Response to Letter to the Editor from Dr J. Edwin Nieves of Coast Guard Auxiliary Flotilla 63.
Authors: Vipler B, Nissan D PMID: 30785620 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Response to Hurricane Maria, Anecdotal Notes on the Coast Guard's Role.
Authors: Stack KM, Nieves JE, Weck D PMID: 30785631 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Physicians Are Not Just Physicians in the Military: Using Leadership Training in Military Graduate Medical Education to Assure Mission Success.
Authors: Will JS, Malave B Abstract Physicians in the military often take leadership roles much earlier in their career than their civilian counterparts. Military Graduate Medical Education programs must continue to provide relevant leadership training that prepares graduates for their imminent leadership roles. The following article illustrates the experience of a junior Army Medical Corps Officer deployed shortly after residency. His case illustrates how he utilized the tools and lessons learned from the professional development and leadership training in his residency to assure the operational readiness and succ...
Source: Military Medicine - February 6, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Clinical Utility and Analysis of the Run-Roll-Aim Task: Informing Return-to-Duty Readiness Decisions in Active-Duty Service Members.
Authors: Prim JH, Favorov OV, Cecchini AS, Scherer MR, Weightman MM, McCulloch KL Abstract Introduction: The Assessment of Military Multitasking Performance (AMMP1) consists of six dual-task and multitask military-relevant performance-based assessments which were developed to provide assistance in making return-to-duty decisions after concussion or mild traumatic brain injury (mTBI.) The Run-Roll-Aim (RRA) task, one component of the AMMP, was developed to target vulnerabilities following mTBI including attention, visual function, dynamic stability, rapid transition, and vestibular function. One aim of this study wa...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Outbreak of Chlamydia pneumoniae Infections and X-ray-Confirmed Pneumonia in Army Trainees at Fort Leonard Wood, Missouri, 2014.
Conclusion: The XCP rate and the percentage of specimens positive for Cp increased in early 2014, peaking in May. Only 12% of trainees with laboratory-confirmed Cp were febrile. Historically, acute respiratory disease surveillance at military training centers focused on febrile diseases, particularly those caused by adenoviruses. With introduction of an adenovirus vaccine in late 2011, respiratory disease rates dropped with only sporadic occurrences of adenovirus-associated disease. In 2012, the San Diego surveillance program began providing data on multiple respiratory disease agents, in addition to adenoviruses and influ...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Development of Cohesion in Mixed-Gender Recruit Training.
Conclusions: Within the Australian Army, women and men have been trained in mixed-gender sections since 1995 with sustained success, at least anecdotally. The present findings provide the first independent confirmation that all three dimensions of cohesion increase in strength during recruit training much to the same degree in women and men alike. To the extent that felt cohesion translates into effective teamwork, mixed-gender training establishes a sound foundation for integrating women into combat units as well as support units, where they have traditionally served. PMID: 30690453 [PubMed - as supplied by publisher]...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cost of Military Eye Injury and Vision Impairment Related to Traumatic Brain Injury: 2001-2017.
Conclusions: The cost of eye injury and vision dysfunction in the military is substantial. The cost of potential productivity loss associated with TBI makes up the largest proportion of total costs. Developing new standards to enhance eye safety and limit TBI could be cost-effective. Cost analyses such as this study should prove helpful in determining the economic return on investments to prevent, mitigate, treat, and rehabilitate visual system injury. PMID: 30690455 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Physical and Mental Health of US Air Force Military Training Instructors.
Conclusions: Musculoskeletal conditions are the leading contributor to burden of care among US Air Force MTIs, followed by mental health, respiratory, and neurologic and sensory conditions. The burden of healthcare among US Air Force MTIs more closely resembles active component service members than recruit trainees. PMID: 30690457 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Relationship Between Gait Symmetry and Metabolic Demand in Individuals With Unilateral Transfemoral Amputation: A Preliminary Study.
Conclusion: There is mixed evidence for the relationship between temporal-spatial asymmetries and metabolic energy expenditure. This preliminary study may suggest optimal metabolic energy expenditure in individuals with transfemoral amputation occurs at an individualized level of symmetry and resultant deviations incur a metabolic penalty. The results of this study support the idea that addressing only temporal-spatial gait asymmetries in individuals with transfemoral amputation through rehabilitation may not improve metabolic economy. Nevertheless, future prospective research is necessary to confirm these results and impl...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

U.S. Soldiers and Foreign Language School: Stressors and Health.
Conclusion: Individual coping, social connection, and classroom climate are each associated with better DLIFLC student adjustment. Denial coping appears to impede individuals from assembling the personal resources needed to study a foreign language. In contrast, acceptance appears to support healthier adjustment, perhaps freeing individuals to focus on the task at hand rather than expend valuable energy resisting the demands being placed on them. Positive social interaction also appears to provide an important resource for students, and positive classroom climate is also associated with better mental health. These findings...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Surveyed Reasons for Not Seeking Medical Care Regarding Musculoskeletal Injury Symptoms in US Army Trainees.
Authors: Cohen BS, Pacheco BM, Foulis SA, Canino MC, Redmond JE, Westrick RB, Hauret KG, Sharp MA Abstract Introduction: Musculoskeletal injuries (MSKIs) pose a significant threat to military readiness and are difficult to monitor due to Soldiers' reluctance to seek medical treatment. There is high risk of developing MSKIs while going through initial entry training (IET), many of which go unreported. The purposes of this study were to identify the contributing factors that influence US Army trainees to not seek medical care for self-reported symptoms of musculoskeletal injury (SMSKI) and establish how those factors...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Development of a Perceived Access Inventory for Community Care Mental Healthcare Services for Veterans.
Conclusions: Four new barriers specific to veteran access to community mental healthcare were identified. These barriers, which were largely administrative rather than arising from the clinical encounter itself, were included in the PAI for community care. Study strengths include capturing access barriers from the veteran experience across three geographic regions. Weaknesses include the relatively small number of participants and data collection from an early stage of Veteran Choice Program implementation. As VA expands its coverage of community-based mental healthcare, being able to assess the success of the initiative f...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Altered Sex Ratios in Offspring of U.S. Submariners Urban Legend or Fact - Do Submariners Have More Daughters?
Authors: Kramer K, Raiciulescu S, Olsen C, Hickey K, Ottolini M Abstract Introduction: There is a widespread and long-held belief in the submarine community that submariners father more daughters than the general population. The U.S. Sex Ratio at birth (males/females) has remained around 1.05 since the early 2000s. Limited evidence exists that certain environmental exposures including chemicals, heavy metals, radiation and g-forces may influence sex ratio at birth. A reduction in male births in a population has been associated with lower male fertility. A 1970 single site study showed a higher ratio of female offsp...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Intimate Partner Violence, Suicide, and Their Overlapping Risk in Women Veterans: A Review of the Literature.
Conclusion: Frequently, the risk factors for IPV and STB are shared and it is important to consider how research, screening and intervention efforts for these serious problems might be integrated. Our exploration of the literature may be used as a basis for future research with women Veterans on the intersection of STB and IPV. Further, Veterans Health Administration clinicians should be aware of these intersecting risk factors to enhance care and improve screening for both issues in women Veteran clients. PMID: 30690471 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The My Body Knows When Program Increased Intuitive Eating Characteristics in a Military Population.
Authors: Cole RE, Meyer SA, Newman TJ, Kieffer AJ, Wax SG, Stote K, Madanat H Abstract Introduction: The purpose of this pilot study was to assess the effectiveness of the revised My Body Knows When (MBKW) program to promote intuitive eating behaviors within a sample of a military population through an online or in-person delivery mode. Materials and Methods: Fifty-six overweight or obese adults (70% female); military service members (20%), retirees (38%) and family (42%) participated in the 10-week MBKW program at two military installations from 2012 to 2014. Body Mass Index, Intuitive Eating Scale-2 (IES-2; 2...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Age, Race, and At-Risk Drinking in an HIV-infected U.S. Military Cohort.
Conclusions: Consistent with general alcohol consumption patterns in the military, we found a high prevalence of at-risk drinking among individuals with HIV infection, which was associated most closely with young, non-African Americans. Targeting interventions toward this group will be important to reduce at-risk drinking and its potential for HIV-related complications. PMID: 30690493 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Decoding Readiness: Towards a Ready Military Healthcare Force.
Authors: D'Angelo MR, Seibert D, Welder MD, Cervero RM, Durning SJ PMID: 30690495 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Simple Detection of Hepatitis B Virus in Using Loop-Mediated Isothermal Amplification Method.
Conclusion: This LAMP assay has the potential to be used in resource-limited settings to improve the safety of locally collected blood in endemic regions. PMID: 30690497 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Implementation and Evaluation of a Military-Civilian Partnership to Train Mental Health Specialists.
We describe a novel military-civilian collaboration to train U.S. Army Reserve MHS's in the psychiatric emergency service (PES) of a public, safety-net hospital. Details of implementation are described. The training rotation was evaluated after 1 year through a comprehensive chart abstraction of patients seen as well as surveys of MHS's and civilian partners. Results: The roles of MHS and physician officers in this rotation are described. Over 9 days in the PES, the MHS team evaluated 26 patients. MHS's described a high-quality training environment (83% rated very good or excellent) in which they frequently saw high-ri...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Eleven Years of Cataract Surgery in Veterans Without Pre-existing Ocular Comorbidities.
Conclusion: Analysis of 11 years of small incision cataract surgery in eyes without pre-existing ocular disease within the VHA showed significant improvement in vision and stability 12 months after uncomplicated and complicated surgery in veterans. PMID: 30690510 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Veterans With Diabetes Transition Study. Veterans Experience of the Process of Transition Following Active Duty Diagnosis.
Conclusions: Study participants reported consistent compliance in diabetes self-management. Skills and attitudes obtained during military service led to participant's desire to manage their healthcare with determination to cope with challenges accompanying diabetes. The healthcare transition process would benefit from additional exploration of veteran's needs. Improved processes may facilitate the healthcare management transition of personnel with diabetes from active duty to veteran status. PMID: 30690514 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Infant Feeding Practices, Workplace Breastfeeding/Lactation Practices, and Perception of Unit/Service Support Among Primiparous Active Duty Servicewomen.
Conclusion: While almost half of the respondents were still breastfeeding and planned to continue 5-6 months postpartum and the majority of respondents felt "mostly" or "very" supported in their breastfeeding by their unit and the Army, comprehensive physical support for lactation in the workplace was inconsistent. This study provides feedback to inform ongoing implementation of the existing Army breastfeeding support directive. PMID: 30690531 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Analysis of a Military Parachutist Injury - A Retrospective Review of Over 37,000 Landings.
Authors: PMID: 30690562 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Management of Chronic Migraine and Occipital Neuralgia in Post 9/11 Combat Veterans.
Conclusion: This study evaluated the effectiveness of using occipital blocks and Botox as dual therapy for reducing headache frequency for post 9/11 combat veterans with CM, occipital neuralgia, and a history of TBI or neck trauma. Results revealed a statistically significant reduction in the number of headache days per month after the dual therapy. There were multiple limitations to the study to include a small sample size, lack of a control group, self-reported headaches for only 1 month pre-and post-treatment, and no control for other interventions or events which may have influenced the outcome. There is a strong need ...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Self-Managed Strength Training for Active Duty Military With a Knee Injury: A Randomized Controlled Pilot Trial.
Conclusions: Knee extensor strength improvements in the COMBO group were significantly higher compared to usual PT. Pain, functional measures, and ADLS all improved during the study with no group differences. Further research is required to confirm these findings. PMID: 30690578 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Lessons from Leading US Public Health Service Physicians.
Authors: Iskander J, Ahluwalia J, Luckhaupt S, Lewis B PMID: 30690585 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Spinal Fusions in Active Military Personnel: Who Gets a Lumbar Spinal Fusion in the Military and What Impact Does It Have on Service Member Retention?
Discussion: This investigation reports on the largest cohort of active military personnel undergoing spinal fusion. A variety of demographic information are reviewed to clarify the picture of soldiers at risk for needing a spinal fusion. While younger age was an independent risk factors for worsened VAS scores, no independent variable portended a worse ODI score at last follow-up. Despite improvements in objective measures such as VAS, ODI, and increases in rank, soldiers going on to retirement collected a dramatic service-connected disability percentage. Level of Evidence: Level IV, Therapeutic. PMID: 30690620 [Pu...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Current Practices in Anterior Cruciate Ligament Reconstruction in the U.S. Military: A Survey of the Society of Military Orthopaedic Surgeons.
This study was exempt from IRB approval. Results: Of the identified 131 surgeons, 56 were excluded, leaving 75 providers for study inclusion, with a 100% response rate. Surgeons preferred autograft for younger patients (80.5%) (patients ≤25 yr), whereas they relied on patient choice more commonly for older patients (51.9%). Surgeons preferred bone-patellar tendon-bone autograft for males ≤25 yr of age (51.3%) compared with 34.2% for females in the same age range. Independent femoral drilling was performed by 96.0% of surgeons for primary soft tissue ACL reconstructions. Suspensory fixation was the preferred fixat...
Source: Military Medicine - January 30, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Civil War Drummer Boys: Musicians, Messengers, and Medical Assistants.
Authors: Schuette W, Armstrong ML PMID: 30551149 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Tale of Two Compulsions - Two Case Studies Using Accelerated Resolution Therapy (ART) for Obsessive Compulsive Disorder (OCD): Corrigendum.
Authors: PMID: 30551197 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Non-battle Emergency Department Utilization of the First Modular Army Field Hospital Prototype in Support of Operation INHERENT RESOLVE.
Conclusions: Non-battle injuries and illnesses were the predominant reason for ED utilization. Most subjects were discharged back to duty with relatively low-resource utilization. Few visits required procedural interventions. PMID: 30534976 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

En Route Resuscitation - Utilization of CCATT to Transport and Stabilize Critically Injured and Unstable Casualties.
Conclusion: This brief report demonstrates the need of CCATT in the transport of unstable patients from forward deployed locations. The Air Force has adapted and is continuing to adapt CCATT training, equipment, onboard diagnostics and therapies, and team members' clinical skills to meet en route care combat casualty needs. PMID: 30535030 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Facilitators and Barriers to Contraceptive Use Among U.S. Servicewomen Who Had an Abortion.
Conclusions: Active duty servicewomen who had an abortion experienced many barriers to accessing contraception while in the military. These findings highlight the need to improve contraceptive counseling and access in the U.S. military. Results support the need to implement mandatory yearly and pre-deployment contraceptive counseling as required by the 2016 National Defense Authorization Act, offer contraceptive counseling in multiple settings, ensure military providers receive training to avoid contraceptive coercion, expand military clinic and pharmacy hours, increase the number of female military health care providers a...
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Pulsed Dose Oxygen Delivery During Mechanical Ventilation: Impact on Oxygenation.
Authors: Blakeman T, Rodriquez D, Johannigman J, Branson R Abstract Introduction: Adequate oxygenation is one of the primary goals of mechanical ventilation. Maintenance of adequate oxygenation and prevention of hypoxemia are the primary goals for the battlefield casualty, but military operations have unique concerns. In military operations, oxygen is a limited resource. A portable oxygen concentrator has the advantage of operating solely from electrical power and theoretically is a never-exhausting supply of oxygen. Our previous bench work demonstrated that the pulsed dose setting of the concentrator can be used i...
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Overtraining Syndrome in Soldiers: Insights from the Sports Domain.
Conclusions: Much research on NFOR/OTS has been conducted in the sports domain and the military could make use of these insights to promote a more efficient balance between training load and recovery. It is suggested to regularly test soldiers on physical performance, psychomotor speed and mood using ideally a military-specific test or the 1.5-mile run, psychomotor vigilance test and Profile of Mood States. The two-bout exercise test can be used as a specific test if previous testing indicates the development of NFOR/OTS and can be combined with metabolic and immunological testing to exclude pathological causes. PMID: ...
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Cross-Sectional Survey on Cigarette Smoking in the Chinese Navy.
Conclusions: Smoking prevalence in the Chinese navy is higher than that among Chinese civilians and the US and UK military personnel. Although many sailors are aware of the dangers of smoking to their health, they seldom get advice or help regarding smoking cessation. Most smokers believed that smoking cessation could improve their health. Therefore, the navy should formulate policies encouraging and facilitating military personnel's smoking cessation. PMID: 30535298 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Downside Risk of Failing to Transcend Extraordinarily Negative Experiences: A Narrative Analysis.
Conclusion: Transcendence as an experiential meaning-making process may utilize existential resources that enable one to make sense of personally relevant, extraordinarily positive, and negative events. If identity-relevant experiences are more powerful predictors of distress and well-being than those not relevant to one's sense of identity, then there should be greater focus on those kinds of experiences when working with service members struggling to bounce back from trauma. There are many contexts in which this can be done. Military chaplains, for example, are potentially very well suited to help service members reconne...
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Contemporary Comparison of Open to Robotic Prostatectomy at a Veteran's Affairs Hospital.
Authors: Desai A, Hudnall M, Weiner AB, Patel M, Cohen J, Gogana P, Sharifi R, Meeks JJ Abstract Introduction: Among veterans, prostate cancer is the most common malignancy and has a higher incidence compared to the rest of the nation. No study has compared the effectiveness of Robotic-assisted-laparoscopic radical prostatectomy (RALP) vs. open radical prostatectomy (ORP) in the Veteran's Affairs (VA) hospital setting during the adoption of RALP. Methods: Institutional Review Board approval was obtained. Retrospective review was completed on Veterans with prostate cancer who underwent ORP or RALP from March 201...
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Input of a Multi-Disciplinary Meeting in the Treatment of Osteoarticular Infections in French War Casualties.
Conclusion: The MDM seems to have had a beneficial impact on orthopedic surgeon practices. A significant increase of the number of samples taken was the most obvious sign that the French recommended practices for osteoarticular infections were followed since the creation of MDM. PMID: 30535350 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Effects of Group Prenatal Care on Infant Birthweight and Maternal Well-Being: A Randomized Controlled Trial.
Conclusions: Military parturients receiving group prenatal care in the CenteringPregnancy model were less likely to deliver an small for gestational age or large for gestational age newborn and were more likely to be satisfied with their access to care. Group prenatal care is well received by patients and may positively influence neonatal metabolic status. PMID: 30535396 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Incidence of Dental Needs During Isolated Missions Compared to Non-isolated Missions: A Systematic Review and Implications for Future Prevention Strategies.
Conclusion: This systematic review shows that the incidence of dental pathology in long-term isolation conditions may seem relatively infrequent but it exists and is relevant. Dental events are unpredictable, unrelated to trauma, and caused mainly by poor dental status. Preventive measures considerably reduce dental prevalence. PMID: 30535397 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Development of Longitudinal Data Analysis in Mental Health Research For Military Service Members.
Conclusions: Failure to use correct, appropriate models and methods in longitudinal data analysis can have unfortunate repercussions on a military health system that needs accurate findings to support valid policy decisions. By applying adequate models and methods, military health researchers will be able to better understand the complex interactions of biological, psychological, and social factors on mental health trends and transitions among military Service members. PMID: 30535418 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Intravenous Hydroxocobalamin Versus Hextend Versus Control for Class III Hemorrhage Resuscitation in a Prehospital Swine Model.
Authors: Bebarta VS, Garrett N, Boudreau S, Castaneda M Abstract Background: Hydroxyethyl starch (Hextend) has been used for hemorrhagic shock resuscitation, however, hydroxyethyl starch may be associated with adverse outcomes. Objective: To compare systolic blood pressure (sBP) in animals that had 30% of their blood volume removed and treated with intravenous hydroxocobalamin, hydroxyethyl starch, or no fluid. Methods: Twenty-eight swine (45-55 kg) were anesthetized and instrumented with continuous femoral and pulmonary artery pressure monitoring. Animals were hemorrhaged 20 mL/kg over 20 minutes and then ...
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Inertial Sensor-Based Assessment of Central Sensory Integration for Balance After Mild Traumatic Brain Injury: Corrigendum.
Authors: PMID: 30517673 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Return to Duty Following Open Reduction and Internal Fixation of Unstable Ankle Fractures in the Active Duty Population.
Conclusion: This study sought to determine predictors for return to duty within an active duty military population after ORIF of unstable ankle fractures. Given the paucity of military literature on this subject, the end goal was to provide realistic recovery expectations for both injured service members and their command teams. Overall, 81% of patients were able to return to active duty following operative treatment of unstable ankle fractures. There were no associations found between age, gender, military rank, or fracture patterns and return to duty. PMID: 30517675 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Response to the Letter by Weisman et al on: Twenty Thousand Needles Under the Sea: Trigger Point Dry Needling Aboard an Israeli Navy Submarine. A Case Report.
Authors: Ronel D, Gabbay O, Esterson A, Brand R, Vulfsons S PMID: 30517683 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Simulation Training for Operational Medicine Providers (STOMP): Impact of a Comprehensive Skills-Based Curriculum for Military General Medical Officers.
This study aimed to determine the impact this novel curriculum had on GMOs'confidence levels in 21 core privileges covering eight different subspecialties while stationed at Naval Medical Center Portsmouth (NMCP). Materials and Methods: A cohort study from 2015 to 2017 was designed to address our specific aim to examine if the implementation of the STOMP curriculum increased GMOs' confidence levels. Fifty-seven participants enrolled in the study. The GMO case group completed the STOMP curriculum (n = 22), while the control or GMO self-study group (n = 35) did not complete the curriculum. Six months after starting clini...
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Cluster of Exertional Rhabdomyolysis Cases in an ROTC Program Engaged in an Extreme Exercise Program: Corrigendum.
Authors: PMID: 30517717 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Incidence of Traumatic Brain Injury in the U.S. Military, 2010-2014.
Conclusions: Across all years, Marines and Army Soldiers experience the highest rates of injury with deployed SMs having elevated IRs of TBI. The TBI IR among deployed SMs was 91% higher than among those in the non-deployed setting, due to continued exposures to combat. Deployed Reserve/Guard component SMs seem to have an above average rate, a finding with implications for training and prevention. PMID: 30517721 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Telemedical Support for Military Medicine.
Conclusions: Broad implementation of telemedicine in the operational setting is challenged by network limitations and cyber security concerns. Reliable, high bandwidth, low latency, secure communications that is necessary for advanced telemedicine capabilities (i.e., procedural telementoring) will not likely be available at all times during future engagements. The military must develop and train a full spectrum of telemedical support options that include low-to-high bandwidth solutions. Telemedicine is not a substitute for deploying anticipated medical resources or optimizing training: telemedicine is plan B where plan A i...
Source: Military Medicine - December 1, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research