13,350 results match your criteria Military Medicine[Journal]


Missile Injury of the Sciatic Nerve: Observational Study Supporting Early Exploration and Direct Suture With Flexed Knee.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Mont-Louis Private Hospital, 8 rue de la Folie-Regnault 75011 Paris, France.

Missile injuries of the sciatic nerve are frequently encountered in modern violent conflicts. Gunshot and fragment wounds may cause large nerve defects, for which management is challenging. The great size of the sciatic nerve, in both diameter and length, explains the poor results of nerve repair using autografts or allografts. Read More

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http://dx.doi.org/10.1093/milmed/usz087DOI Listing

Factors Affecting Performance on an Army Urban Operation Casualty Evacuation for Male and Female Soldiers.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Human Performance Research and Development, Canadian Forces Morale and Welfare Services, Department of National Defence, 4210 Labelle Street, On.K1J 1J8, Canada.

Introduction: This study was conducted to determine what physical and physiological characteristics contribute to the performance of an urban operation casualty evacuation (UO) and its predictive test, FORCE combat (FC) and describe the metabolic demand of the UO in female soldiers.

Methods: Seventeen military members (9 M and 8 F) completed a loaded walking maximal aerobic test, the UO and FC. Heart rate reserve (HRR) and completion time were used as efficiency/performance measures. Read More

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http://dx.doi.org/10.1093/milmed/usz075DOI Listing

Emerging Infectious Diseases and Antimicrobial Resistance (EIDAR).

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

University of Nebraska Medical Center College of Public Health, 984355 Medical Center, Omaha, NB 68198.

Introduction: The Infectious Disease Clinical Research Program's (IDCRP) Emerging Infectious Diseases and Antimicrobial Resistance (EIDAR) Research Area is a Department of Defense (DoD) clinical research capability that is responsive and adaptive to emerging infectious disease (EID) threats to US military readiness. Among active-duty and other Military Health System (MHS) beneficiaries, EIDAR research is largely focused on evaluating the incidence, risk factors, and acute- and long-term health effects of military-relevant EIDs, especially those caused by high-consequence pathogens or are responsible for outbreaks among US military populations. The EIDAR efforts also address Force Health Protection concerns associated with antimicrobial resistance and antimicrobial stewardship practices within the MHS. 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/usz081DOI Listing
April 2019
1 Read

Validity of Digital and Manual Refractometers for Measuring Urine Specific Gravity During Field Operations: A Brief Report.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Military Nutrition Division, US Army Research Institute of Environmental Medicine, 10 General Greene Ave., Natick, MA 01760.

Introduction: Dehydration can have an immediate negative impact on the performance of Soldiers in training or combat environments. Field expedient methods for assessing hydration status may be valuable for service members. Measurement of urine-specific gravity (USG) via refractometer is inexpensive, simple, fast, and a validated indicator of hydration status. 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/usz082DOI Listing
April 2019
1 Read

The Impact of Trust, Satisfaction, and Perceived Quality on Preference for Setting of Future Care Among Veterans With PTSD.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

UT Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229.

Introduction: Among US veterans, posttraumatic stress disorder (PTSD) is a high-prevalence condition; more than a million veterans of all combat eras are service-connected for this condition. Research on factors driving veterans' decision-making regarding preferred setting for PTSD care has been limited. The purpose of this study was to understand factors associated with preferences for setting of future PTSD care among veterans service-connected for PTSD. Read More

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http://dx.doi.org/10.1093/milmed/usz078DOI Listing

Scopolamine Toxicity in an Elderly Patient.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Department of Anesthesia, Brooke Army Medical Center, 3551 Rodger Brooke Dr, Ft Sam Houston, TX 78234.

We present a case of a 66-year-old female who was to undergo a scheduled operation and placed on our institution's ERAS (Enhanced Recovery After Surgery) protocol. The intraoperative course was unremarkable. The patient developed delayed emergence in the Post-Anesthesia Care Unit. Read More

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http://dx.doi.org/10.1093/milmed/usz086DOI Listing

Timing of Intradermal Rabies Pre-exposure Prophylaxis Injections: Immunological Effect on Vaccination Response.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Travel Clinic, Centre for Infectious Diseases, Military Hospital Queen Astrid, Rue Bruyn 1, 1120 Neder-Over-Heembeek, Belgium.

Introduction: Rabies remains a global threat, with annually over 59,000 deaths. Intradermal (ID) pre-exposure prophylaxis (PrEP) is very efficient and reduces the need for rabies immunoglobulins. Not much is known about factors that influence the immune response to ID administered rabies vaccine. Read More

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http://dx.doi.org/10.1093/milmed/usz048DOI Listing

Cross-Sectional Study of Sexual Behavior, Alcohol Use, and Mental Health Conditions Associated With Sexually Transmitted Infections Among Deploying Shipboard US Military Personnel.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Department of Defense HIV/AIDS Prevention Program, Defense Health Agency, 140 Sylvester Rd Bldg 306, San Diego, CA 92106.

Introduction: Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic stress disorder (PTSD), and depression during the 12 months prior to deployment were associated with provider-diagnosed STIs in this population.

Materials And Methods: Using cross-sectional data collected during 2012-2014 among sexually active personnel, multivariable regression assessed factors associated with STIs among all men (n = 1,831). 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/usz070DOI Listing
April 2019
1 Read

An Editorial Review of Mobile Health: Implications for the US Military Health System.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Arrowhead, Pulmonary Medicine Clinic Floor 1, Bethesda, MD 20889.

Introduction: The United States Military Health System provides healthcare to a diverse patient population throughout the world. There are three distinct challenges that the Military Health System faces. (1) Providers have varying degrees of clinical training expertise and may be called upon to practice outside their usual scope of care. 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/usz073DOI Listing
April 2019
1 Read

Preserving the Military Medicine Workforce: One Team, One Fight.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Senior Associate Dean for Academic Affairs, 4301 Jones Bridge Road, Bethesda, MD 20814.

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http://dx.doi.org/10.1093/milmed/usz072DOI Listing

Prospective Memory in Service Members with Mild Traumatic Brain Injury.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Department of Psychiatry, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.

Introduction: Prospective memory (PM) is the ability to remember the intention to perform an action in the future. Following mild traumatic brain injury (mTBI), the brain structures supporting such PM may be compromised. PM is essential for remembering activities specific to TBI survivors that promote recovery, such as following doctors' orders, taking necessary medications, completing physical rehabilitation exercises, and maintaining supportive social relationships. 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/usz062DOI Listing
April 2019
1 Read

Brazilian Jiu Jitsu Training for US Service Members and Veterans with Symptoms of PTSD.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, Tampa, FL 33612.

Introduction: The United States has been actively involved in major armed conflicts over the last 15 years. As a result, a significant proportion of active duty service personnel and returning veterans have endured combat, putting them at risk for developing post-traumatic stress disorder (PTSD), a disabling disorder that may occur after exposure to a traumatic event. Current therapies often require long-term, time-intensive and costly commitment from the patient and have variable degrees of success. 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/usz074DOI Listing
April 2019
1 Read

Outcomes of Pectoralis Major Tears in Active Duty US Military Personnel: A Comparison of Surgical Repairs Performed in the Forward Deployed Setting to Those Performed in the Continental United States.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

United States Air Force Center for Sustainment of Trauma and Readiness Skills (C-STARS), 3635 Vista at Grand Blvd. 3 N, St. Louis, MO 63110.

Introduction: The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States.

Materials And Methods: Retrospective comparison of all pectoralis major tendon repairs performed at Madigan Army Medical Center from 2000 to 2007 to a forward deployed series treated by two deployed United States Air Force orthopedic surgeons at one expeditionary medical treatment facility over a 4-month deployment cycle from December 2013 through March 2014.

Results: Fourteen patients from the CONUS group and eight patients from deployed group were compared; they had a mean age of 32 years (21-52) all with pectoralis major ruptures that underwent operative fixation. Read More

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http://dx.doi.org/10.1093/milmed/usz068DOI Listing

Discontinuation Rates of Antidepressant Use by Dutch Soldiers.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Division Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Faculty of Science, Utrecht University, PO Box 80082 3508 TB Utrecht, The Netherlands.

Introduction: Soldiers have a higher risk for developing psychiatric disorders that require treatment; often with antidepressants. However, antidepressants as well as the psychiatric disorder, may influence military readiness in several ways. In the general population, early discontinuation of antidepressant treatment is often seen. 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/usz060DOI Listing
April 2019
1 Read

The Development of an Emergency Medicine Resident Research Program in the United States Military.

Mil Med 2019 Apr 20. Epub 2019 Apr 20.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, USA.

Introduction: The Accreditation Council for Graduate Medical Education stipulates that residents should participate in scholarly activity. As of 2019 that verbiage will be changed to, "Residents must participate in scholarship." However, scholarly activity is not clearly defined. 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/usz071DOI Listing
April 2019
1 Read

Letter From AMSUS Executive Director Dr. John Cho.

Authors:

Mil Med 2019 Apr 15. Epub 2019 Apr 15.

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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/usz085DOI Listing
April 2019
5 Reads

The Epworth Sleepiness Scale in Service Members with Sleep Disorders.

Mil Med 2019 Apr 5. Epub 2019 Apr 5.

Department of Sleep Medicine, San Antonio Uniformed Services Health Education Consortium, San Antonio, TX.

Introduction: Excessive daytime sleepiness affects an estimated 20% of the general population. While the prevalence of sleepiness in the military is largely unknown, it is well established that short sleep duration is endemic. The reasons for this include: the demanding nature of their duties, shift work and 24-hour duty periods, deployments and exigencies of military service as well as sleep disorders. Read More

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http://dx.doi.org/10.1093/milmed/usz066DOI Listing
April 2019
1 Read

Superficial Ballistic Trauma and Subjective Pain Experienced during Force-on-Force Training and the Observed Recovery Pattern.

Mil Med 2019 Apr 5. Epub 2019 Apr 5.

Naval Medical Research Unit Dayton, 2624 Q Street, Area B, Wright-Patterson Air Force Base, OH 45433-7955.

Introduction: Military training involves preparing individuals for combat, yet applying the stressors of combat while maintaining a safe training environment is exceedingly difficult. One method to induce significant anxiety while still maintaining reasonable safety has been to utilize simulated ammunition. These rounds enable force-on-force training with reasonable stress and firing accuracy while also readily allowing participants to realize they have been shot. 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/usz061DOI Listing
April 2019
2 Reads

Restricting Retail Hours of Alcohol Sales within an Army Community.

Mil Med 2019 Apr 5. Epub 2019 Apr 5.

Oak Ridge Institute for Science and Education (ORISE), Oak Ridge Associated, Universities (ORAU), Former Participant in Support of U.S. Army Public Health Center, Health Promotion and Wellness Directorate, Public Health Assessment Division, ORAU, 4692 Millennium Drive, Suite 101, Belcamp, MD 21017.

Introduction: Excessive alcohol consumption continues to be a significant concern to overall military readiness; each year, it results in non-deployable active duty service members and service members separated from service. In 2009, The Community Preventive Services Task Force recommended limiting the hours of alcohol sales as an evidence-based and effective intervention to reduce alcohol-related harms. In June 2014, partnerships at an Army Installation in the Midwestern United States implemented a policy to reduce excessive alcohol consumption and associated alcohol-related harms. Read More

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http://dx.doi.org/10.1093/milmed/usz044DOI Listing
April 2019
2 Reads

Defining Normal Balance for Army Aviators.

Mil Med 2019 Apr 5. Epub 2019 Apr 5.

U.S. Army Aeromedical Research Laboratory, 6901 Farrel Rd, Ft Rucker, AL 36362.

Introduction: One challenge clinicians face is determining when a military Service Member (SM) can return to duty after an injury that affects the postural control. The gold standard to measure postural control is the Sensory Organization Test (SOT). This test measures the amount of sway present in an individual's static stance that may be used to examine range of function and monitor recovery from injury. Read More

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http://dx.doi.org/10.1093/milmed/usz064DOI Listing
April 2019
2 Reads

Costs for Colon Cancer Treatment Comparing Benefit Types and Care Sources in the US Military Health System.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

Murtha Cancer Center Research Program, Department of Surgery, Uniformed Services University of the Health Sciences, 11300 Rockville Pike, Suite 1120, Rockville, MD 20852.

Introduction: Cancer is one of the leading causes of morbidity and mortality in the USA, contributing largely to US healthcare spending. Provision of services (direct or purchased) and insurance benefit type may impact cost for cancer care. As a common cause of cancer in both men and women, we aim to compare colon cancer treatment costs between insurance benefit types and care sources in the US Military Health System (MHS) to better understand whether and to what extent these system factors impact cancer care costs. Read More

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http://dx.doi.org/10.1093/milmed/usz065DOI Listing
April 2019
4 Reads

Military Factors Associated with Smoking in Veterans: Erratum.

Authors:

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

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http://dx.doi.org/10.1093/milmed/usz076DOI Listing

Medical Encounters During the United States Army Special Forces Assessment and Selection Course.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, MA 01760.

Introduction: The Special Forces Assessment and Selection (SFAS) is an extremely physically and mentally demanding 19- to 20-day course designed to determine whether Soldiers are qualified to enter the Special Forces Qualification Course. As a first step to understand medical problems during SFAS, this study examined injuries, illnesses, and activities associated with injuries during the course.

Materials And Methods: Medical events during the SFAS course were compiled from Sick Call Trackers (a log of medical encounters maintained by medical personnel in the field) and Chronology of Medical Care (Standard Form 600). Read More

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http://dx.doi.org/10.1093/milmed/usz056DOI Listing
April 2019
10 Reads

The Prevalence of Faculty Physician Burnout in Military Graduate Medical Education Training Programs: A Cross-Sectional Study of Academic Physicians in the United States Department of Defense.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

University of Texas Health Sciences Center San Antonio, 8300 Floyd Curl Dr, San Antonio, TX 78229.

Introduction: In military populations, physician burnout has potential to adversely affect medical readiness to deploy in support of joint operations. Burnout among Graduate Medical Education (GME) faculty may further threaten the welfare of the medical force given the central role these officers have in training and developing junior physicians. The primary aim of this investigation was to estimate the prevalence of burnout among faculty physicians in United States (US) Army, Navy, and Air Force GME programs. Read More

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http://dx.doi.org/10.1093/milmed/usz055DOI Listing

The Burden of Dental Emergencies, Oral-Maxillofacial, and Cranio-Maxillofacial Injuries in US Military Personnel.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

Naval Medical Research Unit San Antonio, 3650 Chambers Pass Bldg. 3610, Joint Base San Antonio/Fort Sam Houston, TX 78234.

Introduction: High numbers of dental emergencies (DE) in military service members (approximately 15% per annum) prompted the inclusion of Dental Readiness as one of six conditions that determine service members' Individual Medical Readiness (IMR). Additionally, even with the advances in body armor and helmet design, Cranio- and Oral-maxillofacial (CMF, OMF) injuries continue to occur in hostile environments. The objectives of this report are (1) to provide a comprehensive review of the incidence of DE and CMF/OMF injuries in US military personnel deployed in multiple environments and (2) to compare the rates of DE and CMF/OMF injuries occurring in the 20th century with the rates observed in the early 21st century. Read More

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http://dx.doi.org/10.1093/milmed/usz059DOI Listing

A Multidimensional Approach to Assessing Anthropometric and Aerobic Fitness Profiles of Elite Brazilian Endurance Athletes and Military Personnel.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

Biometrics Laboratory, School of Physical Education and Sports, Federal University of Rio de Janeiro. 540 Carlos Chagas Filho Avenue, Rio de Janeiro, RJ, Brazil.

Introduction: Military personnel must remain physically active to meet operational requirements. Military physical training not only provides the performance capabilities required for performing occupational tasks but also fosters the development of sport. Thus, Armed Forces across the world have historically invested in developing elite- and Olympic-level athletes. Read More

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http://dx.doi.org/10.1093/milmed/usz003DOI Listing

Injury and Illness Surveillance During the 2016 Department of Defense Warrior Games: Review of Methods and Results.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

Uniformed Services University, Department of Family Medicine, 4301 Jones Bridge Rd, Bethesda MD 20814.

Introduction: Surveillance systems have become a valuable tool to capture epidemiological data at multi-sport events, with findings serving to predict and prevent injury, reduce illness, and guide efficient utilization of medical resources. In 2016, the first injury and illness surveillance tool for the Department of Defense (DoD) Warrior Games was established to inform the required medical footprint. The purpose of this paper is to describe the methods and findings from the 2016 DoD Warrior Games surveillance system, which included a database of injuries and illness. Read More

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http://dx.doi.org/10.1093/milmed/usz063DOI Listing
April 2019
1 Read

Arthroscopy for Management of Femoroacetabular Impingement Syndrome in the Military Health System: A 10-Year Epidemiological Overview of Cases with 2-year Follow-up.

Mil Med 2019 Apr 3. Epub 2019 Apr 3.

Center for the Intrepid, Brooke Army Medical Center, JBSA Fort Sam Houston, TX.

Introduction: With the rapid rise in arthroscopy rates for the management of Femoroacetabular Impingement (FAI) Syndrome, it is important to understand current surgical rates and the impact of these surgeries within the Military Health System (MHS). The purpose of this study was to provide an epidemiological descriptive summary of hip arthroscopy for FAI Syndrome in the MHS and describe perioperative healthcare utilization variables.

Methods: Eligible beneficiaries ages 18-50, undergoing hip arthroscopy with 2-year follow-up after surgery were included. Read More

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http://dx.doi.org/10.1093/milmed/usz057DOI Listing

Simulated Casualty Evacuation Performance Is Augmented by Deadlift Peak Force.

Mil Med 2019 Apr 2. Epub 2019 Apr 2.

North Dakota State University, PO Box 6050, Department 2620, Fargo, ND 58108.

Introduction: The purpose of the current study was to examine if isometric peak force and rate of force development (RFD) were related to the ability to successfully perform a simulated casualty evacuation task in both unweighted and weighted conditions.

Methods: Eighteen male participants from Army Reserve Officers' Training Corps (ROTC) completed a maximum isometric deadlift on a force plate (IRB#HE16227). Isometric peak force and RFD were calculated from ground reaction force. Read More

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http://dx.doi.org/10.1093/milmed/usz050DOI Listing
April 2019
1 Read

Changes in Post-traumatic Stress Disorder Service Connection Among Veterans Under Age 55: An 18-Year Ecological Cohort Study.

Mil Med 2019 Apr 2. Epub 2019 Apr 2.

Department of Psychiatry, University of Minnesota Medical School, F282/2 A West Building, 2450 Riverside Avenue S, Minneapolis, MN 55454.

Introduction: Mandatory, age-based re-evaluations for post-traumatic stress disorder (PTSD) service connection contribute substantially to the Veterans Benefits Administration's work load, accounting for almost 43% of the 168,013 assessments for PTSD disability done in Fiscal Year 2017 alone. The impact of these re-evaluations on Veterans' disability benefits has not been described.

Materials And Methods: The study is an 18-year, ecological, ambispective cohort of 620 men and 970 women receiving Department of Veterans Affairs PTSD disability benefits. Read More

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http://dx.doi.org/10.1093/milmed/usz052DOI Listing
April 2019
1 Read

Metachronous Contralateral Male Breast Cancer: Case Report and Literature Review.

Mil Med 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814.

Male breast cancer (MBC) is rare and consequently understudied. Here we present the case of contralateral breast cancer in a male patient nearly a quarter century following his initial breast cancer diagnosis and treatment. The epidemiology, risk factors, diagnosis, characterization, treatment, and prognosis of male breast cancer are reviewed. Read More

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http://dx.doi.org/10.1093/milmed/usz049DOI Listing

Association Between Dietary Supplement Use and ICD-9-CM Code Classification in Active Duty US Navy and Marine Corps Service Members.

Mil Med 2019 Apr 2. Epub 2019 Apr 2.

Deployment Health Research Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA USA 92106-3521.

Introduction: This study is the first to our knowledge to examine associations of survey-reported dietary supplement use with medical record diagnoses, rather than retrospective self-reported supplement use at the time of the medical encounter or case reports of adverse events. Dietary supplement (DS) use and adverse events associations in US Navy and Marine Corps personnel remains unknown. This study assessed associations of DS use in active duty (AD) personnel with ICD-9-CM diagnostic codes from outpatient medical encounters from the Military Health System Data Repository (MDR). Read More

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http://dx.doi.org/10.1093/milmed/usz053DOI Listing
April 2019
4 Reads

Acute Calcific Periarthritis of the Hand: A Case Report in an Active Duty Soldier.

Mil Med 2019 Apr 2. Epub 2019 Apr 2.

Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431.

Acute calcific periarthritis of the hand is a condition that can easily be misdiagnosed resulting in unnecessary diagnostic studies and treatment. The condition is thought to be benign with a self-resolving course. The author presents a case of an active duty 29-year-old male who presented to a military emergency department with severe atraumatic hand pain developing overnight with initial concern for flexor tenosynovitis. Read More

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http://dx.doi.org/10.1093/milmed/usz054DOI Listing
April 2019
3 Reads

Behaviors Associated with Internet Use in Military Medical Students and Residents.

Mil Med 2019 Apr 2. Epub 2019 Apr 2.

Department of Mental Health, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134.

Introduction: Problematic use of video games, social media, and Internet-related activities may be associated with sleep deprivation and poor work performance. The Internet Addiction Test was given to military medical and nursing students and housestaff to assess problematic Internet use.

Methods: Medical and nursing students at the Uniformed Services University of the Health Sciences and residents from Naval Medical Center San Diego were contacted via email (n = 1,000) and given a survey that included the Internet Addiction Test (IAT) and questions asking about other specific lifestyle variables. Read More

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http://dx.doi.org/10.1093/milmed/usz043DOI Listing
April 2019
1 Read

Improvements in Gulf War Illness Symptoms After Near-Infrared Transcranial and Intranasal Photobiomodulation: Two Case Reports.

Authors:
Linda L Chao

Mil Med 2019 Mar 22. Epub 2019 Mar 22.

Center for Imaging of Neurodegenerative Diseases, San Francisco VA Medical Center, 4150 Clement Street (114M), San Francisco, CA 94121.

At least one-fourth of US veterans who served in the 1990-1991 Gulf War (GW) are affected by the chronic symptomatic illness known as Gulf War illness (GWI). This condition typically includes some combination of fatigue, headaches, cognitive dysfunction, musculoskeletal pain, and respiratory, gastrointestinal and dermatologic complaints. To date, effective treatments for GWI have been elusive. 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/usz037DOI Listing
March 2019
2 Reads

Prehospital Use of Ketamine: Effectiveness in Critically Ill and Injured Patients.

Mil Med 2019 Mar;184(Supplement_1):542-544

Mayo Clinic, 200 1st St., Rochester, MN.

Background: The military use of ketamine is well established. The benefits of prehospital civilian use have not been extensively reported.

Methods: A retrospective review was performed of patients with prehospital ketamine use in Mayo One's air and critical care ground transport. Read More

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http://dx.doi.org/10.1093/milmed/usy422DOI Listing
March 2019
2 Reads

On the Development of Interspecies Traumatic Brain Injury Correspondence Rules.

Mil Med 2019 Mar;184(Supplement_1):181-194

Multifunctional Materials Branch, Materials Science and Technology Division, U.S. Naval Research Laboratory, 4555 Overlook Ave. SW., Washington, DC.

Traumatic brain injury analysis in human is exceedingly difficult due to the methods in which data can be collected, thus many researchers commonly implement animal surrogates. However, use of these surrogates is costly and restricted by ethical concerns and test logistics. Computational models and simulations do not have these constraints and can produce significant amounts of data in relatively short periods. Read More

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http://dx.doi.org/10.1093/milmed/usy360DOI Listing

Serum Biomarkers for Racial Disparities in Breast Cancer Progression.

Mil Med 2019 Mar;184(Supplement_1):652-657

Murtha Cancer Center, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD.

African American (AA) women are often diagnosed with more aggressive breast cancers and have worse survival outcomes than their Caucasian American (CA) counterparts. However, a comprehensive understanding of this disparity remains unclear. In this study, we attempted to identify the race-specific non-invasive protein biomarkers that may particularly benefit interventions aimed at reducing the risk of recurrence and metastasis in breast cancers (BrCa). Read More

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http://dx.doi.org/10.1093/milmed/usy417DOI Listing
March 2019
1 Read

Early Complement and Fibrinolytic Activation in a Rat Model of Blast-Induced Multi-Organ Damage.

Mil Med 2019 Mar;184(Supplement_1):282-290

U.S. Army Institute of Surgical Research, 3698 Chambers Pass Road, Joint Base San Antonio, Fort Sam Houston, TX.

Objective: Blast injury is associated with multi-organ failure (MOF), causing significant morbidity and mortality in trauma patients. However, the pathogenesis of blast-induced MOF still remains obscure. In this study, we evaluate the pathophysiological changes related to blast-induced MOF in a clinically relevant rat model of blast injury. Read More

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http://dx.doi.org/10.1093/milmed/usy412DOI Listing

Percutaneous Peripheral Nerve Stimulation for Pain Reduction and Improvements in Functional Outcomes in Chronic Low Back Pain.

Mil Med 2019 Mar;184(Supplement_1):537-541

SPR Therapeutics, 308 W. Rosemary Street, Suite 201, Chapel Hill, NC.

Chronic low back pain represents one of the most common sources of disability and a significant healthcare burden for the U.S. military. Read More

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http://dx.doi.org/10.1093/milmed/usy310DOI Listing
March 2019
2 Reads

Predictive Power of Head Impact Intensity Measures for Recognition Memory Performance.

Mil Med 2019 Mar;184(Supplement_1):206-217

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

Subconcussive head injuries are connected to both short-term cognitive changes and long-term neurodegeneration. Further study is required to understand what types of subconcussive impacts might prove detrimental to cognition. We studied cadets at the US Air Force Academy engaged in boxing and physical development, measuring head impact motions during exercise with accelerometers. Read More

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http://dx.doi.org/10.1093/milmed/usy415DOI Listing
March 2019
2 Reads

Impact of Multi-Disciplinary Care and Clinical Coach Coordinators on Participant Satisfaction and Retention in TBI Clinical Trials: A TEAM-TBI Study.

Mil Med 2019 Mar;184(Supplement_1):155-159

University of Pittsburgh Medical Center, Presbyterian Hospital, 200 Lothrop Street, Pittsburgh, PA.

Background: Targeted Evaluation Action and Monitoring of Traumatic Brain Injury (TEAM-TBI) is a monitored, multiple interventional research identifying clinical profiles and assigns individualized, evidence-based treatment program. The objective of the current study was to assess overall participant satisfaction of the multi-disciplinary care team and approach.

Methods: Between 2014 and 2017, 90 participants completed the 4-day TEAM-TBI clinical intake evaluation resulting in individualized treatment recommendations followed by a six-month intervention phase follow-up. Read More

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https://academic.oup.com/milmed/article/184/Supplement_1/155
Publisher Site
http://dx.doi.org/10.1093/milmed/usy386DOI Listing
March 2019
4 Reads

Characterization of Protection Mechanisms to Blast Overpressure for Personal Hearing Protection Devices - Biomechanical Measurement and Computational Modeling.

Mil Med 2019 Mar;184(Supplement_1):251-260

School of Aerospace and Mechanical Engineering, University of Oklahoma, 865 Asp Avenue, Norman, OK.

Hearing damage induced by blast exposure is a common injury in military personnel involved in most operation activities. Personal hearing protection devices such as earplugs come as a standard issue for Service members; however, it is not clear how to accurately evaluate the protection mechanisms of different hearing protection devices for blast overpressures (BOP). This paper reports a recent study on characterization of earplugs' protective function to BOP using human cadaver ears and 3D finite element (FE) model of the human ear. Read More

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http://dx.doi.org/10.1093/milmed/usy299DOI Listing

Mass Properties Comparison of Dismounted and Ground-Mounted Head-Supported Mass Configurations to Existing Performance and Acute Injury Risk Guidelines.

Mil Med 2019 Mar;184(Supplement_1):245-250

Injury Biomechanics Division, U.S. Army Aeromedical Research Laboratory, 6901 Farrel Road, Ft. Rucker, AL.

In order to limit the aviator's exposure to potentially unsafe helmet configurations, the U.S. Army Aeromedical Research Laboratory (USAARL) developed the USAARL Head-supported mass (HSM) Performance Curve and Acute Injury Risk Curve as guidelines for Army aviation HSM. Read More

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https://academic.oup.com/milmed/article/184/Supplement_1/245
Publisher Site
http://dx.doi.org/10.1093/milmed/usy342DOI Listing
March 2019
3 Reads

Autoimmunity-Associated Gut Commensals Modulate Gut Permeability and Immunity in Humanized Mice.

Mil Med 2019 Mar;184(Supplement_1):529-536

Department of Immunology, Mayo Clinic, 200 First Street SW, Rochester, MN.

Objective: Although the etiology of rheumatoid arthritis (RA) is unknown, recent studies have led to the concept that gut dysbiosis may be involved in onset. In this study, we aimed to determine if human gut commensals modulate the immune response and gut epithelial integrity in DQ8 mice.

Methods: DQ8 mice were orally gavaged with RA-associated (Eggerthella lenta or Collinsella aerofaciens) and non-associated (Prevotella histicola or Bifidobacterium sp. Read More

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http://dx.doi.org/10.1093/milmed/usy309DOI Listing
March 2019
1 Read

Quantification of Mild Traumatic Brain Injury via Cortical Metrics: Analytical Methods.

Mil Med 2019 Mar;184(Supplement_1):228-236

Department of Biomedical Engineering, University of North Carolina at Chapel Hill, CB No. 7575, Chapel Hill, NC.

Mild traumatic brain injuries are difficult to diagnose or assess with commonly used diagnostic methods. However, the functional state of cerebral cortical networks can be rapidly and effectively probed by measuring tactile-based sensory percepts (called cortical metrics), which are designed to exercise various components of cortical machinery. In this study, such cortical metrics were obtained from 52 college students before and after they experienced sports-related concussions by delivering vibrotactile stimuli to the index and middle fingertips. Read More

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https://academic.oup.com/milmed/article/184/Supplement_1/228
Publisher Site
http://dx.doi.org/10.1093/milmed/usy411DOI Listing
March 2019
7 Reads

A Military Case Review Method to Determine and Record the Mechanism of Injury (BioTab) from In-Theater Attacks.

Mil Med 2019 Mar;184(Supplement_1):374-378

U.S. Army Research Laboratory, Survivability/Lethality Analysis Directorate, 328 Hopkins Rd, Aberdeen Proving Ground, MD.

A recent study of all mounted vehicle underbody blast attacks found that 21% of Abbreviated Injury Scale Severity 2+ injuries in the Joint Trauma Analysis and Prevention of Injury in Combat network were injuries to the leg and ankle. To develop effective countermeasure systems for these attacks, the epidemiology and mechanisms of injury from this loading environment need to be quantified. The goal of this study was to develop a military correlate of an existing civilian case review framework, the Crash Injury Research and Engineering Network (CIREN), to consider the differences in military event types and the amount of available vehicle/attack information. Read More

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https://academic.oup.com/milmed/article/184/Supplement_1/374
Publisher Site
http://dx.doi.org/10.1093/milmed/usy396DOI Listing
March 2019
5 Reads

Is Vitamin D Level at Melanoma Diagnosis Associated With Stage Of Tumor? An Observational Study of Melanoma Patients Living in a High Ultraviolet Radiation Environment.

Mil Med 2019 Mar;184(Supplement_1):506-510

University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD Australia.

Objectives: This study will assess the relationship between vitamin D concentration at melanoma diagnosis and melanoma tumor characteristics, in individuals in a high ultraviolet radiation (UVR) environment.

Methods: We aim to recruit 600 recently diagnosed melanoma patients from Queensland, Australia, a high UVR location with one of the world's highest melanoma incidence rates. Patients are recruited through general practitioner, skin cancer specialist, dermatological and hospital-based practices. Read More

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http://dx.doi.org/10.1093/milmed/usy384DOI Listing

Identifying Predictors of Pressurized Submarine Escape Training (PSET) Attrition.

Mil Med 2019 Mar;184(Supplement_1):476-487

Naval Submarine Medical Research Laboratory, Trout Avenue, Naval Submarine Base New London, Groton, CT.

Pressurized Submarine Escape Training (PSET) physically prepares submariners to safely escape a submarine at depth. Failure to complete PSET is not a submarine service disqualification. Serious medical incidents are rare, but the safety record tradeoff has been low throughput. Read More

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http://dx.doi.org/10.1093/milmed/usy377DOI Listing
March 2019
1 Read