Military Medicine back issues from October 2008:
RESPECT-Mil: Feasibility of a Systems-Level Collaborative Care Approach to Depression and Post-Traumatic Stress Disorder in Military Primary Care
Oct 01, 2008; ... ABSTRACT Background: U.S. military ground forces report high rates of war-related traumatic stressors, posttraumatic stress disorder (PTSD), and depression following deployment in support of recent armed conflicts in Iraq and Afghanistan. Affected service members do not receive needed mental ...
Immunization against Haemophilus influenzae Type B Fails to Prevent Orbital and Facial Cellulitis: Results of a 25-Year Study among Military Children
Oct 01, 2008; ... ABSTRACT Vaccines against Haemophilus influenzae type B (HI) and Streptococcus pneumoniae (SP) have dramatically reduced the incidence of bacterial meningitis (due to both HI and SP) and epiglottitis (due to HI) in childhood. The effects of these vaccines on other conditions, however, are less ...
The Retrospective Prevalence of Community-Acquired Methicillin-Resistant Staphylococcus aureus in Soft Tissue Abscesses at Two Military Level I Trauma Centers
Oct 01, 2008; ... ABSTRACT Study objective: Many studies have shown that community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) is a very prevalent organism. However, no data have been published to date with regard to CAMRSA prevalence in patients presenting to the emergency department (ED) of a ...
Outbreak of SandFly Fever in Central Iraq, September 2007
Oct 01, 2008; ... ABSTRACT An outbreak of nonspecific febrile illnesses occurred among U.S. Army troops in September 2007 at a remote, newly established, rural-situated patrol base, south of Baghdad, Iraq. Soldiers displayed an acute flu-like syndrome with symptoms of fever, headache, malaise, and myalgia. A ...
Did You Just Ask If I Would Lead a Humanitarian Mission?
Oct 01, 2008; ... ABSTRACT This article is intended to help guide personnel chosen to lead military humanitarian missions. Suggestions for various stages of mission planning and execution are provided. INTRODUCTION As military members, we can be called upon to participate in and to be in charge of ...
Military Community: A Privileged Site for Clinical Research: Epidemiological Study of Metabolic Syndrome Risk Factors in the Military Environment
Oct 01, 2008; ... ABSTRACT The metabolic syndrome is considered to be an important public health problem. The Epidemiological Study of Metabolic Syndrome Risk Factors in the Military Environment is a prospective epidemiological study that is designed to identify clinical and laboratory parameters of metabolic ...
Ethics Training for Military Medical Trainees: The Brooke Army Medical Center Experience
Oct 01, 2008; ... ABSTRACT Biomedical ethics training during graduate medical education programs is required by the Accreditation Council for Graduate Medical Education. Apart from this requirement, medical ethics education is an integral component of military medical practice. Although ethics education and ...
Supporting the Creation of New Institutional Review Boards in Developing Countries: The U.S. Naval Medical Research Center Detachment Experience
Oct 01, 2008; ... ABSTRACT The U.S. Naval Medical Research Center Detachment (NMRCD) has worked in Peru since 1983, conducting research on diseases of military importance in large part by interacting with multiple research partners across the scientific community of Central America and South America. Over the ...
Military Family Physician Attitudes toward Treating Obesity
Oct 01, 2008; ... ABSTRACT Objective: The goal was to examine current knowledge, attitudes, and treatment practices of family practitioners regarding obesity. Methods: A cross-sectional, anonymous, self-report survey of active members of the Uniformed Services Chapter of the American Academy of Family Physicians ...
Advance and Retreat: Tobacco Control Policy in the U.S. Military
Oct 01, 2008; ... ABSTRACT This archival study explored why military tobacco control initiatives have thus far largely failed to meet their goals. We analyzed more than 5,000 previously undisclosed internal tobacco industry documents made public via an online database and additional documents obtained from the ...
Efficacy of the U.S. Army Policy on Hearing Conservation Programs
Oct 01, 2008; ... ABSTRACT Changes in U.S. Army hearing conservation policy require that many previous non-noise hazardous areas be reclassified as noise hazardous and that employees in these areas be included in hearing conservation programs. The purpose of this study was to determine if a group of employees ...
The Effects of an Accelerated Triage and Treatment Protocol on Left Without Being Seen Rates and Wait Times of Urgent Patients at a Military Emergency Department
Oct 01, 2008; ... ABSTRACT To combat increasing wait times and left without being seen (LWOBS) rates, our emergency department (ED) implemented an accelerated triage and treatment (TNT) protocol. A TNT team was allocated treatment rooms to begin management of urgent patients if a bed in the main ED was not ...
Pitfalls in Aeromedical and Ground Crew Engagement: Lessons Learned
Oct 01, 2008; ... ABSTRACT Aeromedicai (AM) evacuation of trauma victims from action is an integral part of trauma care. The Israeli Air Force Rescue and Evacuation Unit is responsible for nearly all AM evacuations in Israel. We present three recent cases, within 1 year of operation, of engagement process failure ...
Orthopedic Injuries in U.S. Casualties Treated on a Hospital Ship during Operation Iraqi Freedom
Oct 01, 2008; ... ABSTRACT From March to May 2003, the USNS Comfort was deployed to the Persian Gulf in support of combat operations for Operation Iraqi Freedom. The onboard orthopedic service treated 58 U.S. casualties during that period. Eighty-seven percent of the injuries were to the appendicular skeleton ....
Army Dental Officer Retention
Oct 01, 2008; ... ABSTRACT Objective: The objective of this article was to identify major factors associated with the retention of Army dentists. Methods: Customized survey instruments were designed. The 2006 survey was e-mailed to all Army Dental Corps captains and majors and the 2007 survey to all lieutenant ...
Development and Testing of a Novel Forward-Deployable Dental Dressing
Oct 01, 2008; ... ABSTRACT The purpose of this study was to measure select properties of four temporary filling materials suitable for use in treating minor dental emergencies in the field. Specimens were made of each of the following four materials: intermediate restorative material, Fuji IX GP Fast, Ketac-Molar ...
Comparison of Flexural Strength between Fiber-Reinforced Polymer and High-Impact Strength Resin
Oct 01, 2008; ... ABSTRACT Fractures of polymer material are one of the most frequent reasons for the repair of removable dental prostheses. Therefore, there is a constant endeavor to strengthen them, and polymer materials with high resistance to fracture are being developed. The aim of this study was to ...
Estimated Mental Health and Analysis of Relative Factors for New Chinese Recruits
Oct 01, 2008; ... ABSTRACT Objective: The primary aim of the present study was to quantitatively assess and analyze influential psychosocial factors in the mental health of new military recruits. Methods: A total of 2,734 army recruits were evaluated by using the Symptom Checklist-90 (SCL-90) and Trait Meta-Mood ...
Adaptation and Quality of Life among Long-Term Cervical Cancer Survivors in the Military Health Care System
Oct 01, 2008; ... ABSTRACT Objective: This study assessed quality of life in long-term cervical cancer survivors eligible for health care in the military health system. Methods: TRICARE beneficiaries who were diagnosed as having cervical cancer in 1980 to 2000 completed self-administered questionnaires including ...
Rhabdomyolysis Associated with Bupropion Use as a Smoking Cessation Adjunct: Review of the Literature
Oct 01, 2008; ... ABSTRACT A case of rhabdomyolysis associated with a therapeutic dose of bupropion sustained release is presented. Other features of the use of bupropion are also discussed. INTRODUCTION This is a case of rhabdomyolysis associated with a therapeutic dose of bupropion sustained ...
A 31-Year-Old Army Specialist Presenting with Acute Oligoarthritis
Oct 01, 2008; ... ABSTRACT A 31-year-old Army specialist was evaluated at Walter Reed Army Medical Center for an acute attack of arthritis in the left hand. After an initial evaluation, the patient was referred to the rheumatology service, and gout was diagnosed on the basis of synovial fluid analysis. This case ...
Two Successful Vaginal Births after Cesarean Section in a Patient with Hermansky-Pudlak Syndrome Who Was Treated with 1-Deamino-8-Arginine-Vasopression during Labor
Oct 01, 2008; ... ABSTRACT We describe the obstetric management for a patient with Hermansky-Pudlak syndrome (HPS) and a previous cesarean delivery. The disease is characterized by oculocutaneous albinism, platelet storage dysfunction, and lipofuscin deposits in the reticuloendothelial system. Patients with the ...
RADIOLOGY CORNER
Oct 01, 2008; ... Answer to last month's radiology case (28) Pneumocystis Jiroveci Pneumonia (Case # 29 appears at the end of this article) History A 60 year old HIV+ male with a CD4+ count of 144 cells/mm^sup 3^ presented to the ED, complaining of cough, dyspnea, and chest pain ....