13,182 results match your criteria Military Medicine[Journal]


Military Physicians Are Not Just Physicians in the Military: Using Leadership Training in Military Graduate Medical Education to Assure Mission Success.

Mil Med 2019 Jan 31. Epub 2019 Jan 31.

Blanchfield Army Community Hospital, Fort Campbell, KY.

Physicians in the military often take leadership roles much earlier in their career than their civilian counterparts. Military Graduate Medical Education programs must continue to provide relevant leadership training that prepares graduates for their imminent leadership roles. The following article illustrates the experience of a junior Army Medical Corps Officer deployed shortly after residency. Read More

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http://dx.doi.org/10.1093/milmed/usy423DOI Listing
January 2019

Current Practices in Anterior Cruciate Ligament Reconstruction in the U.S. Military: A Survey of the Society of Military Orthopaedic Surgeons.

Mil Med 2019 Jan;184(1-2):e249-e255

Department of Orthopedics, Madigan Army Medical Center, 9040 Jackson Ave, Fort Lewis, WA.

Introduction: The subject of anterior cruciate ligament reconstruction (ACLR) contains a large volume of research but very little consensus for ideal surgical technique, graft implementation, and fixation strategy for improved clinical outcome. Previous studies have assessed surgeon preferences for ACLR in civilian populations, but no study to date has examined ACLR trends in military surgeons caring for a unique, high functional demand population.

Materials And Methods: A 20 question survey was distributed to all members of the Society of Military Orthopaedic Surgeons (SOMOS) practicing orthopedic surgery at an Army medical treatment facility. Read More

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http://dx.doi.org/10.1093/milmed/usy142DOI Listing
January 2019

Spinal Fusions in Active Military Personnel: Who Gets a Lumbar Spinal Fusion in the Military and What Impact Does It Have on Service Member Retention?

Mil Med 2019 Jan;184(1-2):e156-e161

Landstuhl Regional Medical Center, Landstuhl, Germany.

Introduction: Back pain related to spinal degenerative disease is one of the most common causes of missed duty days and medical separation for active service members. While the topic of operative versus non-operative treatment of degenerative spine conditions in active military personnel has received more and much needed attention in the last few years, there remains a paucity of data examining the expanded demographics and clinical findings of those undergoing spinal fusion in which validated outcome measures are used to assess post-operative results. The purpose of this study was to define the characteristics and outcomes of spinal fusion surgery at U. Read More

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http://dx.doi.org/10.1093/milmed/usy139DOI Listing
January 2019
1 Read

Lessons from Leading US Public Health Service Physicians.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

United States Public Health Service, 1101 Wooton Pkwy, Rockville, MD.

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http://dx.doi.org/10.1093/milmed/usy428DOI Listing
January 2019

Self-Managed Strength Training for Active Duty Military With a Knee Injury: A Randomized Controlled Pilot Trial.

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

College of Medicine, University of Tennessee Health Science Center, Department of Neurology, 855 Monroe Ave, Suite 415, Memphis, TN.

Introduction: Knee injuries among active duty military are one of the most frequent musculoskeletal injuries and are often caused by exercise or intense physical activity or combat training. These injuries pose a threat to force readiness. Our objective was to assess feasibility (including recruitment and retention rates) of three self-managed strengthening strategies for knee injuries and determine if they resulted in improvements in lower extremity strength, function, pain, and activity compared to usual physical therapy (PT) in military members. Read More

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http://dx.doi.org/10.1093/milmed/usy347DOI Listing
January 2019
1 Read

Management of Chronic Migraine and Occipital Neuralgia in Post 9/11 Combat Veterans.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Central Texas Veterans Health Care System, Research Service, Biostatistician,1901 Veterans Memorial Drive, Temple, TX.

Introduction: The rate of chronic migraine (CM) has been shown to be 20% or greater in the post 9/11 combat veteran population with a history of traumatic brain injury, while the rate is much lower at 3-5% in the general population. Studies have shown that medications such as oral topiramate or intramuscular injections of onabotulinum toxin A (Botox) have been used for CM prevention, and occipital blocks have been shown to be helpful in treating occipital neuralgia and short-term relief of CM. However, there are no known studies that have specifically evaluated the use of Botox and occipital blocks for reducing headache frequency in the US veteran population. Read More

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http://dx.doi.org/10.1093/milmed/usy405DOI Listing
January 2019

Infant Feeding Practices, Workplace Breastfeeding/Lactation Practices, and Perception of Unit/Service Support Among Primiparous Active Duty Servicewomen.

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

Department of Obstetrics and Gynecology, Madigan Army Medical Center, 9040 Fitzsimmons Dr., Tacoma, WA.

Introduction: Successful breastfeeding provides multiple health benefits to Servicewomen and their infants and has positive indirect benefits to the military. Workplace lactation support influences breastfeeding continuation after a Servicewoman's return to work.

Materials And Methods: This study evaluated the breastfeeding practices and workplace breastfeeding support among primiparous women serving in the U. Read More

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http://dx.doi.org/10.1093/milmed/usy356DOI Listing
January 2019

The Veterans With Diabetes Transition Study. Veterans Experience of the Process of Transition Following Active Duty Diagnosis.

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

VA San Diego Healthcare System Mission Valley Clinic, 8810 Rio San Diego Drive, San Diego, CA.

Introduction: Veterans face several potential difficulties upon leaving active duty. Among these is transition of healthcare to a different setting. The transition from active duty to veteran status is often a challenging time for veterans with diabetes. Read More

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http://dx.doi.org/10.1093/milmed/usy351DOI Listing
January 2019

Eleven Years of Cataract Surgery in Veterans Without Pre-existing Ocular Comorbidities.

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

Veterans Affairs Medical Center Washington D.C., Department of Surgery/Ophthalmology Section, 50 Irving Street NW, Washington D.C.

Introduction: In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular comorbidities, we investigated the long-term visual outcomes and complications associated with small incision cataract surgery performed on veterans without any pre-existing eye disease. Read More

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http://dx.doi.org/10.1093/milmed/usy375DOI Listing
January 2019

Implementation and Evaluation of a Military-Civilian Partnership to Train Mental Health Specialists.

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

Department of Behavioral Health, Denver Health Medical Center, Denver, CO, and Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO.

Introduction: Mental health specialists (MHS, or 68X) play a central role in meeting the growing demand for combat stress care among Service Members. Partnering with civilian institutions may enhance the MHS training experience beyond Advanced Individual Training (AIT).

Methods: We describe a novel military-civilian collaboration to train U. Read More

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http://dx.doi.org/10.1093/milmed/usy358DOI Listing
January 2019
1 Read

Simple Detection of Hepatitis B Virus in Using Loop-Mediated Isothermal Amplification Method.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Naval Medical Research Center, 503 Robert Grant Avenue, Silver Spring, MD.

Introduction: US Military and civilian personnel regularly deploy to regions that are endemic for the Hepatitis B virus (HBV), including the Western Pacific, Africa, Eastern Mediterranean, Southeast Asia, and Europe. When patients have life-threatening injuries that require any blood component that is not immediately available, they are typically transfused with locally collected fresh whole blood from a walking blood bank. Currently, there is no simple and easy method for sensitively screening fresh blood in deployed theaters of conflict. Read More

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http://dx.doi.org/10.1093/milmed/usy421DOI Listing
January 2019

Decoding Readiness: Towards a Ready Military Healthcare Force.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Uniformed Services University of the Health Sciences, Graduate Programs in Health Professions Education (HPE), 4301 Jones Bridge Road, Bethesda, MD.

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http://dx.doi.org/10.1093/milmed/usy419DOI Listing
January 2019

Age, Race, and At-Risk Drinking in an HIV-infected U.S. Military Cohort.

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

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

Introduction: There is a high prevalence of at-risk drinking in the U.S. military. Read More

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http://dx.doi.org/10.1093/milmed/usy318DOI Listing
January 2019
2 Reads

The My Body Knows When Program Increased Intuitive Eating Characteristics in a Military Population.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Graduate School of Public Health, San Diego State University, 5000 Campanile Dr, MC 4162, San Diego, CA.

Introduction: The purpose of this pilot study was to assess the effectiveness of the revised My Body Knows When (MBKW) program to promote intuitive eating behaviors within a sample of a military population through an online or in-person delivery mode.

Materials And Methods: Fifty-six overweight or obese adults (70% female); military service members (20%), retirees (38%) and family (42%) participated in the 10-week MBKW program at two military installations from 2012 to 2014. Body Mass Index, Intuitive Eating Scale-2 (IES-2; 23-item) and Motivation for Eating scale (MFES; 43-item) were collected at baseline and 10-weeks. Read More

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http://dx.doi.org/10.1093/milmed/usy403DOI Listing
January 2019

Altered Sex Ratios in Offspring of U.S. Submariners Urban Legend or Fact - Do Submariners Have More Daughters?

Mil Med 2019 Jan 24. Epub 2019 Jan 24.

Uniformed Services University, 4301 Jones Bridge Rd., Bethesda, MD.

Introduction: There is a widespread and long-held belief in the submarine community that submariners father more daughters than the general population. The U.S. Read More

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http://dx.doi.org/10.1093/milmed/usy390DOI Listing
January 2019

Development of a Perceived Access Inventory for Community Care Mental Healthcare Services for Veterans.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle WA.

Introduction: Access to high-quality healthcare, including mental healthcare, is a high priority for the Department of Veterans Affairs (VA). Meaningful monitoring of progress will require patient-centered measures of access. To that end, we developed the Perceived Access Inventory focused on access to VA mental health services (PAI-VA). Read More

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http://dx.doi.org/10.1093/milmed/usy429DOI Listing
January 2019

Surveyed Reasons for Not Seeking Medical Care Regarding Musculoskeletal Injury Symptoms in US Army Trainees.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

U.S. Army Research Institute of Environmental Medicine, Military Performance Division, 10 General Greene Ave, BLDG 42, Natick, MA.

Introduction: Musculoskeletal injuries (MSKIs) pose a significant threat to military readiness and are difficult to monitor due to Soldiers' reluctance to seek medical treatment. There is high risk of developing MSKIs while going through initial entry training (IET), many of which go unreported. The purposes of this study were to identify the contributing factors that influence US Army trainees to not seek medical care for self-reported symptoms of musculoskeletal injury (SMSKI) and establish how those factors may differ by sex, training school, and installation site. Read More

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http://dx.doi.org/10.1093/milmed/usy414DOI Listing
January 2019

U.S. Soldiers and Foreign Language School: Stressors and Health.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD.

Introduction: While previous studies have examined the stress of the military training environment, studies have not systematically examined the stress associated with attending the Defense Language Institute Foreign Language Center (DLIFLC). Service members assigned to DLIFLC endure intense academic pressure to succeed while meeting military requirements. Thus, not only are traditional academic stressors likely to be of concern but there are other academic and military-related stressors that have to managed by students. Read More

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http://dx.doi.org/10.1093/milmed/usy359DOI Listing
January 2019
1 Read

The Relationship Between Gait Symmetry and Metabolic Demand in Individuals With Unilateral Transfemoral Amputation: A Preliminary Study.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

DoD-VA Extremity Trauma and Amputation Center of Excellence, 8901 Wisconsin Ave. NW, Bethesda, MD.

Introduction: Temporal-spatial symmetry allows for optimal metabolic economy in unimpaired human gait. The gait of individuals with unilateral transfemoral amputation is characterized by temporal-spatial asymmetries and greater metabolic energy expenditure. The objective of this study was to determine whether temporal-spatial asymmetries account for greater metabolic energy expenditure in individuals with unilateral transfemoral amputation. Read More

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http://dx.doi.org/10.1093/milmed/usy424DOI Listing
January 2019

Physical and Mental Health of US Air Force Military Training Instructors.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Military Training Consult Service, 737th Training Group, 1618 Truemper Street, JBSA-Lackland, TX.

Introduction: Many epidemiologic studies have been performed in military recruit populations, but little is known about the health of those who conduct the training. This study aims to characterize the physical and mental health of a military trainer cohort.

Materials And Methods: All US Air Force military training instructors (MTIs) who served between 1 October 2011 and 30 September 2016 were included in this retrospective descriptive study. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy418DOI Listing
January 2019
2 Reads

Cost of Military Eye Injury and Vision Impairment Related to Traumatic Brain Injury: 2001-2017.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Wilmer General Eye Services, Johns Hopkins Hospital, Wilmer B-29, 600 N. Wolfe St., Baltimore, MD.

Introduction: Annual incidence of eye injury among members of the US armed services is high and can cause vision impairment and blindness. Traumatic brain injury is also associated with visual function. An estimate of the cost of treatment, benefits for those who are disabled, productivity loss for those with reduced vision function, and the cost of replacing and retraining others to take the responsibility of those who are discharged from the military will provide a benchmark to which to compare the cost of new methods to prevent, diagnose, mitigate, treat, and rehabilitate vision loss after injury. Read More

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http://dx.doi.org/10.1093/milmed/usy420DOI Listing
January 2019

Development of Cohesion in Mixed-Gender Recruit Training.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Australian Army and the University of New South Wales, Sydney, NSW, Australia.

Introduction: With the removal in 2016 of restrictions on recruiting women to the combat arms in the all-volunteer Australian Army, a key question has been whether adding women to small combat teams will reduce the sense of cohesion among their members, which entails their subjective bonds with each other, their leader, and wider organization. Despite recent initiatives in Australia and the USA, there are too few women in combat units in any country to answer this question and how these subjective bonds affect a team's ability to stick together under pressure. Men and women recruits in the Australian Army have undertaken basic soldier training in mixed-gender teams since 1995. Read More

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http://dx.doi.org/10.1093/milmed/usy409DOI Listing
January 2019
1 Read

Outbreak of Chlamydia pneumoniae Infections and X-ray-Confirmed Pneumonia in Army Trainees at Fort Leonard Wood, Missouri, 2014.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

US Army Public Health Center, Aberdeen Proving Ground, MD.

Introduction: Chlamydia pneumoniae (Cp) is a bacterium that causes pneumonia and other respiratory diseases. Fever may be present early but absent by time of presentation to clinic. Increases in X-ray-confirmed pneumonia (XCP) and laboratory-confirmed Cp infections were observed in new soldiers in training at Fort Leonard Wood (FLW), Missouri, early in 2014. Read More

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http://dx.doi.org/10.1093/milmed/usy402DOI Listing
January 2019
3 Reads

Clinical Utility and Analysis of the Run-Roll-Aim Task: Informing Return-to-Duty Readiness Decisions in Active-Duty Service Members.

Mil Med 2019 Jan 23. Epub 2019 Jan 23.

Division of Physical Therapy, Department of Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, NC.

Introduction: The Assessment of Military Multitasking Performance (AMMP1) consists of six dual-task and multitask military-relevant performance-based assessments which were developed to provide assistance in making return-to-duty decisions after concussion or mild traumatic brain injury (mTBI.) The Run-Roll-Aim (RRA) task, one component of the AMMP, was developed to target vulnerabilities following mTBI including attention, visual function, dynamic stability, rapid transition, and vestibular function. One aim of this study was to assess the known-group and construct validity of the RRA, and additionally to further explore reliability limitations reported previously. Read More

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http://dx.doi.org/10.1093/milmed/usy425DOI Listing
January 2019
1 Read

Civil War Drummer Boys: Musicians, Messengers, and Medical Assistants.

Mil Med 2019 Jan;184(1-2):1-4

Texas Tech University Health Sciences Center, Lubbock, TX.

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http://dx.doi.org/10.1093/milmed/usy258DOI Listing
January 2019
2 Reads

Development of Longitudinal Data Analysis in Mental Health Research For Military Service Members.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Psychological Health Center of Excellence, Defense Health Agency, 1335 East West Highway, Silver Spring, MD.

Introduction: Since the 1991 Gulf War, mental health conditions of military Service members have received increasing public attention and are a major focus for the U.S. government. Read More

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http://dx.doi.org/10.1093/milmed/usy370DOI Listing
December 2018

The Incidence of Dental Needs During Isolated Missions Compared to Non-isolated Missions: A Systematic Review and Implications for Future Prevention Strategies.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Human Anatomy and Embryology Unit, Experimental Pathology and Therapeutics Department, University of Barcelona, Feixa Llarga Street, Hospitalet, Spain.

Introduction: Dental emergencies in isolated groups have always been difficult to treat. Especially in people or groups who cannot be evacuated and who need urgent dental assistance: long-term submarine missions, long-term spaceship trips, military or non-governmental organizations deployments in conflict areas, military maneuvers, etc. The dental and evacuation problems could put the success of the mission at risk, with relevant associated economic and strategic costs. Read More

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http://dx.doi.org/10.1093/milmed/usy364DOI Listing
December 2018
1 Read

The Effects of Group Prenatal Care on Infant Birthweight and Maternal Well-Being: A Randomized Controlled Trial.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

John Muir Physician Network Clinical Research Center, 2700 Grant St., Suite 202, Concord, CA.

Introduction: Group prenatal care models have been in use in the USA for over 20 years and have shown benefits in reducing rates of preterm birth and low birth weight infants in high-risk civilian populations. Group prenatal care has been widely implemented at military treatment facilities, despite a lack of high-quality evidence for improved perinatal outcomes in this population.

Materials And Methods: In this randomized, controlled trial, 129 patients at a military treatment facility received either traditional one-on-one prenatal care or group prenatal care using the CenteringPregnancy model. Read More

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http://dx.doi.org/10.1093/milmed/usy361DOI Listing
December 2018

Input of a Multi-Disciplinary Meeting in the Treatment of Osteoarticular Infections in French War Casualties.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopedic, Traumatology and Reconstructive Surgery and Trauma, PERCY Military Teaching Hospital, 101 Avenue Henri Barbusse, Clamart, France.

Introduction: Extremity war-wounds present an elevated risk of infection and compromise reconstructive procedures. In a French military hospital, a multi-disciplinary meeting (MDM) was created to standardize the care given to soldiers with osteoarticular infection. The aim of this study was to evaluate the usefulness of MDM decisions. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy369DOI Listing
December 2018
1 Read

Contemporary Comparison of Open to Robotic Prostatectomy at a Veteran's Affairs Hospital.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Urology, Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL.

Introduction: Among veterans, prostate cancer is the most common malignancy and has a higher incidence compared to the rest of the nation. No study has compared the effectiveness of Robotic-assisted-laparoscopic radical prostatectomy (RALP) vs. open radical prostatectomy (ORP) in the Veteran's Affairs (VA) hospital setting during the adoption of RALP. Read More

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http://dx.doi.org/10.1093/milmed/usy352DOI Listing
December 2018
1 Read

The Downside Risk of Failing to Transcend Extraordinarily Negative Experiences: A Narrative Analysis.

Authors:
Cabrini Pak

Mil Med 2019 Jan;184(1-2):e110-e117

Oblates of the Virgin Mary, 2 Ipswich Street, Boston, MA.

Introduction: American service members who survived a trauma like a prisoner of war (POW) experience and successfully rebounded afterwards present outcomes of resilience that merit further exploration. Difficulties in defining or measuring human resilience in the clinical setting have been acknowledged for some time, with a call for greater openness to lessons from other disciplines. Transcendence as an identity-enhancing experiential process of meaning-making may offer insights that complement medical and psychological care. Read More

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http://dx.doi.org/10.1093/milmed/usy155DOI Listing
January 2019
4 Reads

A Cross-Sectional Survey on Cigarette Smoking in the Chinese Navy.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Health Service, Naval Medical University, No.800 Xiangyin Road, Yangpu District, Shanghai, China.

Introduction: The military is a risk environment for cigarette smoking. This study determined the prevalence of, cessation attempts, knowledge, and attitudes regarding smoking, and factors related to it in the Chinese navy.

Materials And Methods: A cross-sectional survey was conducted of military personnel on active duty in the Chinese navy, Guangdong province. Read More

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http://dx.doi.org/10.1093/milmed/usy363DOI Listing
December 2018

The Overtraining Syndrome in Soldiers: Insights from the Sports Domain.

Mil Med 2018 Dec 11. Epub 2018 Dec 11.

Human Physiology Research Group, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium.

Introduction: Soldiers are exposed to extreme training regimens in order to optimally prepare for real battle. High attrition rates are a known issue during training courses, especially for elite troops. An underlying factor might be the disbalance between stress/strain and recovery. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy274DOI Listing
December 2018
8 Reads

Pulsed Dose Oxygen Delivery During Mechanical Ventilation: Impact on Oxygenation.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH.

Introduction: Adequate oxygenation is one of the primary goals of mechanical ventilation. Maintenance of adequate oxygenation and prevention of hypoxemia are the primary goals for the battlefield casualty, but military operations have unique concerns. In military operations, oxygen is a limited resource. Read More

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http://dx.doi.org/10.1093/milmed/usy362DOI Listing
December 2018
2 Reads

Facilitators and Barriers to Contraceptive Use Among U.S. Servicewomen Who Had an Abortion.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Ibis Reproductive Health, 2067 Massachusetts Avenue, Cambridge, MA.

Introduction: Despite evidence that the unintended pregnancy rate is higher among U.S. servicewomen than the general population and that servicewomen may face barriers to contraceptive use, there is little research about contraceptive access and use experiences of non-deployed active duty servicewomen. Read More

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http://dx.doi.org/10.1093/milmed/usy340DOI Listing
December 2018
19 Reads

En Route Resuscitation - Utilization of CCATT to Transport and Stabilize Critically Injured and Unstable Casualties.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

University of Colorado School of Medicine, Aurora, CO.

Introduction: The U.S. Air Force utilizes specialized Critical Care Air Transport Teams (CCATT) for transporting "stabilized" patients. Read More

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http://dx.doi.org/10.1093/milmed/usy371DOI Listing
December 2018
2 Reads

Non-battle Emergency Department Utilization of the First Modular Army Field Hospital Prototype in Support of Operation INHERENT RESOLVE.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

San Antonio Military Medical Center, 3551 Roger Brooke Drive, Joint Base San Antonio, TX.

Introduction: The 2010-2011 withdrawal from Iraq included the closure of all fixed-facility military medical resources. Operation INHERENT RESOLVE, the United States-led counter-terrorism mission in Iraq and Syria, subsequently commenced in 2014. With increasing combat operations, the 28th Combat Support Hospital deployed to Iraq to support that mission as a limited footprint unit prototyped after the new modular Army Field Hospital. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy357DOI Listing
December 2018
1 Read

Incidence of Traumatic Brain Injury in the U.S. Military, 2010-2014.

Mil Med 2018 Dec 4. Epub 2018 Dec 4.

Defense and Veterans Brain Injury Center (DVBIC), Defense Health Agency (DHA), 1335 East West HWY 4-214E, Silver Spring, MD.

Introduction: Traumatic brain injury (TBI) is a significant health issue that affects U.S. military service members (SM) at home and in combat deployments. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy313DOI Listing
December 2018
47 Reads

Simulation Training for Operational Medicine Providers (STOMP): Impact of a Comprehensive Skills-Based Curriculum for Military General Medical Officers.

Mil Med 2018 Dec 4. Epub 2018 Dec 4.

Healthcare Simulation and Bioskills Training Center, Naval Medical Center, 620 John Paul Jones Circle, Portsmouth, VA.

Introduction: A standardized training curriculum designed for general medical officers (GMO) titled Simulation Training for Operational Medicine Providers (STOMP) was recently developed to educate and improve GMOs' procedural skills through directed feedback prior to assuming duties in an operational environment. This study aimed to determine the impact this novel curriculum had on GMOs'confidence levels in 21 core privileges covering eight different subspecialties while stationed at Naval Medical Center Portsmouth (NMCP).

Materials And Methods: A cohort study from 2015 to 2017 was designed to address our specific aim to examine if the implementation of the STOMP curriculum increased GMOs' confidence levels. Read More

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http://dx.doi.org/10.1093/milmed/usy346DOI Listing
December 2018
9 Reads

Return to Duty Following Open Reduction and Internal Fixation of Unstable Ankle Fractures in the Active Duty Population.

Mil Med 2018 Dec 4. Epub 2018 Dec 4.

Department of Surgery, Orthopaedic Service, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI.

Introduction: Literature on functional outcomes after ankle surgery is for the most part limited to return to sport studies. The purpose of this study was to determine occupational and functional outcomes following operative treatment of unstable ankle fractures in the active duty military population.

Materials And Methods: All ankle fractures treated with open reduction internal fixation at a single institution from 2013 to 2015 were reviewed. Read More

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http://dx.doi.org/10.1093/milmed/usy325DOI Listing
December 2018
2 Reads

Intravenous Hydroxocobalamin Versus Hextend Versus Control for Class III Hemorrhage Resuscitation in a Prehospital Swine Model.

Mil Med 2018 Nov;183(11-12):e721-e729

CREST Research Program, Department of Emergency Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX.

Background: Hydroxyethyl starch (Hextend) has been used for hemorrhagic shock resuscitation, however, hydroxyethyl starch may be associated with adverse outcomes.

Objective: To compare systolic blood pressure (sBP) in animals that had 30% of their blood volume removed and treated with intravenous hydroxocobalamin, hydroxyethyl starch, or no fluid.

Methods: Twenty-eight swine (45-55 kg) were anesthetized and instrumented with continuous femoral and pulmonary artery pressure monitoring. Read More

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http://dx.doi.org/10.1093/milmed/usy173DOI Listing
November 2018
1 Read

Response to Letter to the Editor From Mr. Russell Greene of CrossFit Inc.

Mil Med 2018 Nov;183(11-12):264-265

Department of Military and Emergency Services, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD.

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http://dx.doi.org/10.1093/milmed/usy239DOI Listing
November 2018

Telemedical Support for Military Medicine.

Mil Med 2018 Nov;183(11-12):e462-e470

Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord, WA.

Introduction: U.S. military forces have engaged in combat in mature areas of operations (AOs) in Iraq and Afghanistan that allow for casualty evacuation to definitive surgical care within "The Golden Hour. Read More

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http://dx.doi.org/10.1093/milmed/usy127DOI Listing
November 2018
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