Military Medicine back issues from June 2008:
Perspectives: A Real Autism Plan Is Needed Now
Jun 01, 2008; ... In December 2007, the Military Health System requested feedback on its website as to the extent beneficiaries thought TRICARE was providing care and support for autistic family members of those in military. While the intent of receiving feedback is admirable, a much greater effort must be made ...
Partial Anomalous Pulmonary Venous Return
Jun 01, 2008; ... ABSTRACT Partial anomalous pulmonary venous return (PAPVR) is an uncommon congenital abnormality that occurs in 0.4 to 0.7% of postmortem examinations. Ninety percent of these anomalies are associated with an atrial septal defect. Partial anomalous pulmonary venous return occurs more commonly on ...
A Standardized Model is needed to Study the Neurological Effects of Primary Blast Wave Exposure
Jun 01, 2008; ... The indiscriminant use of high order explosives and asymmetrical tactics in Afghanistan and Iraq have exposed significant gaps in our medical knowledge. Combatants and civilians alike are surviving large detonations apparently unscathed but subsequently experiencing headaches, disturbances of ...
Invalid Corps
Jun 01, 2008; ... ABSTRACT Objectives: This article explores America's historical experience with medical disability compensation programs during the Revolutionary War and the Civil War. Methods: Contemporary newspaper reports, complemented by book and journal articles, provide an understanding of the medical ...
Field-Improvised War Surgery in Kosovo: Use of Kitchen Utensils as Surgical Instruments
Jun 01, 2008; ... ABSTRACT After years of conflict between Serbia and neighboring Kosovo, a full-blown war started in March 1999 when the Serbian and Yugoslav armies began a statewide military crackdown against ethnic Albanians and the Kosovo Liberation Army. Most ethnic Albanians were displaced to Macedonia or ...
Racial Differences in Mortality among Men Hospitalized in Military Hospitals
Jun 01, 2008; ... ABSTRACT A comparative study was conducted on patients in military hospitals in response to recent studies at veterans' hospitals showing the possibility that access to an equal-access health care system may reduce or reverse racial differences in mortality outcomes. Using a cohort study of ...
The Prevalence of Overweight and Obesity among U.S. Military Veterans
Jun 01, 2008; ... ABSTRACT Overweight and obesity are increasingly contributing to disease burden among military populations. The purpose of this study was to calculate and examine the prevalence of overweight and obesity among the veteran population. Data were obtained from the 2004 Behavioral Risk Factor ...
Occurrence of Maltreatment in Active Duty Military and Nonmilitary Families in the State of Texas
Jun 01, 2008; ... ABSTRACT This study compared the occurrence of child maltreatment in military and nonmilitary populations. Data came from the National Child Abuse and Neglect Data System. All cases of child maltreatment substantiated from January 1, 2000 through December 31, 2002, in the state of Texas were ...
The Use of Psychological Decompression in Military Operational Environments
Jun 01, 2008; ... ABSTRACT This article reviews the use of psychological decompression as applied to troops returning from active service in operational theaters. Definitions of the term are considered and a brief history is given. Current policies and practices are described and the question of mandatory ...
Comparing the Tolerability and Effectiveness of Two Treatment Regimens in a Smoking Clinic
Jun 01, 2008; ... ABSTRACT This study compares the effectiveness and tolerability of bupropion versus bupropion plus nicotine patch for smoking cessation in a routine clinical setting. Patients at the Sepulveda Veterans Health Administration Smoking Cessation Clinic completed a baseline survey and received ...
Soldier Attitudes toward Mental Health Screening and Seeking Care upon Return from Combat
Jun 01, 2008; ... ABSTRACT Objective: This study examined soldier attitudes about postdeployment mental health screening, treatment, barriers to care, strategies for overcoming barriers, and settings, personnel and timing for conducting postdeployment mental health screening. Methods: Deploying soldiers ...
Assessment of Recruit Motivation and Strength Study: Preaccession Physical Fitness Assessment Predicts Early Attrition
Jun 01, 2008; ... ABSTRACT Background: The Assessment of Recruit Motivation and Strength (ARMS) study was designed to pilot-test the use of a physical fitness screening tool for Army applicants before basic training. Methods: The ARMS test consists of two components, namely, a 5-minute step test and push-ups ....
Simulation in Health Care Provider Education at Brooke Army Medical Center
Jun 01, 2008; ... ABSTRACT The teaching and assessment of clinical skills are critical components of health care provider education, and clinical skill proficiency is essential for safe and successful health care delivery. Medical simulation is being increasingly recognized in health care education as an ...
Long-Term Effects of Military Service on Mental Health among Veterans of the Vietnam War Era
Jun 01, 2008; ... ABSTRACT Comparing outcomes of veterans who served in Vietnam and those who served elsewhere, we examined treatment of post-traumatic stress disorder, treatment of other mental health conditions, psychiatric treatment location, and six mental health well-being measures. The analytic sample ...
Challenging the Conclusion That Lower Preinduction Cognitive Ability Increases Risk for Combat-Related Post-Traumatic Stress Disorder in 2,375 Combat-Exposed, Vietnam War Veterans
Jun 01, 2008; ... ABSTRACT Objective: Among U.S. Vietnam War veterans, we assessed whether preinduction cognitive abilities were associated with the risk of developing combat-related post-traumatic stress disorder (PTSD). Methods: The sample included 2,375 single-term, enlisted, male, Army, Vietnam War veterans ...
Investigation of Mycobacterium tuberculosis Transmission Aboard the U.S.S. Ronald Reagan, 2006
Jun 01, 2008; ... ABSTRACT Pulmonary tuberculosis (TB) was diagnosed in a sailor aboard the U.S.S. Ronald Reagan; an investigation was conducted to determine a screening strategy for 1,172 civilian passengers who were aboard during a temporary guest rider program. Sailors were screened for latent TB infection ...
Mupirocin Resistance Screening of Methicillin-Resistant Staphylococcus aureus Isolates at Madigan Army Medical Center
Jun 01, 2008; ... ABSTRACT Mupirocin is an antibiotic used for eradication and infection control of methicillin-resistant Staphylococcus aureus (MRSA). Mupirocin binds to the bacterial isoleucyl tRNA synthetase, thus disrupting bacterial protein synthesis. Four hundred nine MRSA clinical isolates collected in ...
Clinical Research: "I don't have the time or I don't need to get promoted."
Jun 01, 2008; ... You as a practicing health care provider cannot afford not to have time! Clinical research is interwoven into the course of good clinical care. I have listened and read reports of various clinics, hospitals, and private practices over the years of how they were not in the research business and ...
Painless Thyroiditis Presenting as Apathetic Hyperthyroidism in a Young Male
Jun 01, 2008; ... ABSTRACT Apathetic hyperthyroidism is an uncommon presentation of thyrotoxicosis that is most commonly observed in elderly individuals. A small number of cases, however, have been observed in young adults-all of whom were female. We describe a case of apathetic hyperthyroidism due to painless ...
Answer to last month's radiology case and image: Case 24: Healing Tibial Fatigue Stress Fracture (Case # 25 appears at the end of this article)
Jun 01, 2008; ... History This case report involves a 28 year-old active duty male soldier on deployment with a painful mass on the right leg. The patient had no direct trauma related to the tibia. However, it was stated that there was prior focal pain in the same region that radiated to his knee joint ...
Urinary Catecholamine Responses in F-15 Pilots: Evaluation of the Stress Induced by Long-Distance Flights
Jun 01, 2008; ... ABSTRACT Included in the Cooperative Cope Thunder exercises from Japan to Alaska is one of the longest distance flight missions carried out by Japan Air-Self Defense Force F-15 pilots. The magnitude of the flight stress of these pilots is considered to be quite high. The purpose of this study ...
Consultation Request Patterns, Patient Characteristics, and Utilization of Services within a Veterans Affairs Medical Center Chiropractic Clinic
Jun 01, 2008; ... ABSTRACT A retrospective review of completed chiropractic consultations in 2006 (N = 354) was carried out to investigate consultation request patterns, patient characteristics, and the utilization of chiropractic services within the Department of Veterans Affairs of Western New York Health Care ...