Genitourinary Surgical Workload at Deployed U.S. Facilities in Iraq and Afghanistan, 2002-2016.
Conclusions: All deploying surgeons may be required to evaluate, stage, and surgically manage genitourinary, gynecologic, and obstetrical conditions. Surgery on the male genitalia, bladder, and kidney were the most commonly required genitourinary operative procedures in deployed facilities; therefore, non-urological surgeons should receive pre-deployment training in these techniques. The workload data from our study can be used to help guide the development of pre-deployment training to ensure military surgeons have the skills to perform the specialty procedures required while deployed. PMID: 29901722 [PubMed - as supp...
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Veterans Caregiving for Others: Caregiving as a Factor in the Health of America's Military Veterans.
This study proposed to determine if there are differences in health and health behaviors between veterans who are caregiving for others (VCOs) and veterans who are not caregiving for others (VNCOs). Materials and Methods: Data were analyzed from a population-based observational cross-section involving persons who identified as veterans in the 2009 Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) national telephone survey. Those identifying as veterans were then grouped by those who also identified as caregivers and those who did not identify as caregivers. Data were w...
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Posterior Shoulder Dislocation During Morning PT: A Case Report.
Authors: Williams SE, Hackett AJ, Jensen C, Riddle ML Abstract Posterior shoulder dislocation should be considered in the differential diagnosis of acute shoulder pain and immobility following trauma. Although far less common then the anterior dislocation, it is associated with high rates of comorbidity. Seventy-nine percent of posterior shoulder dislocations are missed on initial presentation, which is partially responsible for the high rate of comorbidity associated with these injuries. The mechanism of injury is varied from generalized seizure to minor trauma, which adds to the complexity of the diagnosis. There...
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Serotonin Syndrome in Obstetrics: A Case Report and Review of Management.
This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and reviews the management of SS in an obstetric patient. We present a case of a schizophreniform, pregnant patient with a singleton gestation admitted to a community, military hospital for serotonin syndrome. The patient was admitted to the intensive care unit (ICU) by the obstetrics team, where she was managed conservatively. The cornerstones of therapy were as follows: discontinuation of offending agent, intravenous fluids, supplemental oxygen, telemetry, and hourly neurological assessments. Fetal status wa...
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Preparedness Evaluation of French Military Orthopedic Surgeons Before Deployment.
Conclusion: In the French Army, deployed orthopedic surgeons perform general surgical activity. Their initial training must be adapted to this constraint and enhanced by continuing medical education. PMID: 29901771 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Global Health Engagement Playbooks: Aligning Tactics with Strategy Using Standardized Engagement Packages.
Authors: Levine MA, Lutz EA, Licina D PMID: 29901785 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Physical Fitness and Body Anthropometrics Profiles of the Female Recruits Entering to Voluntary Military Service.
Authors: Santtila M, Pihlainen K, Koski H, Ojanen T, Kyröläinen H Abstract Introduction: The physical fitness of male conscripts has decreased, and body mass increased during the last few decades, especially in Nordic countries. However, limited research-based reports are available concerning the physical fitness profiles of female recruits. Therefore, the purpose of this study was to investigate changes in physical fitness and body composition of female recruits entering voluntary Finnish military service between the years 2005 and 2015. Materials and methods: Data were collected from the initial fit...
Source: Military Medicine - June 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Anonymous Feedback: What Should a Leader Do?
Authors: Harding S, Hartzell JD Abstract Leaders are required to evaluate and provide feedback to those they lead. This often involves giving feedback on direct observations, but at times can result from feedback brought to them via other pathways. When a leader is given feedback from a subordinate about another subordinate, they must decide how to best proceed. Often they must collect more data in order to make an informed decision. Followers continuously observe how leaders handle feedback from subordinates, which will directly impact mission success and unit morale. The following case highlights one junior offic...
Source: Military Medicine - June 14, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Return to Duty Practices of Army Behavioral Health Providers in Garrison.
Conclusions: If the military is to address the concern of under-reporting behavioral health readiness levels in garrison, it is critical to develop more predictability in treatment planning and reporting, as well as access to necessary data to make these clinical decisions. The interviews and focus groups revealed that while the technical process for initiating a profile does not vary, there is great disparity about the amount and type of information that is taken into consideration when making profile decisions. Categorization of the information that supports RTD decisions can lead to a better understanding of the process...
Source: Military Medicine - June 14, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Combat Injury of the Sciatic Nerve - An Institutional Experience.
Authors: PMID: 29897489 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 14, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Pulmonary Infarction: Right Upper Quadrant Pain as a Presenting Symptom With Review of Typical Computed Tomography Imaging Features.
Authors: Fosmire ST, Gibson GN, Copeland JC, Maydew MS, Eggers C Abstract The purpose of this case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial vasculature within the lung parenchyma leading to ischemia, hemorrhage, and ultimately necrosis. Patients with lung infarction typically present with pleuritic chest pain and may have associated signs or symptoms of pulmonary th...
Source: Military Medicine - June 13, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Association Between Sickle Cell Trait With Selected Chronic Medical Conditions in U.S. Service Members.
Conclusion: SCT in these racially diverse, young adults increased both the incidence of and healthcare utilization for thromboembolism, diabetes mellitus type II, sickle cell disease, pulmonary, and chronic renal conditions. These findings suggest that clinicians treating young adults with SCT should exercise heightened surveillance for these CMC to ensure both early diagnosis and access to treatments. PMID: 29889287 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 13, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Effect of Prolonged Military Field Training on Neuromuscular and Hormonal Responses and Shooting Performance in Warfighters.
Conclusion: In this study, we observed a decrease in leg strength from the PRE to MID measurements. When the physical load requirements during the MFT decreased after the MID measurements, leg strength increased. In addition, the shooting score from the standing position decreased from the PRE to MID measurements and improved significantly from the MID to POST measurements. The prone shooting score did not show any significant changes during the study period. Significant positive correlations were found between the changes in standing shooting score and the changes in strength for the legs and upper body. There was a posit...
Source: Military Medicine - June 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Aviator's Heart: A Case of Athlete's Heart in an Active Duty Male Naval Aviator.
We present a case of athletic heart in an exceptionally physically fit active duty naval aviator who experienced syncope and underwent extensive cardiac testing. He was found to have borderline hypertrophic changes as well as delayed gadolinium enhancement initially concerning for myocarditis. Cardiopulmonary exercise testing revealed an exercise capacity of 120% above the maximum measurable value for his age and gender. He was then diagnosed with athlete's heart and released to active duty with no limitations to his flight status. A challenge is posed to the practicing clinician in differentiating the athletic heart from ...
Source: Military Medicine - June 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exploring Psychiatric Inpatients' Beliefs About the Role of Post-discharge Follow-up Care in Suicide Prevention.
Conclusions: Individuals may not appreciate that they are at heightened risk for suicide after hospitalization and this may negatively impact treatment engagement. PMID: 29860477 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Spaced Education for Medical Students.
Authors: Sanderson G PMID: 29860508 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Metabolic Costs of Military Load Carriage over Complex Terrain.
Conclusion: Current predictive equations underestimate the metabolic cost of load carriage by military personnel over complex terrain. Applying the Santee et al correction factor to the Pandolf et al equation may be the most suitable approach for estimating metabolic demands in these circumstances. However, this work also outlines the need for improvements to these methods, new method development and validation, or the use of a multi-model approach to account for mixed terrain. PMID: 29860513 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 6, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Dental Injuries in a Sample of Portuguese Militaries - A Preliminary Research.
Conclusion: Prevention programs and promoting actions with this population are important reflections and should be adopted to reduce the incidence of orofacial trauma and to increase knowledge about this topic. PMID: 29796597 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Percutaneous Occlusion of the Left Atrial Appendage with the Watchman Device in an Active Duty Sailor with Atrial Fibrillation and Recurrent Thromboembolism Despite Appropriate Use of Oral Anticoagulation.
We present a case of an active duty U.S. Navy sailor at low risk for thromboembolism who nonetheless suffered recurrent thromboembolic events despite appropriate anticoagulation, and thus underwent Watchman implantation. The therapy in this case will ideally provide a lifetime of protection from recurrent systemic embolization while allowing the patient to continue his active duty military career without restriction due to oral anticoagulation. PMID: 29796644 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Visual Dysfunction and Associated Co-morbidities as Predictors of Mild Traumatic Brain Injury Seen Among Veterans in Non-VA Facilities: Implications for Clinical Practice.
Conclusions: Veterans from the Iraq/Afghanistan era who had suffered concussive blast effects (mTBI) can present with covert visual dysfunction as well as additional physical and psychological health problems. The primary eye care providers, especially those in a non-military/VA facility, who encounter these veterans need to be aware of the predictors of mTBI, with the aim of uncovering visual dysfunctions and other associated co-morbidities. PMID: 29800265 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

"Guidewire Intravenous Catheter Systems Do Not Improve First-Pass Success Rates for Peripheral Access When Placed By Army Combat Medics (68W) in a Pre-hospital Setting." A Prospective, Randomized Controlled Trial with Crossover Study Design.
Conclusions: There was not a statistically significant improvement in the first-pass success rate of intravenous placement with the use of the guidewire catheter when compared with the standard-issue catheter. With these results, we cannot recommend the guidewire catheter to be used in leu of the standard catheter. Further studies might show improvement if subjects are allotted increased practice and familiarity with the new guidewire device. PMID: 29800299 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Novel Treatment of Prepatellar Bursitis.
Authors: Parker CH, Leggit JC Abstract A 31-yr-old soldier presented with an 8-mo history of right prepatellar bursitis with 1-mo history of pain and loss of range of motion. His symptoms did not respond to activity modification, compression, nonsteroidal anti-inflammatory agents, or repeated aspirations with fenestration. After thorough discussion, the soldier and his provider reviewed the literature and found a single case report of intrabursal sclerotherapy in two patients with recalcitrant prepatellar bursitis. After informed consent, the patient wished to proceed with the scelerotherapy. Utilizing ultrasound g...
Source: Military Medicine - May 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Non-Comparative Prospective Pilot Study of Ketamine for Sedation in Adult Septic Shock.
This study was approved by our Institutional Review Board. Results: From January 2012 to April 2015, a total of 17 patients were enrolled. Patient characteristics were similar in the control and study group. Ketamine was discontinued in one patient due to agitation at 36 h. There was a trend towards decreased norepinephrine and vasopressin use in the study group at all time periods. Regarding secondary outcomes, the study group received less additional analgesia with fentanyl at 24 and 48 h (p
Source: Military Medicine - May 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Relationship Between Traumatic Brain Injury and Rates of Chronic Symptomatic Illness in 202 Gulf War Veterans.
Conclusions: While TBIs were uncommon during the GW, many GW veterans sustained TBIs prior or after the GW. Because TBI and GWI/CMI share some overlapping symptoms, history of TBI may appear to be associated with increased rates of chronic symptomatic illness in GW veterans if chronic symptomatic illness is defined broadly (i.e., CDC CMI or mild-moderate CMI). History of pre-GW TBI did not affect the veterans' response to exposures/experiences from the GW; however, there was suggestive evidence that veterans who sustained TBIs during the GW may have poorer functional outcomes that GW veterans without TBI or even GW veteran...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Acute Assessment of Traumatic Brain Injury and Post-Traumatic Stress After Exposure to a Deployment-Related Explosive Blast.
Conclusions: This paper provides one of the first descriptions of psychological and neuropsychological functioning (and their inter-correlation) within days after blast exposure in a large sample of military personnel. Furthermore, this report describes the methodology used to gather data for the acute assessment of TBI, PTSD, and ASD after exposure to an explosive blast in the combat theater. Future analyses will examine the common and unique symptoms of TBI and PTSD, which will be instrumental in developing new assessment approaches and intervention strategies. PMID: 29788111 [PubMed - as supplied by publisher] (Sour...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Sleep Patterns and Problems Among Army National Guard Soldiers.
This study examines the extent to which mental health, alcohol use, and certain sleep hygiene behaviors predict sleep problems within an Army National Guard sample (N = 438). Materials and Methods: This manuscript is part of a larger study approved through the Minneapolis Veterans Affairs Medical Center Institutional Review Board. Mailed surveys were sent to Minnesota Army National Guard soldiers collecting data on sleep hygiene behaviors, mental health symptoms (post-traumatic stress disorder and depression), and alcohol use. Predictors of sleep problems were evaluated with ordinary least squares multiple linear regre...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Musculoskeletal Injuries Among Female Soldiers Working With Dogs.
Authors: Schermann H, Karakis I, Ankory R, Kadar A, Yoffe V, Shlaifer A, Yanovich R Abstract Introduction: Female soldiers serving in the Israeli Defense Forces canine unit may be at increased risk of overuse injuries related to working with military dogs. We hypothesized that this particular type of occupational exposure may lead to an increased strain of the upper extremity due to such non-physiologic motions as pulling the dog's strap or resisting the sudden pulling by the dog, and may result in an increased rate of overuse injuries. Materials and Methods: We compared incidence of overuse injuries in a retro...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

An Unusual Presentation of Murine Typhus and Mononucleosis.
Authors: Carroll C, Sarkisian S, Brillhart D Abstract A 20-year-old female presented to the emergency department complaining of fever, cough, and dyspnea after a recent camping trip. The patient remained ill appearing, persistently tachycardic and dyspneic despite nebulizer treatments, and fluids in the emergency department. She was admitted for observation and gradually improved over the next 4 d. Inpatient laboratory studies indicated acute Epstein-Barr virus infection and she was discharged with a presumptive diagnosis of infectious mononucleosis. However, further testing showed a simultaneous rickettsial infect...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Service and Decision Quality in the Management of Knee Osteoarthritis.
Conclusions: Decision quality is lower in Veterans with knee osteoarthritis compared with civilians, placing them at risk for lower treatment satisfaction and possibly unwarranted surgical utilization. Our future work will examine if this difference is from conditioned military service behaviors or confounding demographic factors, and if conventional shared decision-making techniques will correct this deficiency. PMID: 29788284 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Return-to-Duty Rates Following Minimally Invasive Spine Surgery Performed on Active Duty Military Patients in an Ambulatory Surgery Center.
Discussion: The current study indicates that minimally invasive procedures for the treatment of lumbar spinal stenosis in an ambulatory surgery center setting are an effective option for active duty servicemen to reduce return-to-duty rates and symptomatic back-related pain and disability. PMID: 29788356 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Injury Surveillance and Reporting for Trainees with Bone Stress Injury: Current Practices and Recommendations.
Discussion: Effective injury surveillance is critical for determining trainee BSI incidence and attrition, developing anticipated return to duty (RTD) timelines, and assessing long-term outcomes. BSI RTD timelines should account for gender, BSI grade/severity, anatomical location, and type of intervention. Well-defined RTD timelines would benefit administrative decision-making purposes, including whether to grant convalescent leave or enroll in the Warrior Training and Rehabilitation Program during BSI recovery. Enhanced management procedures may improve initial enlistment completion rates for trainees sustaining at least ...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Treatment of Mal de Debarquement Syndrome in a Deployed Environment.
We report the case of a 26-year-old Caucasian female with persistent sensations of forward and reverse movement with spontaneous onset. This worsened over 4 wk. The patient reported an episode of these symptoms 5 mo prior, which lasted for 3 mo before improving. Our case details the treatment of Mal de Debarquement syndrome, or Disembarkment Syndrome, in a deployed military environment. Mal de Debarquement was a term originally coined to describe the persistent sensation of rocking back and forth after disembarking a boat and returning to land. This is normal, and usually only lasts for minutes to hours. When it persists, ...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A 10-yr Analysis of Chronic Pelvic Pain and Chronic Opioid Therapy in the Women Veteran Population.
Authors: Cichowski SB, Rogers RG, Komesu Y, Murata E, Qualls C, Murata A, Murata G Abstract Introduction: Chronic pelvic pain (CPP) affects an estimated 30% of women Veterans. Previous research shows high rates of narcotic abuse in the women Veteran population. Narcotics are not recommended for the treatment of CPP. Understanding how CPP impacts narcotic prescribing in the women Veteran population is critical to addressing the public health crisis of opioid abuse. Our objective was to compare chronic opioid therapy (COT) prescribed 5 yr prior to and following CPP diagnosis and to identify predictors of COT as well ...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Factors Associated with Smoking in Veterans.
Conclusion: Military-specific variables are associated with smoking behaviors among Veterans. Findings from this study that exposure to dead/dying/wounded soldiers, service era, duration of service, service-connected disability status, and enrollment in VA care all influence smoking in Veterans, can inform prevention and cessation efforts in part by encouraging alternative healthy habits or cessation techniques in subgroups of Veterans with particular military backgrounds. By assessing risk factors in this unique population future research can leverage these findings to determine mechanisms that help explain these associat...
Source: Military Medicine - May 25, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Impact of the Veteran's Affairs Medical System on an Otolaryngology Residency Training Program.
Conclusions: The establishment of a Federal Healthcare Consortium and integration of VA patient population provided a tangible and quantifiable increase in otolaryngology KIPs. Development of a training relationship with VA patients is beneficial in reaching outcome-oriented goals for otolaryngology residents. PMID: 29746651 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Increased Risk of Upper Respiratory Infection in Military Recruits Who Report Sleeping Less Than 6 h per night.
Authors: Wentz LM, Ward MD, Potter C, Oliver SJ, Jackson S, Izard RM, Greeves JP, Walsh NP Abstract Introduction: Professional sleep associations recommend 7-9 h of sleep per night for young adults. Habitually sleeping less than 6 h per night has been shown to increase susceptibility to common cold in otherwise healthy, adult civilians. However, no investigations have examined the importance of sleep duration on upper respiratory tract infection (URTI) and loss of training days in military recruits. The purpose of this study was to describe self-reported sleep duration in a large cohort of military recruits and to ...
Source: Military Medicine - May 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Finding the Forgotten: Motivating Military Veterans to Register with a Primary Healthcare Practice.
Conclusion: The primary healthcare staff took ownership and responsibility for this initiative. They were creative in introducing new ways of engaging with the local armed forces community. Many veterans' and staff were unaware of veterans' entitlement to priority medical services, or the wider provisions available to them. It is probable that veterans declaring their military status within primary healthcare, or registering with a general practitioner for the first time is likely to increase. Another review will be undertaken after 12 mo, which will provide a better indication of success. There remains however an ongoing ...
Source: Military Medicine - May 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Hyperuricemia Is Associated With a Higher Prevalence of Metabolic Syndrome in Military Individuals.
Authors: Liu CW, Chang WC, Lee CC, Chen KH, Wu YW, Hwang JJ Abstract Introduction: Hyperuricemia (HUA) is associated with metabolic syndrome (MetS) in the general population. Military individuals who perform high-intensity physical training might have lower rates of MetS. The present study aimed to investigate whether HUA might be associated with the prevalence of MetS in military individuals. Material and Methods: We retrospectively collected data from the annual military exam and randomly selected a single unit to represent the overall study population. The study population consisted of 460 military individua...
Source: Military Medicine - May 12, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

What the Military Health System Can Learn from Private Sector Mergers and Acquisitions.
Authors: Robbins TL PMID: 29741653 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 11, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Assessment of Muscular Fitness as a Predictor of Flight Duty Limitation.
Authors: Honkanen T, Mäntysaari M, Avela J, Kyröläinen H, Leino T Abstract Introduction: The high acceleration (Gz) exposure among military pilots flying fighter aircraft has been associated with an increased risk for cervical and lumbar disorders. It has been suggested that an adequate level of physical performance could reduce the risk of experiencing these disorders. The Finnish Air Force has for several years used aerobic (bicycle ergometer) and muscular fitness tests (battery of five tests) in the selection process of military pilot candidates in order to evaluate their physical fitness level. T...
Source: Military Medicine - May 11, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Communication Preferences and Satisfaction of Secure Messaging Among Patients and Providers in the Military Healthcare System.
Conclusion: MiCare is a promising tool to improve patient-provider communication. However, future studies are needed to better understand why patients within the military healthcare system prefer communication modalities other than MiCare and to identify strategies to decrease provider and staff workloads while using MiCare. PMID: 29741659 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 11, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Future of Steroids for Performance Enhancement in the U.S. Military.
Authors: Peltier LCC, Pettijohn K PMID: 29741698 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 11, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Forward Surgical Team Experience (FSTE) Is Associated With Increased Confidence With Combat Surgeon Trauma Skills.
Authors: Mancini DJ, Smith BP, Polk TM, Schwab CW Abstract Introduction: Little is known regarding the confidence of military surgeons prior to combat zone deployment. Military surgeons are frequently deployed without peers experienced in combat surgery. We hypothesized that forward surgical team experience (FSTE) increases surgeon confidence with critical skill sets. Methods: We conducted a national survey of military affiliated personnel. We used a novel survey instrument that was piloted and validated by experienced military surgeons to collect demographics, education, practice patterns, and confidence param...
Source: Military Medicine - May 11, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Interprofessional Healthcare Teams in the Military: A Scoping Literature Review.
Discussion: Given the experiences of military personnel can be perilous and unpredictable, the military has an obligation to study the unique contexts of care where interprofessional healthcare teams are employed. In doing so, better interprofessional education interventions can be tailored to better aid our service men, women, and their families. PMID: 29741728 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 11, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Longitudinal Study of Commonly Used Admissions Measures and Disenrollment from Medical School and Graduate Medical Education Probation or Termination from Training.
Authors: Dong T, Gilliland WR, Cruess D, Hutchinson J, Morres L, Curtis J, Hewitt-Clarke GS, Durning SJ Abstract Introduction: This is an empirical study to better understand commonly used medical school admission measures and disenrollment decisions during undergraduate medical education as well as graduate medical education (GME) probation or termination decisions. Materials and Methods: Based on the data of USUHS medical students matriculating between 1998 and 2011 (N = 2,460), we compared medical school graduates and those disenrolled from medical school on MCAT scores, undergraduate BCPM (Biology, Chemistr...
Source: Military Medicine - May 4, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cortisol, Testosterone, and Prospective Risk for War-zone Stress-Evoked Depression.
Conclusions: Findings highlight the importance of examining basal and reactivity measures of endocrine function, and use of prospective, longitudinal models to test hypothesized causal pathways associated with depression vulnerability in the war-zone. Results also suggest that pre-existing depression and cortisol may work in tandem to increase vulnerability for later stress-evoked depression in the war-zone. PMID: 29718455 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 4, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Who's The Boss? A Reflective Comic.
Authors: McCool IE PMID: 29697816 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 28, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Physical Therapists Forward Deployed on Aircraft Carriers: A Retrospective Look at a Decade of Service.
Conclusions: The impact of Navy PTs serving afloat highlights the importance of sustaining these billets and indicates the potential benefit of additional billet establishment to support operational platforms with high volumes of musculoskeletal injury. Access to early PT intervention can prevent and rehabilitate injuries among operational forces, promote human performance optimization, increase readiness during war and peace time efforts, and accelerate rehabilitation from neuromusculoskeletal injuries. With the establishment of Electronic Health Records within all carrier medical groups a repeat study may provide additio...
Source: Military Medicine - April 28, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Socioecological Risk and Protective Factors for Smoking Among Active Duty U.S. Military Personnel.
Conclusion: Results based on the socioecological model identify influencing factors and suggest possible interventions for smoking cessation. Reducing tobacco use in the military will require coordinated interventions that address multilevel determinants of use and improve military health. This is important to the strategic alignment of policy and services across the continuum of health care needs. PMID: 29697835 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 28, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Recent Changes in Health Insurance Coverage for Urban and Rural Veterans: Evidence from the First Year of the Affordable Care Act.
Conclusion: Our analysis found a substantial 24% relative decline in the rate of uninsurance for U.S. Veterans, from 9.3 to 7.1% between 2013 and 2014. We found that coverage gains in rural areas were due to gains in Medicaid and individual market coverage. Residence in a Medicaid expansion state was particularly influential for rural veterans - the increase in the insured rate was three times larger in Medicaid expansion states versus non-expansion states. The ACA has had a positive and significant impact on the ability of U.S. Veterans to obtain health insurance coverage specifically for low-income veterans living in rur...
Source: Military Medicine - April 28, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research