Evaluation of Two Training Programs Designed to Enhance Performance on the Army Combat Fitness Test Among ROTC Cadets
CONCLUSION: Three 60-minute sessions per week of moderate-high-intensity training elicited improvements in ACFT scores, with no statistically significant differences between training programs. For this population of ROTC cadets, implementing a structured training program with expert oversight appears to be effective. Based on the successes and unanticipated challenges encountered in this study, training programs that emphasize intensity, train a wide variety of movements, maximize adherence, and are adaptable to a variety of situations are likely to be successful at improving ACFT scores.PMID:35064262 | DOI:10.1093/milmed/...
Source: Military Medicine - January 22, 2022 Category: International Medicine & Public Health Authors: Alissa Newman Al Armonda Barry Braun Source Type: research

Perspectives on Cervical Arthroplasty in Navy and Marine Corps Tactical Jet Aircrew
Mil Med. 2022 Jan 22:usac012. doi: 10.1093/milmed/usac012. Online ahead of print.ABSTRACTSymptomatic cervical spondylosis is a progressive degenerative condition of the cervical spine commonly resulting in functionally-limiting pain, weakness, and/or limited dexterity. Symptomatic cervical spondylosis is believed to occur at higher rates in military aviators than civilian counterparts and is a disqualifying condition for all Navy and Marine Corps aircrew. This condition is non-waiverable for tactical jet (ejection-seat-based) aviators. Medical attrition of experienced tactical jet aircrew from the military aviation communi...
Source: Military Medicine - January 22, 2022 Category: International Medicine & Public Health Authors: Richard W Lang Adam J Yoder Paul Porensky Source Type: research

Recognizing Moyamoya Disease in a Soldier With Recurrent Cerebrovascular Symptoms
Mil Med. 2022 Jan 22:usab564. doi: 10.1093/milmed/usab564. Online ahead of print.ABSTRACTMoyamoya is a rare and progressive cerebrovascular disease involving collateral small vessel formation associated with intracranial artery narrowing. It is a disease that frequently presents with stroke and transient ischemic attacks and has potential to affect our active duty service members and their families with its bimodal age of onset of 10 and 40. This case report describes a soldier with moyamoya whose diagnosis was unrecognized for over a year after seeing multiple medical providers regarding his symptoms. The goal of this cas...
Source: Military Medicine - January 22, 2022 Category: International Medicine & Public Health Authors: Paul S Jeong Source Type: research

Preliminary Evidence on the Association of Complementary and Integrative Health Care Program Participation and Medical Cost in Veterans
CONCLUSIONS: In summary, data analysis of veterans' annual healthcare cost trajectories were inconclusive. This preliminary study produced mixed results requiring more research with larger samples and randomized control trial methodology. Evidence of whether the THRIVE intervention can maintain cost effectiveness while maintaining its supported evidence of healthcare quality is needed.PMID:35064265 | DOI:10.1093/milmed/usab567 (Source: Military Medicine)
Source: Military Medicine - January 22, 2022 Category: International Medicine & Public Health Authors: Jolie N Haun Jacquelyn Paykel Christopher A Fowler William A Lapcevic Vanessa Panaite Amy C Alman Christine Melillo Hari H Venkatachalam Dustin D French Source Type: research

Cannabis Use in a Cohort of Healthcare-Seeking United States Military Veterans With Persisting Symptoms After Mild Traumatic Brain Injury: Preliminary Observations
CONCLUSIONS: Self-reported cannabis use is significantly higher in the MIBH population than in similarly aged individuals in the general population and significantly more frequent among younger than older members of this cohort. Self-reported reasons for cannabis use in this cohort included mTBI-associated neuropsychiatric symptoms, sleep disturbances, and pain for which standard treatments (both pharmacologic and nonpharmacologic) provided insufficient relief and/or produced treatment-limiting adverse events. However, cannabis use did not provide sufficient improvement in those symptoms to obviate the need for further eva...
Source: Military Medicine - January 22, 2022 Category: International Medicine & Public Health Authors: Brandon Utter C Alan Anderson Christopher M Filley James P Kelly Catharine Johnston-Brooks David B Arciniegas Source Type: research

Predictors of Temporary Profile Days Among U.S. Army Active Duty Soldiers
CONCLUSIONS: Excessive temporary profile days threaten medical readiness and overall soldier health. Aspects of the medical home structure and care processes were predictors of temporary profile days for musculoskeletal conditions. This work supports continued efforts to improve MSI-related outcomes among soldiers. Knowledge gained from this study can guide future research questions and help the U.S. Army better meet soldier needs.PMID:35059717 | DOI:10.1093/milmed/usab558 (Source: Military Medicine)
Source: Military Medicine - January 21, 2022 Category: International Medicine & Public Health Authors: Tanekkia M Taylor-Clark Lori A Loan Pauline A Swiger Larry R Hearld Peng Li Patricia A Patrician Source Type: research

Shared Decision-Making During Labor and Birth Among Low-Risk, Active Duty Women in the U.S. Military: Corrigendum
Mil Med. 2022 Jan 20:usac013. doi: 10.1093/milmed/usac013. Online ahead of print.NO ABSTRACTPMID:35048130 | DOI:10.1093/milmed/usac013 (Source: Military Medicine)
Source: Military Medicine - January 20, 2022 Category: International Medicine & Public Health Source Type: research

Relational Coordination as a Predictor of Job Satisfaction and Intent to Stay Among Nurses and Physicians in the Military Health System
CONCLUSION: Our findings suggest that RC is a powerful workplace dynamic that influences job satisfaction and intent to stay, for nurses, residents, and physicians in MTFs. Specifically, we found that RC was positively associated with job satisfaction and intent to stay and that job satisfaction mediates the relationship between RC and intent to stay. We recommend that hospital leaders in MTFs explore interventions to strengthen RC among health professionals by including relational, work process and structural interventions as part of their strategy for retaining military healthcare professionals.PMID:35050374 | DOI:10.109...
Source: Military Medicine - January 20, 2022 Category: International Medicine & Public Health Authors: Sherita House Jamie Crandell Christopher Stucky Rebecca Kitzmiller Cheryl Jones Jody Hoffer Gittell Source Type: research

Shared Decision-Making During Labor and Birth Among Low-Risk, Active Duty Women in the U.S. Military: Corrigendum
Mil Med. 2022 Jan 20:usac013. doi: 10.1093/milmed/usac013. Online ahead of print.NO ABSTRACTPMID:35048130 | DOI:10.1093/milmed/usac013 (Source: Military Medicine)
Source: Military Medicine - January 20, 2022 Category: International Medicine & Public Health Source Type: research

Relational Coordination as a Predictor of Job Satisfaction and Intent to Stay Among Nurses and Physicians in the Military Health System
CONCLUSION: Our findings suggest that RC is a powerful workplace dynamic that influences job satisfaction and intent to stay, for nurses, residents, and physicians in MTFs. Specifically, we found that RC was positively associated with job satisfaction and intent to stay and that job satisfaction mediates the relationship between RC and intent to stay. We recommend that hospital leaders in MTFs explore interventions to strengthen RC among health professionals by including relational, work process and structural interventions as part of their strategy for retaining military healthcare professionals.PMID:35050374 | DOI:10.109...
Source: Military Medicine - January 20, 2022 Category: International Medicine & Public Health Authors: Sherita House Jamie Crandell Christopher Stucky Rebecca Kitzmiller Cheryl Jones Jody Hoffer Gittell Source Type: research

Oral Health Disparities in the Royal Netherlands Armed Forces
CONCLUSIONS: The lowest ranked military personnel are more frequently classified as dentally unfit for deployment than officers and NCOs due to oral health conditions. This is important when considering the allocation of dental resources to maximize the pool of deployable personnel.PMID:35043185 | DOI:10.1093/milmed/usab569 (Source: Military Medicine)
Source: Military Medicine - January 19, 2022 Category: International Medicine & Public Health Authors: Nanda van Klink Source Type: research

Deaths Among U.S. Air Force Basic Military Trainees, 2008-2020
CONCLUSION: A modest downward trend of average death rate has continued since 2007, and no deaths from 2016 through 2020 represents the longest time frame without any deaths at USAF BMT over all times reported (dating back to 1956) which suggest that emergency best practice policies are/have improved. However, cardiac death rate and suicide rate have not changed since the last report. Policies and practices should be continuously reviewed and refined to reduce the risk of death at USAF BMT.PMID:35043203 | DOI:10.1093/milmed/usab493 (Source: Military Medicine)
Source: Military Medicine - January 19, 2022 Category: International Medicine & Public Health Authors: Cody R Butler Korey B Kasper Robert A Huggins Thomas Leo Cropper Dianne N Frankel Mary T Pawlak Theresa Casey Douglas J Casa Source Type: research

Influence of Friction at the Head-Helmet Interface on Advanced Combat Helmet (ACH) Blunt Impact Kinematic Performance
CONCLUSIONS: The results of this study indicate that at some impact locations kinematic responses can vary as a function of the friction at the head-to-helmet pad interface. However, a reduction in the coupling of the head-helmet pad interface did not consistently reduce head angular kinematics or measures of brain strain across impact locations. Thus, for the ACH during collision-type impacts, impact location as opposed to μs seems to have a greater influence on head kinematics and rotational-based measures of brain strain.PMID:35043211 | DOI:10.1093/milmed/usab547 (Source: Military Medicine)
Source: Military Medicine - January 19, 2022 Category: International Medicine & Public Health Authors: Shayne York Elizabeth D Edwards Mark Jesunathadas Tiffany Landry Scott G Piland Thomas A Plaisted Michael Kleinberger Trenton E Gould Source Type: research

Recognizing Gender Parity in Military Medicine: An Analysis of Plenary Speakers and Award Recipients at Military American College of Physicians Chapter Meetings
CONCLUSIONS: The military chapter ACP meetings reviewed mirrored civilian data in many ways, although military plenary speaker and award recipient distributions were more representative of the gender distribution of the branches. Review of the nomination process, planning committee selection, and opportunities for diversity training could be optimized to ensure that future conferences have a gender-balanced representation of individuals being honored. Improving upon current practices is important for the growth and retention of women military physicians.PMID:35043948 | DOI:10.1093/milmed/usab560 (Source: Military Medicine)
Source: Military Medicine - January 19, 2022 Category: International Medicine & Public Health Authors: Lisa M Conte Joshua D Hartzell Cristin A Mount Matthew B Carroll Mark Tschanz Dora J Stadler Source Type: research

Using Contact-Based Education to Reduce Diabetes-Related Stigma Among Medical Residents in a Military Health System
CONCLUSIONS: Contact-based education can be considered as a tool for reducing diabetes-related stigma among medical trainees.PMID:35043952 | DOI:10.1093/milmed/usab568 (Source: Military Medicine)
Source: Military Medicine - January 19, 2022 Category: International Medicine & Public Health Authors: WingYee Wan Maria Kravchenko Jana Wardian Source Type: research