

Method: 45 German armed forces personnel with PTSD, 72 German armed forces personnel with depression and 24 healthy control subjects underwent 24-hour polysomnography. The effects of group membership, medication and the statistical interaction of group and medication were analysed for the following variables: sleep onset latency, REM sleep latency, slow-wave sleep and REM sleep percentages. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215355PLOS

A retrospective cohort study comparing non-fatal self-harm emergency department visits between Canadian veterans living in Ontario and matched civilians.

Int Rev Psychiatry 2019 Apr 17:1-9. Epub 2019 Apr 17.

d IC/ES , Toronto , Canada.

This was a retrospective cohort study linking provincial administrative databases to compare rates of non-fatal self-harm between CAF and RCMP veterans living in Ontario and age-matched civilians. This study included male veterans who registered for provincial health insurance between 2002 and 2013. A civilian comparator group was matched 4:1 on age and sex. Read More

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http://dx.doi.org/10.1080/09540261.2019.1580685DOI Listing

Encephalitis on deployment in Kenya: think beyond the infections.

J R Army Med Corps 2019 Apr 16. Epub 2019 Apr 16.

Department of Neurology, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

A 34-year-old female soldier presented with fever and behavioural changes while deployed in Kenya and was diagnosed with encephalitis. The patient underwent urgent aeromedical evacuation to the Queen Elizabeth Hospital, Birmingham for further management. Microbiology tests excluded common infectious causes that are endemic in the East Africa region. Read More

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http://dx.doi.org/10.1136/jramc-2018-001115DOI Listing
April 2019
2 Reads

[The organization of medical care in the mining and smelting okrugs of the Kama Vyatka region in the pre-reform period (end of XVIII-first half of XIX centuries)].

Authors:
T A Vasina

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2019 Mar;27(2):204-209

The Federal State Budget Institution of Science "The Udmurt Federal Research Center of the Ural Branch of the Russian Academy of Sciences", 426067, Izhevsk, Russia,

The article considers becoming of professional medical care in mining and smelting okrugs of the Kama Vyatka region in the pre-reform period (end of XVIII-first half of XIX centuries). The analysis is presented concerning the history of organization in the Kray of hospitals of mining and military departments, sources of financing, provision of curative institutions with medications and active storages, solution of personnel problem, interaction between factorial administration and medical personnel, curative preventive and educational activities of physicians, struggle with smallpox and other epidemiological diseases, counteraction to "traditional medicine", effectiveness of functioning of health care institutions. The conclusions are made that development of medical care during studied period was accompanied by number of such predicaments as material equipping, training and mobilization of specialists, roominess of hospitals (i. Read More

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http://dx.doi.org/10.32687/0869-866X-2019-27-2-204-209DOI Listing

Heat-Related Illnesses.

Am Fam Physician 2019 Apr;99(8):482-489

82nd Airborne Division, Fort Bragg, NC, USA.

Heat-related illnesses comprise a spectrum of syndromes resulting from disruption of thermoregulation in people exposed to high environmental heat. Symptoms range from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening heat stroke. Athletes, outdoor laborers, and military personnel are at greatest risk. Read More

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April 2019
2 Reads

[Chemical constituents from rhizome of Menispermum dauricum and their anti-hypoxic activities].

Zhongguo Zhong Yao Za Zhi 2019 Feb;44(4):723-729

School of Pharmacy,Shenyang Pharmaceutical University Shenyang 110016,China.

To study the chemical constituents from the rhizome of Menispermum dauricum,fifteen compounds,N-methylcorydaldine( 1),thalifoline( 2),stepholidine( 3),acutumine( 4),daurisoline( 5),acutumidine( 6),dauricicoline( 7),bianfugecine( 8),6-O-demethylmenisporphine( 9),bianfugedine( 10),dauricoside( 11),eleutheroside D( 12),aristolactone( 13),aristoloterpenateⅠ( 14) and aristolochic acid( 15) were isolated from 75% ethanol extract of Menispermi Rhizoma by using thin layer chromatography and column chromatography methods. Their structures were identified based on their physicochemical properties and spectral data. Among them,compounds 12-15 were obtained from the genus Menispermum for the first time. Read More

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http://dx.doi.org/10.19540/j.cnki.cjcmm.20181121.003DOI Listing
February 2019

Cohort profile of the PRoteomic Evaluation and Discovery in an IBD Cohort of Tri-service Subjects (PREDICTS) study: Rationale, organization, design, and baseline characteristics.

Contemp Clin Trials Commun 2019 Jun 26;14:100345. Epub 2019 Mar 26.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

Purpose: The etiology of Inflammatory Bowel Disease (IBD) remains currently unknown but evidence would suggest that it results from a complex interplay between genetic susceptibility genes, the intestinal microbiome and the environment, resulting in an increased response towards microbial and self-antigens, followed by the development of pre-clinical intestinal inflammation as a precursor to overt clinical disease. Efforts are needed to provide insights into the characterization of the disease, the possible prediction of complications, and the detection of a pre-clinical disease state where, through early screening and intervention, disease course can be reversed, attenuated or even prevented. A consortium of academic, industry and governmental organization investigators initiated this study to enable an assessment of pre-disease biomarkers in patients newly diagnosed with Crohn's disease (CD) and ulcerative colitis (UC). Read More

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http://dx.doi.org/10.1016/j.conctc.2019.100345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446072PMC

Re: Primary Plasma Cell Leukaemia: Case report and review of the literature.

Sultan Qaboos Univ Med J 2018 Nov 28;18(4):e563. Epub 2019 Mar 28.

Department of Internal Medicine, Armed Forces Hospital, Cruzeiro Novo, Brazil.

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http://dx.doi.org/10.18295/squmj.2018.18.04.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443275PMC
November 2018

Osteosarcoma of the Proximal Femur Mimicking Septic Arthritis of the Hip: A diagnostic dilemma.

Sultan Qaboos Univ Med J 2018 Nov 28;18(4):e545-e548. Epub 2019 Mar 28.

Department of Orthopaedics, Armed Forces Hospital, Salalah, Oman.

Septic arthritis is a surgical emergency requiring prompt drainage of the accumulation of pus in the joint. We report an eight-year-old boy who was referred to the Armed Forces Hospital, Salalah, Oman, in 2016 with limping and pain in his right hip along with an abduction deformity. He was initially diagnosed with synovitis and underwent conservative management. Read More

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https://journals.squ.edu.om/index.php/squmj/article/view/300
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http://dx.doi.org/10.18295/squmj.2018.18.04.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443267PMC
November 2018
1 Read

Search and Rescue and Remote Medical Evacuation in a Norwegian Setting: Comparison of Two Systems.

Wilderness Environ Med 2019 Apr 12. Epub 2019 Apr 12.

Department of Emergency Medicine and Prehospital Services, St. Olav's University Hospital, Trondheim, Norway; Department of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.

Introduction: Helicopter emergency medical services (HEMS) contribute to and complement other specialized search and rescue (SAR) services. Conversely, traditional SAR services perform medical evacuation (medevac), depending on crew, training, medical equipment, and procedures for interdisciplinary cooperation. We aim to describe and compare SAR and remote medevac mission characteristics in a military SAR helicopter system to a civilian HEMS operating in the same region. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10806032193004
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http://dx.doi.org/10.1016/j.wem.2019.02.003DOI Listing
April 2019
1 Read

Wearable System for Biosignal Acquisition and Monitoring Based on Reconfigurable Technologies.

Sensors (Basel) 2019 Apr 2;19(7). Epub 2019 Apr 2.

Mando de Adiestramiento y Doctrina, Ejército de Tierra, 18010 Granada, Spain.

Wearable monitoring devices are now a usual commodity in the market, especially for the monitoring of sports and physical activity. However, specialized wearable devices remain an open field for high-risk professionals, such as military personnel, fire and rescue, law enforcement, etc. In this work, a prototype wearable instrument, based on reconfigurable technologies and capable of monitoring electrocardiogram, oxygen saturation, and motion, is presented. Read More

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https://www.mdpi.com/1424-8220/19/7/1590
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http://dx.doi.org/10.3390/s19071590DOI Listing
April 2019
1 Read

The Impact of 68Ga-PSMA PET/CT and PET/MRI on the Management of Prostate Cancer.

Urology 2019 Apr 12. Epub 2019 Apr 12.

Specialist in Nuclear Medicine, Clinic of Nuclear Medicine, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.

Prostate-specific-membrane-antigen (PSMA) is a transmembrane protein with significantly increased expression in the cells and metastases of prostate carcinoma (PCa). PSMA-expression correlates with higher serum levels of prostate-specific-antigen (PSA) and a higher Gleason Score (GS). This finding has led to the development of novel imaging modalities such as 68Ga-/18F-labeled PSMA PET/CT and PET/MRI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295193034
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http://dx.doi.org/10.1016/j.urology.2019.04.004DOI Listing
April 2019
1 Read

Dietary Ingredients Requiring Further Research Before Evidence-Based Recommendations Can Be Made for Their Use as an Approach to Mitigating Pain.

Pain Med 2019 Apr 15. Epub 2019 Apr 15.

Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, Maryland, USA.

Objective: Approximately 55-76% of Service members use dietary supplements for various reasons; although such use has become popular, decisions are often driven by information that is not evidence-based. This work evaluates whether current research on dietary ingredients for chronic musculoskeletal pain provides sufficient evidence to inform decisions for practice and self-care, specifically for Special Operations Forces personnel.

Methods: A steering committee convened to develop research questions and factors required for decision-making. Read More

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http://dx.doi.org/10.1093/pm/pnz050DOI Listing

Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military.

Pain Med 2019 Apr 15. Epub 2019 Apr 15.

Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, Maryland, USA.

Objective: Approximately 55-76% of Service members use dietary supplements for various reasons, including pain and related outcomes. This work evaluates current research on dietary ingredients for chronic musculoskeletal pain to inform decisions for practice and self-care, specifically for Special Operations Forces personnel.

Methods: A steering committee convened to develop research questions and factors required for decision-making. Read More

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http://dx.doi.org/10.1093/pm/pnz040DOI Listing

Prognostic Factors in Complex Regional Pain Syndrome Type 1 Occurring in the Korean Army.

Pain Med 2019 Apr 15. Epub 2019 Apr 15.

Emotional Information and Communication Technology Association, Seoul, Republic of Korea.

Objectives: In Korea, patients diagnosed with complex regional pain syndrome (CRPS) in the army are typically discharged from the army; however, the course of the disease after discharge is not known. The purpose of this study was to investigate the course of CRPS that occurred in the army and to identify the influences of various clinical and psychosocial factors immediately before discharge on the disease course.

Methods: Clinical profiles and psychosocial status were collected from the medical records of 16 patients with CRPS type 1 who were discharged during the period between March 2017 and April 2018. Read More

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https://academic.oup.com/painmedicine/advance-article/doi/10
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http://dx.doi.org/10.1093/pm/pnz076DOI Listing
April 2019
1 Read

Conditional Recommendations for Specific Dietary Ingredients as an Approach to Chronic Musculoskeletal Pain: Evidence-Based Decision Aid for Health Care Providers, Participants, and Policy Makers.

Pain Med 2019 Apr 15. Epub 2019 Apr 15.

Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, Maryland, USA.

Objective: Approximately 55-76% of Service members use dietary supplements for various reasons; although such use has become popular for a wide range of pain conditions, decisions to use supplements are often driven by information that is not evidence-based. This work evaluates whether the current research on dietary ingredients for chronic musculoskeletal pain provides sufficient evidence to inform decisions for practice and self-care, specifically for Special Operations Forces personnel.

Methods: A steering committee convened to develop research questions and factors required for decision-making. Read More

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http://dx.doi.org/10.1093/pm/pnz051DOI Listing

Clinical Features of Patients With Spontaneous Intracranial Hypotension Complicated With Bilateral Subdural Fluid Collections.

Headache 2019 Apr 15. Epub 2019 Apr 15.

Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

Background: Subdural hygromas are often found bilaterally in spontaneous intracranial hypotension (SIH). They frequently progress to chronic subdural hematomas (CSDHs), and if the hematomas are formed, it is difficult to consider SIH as an underlying cause. Whether SIH is underlying or not among the patients presenting bilateral subdural fluid collections (hygromas or CSDHs) is clinically important because the treatment strategy should be different between them. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/head.13525
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http://dx.doi.org/10.1111/head.13525DOI Listing
April 2019
1 Read

Using Machine Learning to Predict Lower-Extremity Injury in US Special Forces.

Med Sci Sports Exerc 2019 May;51(5):1073-1079

Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, PA.

Introduction: Musculoskeletal injury rates in military personnel remain unacceptably high. Application of machine learning algorithms could be useful in multivariate models to predict injury in this population. The purpose of this study was to investigate if interaction between individual predictors, using a decision tree model, could be used to develop a population-specific algorithm of lower-extremity injury (LEI) risk. Read More

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http://dx.doi.org/10.1249/MSS.0000000000001881DOI Listing

Greater concern about hypoglycemia in Type 2 diabetics is the need of the hour-findings from a prospective, single-center, observational study.

J Family Med Prim Care 2019 Feb;8(2):493-497

Department of Pharmacology, Kalpana Chawla Govt. Medical College, Karnal, Haryana, India.

Context: Hypoglycemia is a well-recognized adverse effect in the treatment of type 1 diabetes mellitus. For patients of type 2 diabetes mellitus (T2DM) on stabilized treatment with the current oral antidiabetic drugs, occurrence of hypoglycemia is considerably less well studied. The current study was undertaken to understand the extent of this problem in elderly Indian patients. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_417_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436313PMC
February 2019

Unmanned aerial vehicle (drones) in public health: A SWOT analysis.

J Family Med Prim Care 2019 Feb;8(2):342-346

Department of Community Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Karaikal, Puducherry, India.

In developing countries, lack of access to roads is critical for medical supplies like vaccines and drugs. Air transport like a helicopter is expensive and not affordable. The success of drones in the fields of ecology and environment makes us believe that they can also be used in the field of Public Health as medical couriers. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_413_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436288PMC
February 2019
2 Reads

Ocular hazards of curing light units used in dental practice - A systematic review.

Saudi Dent J 2019 Apr 20;31(2):173-180. Epub 2019 Feb 20.

King Abdulaziz University, Jeddah, Saudi Arabia.

Objective: To examine the literature and summarize studies that describe the potential ocular hazards that are posed by different systems of light curing units mainly used in the dental clinics, to ensure the safety of the operator, patient and the auxiliary staff in the dental clinic.

Methods: This systematic review was reported and conducted according to the PRISMA guidelines. The online databases PubMed and Google Scholar were used for data search. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10139052183061
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http://dx.doi.org/10.1016/j.sdentj.2019.02.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445451PMC
April 2019
1 Read

Prospective associations between insomnia symptoms and alcohol use problems among former and current military service personnel.

Drug Alcohol Depend 2019 Apr 6;199:35-41. Epub 2019 Apr 6.

College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas St, Charleston, SC, 29425, USA.

Background: Despite evidence that insomnia symptoms exacerbate alcohol use disorder symptoms, there is a dearth of prospective research testing bidirectional associations between these variables. Furthermore, no studies have prospectively examined these associations among military personnel, a vulnerable population for sleep- and alcohol-related problems. Thus, the current study examined whether insomnia symptoms prospectively predicted increased alcohol use disorder symptoms among a sample of military service members and veterans over a 6-month follow-up period, as well as whether alcohol use disorder symptoms led to increases in insomnia. Read More

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http://dx.doi.org/10.1016/j.drugalcdep.2019.02.018DOI Listing

Lifeline for the front lines: blood products to support the warfighter.

Transfusion 2019 Apr;59(S2):1453-1458

432nd Medical Detachment (Blood Support), Fort Bragg, North Carolina.

Background: Hemorrhage is the leading cause of death on the battlefield. Damage control resuscitation guidelines in the US military recommend whole blood as the preferred resuscitation product. The Armed Services Blood Program (ASBP) has initiated low-titer group O whole blood (LTOWB) production and predeployment donor screening to make whole blood more available to military forces. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/trf.15165
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http://dx.doi.org/10.1111/trf.15165DOI Listing
April 2019
1 Read

How do I get an emergency civilian walking blood bank running?

Transfusion 2019 Apr;59(S2):1446-1452

Department of Immunology and Transfusion Medicine, Haukeland University Hospital, Bergen, Norway.

The shift toward using a transfusion strategy in a ratio to mimic whole blood (WB) functionality has revitalized WB as a viable option to replace severe blood loss in civilian health care. A military-civilian collaboration has contributed to the reintroduction of WB at Haukeland University Hospital in Bergen, Norway. WB has logistical and hemostatic advantages in both the pre- and in-hospital settings where the goal is a perfectly timed balanced transfusion strategy. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/trf.15184
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http://dx.doi.org/10.1111/trf.15184DOI Listing
April 2019
2 Reads

Enterobius vermicularis: Uncommon Clinical Presentations.

Arch Iran Med 2019 Feb 1;22(2):104-105. Epub 2019 Feb 1.

Adjunct-professor, Internal Medicine Department of Armed Forces Hospital and Catholic University, Brasília-DF, Brazil.

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February 2019

A bridge too far? The relationship between interventive operative dentistry and future dental morbidity.

Br Dent J 2019 Apr;226(7):498-502

Ministry of Defence, (Retired), UK.

Background and aim Unscheduled dental attendances (UDA) and the associated morbidity can cause individual distress, disrupt military effectiveness and have broader societal impacts. Preventing future dental morbidity is an essential component of dentistry. This, the largest study of its type, aimed to examine the relationship between clinical and demographic variables and UDA, and to quantify how well military dental risk categorisation predicts subsequent UDA events. Read More

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http://dx.doi.org/10.1038/s41415-019-0147-4DOI Listing

Bone Marrow Endothelial Cells Influence Function and Phenotype of Hematopoietic Stem and Progenitor Cells after Mixed Neutron/Gamma Radiation.

Int J Mol Sci 2019 Apr 11;20(7). Epub 2019 Apr 11.

Scientific Research Department, Armed Forces Radiobiology Research Institute, Bethesda, MD 20889, USA.

The bone marrow (BM) microenvironment plays a crucial role in the maintenance and regeneration of hematopoietic stem (HSC) and progenitor cells (HSPC). In particular, the vascular niche is responsible for regulating HSC maintenance, differentiation, and migration of cells in and out of the BM. Damage to this niche upon exposure to ionizing radiation, whether accidental or as a result of therapy, can contribute to delays in HSC recovery and/or function. Read More

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http://dx.doi.org/10.3390/ijms20071795DOI Listing

Affective profiling for anxiety-like behavior in a rodent model of mTBI.

Behav Brain Res 2019 Apr 9. Epub 2019 Apr 9.

Operational and Undersea Medicine Directorate, Department of Neurotrauma, 503 Robert Grant Ave, Naval Medical Research Center, Silver Spring, MD, USA. Electronic address:

Mild traumatic brain injury is a common outcome of blast exposure, and current literature indicates high rates of comorbid posttraumatic stress disorder (PTSD) in military personnel. Blast-exposed rats display PTSD-like behavior, suggesting relationships may exist between PTSD and blast exposure. Other studies demonstrate the roles of stathmin and corticosterone associated with fear- and anxiety-like behaviors in rodent models. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01664328183149
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http://dx.doi.org/10.1016/j.bbr.2019.04.009DOI Listing
April 2019
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Novel Cellulose - Halloysite Hemostatic Nanocomposite Fibers with a Dramatic Reduction in Human Plasma Coagulation Time.

ACS Appl Mater Interfaces 2019 Apr 12. Epub 2019 Apr 12.

High performance cellulose - halloysite hemostatic nanocomposite fibers (CHNFs) are fabricated using a one-step wet-wet electrospinning process and evaluated for human plasma coagulation by activated partial thromboplastin time. These novel biocompatible CHNFs exhibit 2.4-times faster plasma coagulation time compared with the industry gold standard Quikclot Combat Gauze® (QCG®). Read More

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http://dx.doi.org/10.1021/acsami.9b04615DOI Listing

Trueness of cone-beam computed tomography versus intra-oral scanner derived three dimensional digital models: An ex-vivo study.

Clin Oral Implants Res 2019 Apr 12. Epub 2019 Apr 12.

OMFS IMPATH research group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.

Objectives: To compare the trueness of 3D digital models derived from CBCT and IOS and to evaluate their accuracy for implementation in oral implant rehabilitation.

Materials And Methods: A dry human mandible with a full set of intact teeth was included in the study. The mandible was scanned using Trios IOS and 4 different CBCT machines with various protocols for generation of 3D digital models. Read More

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http://dx.doi.org/10.1111/clr.13434DOI Listing

Development of Dengue-type NS1 ELISA for Rapid Detection and Differentiation of Dengue Serotypes during Early Infection.

J Clin Microbiol 2019 Apr 10. Epub 2019 Apr 10.

Institute of Preventive Medicine, National Defense Medical Center, Taipei City, Taiwan

Dengue fever, caused by infections with the dengue virus (DENV), affects nearly four hundred million people globally every year. Early diagnosis and management can reduce the morbidity and mortality rates of severe forms of dengue disease as well as decrease the risk of wider outbreaks. Although early diagnosis of dengue can be achieved using a number of commercial NS1 detection kits, none of these can differentiate among the four dengue virus serotypes. Read More

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http://dx.doi.org/10.1128/JCM.00221-19DOI Listing
April 2019
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Efficacy of Triamcinolone Acetonide Extended-Release in Participants with Unilateral Knee Osteoarthritis: A Post Hoc Analysis.

Adv Ther 2019 Apr 9. Epub 2019 Apr 9.

Flexion Therapeutics, Inc, 10 Mall Road, Suite 301, Burlington, MA, 01803, USA.

Introduction: Osteoarthritis (OA) is common and its prevalence is increased in military service members. In a phase 3 randomized controlled trial (NCT02357459), a single intra-articular injection of an extended-release formulation of triamcinolone acetonide (TA-ER) in participants with unilateral or bilateral knee OA demonstrated substantial improvement in pain and symptoms. Bilateral knee pain has emerged as a confounding factor in clinical trials when evaluating the effect of a single intra-articular injection. Read More

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http://dx.doi.org/10.1007/s12325-019-00944-3DOI Listing
April 2019
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'It's nice to just be you': The influence of the employment experiences of UK military spouses during accompanied postings on well-being.

Health Psychol Open 2019 Jan-Jun;6(1):2055102919838909. Epub 2019 Apr 1.

Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.

Repeated military relocations (accompanied postings) can have a detrimental effect on employment and well-being among the spouses and partners of military personnel. Semi-structured telephone interviews were conducted with 19 spouses of British Army/Royal Air Force personnel with recent experience of accompanied postings to explore this issue through the lens of self-determination theory; all were married women with at least one child. Participants explained how employment contributed to an independent identity, enabling social connectedness, providing a sense of self-confidence and value but limiting agency over employment decisions. Read More

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http://dx.doi.org/10.1177/2055102919838909DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445049PMC
April 2019
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Surgical Tips for Performing Open Fasciotomies for Chronic Exertional Compartment Syndrome of the Leg.

Foot Ankle Int 2019 Apr 9:1071100719842798. Epub 2019 Apr 9.

2 212th Combat Support Hospital, Orthopaedic Surgery Service, Bruchmuhlbach-Miesau, Rhine Ordnance Barracks, Germany.

Chronic exertional compartment syndrome (CECS) of the leg is a debilitating condition that has previously been characterized in athletes and military personnel. The results of surgical management in these patient populations have previously been published with inconsistencies in surgical methods and patient outcomes noted. While endoscopic and minimally invasive techniques have been described, a detailed description of a "standard" open, 2-incision lateral and single-incision medial technique for the treatment of CECS has not been previously published. Read More

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http://dx.doi.org/10.1177/1071100719842798DOI Listing
April 2019
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