General- and Oral-Health-Related Predisposing Factors for Interrupting Military Service in the Finnish Defence Forces
CONCLUSION: As a conclusion, a set of statistically chosen anamnestic questions could help identify conscripts who have an increased risk of interruption of military service in addition to a risk of dental problems.PMID:34302171 | DOI:10.1093/milmed/usab311 (Source: Military Medicine)
Source: Military Medicine - July 24, 2021 Category: International Medicine & Public Health Authors: Pertti Patinen Tarja Tanner Jesse Honkanen Leo Tj äderhane Jari P äkkilä Vuokko Anttonen Antti K ämppi Source Type: research

Letter From the Executive Director Dr. John Cho
Mil Med. 2021 Jul 24:usab304. doi: 10.1093/milmed/usab304. Online ahead of print.NO ABSTRACTPMID:34302180 | DOI:10.1093/milmed/usab304 (Source: Military Medicine)
Source: Military Medicine - July 24, 2021 Category: International Medicine & Public Health Authors: John M Cho Source Type: research

Anthropometrics and Body Composition Predict Physical Performance and Selection to Attend Special Forces Training in United States Army Soldiers
CONCLUSIONS: Anthropometrics and body composition are predictors of physical performance and SFAS success. Since these measures are modifiable (excluding height), they may be the focus of intervention studies aiming to improve performance in arduous military training courses, sports that require competition in multiple events, and occupations that have varied physical demands, such as firefighting, law enforcement, and construction.PMID:34302352 | DOI:10.1093/milmed/usab315 (Source: Military Medicine)
Source: Military Medicine - July 24, 2021 Category: International Medicine & Public Health Authors: Emily K Farina Lauren A Thompson Joseph J Knapik Stefan M Pasiakos James P McClung Harris R Lieberman Source Type: research

General- and Oral-Health-Related Predisposing Factors for Interrupting Military Service in the Finnish Defence Forces
CONCLUSION: As a conclusion, a set of statistically chosen anamnestic questions could help identify conscripts who have an increased risk of interruption of military service in addition to a risk of dental problems.PMID:34302171 | DOI:10.1093/milmed/usab311 (Source: Military Medicine)
Source: Military Medicine - July 24, 2021 Category: International Medicine & Public Health Authors: Pertti Patinen Tarja Tanner Jesse Honkanen Leo Tj äderhane Jari P äkkilä Vuokko Anttonen Antti K ämppi Source Type: research

Letter From the Executive Director Dr. John Cho
Mil Med. 2021 Jul 24:usab304. doi: 10.1093/milmed/usab304. Online ahead of print.NO ABSTRACTPMID:34302180 | DOI:10.1093/milmed/usab304 (Source: Military Medicine)
Source: Military Medicine - July 24, 2021 Category: International Medicine & Public Health Authors: John M Cho Source Type: research

Anthropometrics and Body Composition Predict Physical Performance and Selection to Attend Special Forces Training in United States Army Soldiers
CONCLUSIONS: Anthropometrics and body composition are predictors of physical performance and SFAS success. Since these measures are modifiable (excluding height), they may be the focus of intervention studies aiming to improve performance in arduous military training courses, sports that require competition in multiple events, and occupations that have varied physical demands, such as firefighting, law enforcement, and construction.PMID:34302352 | DOI:10.1093/milmed/usab315 (Source: Military Medicine)
Source: Military Medicine - July 24, 2021 Category: International Medicine & Public Health Authors: Emily K Farina Lauren A Thompson Joseph J Knapik Stefan M Pasiakos James P McClung Harris R Lieberman Source Type: research

Macular Findings of Patients on Pentosan Polysulfate Sodium
CONCLUSIONS: Pentosan polysulfate sodium may be the cause of macular findings in a small percentage of patients referred to a tertiary retina practice. Although causation of macular changes with PPS use has yet to be elucidated, clinicians should be aware of this possibility when assessing patients with atypical macular findings. Future longitudinal studies are necessary to evaluate a definitive relationship. This paper should remind all clinicians of the importance of a throughout review of the patient's medication list as novel toxicities may become apparent years after initial FDA trials. The strength of this study is t...
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Barton L Blackorby Himanshu Banda Bradley T Smith Gaurav K Shah Source Type: research

Enhancing Partner Nation Security: A Mixed-Methods Evaluation of A Peacekeeping Public Health Capacity Building Initiative
CONCLUSIONS: This research serves as the first published study to empirically examine health-related security cooperation train-the-trainer initiative change outcomes. This research is an essential building block to empirically evaluate and capture change outcomes from security cooperation capacity building training initiatives. The findings and recommendations inform security cooperation policy and associated investments.PMID:34296259 | DOI:10.1093/milmed/usab306 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Bobbi S Snowden Derek Licina Kathleen Crowley Gene Migliaccio Sueann Ramsey Source Type: research

Army Urban Augmentation Medical Task Forces for COVID-19: Part 1-Development
This article describes how the U.S. Army developed a new ad hoc medical formation, named Urban Augmentation Medical Task Force for the Department of Defense (DoD) in response to the Coronavirus Disease 2019 pandemic in the Continental United States during the spring of 2020. We review the role of the DoD support of the Federal Emergency Management Agency as a part of Defense Support of Civilian Authorities.PMID:34296261 | DOI:10.1093/milmed/usab309 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Daniel J Dire Robert E Suter Joe D Robinson W Scott Lynn Source Type: research

Cancers of Unknown Primary: A Descriptive Study in the U.S. Military Health System
CONCLUSION: The proportion and trends of CUP in the ACTUR were generally consistent with other descriptive CUP studies. This study provides a description of CUP in a health care system with universal access in the USA and provides a foundation for future studies on CUP.PMID:34296267 | DOI:10.1093/milmed/usab291 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Julie A Bytnar Jie Lin Joel T Moncur Craig D Shriver Kangmin Zhu Source Type: research

Army Urban Augmentation Medical Task Forces for COVID-19: Part 2-Initial Utilization
This article describes the utilization of a new ad hoc medical formation, named Urban Augmentation Medical Task Force for the Department of Defense response to the coronavirus disease 2019 pandemic in the Continental United States during the spring of 2020. Military medical personnel from these units were used to staff a variety of different mission assignments. We review the benefits and limitation of this type of formation and recommend future force allocation models.PMID:34296270 | DOI:10.1093/milmed/usab308 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Daniel J Dire Robert E Suter Joe D Robinson W Scott Lynn Source Type: research

COVID-19 Outbreak in A Forward-Deployed Expeditionary Military Command: A Retrospective Review on Preventative Measures and Outbreak Characteristics
CONCLUSIONS: The data show a disproportionate impact on healthcare workers and personnel involved in aviation operations. The purpose of this study is 2-fold: to describe the characteristics of the outbreak and to highlight the effectiveness of mitigation measures implemented to control it during military operations. This study may serve to inform medical professionals and military leaders in the management of a similar outbreak in a congregate living setting.PMID:34296272 | DOI:10.1093/milmed/usab297 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Sean Nardi Matthew McGrath Daniel Wido Lauren Murray Brendan Byrne Gerald Delk Source Type: research

Relationship Between Body Mass Index and Diagnosis of Obesity in the Military Health System Active Duty Population
CONCLUSION: This study demonstrates that obesity is underdiagnosed compared to BMI. This may result in insufficient resources being provided to patients to reduce weight. Further investigation is warranted to identify causes of underdiagnosis and potential barriers to diagnosis.PMID:34296273 | DOI:10.1093/milmed/usab292 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Daren Yang Alexis Beauvais Whitney L Forbes Darrick Beckman Jason Estes Craig Martinez Jana Wardian Source Type: research

COVID-19 Crisis: The Pandemic Highlights the Unique Training and Skills of Military Physicians Afforded by Military-Specific Graduate Medical Education
Mil Med. 2021 Jul 23:usab288. doi: 10.1093/milmed/usab288. Online ahead of print.ABSTRACTMilitary physicians trained in military Graduate Medical Education programs are uniquely prepared to lead in austere and chaotic environments based on formal and informal curricula taught in military treatment facilities. The coronavirus disease-2019 pandemic highlighted this reality when military-trained physician leaders were challenged to lead change directly from the front.PMID:34296280 | DOI:10.1093/milmed/usab288 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: David Shahbodaghi Edwin Farnell Source Type: research

The Impact of Deployment and Combat Exposure on Physical Health Among Military Personnel: A Systematic Review of Incidence, Prevalence, and Risks
CONCLUSION: Given the characteristics of included studies and extracted data, the magnitude of the found differences in incidence and prevalence rates is most likely to be due to methodological heterogeneity. The specific exposures (e.g., infrastructure, environmental conditions, and activities during deployment) are suggested to be the determinants of (post) deployment physical health problems and need to be addressed to decrease the impact of deployment. Findings from this systematic review highlight which conditions should be addressed in response to service members' health and wellness needs in the (post)deployment pha...
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Alina E Teplova Heilwine A H M Bakker Sander I B Perry Faridi S van Etten-Jamaludin Marie-Christine J Plat Margaretha B M Bekkers Source Type: research

Macular Findings of Patients on Pentosan Polysulfate Sodium
CONCLUSIONS: Pentosan polysulfate sodium may be the cause of macular findings in a small percentage of patients referred to a tertiary retina practice. Although causation of macular changes with PPS use has yet to be elucidated, clinicians should be aware of this possibility when assessing patients with atypical macular findings. Future longitudinal studies are necessary to evaluate a definitive relationship. This paper should remind all clinicians of the importance of a throughout review of the patient's medication list as novel toxicities may become apparent years after initial FDA trials. The strength of this study is t...
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Barton L Blackorby Himanshu Banda Bradley T Smith Gaurav K Shah Source Type: research

Enhancing Partner Nation Security: A Mixed-Methods Evaluation of A Peacekeeping Public Health Capacity Building Initiative
CONCLUSIONS: This research serves as the first published study to empirically examine health-related security cooperation train-the-trainer initiative change outcomes. This research is an essential building block to empirically evaluate and capture change outcomes from security cooperation capacity building training initiatives. The findings and recommendations inform security cooperation policy and associated investments.PMID:34296259 | DOI:10.1093/milmed/usab306 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Bobbi S Snowden Derek Licina Kathleen Crowley Gene Migliaccio Sueann Ramsey Source Type: research

Army Urban Augmentation Medical Task Forces for COVID-19: Part 1-Development
This article describes how the U.S. Army developed a new ad hoc medical formation, named Urban Augmentation Medical Task Force for the Department of Defense (DoD) in response to the Coronavirus Disease 2019 pandemic in the Continental United States during the spring of 2020. We review the role of the DoD support of the Federal Emergency Management Agency as a part of Defense Support of Civilian Authorities.PMID:34296261 | DOI:10.1093/milmed/usab309 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Daniel J Dire Robert E Suter Joe D Robinson W Scott Lynn Source Type: research

Cancers of Unknown Primary: A Descriptive Study in the U.S. Military Health System
CONCLUSION: The proportion and trends of CUP in the ACTUR were generally consistent with other descriptive CUP studies. This study provides a description of CUP in a health care system with universal access in the USA and provides a foundation for future studies on CUP.PMID:34296267 | DOI:10.1093/milmed/usab291 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Julie A Bytnar Jie Lin Joel T Moncur Craig D Shriver Kangmin Zhu Source Type: research

Army Urban Augmentation Medical Task Forces for COVID-19: Part 2-Initial Utilization
This article describes the utilization of a new ad hoc medical formation, named Urban Augmentation Medical Task Force for the Department of Defense response to the coronavirus disease 2019 pandemic in the Continental United States during the spring of 2020. Military medical personnel from these units were used to staff a variety of different mission assignments. We review the benefits and limitation of this type of formation and recommend future force allocation models.PMID:34296270 | DOI:10.1093/milmed/usab308 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Daniel J Dire Robert E Suter Joe D Robinson W Scott Lynn Source Type: research

COVID-19 Outbreak in A Forward-Deployed Expeditionary Military Command: A Retrospective Review on Preventative Measures and Outbreak Characteristics
CONCLUSIONS: The data show a disproportionate impact on healthcare workers and personnel involved in aviation operations. The purpose of this study is 2-fold: to describe the characteristics of the outbreak and to highlight the effectiveness of mitigation measures implemented to control it during military operations. This study may serve to inform medical professionals and military leaders in the management of a similar outbreak in a congregate living setting.PMID:34296272 | DOI:10.1093/milmed/usab297 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Sean Nardi Matthew McGrath Daniel Wido Lauren Murray Brendan Byrne Gerald Delk Source Type: research

Relationship Between Body Mass Index and Diagnosis of Obesity in the Military Health System Active Duty Population
CONCLUSION: This study demonstrates that obesity is underdiagnosed compared to BMI. This may result in insufficient resources being provided to patients to reduce weight. Further investigation is warranted to identify causes of underdiagnosis and potential barriers to diagnosis.PMID:34296273 | DOI:10.1093/milmed/usab292 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Daren Yang Alexis Beauvais Whitney L Forbes Darrick Beckman Jason Estes Craig Martinez Jana Wardian Source Type: research

COVID-19 Crisis: The Pandemic Highlights the Unique Training and Skills of Military Physicians Afforded by Military-Specific Graduate Medical Education
Mil Med. 2021 Jul 23:usab288. doi: 10.1093/milmed/usab288. Online ahead of print.ABSTRACTMilitary physicians trained in military Graduate Medical Education programs are uniquely prepared to lead in austere and chaotic environments based on formal and informal curricula taught in military treatment facilities. The coronavirus disease-2019 pandemic highlighted this reality when military-trained physician leaders were challenged to lead change directly from the front.PMID:34296280 | DOI:10.1093/milmed/usab288 (Source: Military Medicine)
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: David Shahbodaghi Edwin Farnell Source Type: research

The Impact of Deployment and Combat Exposure on Physical Health Among Military Personnel: A Systematic Review of Incidence, Prevalence, and Risks
CONCLUSION: Given the characteristics of included studies and extracted data, the magnitude of the found differences in incidence and prevalence rates is most likely to be due to methodological heterogeneity. The specific exposures (e.g., infrastructure, environmental conditions, and activities during deployment) are suggested to be the determinants of (post) deployment physical health problems and need to be addressed to decrease the impact of deployment. Findings from this systematic review highlight which conditions should be addressed in response to service members' health and wellness needs in the (post)deployment pha...
Source: Military Medicine - July 23, 2021 Category: International Medicine & Public Health Authors: Alina E Teplova Heilwine A H M Bakker Sander I B Perry Faridi S van Etten-Jamaludin Marie-Christine J Plat Margaretha B M Bekkers Source Type: research

The Occupational Military Neuromusculoskeletal Injury Matrix
CONCLUSION: The OMNI provides an updated standardized method of assessing injuries, particularly in occupational military injury research, that can be utilized for Military Performance Division of injury across many countries and still allow for replication of methods and comparison of results. Additionally, the OMNI has the capacity to capture a greater burden of injury beyond what is captured by other available matrices.PMID:34279035 | DOI:10.1093/milmed/usab300 (Source: Military Medicine)
Source: Military Medicine - July 19, 2021 Category: International Medicine & Public Health Authors: Tanja C Roy Melissa D Richardson Bradley M Ritland Robin E Cushing Vy T Nguyen Source Type: research

In the Fleet as a Flight Surgeon: An Opportunity for Professional Growth
Mil Med. 2021 Jul 17:usab289. doi: 10.1093/milmed/usab289. Online ahead of print.NO ABSTRACTPMID:34272848 | DOI:10.1093/milmed/usab289 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Ayeetin M Azah Joel Schofer Source Type: research

Substance Use Relapse Among Veterans at Termination of Treatment for Substance Use Disorders
CONCLUSION: Aside from numerous challenges that veterans face after leaving military service, SUD relapse is intensified by risk factors such as homelessness, unemployment, and insufficient SUD treatment. As treatment and preventive care for SUD relapse is an active field of study, further research on SUD relapse among homeless veterans is necessary to better understand the epidemiology of substance addiction among this vulnerable population. The findings of this study can inform healthcare policy and practices targeting veteran-tailored treatment programs to improve SUD treatment completion and lower substance use after t...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Christian A Betancourt Panagiota Kitsantas Deborah G Goldberg Beth A Hawks Source Type: research

Malignant Hyperthermia-A Case From Camp Humphreys, South Korea, and Lessons for the Military Health System
Mil Med. 2021 Jul 17:usab281. doi: 10.1093/milmed/usab281. Online ahead of print.ABSTRACTAlthough malignant hyperthermia (MH) is a well-known complication of anesthesia, it presents unique considerations in the military health system. In this case report, the authors present a 26-year-old male active duty service member who experienced an MH crisis during a routine bilateral sagittal split osteotomy. The case presented here, which occurred at Brian D Allgood Army Community Hospital at Camp Humphreys, South Korea, highlights the challenges presented when caring for these patients in minimally staffed environments with frequ...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Paige Wren Sung Min Chun Robert Vietor Source Type: research

Seizures and Vaping-A Report of Two Cases
Mil Med. 2021 Jul 17:usab270. doi: 10.1093/milmed/usab270. Online ahead of print.ABSTRACTThe purpose of this qualitative study is to describe the clinical course of two patients who presented with new-onset seizures within hours of vaping and to survey neurologists' screening for vaping in such patients. A 30-subject single-institution survey found that 19 out of 30 neurology providers have not been subjectively qualifying vaping as a potential seizure-provoking factor since the 2019 emergence of literature on this topic. Inquiring about vaping during a new-onset seizure assessment could lead to earlier recognition of a se...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Peter S Tatum Joel M Oster Source Type: research

Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team
We present the case of two critically injured soldiers who were evacuated to a 10-person split Forward Surgical Team (FST) during a weather system that precluded further evacuation. The casualties underwent damage control procedures necessitating temporary abdominal closures. The FST had to organize itself to provide intensive care significantly longer than traditional timelines for this role of care. Additionally, most team members had scarce critical care experience. An after-action review confirmed that most team members felt that they had not received adequate pre-mission training in postoperative intensive care and we...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Richard N Lesperance Steven Adamson Jennifer M Gurney Source Type: research

Evaluation of a Stress Management Course for Shipboard Sailors
CONCLUSION: This study was the first evaluation of the short-term impact of the FFSC stress management course on the stress management knowledge of shipboard crews. Study limitations prevented the study team from assessing the long-term impact of the stress management course on future stress levels and stress abatement behaviors. Recommendations are made to enhance future evaluations of FFSC classes for service members.PMID:34273150 | DOI:10.1093/milmed/usab285 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Karen Tannenbaum Suzanne L Hurtado Abigail Marter Yablonsky Source Type: research

Method for Teaching Life-Saving Combat First-Aid Skills With live-actor Patients Using a Wearable Training Apparatus
CONCLUSIONS: The method using wearable training apparatus-based live-actor patients was satisfying and effective for teaching life-saving combat first-aid skills, especially for nonmedical students.PMID:34273161 | DOI:10.1093/milmed/usab286 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Minrui Lv Yijun Jia Zhaowen Zong Renqing Jiang Wenqiong Du Lin Zhang Zhao Ye Xin Zhong Source Type: research

Leadership Root Cause Analysis: Using a Formal Analysis Tool to Dissect and Promote Intrusive Leadership in a U.S. Naval Hospital
Mil Med. 2021 Jul 17:usab307. doi: 10.1093/milmed/usab307. Online ahead of print.ABSTRACTIntrusive leadership is a method that looks for signs that might indicate a problem within or outside of the workplace that can affect a member's performance and, subsequently, the mission. Our scenario demonstrates how intrusive leadership can identify potential problems which, when coupled with accountability, can prevent more significant complications.PMID:34273163 | DOI:10.1093/milmed/usab307 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: David A Paz Jean A Thurber Cynthia L Judy Timothy M Quast Source Type: research

Mitigating the Impact of Reemergence From a Pandemic on Healthcare
Mil Med. 2021 Jul 17:usab265. doi: 10.1093/milmed/usab265. Online ahead of print.ABSTRACTHealthcare workers have never faced a medical crisis that compares to the coronavirus disease-2019 pandemic. This modern-day pandemic fight draws parallels to a war. Because of these similarities, it would make sense that the experiences frontline providers have when transitioning to a normal healthcare routine would emulate experiences service members voice when reintegrating home from a battlefield. These common experiences include a unified mission, an exhausting, adrenaline-packed responsibility, and a celebrity-like status to the ...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Patricia L Hall Source Type: research

Leadership Training in Medicine-12 Years of Experience From the Feagin Leadership Program
CONCLUSIONS: Over the last 12 years, the FLP has demonstrated a high perceived impact on personal growth, leadership proficiency, and the decision to pursue leadership positions in medicine. The current dearth of leadership education for surgical trainees can best be addressed with models such as the FLP, with adoption benefiting medical trainees, the medical community, and patients they serve.PMID:34273171 | DOI:10.1093/milmed/usab293 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Brent Nos é Eric Sankey Dimitrios Moris Joe Doty Dean Taylor Source Type: research

In the Fleet as a Flight Surgeon: An Opportunity for Professional Growth
Mil Med. 2021 Jul 17:usab289. doi: 10.1093/milmed/usab289. Online ahead of print.NO ABSTRACTPMID:34272848 | DOI:10.1093/milmed/usab289 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Ayeetin M Azah Joel Schofer Source Type: research

Substance Use Relapse Among Veterans at Termination of Treatment for Substance Use Disorders
CONCLUSION: Aside from numerous challenges that veterans face after leaving military service, SUD relapse is intensified by risk factors such as homelessness, unemployment, and insufficient SUD treatment. As treatment and preventive care for SUD relapse is an active field of study, further research on SUD relapse among homeless veterans is necessary to better understand the epidemiology of substance addiction among this vulnerable population. The findings of this study can inform healthcare policy and practices targeting veteran-tailored treatment programs to improve SUD treatment completion and lower substance use after t...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Christian A Betancourt Panagiota Kitsantas Deborah G Goldberg Beth A Hawks Source Type: research

Malignant Hyperthermia-A Case From Camp Humphreys, South Korea, and Lessons for the Military Health System
Mil Med. 2021 Jul 17:usab281. doi: 10.1093/milmed/usab281. Online ahead of print.ABSTRACTAlthough malignant hyperthermia (MH) is a well-known complication of anesthesia, it presents unique considerations in the military health system. In this case report, the authors present a 26-year-old male active duty service member who experienced an MH crisis during a routine bilateral sagittal split osteotomy. The case presented here, which occurred at Brian D Allgood Army Community Hospital at Camp Humphreys, South Korea, highlights the challenges presented when caring for these patients in minimally staffed environments with frequ...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Paige Wren Sung Min Chun Robert Vietor Source Type: research

Seizures and Vaping-A Report of Two Cases
Mil Med. 2021 Jul 17:usab270. doi: 10.1093/milmed/usab270. Online ahead of print.ABSTRACTThe purpose of this qualitative study is to describe the clinical course of two patients who presented with new-onset seizures within hours of vaping and to survey neurologists' screening for vaping in such patients. A 30-subject single-institution survey found that 19 out of 30 neurology providers have not been subjectively qualifying vaping as a potential seizure-provoking factor since the 2019 emergence of literature on this topic. Inquiring about vaping during a new-onset seizure assessment could lead to earlier recognition of a se...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Peter S Tatum Joel M Oster Source Type: research

Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team
We present the case of two critically injured soldiers who were evacuated to a 10-person split Forward Surgical Team (FST) during a weather system that precluded further evacuation. The casualties underwent damage control procedures necessitating temporary abdominal closures. The FST had to organize itself to provide intensive care significantly longer than traditional timelines for this role of care. Additionally, most team members had scarce critical care experience. An after-action review confirmed that most team members felt that they had not received adequate pre-mission training in postoperative intensive care and we...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Richard N Lesperance Steven Adamson Jennifer M Gurney Source Type: research

Evaluation of a Stress Management Course for Shipboard Sailors
CONCLUSION: This study was the first evaluation of the short-term impact of the FFSC stress management course on the stress management knowledge of shipboard crews. Study limitations prevented the study team from assessing the long-term impact of the stress management course on future stress levels and stress abatement behaviors. Recommendations are made to enhance future evaluations of FFSC classes for service members.PMID:34273150 | DOI:10.1093/milmed/usab285 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Karen Tannenbaum Suzanne L Hurtado Abigail Marter Yablonsky Source Type: research

Method for Teaching Life-Saving Combat First-Aid Skills With live-actor Patients Using a Wearable Training Apparatus
CONCLUSIONS: The method using wearable training apparatus-based live-actor patients was satisfying and effective for teaching life-saving combat first-aid skills, especially for nonmedical students.PMID:34273161 | DOI:10.1093/milmed/usab286 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Minrui Lv Yijun Jia Zhaowen Zong Renqing Jiang Wenqiong Du Lin Zhang Zhao Ye Xin Zhong Source Type: research

Leadership Root Cause Analysis: Using a Formal Analysis Tool to Dissect and Promote Intrusive Leadership in a U.S. Naval Hospital
Mil Med. 2021 Jul 17:usab307. doi: 10.1093/milmed/usab307. Online ahead of print.ABSTRACTIntrusive leadership is a method that looks for signs that might indicate a problem within or outside of the workplace that can affect a member's performance and, subsequently, the mission. Our scenario demonstrates how intrusive leadership can identify potential problems which, when coupled with accountability, can prevent more significant complications.PMID:34273163 | DOI:10.1093/milmed/usab307 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: David A Paz Jean A Thurber Cynthia L Judy Timothy M Quast Source Type: research

Mitigating the Impact of Reemergence From a Pandemic on Healthcare
Mil Med. 2021 Jul 17:usab265. doi: 10.1093/milmed/usab265. Online ahead of print.ABSTRACTHealthcare workers have never faced a medical crisis that compares to the coronavirus disease-2019 pandemic. This modern-day pandemic fight draws parallels to a war. Because of these similarities, it would make sense that the experiences frontline providers have when transitioning to a normal healthcare routine would emulate experiences service members voice when reintegrating home from a battlefield. These common experiences include a unified mission, an exhausting, adrenaline-packed responsibility, and a celebrity-like status to the ...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Patricia L Hall Source Type: research

Leadership Training in Medicine-12 Years of Experience From the Feagin Leadership Program
CONCLUSIONS: Over the last 12 years, the FLP has demonstrated a high perceived impact on personal growth, leadership proficiency, and the decision to pursue leadership positions in medicine. The current dearth of leadership education for surgical trainees can best be addressed with models such as the FLP, with adoption benefiting medical trainees, the medical community, and patients they serve.PMID:34273171 | DOI:10.1093/milmed/usab293 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Brent Nos é Eric Sankey Dimitrios Moris Joe Doty Dean Taylor Source Type: research

In the Fleet as a Flight Surgeon: An Opportunity for Professional Growth
Mil Med. 2021 Jul 17:usab289. doi: 10.1093/milmed/usab289. Online ahead of print.NO ABSTRACTPMID:34272848 | DOI:10.1093/milmed/usab289 (Source: Military Medicine)
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Ayeetin M Azah Joel Schofer Source Type: research

Substance Use Relapse Among Veterans at Termination of Treatment for Substance Use Disorders
CONCLUSION: Aside from numerous challenges that veterans face after leaving military service, SUD relapse is intensified by risk factors such as homelessness, unemployment, and insufficient SUD treatment. As treatment and preventive care for SUD relapse is an active field of study, further research on SUD relapse among homeless veterans is necessary to better understand the epidemiology of substance addiction among this vulnerable population. The findings of this study can inform healthcare policy and practices targeting veteran-tailored treatment programs to improve SUD treatment completion and lower substance use after t...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Christian A Betancourt Panagiota Kitsantas Deborah G Goldberg Beth A Hawks Source Type: research

Malignant Hyperthermia-A Case From Camp Humphreys, South Korea, and Lessons for the Military Health System
Mil Med. 2021 Jul 17:usab281. doi: 10.1093/milmed/usab281. Online ahead of print.ABSTRACTAlthough malignant hyperthermia (MH) is a well-known complication of anesthesia, it presents unique considerations in the military health system. In this case report, the authors present a 26-year-old male active duty service member who experienced an MH crisis during a routine bilateral sagittal split osteotomy. The case presented here, which occurred at Brian D Allgood Army Community Hospital at Camp Humphreys, South Korea, highlights the challenges presented when caring for these patients in minimally staffed environments with frequ...
Source: Military Medicine - July 17, 2021 Category: International Medicine & Public Health Authors: Paige Wren Sung Min Chun Robert Vietor Source Type: research