The Battalion Aid Station-The Forgotten Frontier of the Army Health System During the Global War on Terrorism
We describe the care provided at these treatment facilities during 2007-2020.METHODS: This is a secondary analysis of previously described data from the Department of Defense Trauma Registry. We included encounters with the documentation of an assessment or intervention at a BAS or forward operating base from January 1, 2007 to March 17, 2020. We utilized descriptive statistics to characterize these encounters.RESULTS: There were 28,950 encounters in our original dataset, of which 3.1% (884) had the documentation of a prehospital visit to a BAS. The BAS cohort was older (25 vs. 24, P
Source: Military Medicine - October 15, 2021 Category: International Medicine & Public Health Authors: Andrew D Fisher Michael D April Jason F Naylor Russ S Kotwal Steven G Schauer Source Type: research

Physiological Demands of Basic Fire Management Tasks in Members of the Canadian Armed Forces: A Pilot Study
CONCLUSIONS: Our findings demonstrate that the physiological demands of basic fire management tasks in the CAF are of moderate intensity, which are reflected in the CAF physical fitness standard. As such, CAF members who achieve the minimum standard on the FORCE JBST are deemed capable of physically performing basic fire management tasks during fire emergencies.PMID:34652444 | DOI:10.1093/milmed/usab421 (Source: Military Medicine)
Source: Military Medicine - October 15, 2021 Category: International Medicine & Public Health Authors: Étienne Chassé Daniel Th éoret Martin P Poirier Fran çois Lalonde Source Type: research

The Battalion Aid Station-The Forgotten Frontier of the Army Health System During the Global War on Terrorism
We describe the care provided at these treatment facilities during 2007-2020.METHODS: This is a secondary analysis of previously described data from the Department of Defense Trauma Registry. We included encounters with the documentation of an assessment or intervention at a BAS or forward operating base from January 1, 2007 to March 17, 2020. We utilized descriptive statistics to characterize these encounters.RESULTS: There were 28,950 encounters in our original dataset, of which 3.1% (884) had the documentation of a prehospital visit to a BAS. The BAS cohort was older (25 vs. 24, P
Source: Military Medicine - October 15, 2021 Category: International Medicine & Public Health Authors: Andrew D Fisher Michael D April Jason F Naylor Russ S Kotwal Steven G Schauer Source Type: research

Physiological Demands of Basic Fire Management Tasks in Members of the Canadian Armed Forces: A Pilot Study
CONCLUSIONS: Our findings demonstrate that the physiological demands of basic fire management tasks in the CAF are of moderate intensity, which are reflected in the CAF physical fitness standard. As such, CAF members who achieve the minimum standard on the FORCE JBST are deemed capable of physically performing basic fire management tasks during fire emergencies.PMID:34652444 | DOI:10.1093/milmed/usab421 (Source: Military Medicine)
Source: Military Medicine - October 15, 2021 Category: International Medicine & Public Health Authors: Étienne Chassé Daniel Th éoret Martin P Poirier Fran çois Lalonde Source Type: research

COVID-19: On the Disparity in Outcomes Between Military and Civilian Populations
CONCLUSIONS: Our results confirm that the burden placed on military health centers will be substantially lower than that for equivalent-sized civilian populations. More practically, the tool we have developed to investigate this (https://q.predsci.com/covid19/) can be used by military health planners to estimate the resources needed in particular locations based on current estimates of the transmission profiles of COVID-19 within the surrounding civilian population in which the military installation is embedded. As this tool continues to be developed, it can be used to assess the likely impact of different intervention str...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Pete Riley Michal Ben-Nun James Turtle David Bacon Akeisha N Owens Steven Riley Source Type: research

A State-of-the-Art Review on the Use of Modafinil as A Performance-enhancing Drug in the Context of Military Operationality
DISCUSSION: The use of modafinil as a smart drug should be examined in function of different military profiles considering their individual performance level and the task characteristics in terms of cognitive demands, physical demands, and sleep availability. It is not yet clear to what extent an improvement in one component (e.g., cognitive performance) may negatively affect another component (e.g., physical performance). Moreover, potential risks for abuse and overconfidence in both regular and occasional intake should be thoroughly investigated to depict the trade-off between user benefits and unwanted side effects. We ...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Martine Van Puyvelde Jeroen Van Cutsem Emilie Lacroix Nathalie Pattyn Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest-Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part II, Research Analysis
CONCLUSIONS: Research analysis prompted by a human case report (Part I) has helped identify mechanisms that assist in recognizing and defining non-cerebral hemispheric-focused TBI injuries. Position of the head in relationship to the blast wave, the setting in which the blast occurs, and close diagnostic follow-up are critical to the recognition, diagnosis, and treatment of injuries that have otherwise gone unrecognized and unstudied in humans since the Vietnam War.PMID:34632516 | DOI:10.1093/milmed/usab372 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part I, Case Report
CONCLUSION: This case report, unique to the English language scientific literature, discusses in detail the secondary signs and symptoms of a foramen magnum and occipital crest focused-associated blast injury.PMID:34632519 | DOI:10.1093/milmed/usab371 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

A Commentary on "Delayed-Onset Neuropathological Complications From a Foramen Magnum & amp; Occipital Crest Focused Traumatic Brain Injury of the Vietnam War" Parts I, II, and III
Mil Med. 2021 Oct 11:usab376. doi: 10.1093/milmed/usab376. Online ahead of print.NO ABSTRACTPMID:34632520 | DOI:10.1093/milmed/usab376 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: David S Priemer Daniel P Perl Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused TBI of the Vietnam War and Other Conflicts: Part III, Critique of Existing TBI Criteria and Their Operational Controversies
CONCLUSIONS: This dilemma requires a multidisciplinary, science/medicine-led panel to actively reassess TBI criteria that take into consideration the latest research including non-cerebral hemispheric injuries. We recommend that DoD/Veterans Affairs establish a commission to regularly review the academic-related scientific evidence and incorporate these findings in a timely fashion into their operational definitions. This would guarantee that recognition, diagnosis, and follow-up of all TBIs are properly understood, managed, and documented.PMID:34632521 | DOI:10.1093/milmed/usab373 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

COVID-19: On the Disparity in Outcomes Between Military and Civilian Populations
CONCLUSIONS: Our results confirm that the burden placed on military health centers will be substantially lower than that for equivalent-sized civilian populations. More practically, the tool we have developed to investigate this (https://q.predsci.com/covid19/) can be used by military health planners to estimate the resources needed in particular locations based on current estimates of the transmission profiles of COVID-19 within the surrounding civilian population in which the military installation is embedded. As this tool continues to be developed, it can be used to assess the likely impact of different intervention str...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Pete Riley Michal Ben-Nun James Turtle David Bacon Akeisha N Owens Steven Riley Source Type: research

A State-of-the-Art Review on the Use of Modafinil as A Performance-enhancing Drug in the Context of Military Operationality
DISCUSSION: The use of modafinil as a smart drug should be examined in function of different military profiles considering their individual performance level and the task characteristics in terms of cognitive demands, physical demands, and sleep availability. It is not yet clear to what extent an improvement in one component (e.g., cognitive performance) may negatively affect another component (e.g., physical performance). Moreover, potential risks for abuse and overconfidence in both regular and occasional intake should be thoroughly investigated to depict the trade-off between user benefits and unwanted side effects. We ...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Martine Van Puyvelde Jeroen Van Cutsem Emilie Lacroix Nathalie Pattyn Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest-Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part II, Research Analysis
CONCLUSIONS: Research analysis prompted by a human case report (Part I) has helped identify mechanisms that assist in recognizing and defining non-cerebral hemispheric-focused TBI injuries. Position of the head in relationship to the blast wave, the setting in which the blast occurs, and close diagnostic follow-up are critical to the recognition, diagnosis, and treatment of injuries that have otherwise gone unrecognized and unstudied in humans since the Vietnam War.PMID:34632516 | DOI:10.1093/milmed/usab372 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part I, Case Report
CONCLUSION: This case report, unique to the English language scientific literature, discusses in detail the secondary signs and symptoms of a foramen magnum and occipital crest focused-associated blast injury.PMID:34632519 | DOI:10.1093/milmed/usab371 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

A Commentary on "Delayed-Onset Neuropathological Complications From a Foramen Magnum & amp; Occipital Crest Focused Traumatic Brain Injury of the Vietnam War" Parts I, II, and III
Mil Med. 2021 Oct 11:usab376. doi: 10.1093/milmed/usab376. Online ahead of print.NO ABSTRACTPMID:34632520 | DOI:10.1093/milmed/usab376 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: David S Priemer Daniel P Perl Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused TBI of the Vietnam War and Other Conflicts: Part III, Critique of Existing TBI Criteria and Their Operational Controversies
CONCLUSIONS: This dilemma requires a multidisciplinary, science/medicine-led panel to actively reassess TBI criteria that take into consideration the latest research including non-cerebral hemispheric injuries. We recommend that DoD/Veterans Affairs establish a commission to regularly review the academic-related scientific evidence and incorporate these findings in a timely fashion into their operational definitions. This would guarantee that recognition, diagnosis, and follow-up of all TBIs are properly understood, managed, and documented.PMID:34632521 | DOI:10.1093/milmed/usab373 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

COVID-19: On the Disparity in Outcomes Between Military and Civilian Populations
CONCLUSIONS: Our results confirm that the burden placed on military health centers will be substantially lower than that for equivalent-sized civilian populations. More practically, the tool we have developed to investigate this (https://q.predsci.com/covid19/) can be used by military health planners to estimate the resources needed in particular locations based on current estimates of the transmission profiles of COVID-19 within the surrounding civilian population in which the military installation is embedded. As this tool continues to be developed, it can be used to assess the likely impact of different intervention str...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Pete Riley Michal Ben-Nun James Turtle David Bacon Akeisha N Owens Steven Riley Source Type: research

A State-of-the-Art Review on the Use of Modafinil as A Performance-enhancing Drug in the Context of Military Operationality
DISCUSSION: The use of modafinil as a smart drug should be examined in function of different military profiles considering their individual performance level and the task characteristics in terms of cognitive demands, physical demands, and sleep availability. It is not yet clear to what extent an improvement in one component (e.g., cognitive performance) may negatively affect another component (e.g., physical performance). Moreover, potential risks for abuse and overconfidence in both regular and occasional intake should be thoroughly investigated to depict the trade-off between user benefits and unwanted side effects. We ...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Martine Van Puyvelde Jeroen Van Cutsem Emilie Lacroix Nathalie Pattyn Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest-Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part II, Research Analysis
CONCLUSIONS: Research analysis prompted by a human case report (Part I) has helped identify mechanisms that assist in recognizing and defining non-cerebral hemispheric-focused TBI injuries. Position of the head in relationship to the blast wave, the setting in which the blast occurs, and close diagnostic follow-up are critical to the recognition, diagnosis, and treatment of injuries that have otherwise gone unrecognized and unstudied in humans since the Vietnam War.PMID:34632516 | DOI:10.1093/milmed/usab372 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part I, Case Report
CONCLUSION: This case report, unique to the English language scientific literature, discusses in detail the secondary signs and symptoms of a foramen magnum and occipital crest focused-associated blast injury.PMID:34632519 | DOI:10.1093/milmed/usab371 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

A Commentary on "Delayed-Onset Neuropathological Complications From a Foramen Magnum & amp; Occipital Crest Focused Traumatic Brain Injury of the Vietnam War" Parts I, II, and III
Mil Med. 2021 Oct 11:usab376. doi: 10.1093/milmed/usab376. Online ahead of print.NO ABSTRACTPMID:34632520 | DOI:10.1093/milmed/usab376 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: David S Priemer Daniel P Perl Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused TBI of the Vietnam War and Other Conflicts: Part III, Critique of Existing TBI Criteria and Their Operational Controversies
CONCLUSIONS: This dilemma requires a multidisciplinary, science/medicine-led panel to actively reassess TBI criteria that take into consideration the latest research including non-cerebral hemispheric injuries. We recommend that DoD/Veterans Affairs establish a commission to regularly review the academic-related scientific evidence and incorporate these findings in a timely fashion into their operational definitions. This would guarantee that recognition, diagnosis, and follow-up of all TBIs are properly understood, managed, and documented.PMID:34632521 | DOI:10.1093/milmed/usab373 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

COVID-19: On the Disparity in Outcomes Between Military and Civilian Populations
CONCLUSIONS: Our results confirm that the burden placed on military health centers will be substantially lower than that for equivalent-sized civilian populations. More practically, the tool we have developed to investigate this (https://q.predsci.com/covid19/) can be used by military health planners to estimate the resources needed in particular locations based on current estimates of the transmission profiles of COVID-19 within the surrounding civilian population in which the military installation is embedded. As this tool continues to be developed, it can be used to assess the likely impact of different intervention str...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Pete Riley Michal Ben-Nun James Turtle David Bacon Akeisha N Owens Steven Riley Source Type: research

A State-of-the-Art Review on the Use of Modafinil as A Performance-enhancing Drug in the Context of Military Operationality
DISCUSSION: The use of modafinil as a smart drug should be examined in function of different military profiles considering their individual performance level and the task characteristics in terms of cognitive demands, physical demands, and sleep availability. It is not yet clear to what extent an improvement in one component (e.g., cognitive performance) may negatively affect another component (e.g., physical performance). Moreover, potential risks for abuse and overconfidence in both regular and occasional intake should be thoroughly investigated to depict the trade-off between user benefits and unwanted side effects. We ...
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Martine Van Puyvelde Jeroen Van Cutsem Emilie Lacroix Nathalie Pattyn Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest-Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part II, Research Analysis
CONCLUSIONS: Research analysis prompted by a human case report (Part I) has helped identify mechanisms that assist in recognizing and defining non-cerebral hemispheric-focused TBI injuries. Position of the head in relationship to the blast wave, the setting in which the blast occurs, and close diagnostic follow-up are critical to the recognition, diagnosis, and treatment of injuries that have otherwise gone unrecognized and unstudied in humans since the Vietnam War.PMID:34632516 | DOI:10.1093/milmed/usab372 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused Traumatic Brain Injury of the Vietnam War and Other Conflicts: Part I, Case Report
CONCLUSION: This case report, unique to the English language scientific literature, discusses in detail the secondary signs and symptoms of a foramen magnum and occipital crest focused-associated blast injury.PMID:34632519 | DOI:10.1093/milmed/usab371 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

A Commentary on "Delayed-Onset Neuropathological Complications From a Foramen Magnum & amp; Occipital Crest Focused Traumatic Brain Injury of the Vietnam War" Parts I, II, and III
Mil Med. 2021 Oct 11:usab376. doi: 10.1093/milmed/usab376. Online ahead of print.NO ABSTRACTPMID:34632520 | DOI:10.1093/milmed/usab376 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: David S Priemer Daniel P Perl Source Type: research

Delayed-Onset Neuropathological Complications From a Foramen Magnum and Occipital Crest Focused TBI of the Vietnam War and Other Conflicts: Part III, Critique of Existing TBI Criteria and Their Operational Controversies
CONCLUSIONS: This dilemma requires a multidisciplinary, science/medicine-led panel to actively reassess TBI criteria that take into consideration the latest research including non-cerebral hemispheric injuries. We recommend that DoD/Veterans Affairs establish a commission to regularly review the academic-related scientific evidence and incorporate these findings in a timely fashion into their operational definitions. This would guarantee that recognition, diagnosis, and follow-up of all TBIs are properly understood, managed, and documented.PMID:34632521 | DOI:10.1093/milmed/usab373 (Source: Military Medicine)
Source: Military Medicine - October 11, 2021 Category: International Medicine & Public Health Authors: Frederick M Burkle Kevin S Hadley Leah L Ridge Jan K Herman Firas H Kobeissy Source Type: research

Association of Military Employment With Late-Life Cognitive Decline and Dementia: A Population-Based Prospective Cohort Study
CONCLUSIONS: Among members of the Adult Changes in Thought cohort, military employment was not associated with increased risk of cognitive decline or dementia. Nevertheless, military veterans face the same high risks for cognitive decline and dementia as other aging adults.PMID:34626181 | DOI:10.1093/milmed/usab413 (Source: Military Medicine)
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Melinda C Power Alia E Murphy Kan Z Gianattasio Y I Zhang Rod L Walker Paul K Crane Eric B Larson Laura E Gibbons Raj G Kumar Kristen Dams-O'Connor Source Type: research

Reducing Stress and Burnout in Military Healthcare Professionals Through Mind-Body Medicine: A Pilot Program
Mil Med. 2021 Oct 9:usab389. doi: 10.1093/milmed/usab389. Online ahead of print.ABSTRACTINTRODUCTION: A 6-week mindfulness training course, the Mind-Body Medicine (MBM) pilot program for staff, was implemented at a large military treatment facility to examine the preliminary efficacy of the program in reducing stress and burnout in military healthcare professionals.MATERIALS AND METHODS: A retrospective analysis was conducted of data collected from a single-arm prospective MBM pilot program. The program was designed to help staff members increase their awareness of burnout and its consequences and to learn how to utilize m...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Vasudha Ram Jagruti P Bhakta Scott Roesch Jeffrey Millegan Source Type: research

Dermatofibrosarcoma Protuberans in Active Duty Military Personnel: A Case Report
We report two cases of DFSP in young active duty military personnel. Both cases underwent primary excision at the Armed Forces Capital Hospital with positive surgical margins and underwent re-excision at Samsung Medical Center. Dermatofibrosarcoma protuberans is a rare finding, and wide local excision with or without skin flap remains the procedure of choice. Awareness of DFSP in young patients is important for proper diagnosis and treatment and to achieve local control. Complete excision of the tumor with a clear surgical margin and thorough surveillance after surgery are recommended for service members to maintain their ...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Soyun Nam Jae Berm Park Hyun-Chul Kim Source Type: research

Sexually Transmitted Infections in the U.S. Military: A Sexual Health Paradigm to Address Risk Behaviors, Unintended Pregnancy, Alcohol Use, and Sexual Trauma
Mil Med. 2021 Oct 9:usab407. doi: 10.1093/milmed/usab407. Online ahead of print.ABSTRACTTo address the ongoing epidemic of sexually transmitted infections (STIs) in the United States, the National Academies of Sciences, Engineering, and Medicine (National Academies) conducted a consensus study on STI control and prevention in the United States to provide recommendations to the Centers for Disease Control and Prevention and the National Association of County and City Health Officials. The culminating report identified military personnel as one of the priority groups that require special consideration given the high prevalen...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Cherrie B Boyer Charlotte A Gaydos Amy B Geller Eric C Garges Sten H Vermund Source Type: research

Vitamin D Deficiency in the Military: It's Time to Act!
Mil Med. 2021 Oct 9:usab402. doi: 10.1093/milmed/usab402. Online ahead of print.ABSTRACTVitamin D is critically important to numerous physiologic functions, including bone health. Poor vitamin D status is a common but underrecognized problem that predisposes the military population to stress fracture and completed fracture. This has significant implications for force health protection, warfighter readiness, attrition, and cost. Despite this, vitamin D deficiency is still underdiagnosed and undertreated in the military. This is a major hindrance to military readiness and one that could easily be modified with awareness, pre...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Sarah A Fogleman Cory Janney Lynn Cialdella-Kam James H Flint Source Type: research

Development of a Fast-Running Algorithm to Approximate Incident Blast Parameters Using Body-Mounted Sensor Measurements
CONCLUSIONS: This paper presents a standardized approach-the FAST algorithms-to analyze body-mounted blast sensor data. FAST algorithms account for the effects of shock interactions with the body to produce an estimate of incident blast conditions, allowing for direct comparison of individual exposure from different blast events. The continuing development of FAST algorithms will include heavy weapons, providing a singular capability to rapidly interpret body-worn sensor data, and provide standard output for analysis of an individual's unique blast exposure profile.PMID:34626472 | DOI:10.1093/milmed/usab411 (Source: Military Medicine)
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Suthee Wiri Charles Needham David Ortley Josh Duckworth Andrea Gonzales Timothy Walilko Timothy B Bentley Source Type: research

The Utility of Dynamic Movement Orthoses in the Management of Complex Regional Pain Syndrome-A Case Series
Mil Med. 2021 Oct 9:usab418. doi: 10.1093/milmed/usab418. Online ahead of print.ABSTRACTComplex regional pain syndrome (CRPS) is a relatively rare, but debilitating condition that may occur after limb or peripheral nerve trauma. Typical symptoms of CRPS include swelling, allodynia, hyperalgesia, and skin temperature changes. Although a variety of pharmacological and non-pharmacological approaches are commonly used in caring for individuals with CRPS, they are frequently ineffective and often associated with side effects and/or additional risks. Previously, elastomeric orthotic garments have been shown to decrease neuropath...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Jordan E Powell Jamie O Boehm Jessica H Bicher Christopher L Reece Shelton A Davis Paul F Pasquina Source Type: research

Association of Military Employment With Late-Life Cognitive Decline and Dementia: A Population-Based Prospective Cohort Study
CONCLUSIONS: Among members of the Adult Changes in Thought cohort, military employment was not associated with increased risk of cognitive decline or dementia. Nevertheless, military veterans face the same high risks for cognitive decline and dementia as other aging adults.PMID:34626181 | DOI:10.1093/milmed/usab413 (Source: Military Medicine)
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Melinda C Power Alia E Murphy Kan Z Gianattasio Y I Zhang Rod L Walker Paul K Crane Eric B Larson Laura E Gibbons Raj G Kumar Kristen Dams-O'Connor Source Type: research

Reducing Stress and Burnout in Military Healthcare Professionals Through Mind-Body Medicine: A Pilot Program
Mil Med. 2021 Oct 9:usab389. doi: 10.1093/milmed/usab389. Online ahead of print.ABSTRACTINTRODUCTION: A 6-week mindfulness training course, the Mind-Body Medicine (MBM) pilot program for staff, was implemented at a large military treatment facility to examine the preliminary efficacy of the program in reducing stress and burnout in military healthcare professionals.MATERIALS AND METHODS: A retrospective analysis was conducted of data collected from a single-arm prospective MBM pilot program. The program was designed to help staff members increase their awareness of burnout and its consequences and to learn how to utilize m...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Vasudha Ram Jagruti P Bhakta Scott Roesch Jeffrey Millegan Source Type: research

Dermatofibrosarcoma Protuberans in Active Duty Military Personnel: A Case Report
We report two cases of DFSP in young active duty military personnel. Both cases underwent primary excision at the Armed Forces Capital Hospital with positive surgical margins and underwent re-excision at Samsung Medical Center. Dermatofibrosarcoma protuberans is a rare finding, and wide local excision with or without skin flap remains the procedure of choice. Awareness of DFSP in young patients is important for proper diagnosis and treatment and to achieve local control. Complete excision of the tumor with a clear surgical margin and thorough surveillance after surgery are recommended for service members to maintain their ...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Soyun Nam Jae Berm Park Hyun-Chul Kim Source Type: research

Sexually Transmitted Infections in the U.S. Military: A Sexual Health Paradigm to Address Risk Behaviors, Unintended Pregnancy, Alcohol Use, and Sexual Trauma
Mil Med. 2021 Oct 9:usab407. doi: 10.1093/milmed/usab407. Online ahead of print.ABSTRACTTo address the ongoing epidemic of sexually transmitted infections (STIs) in the United States, the National Academies of Sciences, Engineering, and Medicine (National Academies) conducted a consensus study on STI control and prevention in the United States to provide recommendations to the Centers for Disease Control and Prevention and the National Association of County and City Health Officials. The culminating report identified military personnel as one of the priority groups that require special consideration given the high prevalen...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Cherrie B Boyer Charlotte A Gaydos Amy B Geller Eric C Garges Sten H Vermund Source Type: research

Vitamin D Deficiency in the Military: It's Time to Act!
Mil Med. 2021 Oct 9:usab402. doi: 10.1093/milmed/usab402. Online ahead of print.ABSTRACTVitamin D is critically important to numerous physiologic functions, including bone health. Poor vitamin D status is a common but underrecognized problem that predisposes the military population to stress fracture and completed fracture. This has significant implications for force health protection, warfighter readiness, attrition, and cost. Despite this, vitamin D deficiency is still underdiagnosed and undertreated in the military. This is a major hindrance to military readiness and one that could easily be modified with awareness, pre...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Sarah A Fogleman Cory Janney Lynn Cialdella-Kam James H Flint Source Type: research

Development of a Fast-Running Algorithm to Approximate Incident Blast Parameters Using Body-Mounted Sensor Measurements
CONCLUSIONS: This paper presents a standardized approach-the FAST algorithms-to analyze body-mounted blast sensor data. FAST algorithms account for the effects of shock interactions with the body to produce an estimate of incident blast conditions, allowing for direct comparison of individual exposure from different blast events. The continuing development of FAST algorithms will include heavy weapons, providing a singular capability to rapidly interpret body-worn sensor data, and provide standard output for analysis of an individual's unique blast exposure profile.PMID:34626472 | DOI:10.1093/milmed/usab411 (Source: Military Medicine)
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Suthee Wiri Charles Needham David Ortley Josh Duckworth Andrea Gonzales Timothy Walilko Timothy B Bentley Source Type: research

The Utility of Dynamic Movement Orthoses in the Management of Complex Regional Pain Syndrome-A Case Series
Mil Med. 2021 Oct 9:usab418. doi: 10.1093/milmed/usab418. Online ahead of print.ABSTRACTComplex regional pain syndrome (CRPS) is a relatively rare, but debilitating condition that may occur after limb or peripheral nerve trauma. Typical symptoms of CRPS include swelling, allodynia, hyperalgesia, and skin temperature changes. Although a variety of pharmacological and non-pharmacological approaches are commonly used in caring for individuals with CRPS, they are frequently ineffective and often associated with side effects and/or additional risks. Previously, elastomeric orthotic garments have been shown to decrease neuropath...
Source: Military Medicine - October 9, 2021 Category: International Medicine & Public Health Authors: Jordan E Powell Jamie O Boehm Jessica H Bicher Christopher L Reece Shelton A Davis Paul F Pasquina Source Type: research

Military Pain Medicine: Sustaining the Fighting Force
Mil Med. 2021 Oct 6:usab419. doi: 10.1093/milmed/usab419. Online ahead of print.ABSTRACTActive duty military service members (ADSMs) suffer disproportionately from chronic pain. In the USA, military pain physicians serve an important role in the treatment of pain conditions in addition to the maintenance of the fighting force. Expanding roles for pain physicians, including novel therapies, consulting roles for opioid policy, and usefulness in a deployed setting create enormous value for military pain physicians. Ongoing force structure changes, including proposed reduction in the U.S. Military's healthcare workforce may si...
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Scott Hughey Christopher Spevak Eric Stedje-Larsen Source Type: research

Development and Validation of a Clinical Risk Score to Predict Hospitalization Within 30 Days of Coronavirus Disease 2019 Diagnosis
CONCLUSIONS: The prediction tool developed in this study demonstrated that it could identify patients with COVID-19 who are at risk for hospitalization. This could potentially inform clinicians and policymakers of patients who may benefit most from early treatment interventions and help healthcare systems anticipate capacity surges.PMID:34611704 | DOI:10.1093/milmed/usab415 (Source: Military Medicine)
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Maya Aboumrad Gabrielle Zwain Jeremy Smith Nabin Neupane Ethan Powell Brendan Dempsey Carolina Reyes Sacha Satram Yinong Young-Xu Source Type: research

Chest Pain in the Deployed Setting: A Case of Wellens Syndrome
We present a case of a civilian contractor who had experienced an episode of chest pain that had resolved with rest and now had new findings on electrocardiogram concerning Wellens syndrome.PMID:34611712 | DOI:10.1093/milmed/usab408 (Source: Military Medicine)
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Eric M Mozeleski Travis A Callahan Anthony G Vande Hei Source Type: research

Lyme Carditis With Complete Heart Block Successfully Treated With Oral Doxycycline
Mil Med. 2021 Oct 6:usab420. doi: 10.1093/milmed/usab420. Online ahead of print.ABSTRACTLyme disease is a vector-borne infection that can affect multiple different organ systems. Lyme carditis represents one of these sequelae and is defined by acute onset of high-grade atrioventricular block in the presence of laboratory-confirmed infection. Current guidelines recommend patients with Lyme carditis be admitted for close cardiac monitoring and intravenous antibiotics therapy. Our case illustrates an active duty male who was initially diagnosed with Lyme disease after initially reporting symptoms including headache, fever, ey...
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Michael Burns Paul Robben Ramesh Venkataraman Source Type: research

Military Pain Medicine: Sustaining the Fighting Force
Mil Med. 2021 Oct 6:usab419. doi: 10.1093/milmed/usab419. Online ahead of print.ABSTRACTActive duty military service members (ADSMs) suffer disproportionately from chronic pain. In the USA, military pain physicians serve an important role in the treatment of pain conditions in addition to the maintenance of the fighting force. Expanding roles for pain physicians, including novel therapies, consulting roles for opioid policy, and usefulness in a deployed setting create enormous value for military pain physicians. Ongoing force structure changes, including proposed reduction in the U.S. Military's healthcare workforce may si...
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Scott Hughey Christopher Spevak Eric Stedje-Larsen Source Type: research

Development and Validation of a Clinical Risk Score to Predict Hospitalization Within 30 Days of Coronavirus Disease 2019 Diagnosis
CONCLUSIONS: The prediction tool developed in this study demonstrated that it could identify patients with COVID-19 who are at risk for hospitalization. This could potentially inform clinicians and policymakers of patients who may benefit most from early treatment interventions and help healthcare systems anticipate capacity surges.PMID:34611704 | DOI:10.1093/milmed/usab415 (Source: Military Medicine)
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Maya Aboumrad Gabrielle Zwain Jeremy Smith Nabin Neupane Ethan Powell Brendan Dempsey Carolina Reyes Sacha Satram Yinong Young-Xu Source Type: research

Chest Pain in the Deployed Setting: A Case of Wellens Syndrome
We present a case of a civilian contractor who had experienced an episode of chest pain that had resolved with rest and now had new findings on electrocardiogram concerning Wellens syndrome.PMID:34611712 | DOI:10.1093/milmed/usab408 (Source: Military Medicine)
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Eric M Mozeleski Travis A Callahan Anthony G Vande Hei Source Type: research

Lyme Carditis With Complete Heart Block Successfully Treated With Oral Doxycycline
Mil Med. 2021 Oct 6:usab420. doi: 10.1093/milmed/usab420. Online ahead of print.ABSTRACTLyme disease is a vector-borne infection that can affect multiple different organ systems. Lyme carditis represents one of these sequelae and is defined by acute onset of high-grade atrioventricular block in the presence of laboratory-confirmed infection. Current guidelines recommend patients with Lyme carditis be admitted for close cardiac monitoring and intravenous antibiotics therapy. Our case illustrates an active duty male who was initially diagnosed with Lyme disease after initially reporting symptoms including headache, fever, ey...
Source: Military Medicine - October 6, 2021 Category: International Medicine & Public Health Authors: Michael Burns Paul Robben Ramesh Venkataraman Source Type: research