Military Medicine back issues from August 2007:
Letters to the Editor
Aug 01, 2007; ... To the Editor I would like to thank Dr. Tepper and associates for their careful review and comments on our manuscript (Mil Med 171; 7: 608-612, 2006). In that manuscript, we examined tuberculosis skin test (TST) conversion rates for U.S. Navy and Marine Corps personnel for 1999 to 2002, ...
ERRATUM
Aug 01, 2007; ... Captain Bohnker's Letter to the Editor, which appeared in the July 2007 issue of Military Medicine was not printed in its entirety, ...
Challenges of Meeting New Department of Defense Sexual Assault Guidelines
Aug 01, 2007; ... Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government. The rates for alleged sexual assault across the Department of Defense ...
Depression in Entry-Level Military Personnel
Aug 01, 2007; ... Objective: The goal was to determine the prevalence of, and risk factors for, depression in an entry-level U.S. Army population. Method: A cross-sectional survey of U.S. Army soldiers in advanced individual training was performed by using an anonymous self-report survey including demographic ...
The Readiness Estimate and Deployability Index and Psychometric Properties in Army Reserve Nurses and Medics
Aug 01, 2007; ... The Readiness Estimate and Deployability Index measures the level of individual deployment readiness in Army Nurse Corps officers. The primary purposes of this pilot study were to determine the psychometric properties of the measure for Army Reserve component nurses and enlisted medical ...
Joint Civilian/National Guard Mass Casualty Exercise Provides Model for Preparedness Training
Aug 01, 2007; ... After-action, reports on the 2005 hurricane relief efforts pointed to the need for effective and efficient civilian/military operational cooperation. Cited for particular attention was the interface with National Guard units. This article describes an exercise conducted with National Guard units ...
Women Veterans' Perceptions and Decision-Making about Veterans Affairs Health Care
Aug 01, 2007; ... The increase in women in the military is reshaping the veteran population and Veterans Affairs (VA) health care delivery imperatives. To determine women veterans' perspectives and decision-making about VA health care use, we conducted six focus groups (four VA users and two nonusers) and ...
Relationships between the Eligibility Process, Trust in the U.S. Health Care System, and Patient Satisfaction with the Houston Veterans Affairs Medical Center
Aug 01, 2007; ... Objectives: This study assessed veteran perceptions of the eligibility process for health care services in the Department of Veterans Affairs (VA) and the relationship of those perceptions to trust in the U.S. health care system. The study also examined how veteran perceptions of the eligibility ...
Organizational Characteristics Associated with the Availability of Women's Health Clinics for Primary Care in the Veterans Health Administration
Aug 01, 2007; ... Objective: Women's health clinics (WHCs) offering integrated primary care (PC) and gender-specific services reduce fragmentation and improve quality of care for women. Our objective was to understand organizational influences on the development of WHCs for PC delivery in Veterans Health ...
The Lessons Learned from the Canadian Forces Physiotherapy Experience during the Peacekeeping Operations in Bosnia
Aug 01, 2007; ... The musculoskeletal injuries and solthers' demographic profiles observed by physiotherapy (PT) officers during the Canathan Forces peacekeeping mission Op-Palladium in Bosnia between 2000 and 2004 were characterized. The number of PT visits (N = 4,167; range, 310-974) and gender distribution (N ...
Health-Related Quality of Life in the Royal Norwegian Navy: Does Officer Rank Matter?
Aug 01, 2007; ... The health-related quality of life of Royal Norwegian Navy officers was compared with that of the general population and the association between health-related quality of life and the rank of the officers was estimated in a cross-sectional survey of 1,316 male officers, 25 to 62 years of age, in ...
Evaluation of a Combat Medic Skills Validation Test
Aug 01, 2007; ... The purpose of this study was to describe validity and reliability of a skills-based test (the Semi-Annual Combat Medic Skills-Validation Test) used by the Army to determine combat medic competency. An instrumentation design was used in which a panel of experts completed a content validity index ...
To Investigate the Influence of Acute Vestibular Impairment following Mild Traumatic Brain Injury on Subsequent Ability to Remain on Activity Duty 12 Months Later
Aug 01, 2007; ... The objective of this study was to investigate the relationship between acute vestibular dysfunction as measured by the Dizziness Handicap Inventory and the Dynamic Visual Acuity Test and the ability to remain on active duty status in the U.S. military 1 year after mild traumatic brain injury ....
A Procedure for Soft Tissue Foreign Body Removal under Real-Time Ultrasound Guidance
Aug 01, 2007; ... A 16-year-old, dependant, female patient presented to the emergency department complaining of a sewing needle stuck in her right great toe. The needle was removed with real-time ultrasound guidance, with no complications. The use of ultrasonography for localization of foreign bodies is ...
Molecular Identification of the Biowarfare Simulant Serratia marcescens from a 50-Year-Old Munition Buried at Fort Detrick, Maryland
Aug 01, 2007; ... serratia marcescens are Gram-negative bacteria that were often used by the U.S. military and others to track movement of bacteria in the environment. As part of ongoing construction at Fort Detrick, Maryland, what appeared to be a small bomblet was found buried in the ground at the site of an ...
Physiological Effects of Night Vision Goggle Counterweights on Neck Musculature of Military Helicopter Pilots
Aug 01, 2007; ... Increased helmet-mounted mass and specific neck postures have been found to be a cause of increased muscular activity and stress. However, pilots who use night vision goggles (NVG) frequently use counterweight (CW) equipment such as a lead mass that is attached to the back of the flight helmet ...
Comparison of M-16A2 and M-4 Wounding Potential
Aug 01, 2007; ... Objective: Concerns about altered wounding characteristics of the M-4 carbine have been raised during recent deployments. Using the wound profile method, the purpose of this study was to compare the M-16A2 rifle with the M-4 carbine. Methods: The M-4 carbine and M-16A2 rifle were compared by ...
Drowning Deaths of U.S. Service Personnel Associated with Motor Vehicle Accidents Occurring in Operation Iraqi Freedom and Operation Enduring Freedom, 2003-2005
Aug 01, 2007; ... Objective: We examined common factors in vehicular drowning deaths that might lead to changes in equipment or training. Methods: Drowning deaths among service members deployed to Operations Iraqi Freedom or Enduring Freedom, 2003 to 2005, were ascertained using the Armed Forces Medical Examiner ...
Obstructive Sleep Apnea in Loudly Snoring Army Conscripts
Aug 01, 2007; ... One of the hallmarks of obstructive sleep apnea (OSA) is loud snoring. Army conscripts sleep in barracks, and loud snorers are easily detected. We made polygraphic recordings from these snorers during one night spent in the hospital, to find the ones suffering from OSA. Forty-nine conscripts ...
Metabolic Rate Prediction by Massless Actigraphy for Outdoor Activities
Aug 01, 2007; ... Purpose: In military scenarios, there is a need for a system that can enable identification of possible future injury during different activities that are considered to be physically strenuous. The purpose of the present study was to determine whether the use of an octagonal actigraph in ...
Esophagogastroduodenoscopy by a Family Physician: A Case Series Demonstrating Health Care Savings
Aug 01, 2007; ... Rural Army community hospitals without gastroenterologists require civilian referrals for esophagogastroduodenoscopies (EGDs). The goal was to determine whether an endoscopy-trained, military family physician saved health care dollars at an Army community hospital by decreasing outside ...
True Knot of the Umbilical Cord: A Report of 13 Cases
Aug 01, 2007; ... True knots of the umbilical cord are complications that can result in obstetric disasters, including fetal asphyxia and eventual fetal death. This study reports on 13 patients with a true knot of the umbilical cord in a delivery population of 967 deliveries during a 1-year period. In this group, ...
Epidemiology of Colds in Military Units during a German Out-of-Area Mission in Kosovo (Former Yugoslavia)
Aug 01, 2007; ... In the opinion of soldiers and unit surgeons, specific environmental and climatic conditions in the mission in the former Yugoslavia increase the incidence of severe infections of the respiratory tract (so-called "Kosovo Cough"). Proof is pending. Thus, colds were analyzed during Bundeswehr ...
Sui Generis Head Trauma: A Case with Intracerebral Phalanges
Aug 01, 2007; ... In times of conflict, physicians can encounter all types of trauma, even uncommon trauma. The case we present is one of those cases. A 30-year-old, male, Army sergeant suffered polytrauma caused by fragmentation missiles and the shock wave from an antipersonnel mine in combat; the amputated ...
Fatal Pneumococcal Meningitis: Failure of Acute Care Focus of Medical Practice
Aug 01, 2007; ... A 27-year-old soldier with a childhood history of splenectomy died as a result of pneumococcal meningitis. There was no documentation of pneumococcal vaccine in his 8-year military medical record. In light of the soldier's 58 documented encounters with the military medical system, this fatal ...
RADIOLOGY CORNER
Aug 01, 2007; ... Answer to last month's radiology case and image: Brodie Abscess (Case # 16 appears at the end of this article) Introduction Brodie abscess is a rare bone lesion that forms as a result of subacute osteomyelitis. Patients typically present with a several month history of ...