Incorporation of Whipstitch Suture in Tibial Interference Fixation Improves Pullout in Anterior Cruciate Ligament Soft Tissue Grafts.
Authors: Bernstein E, Taniguchi K, Tompane T, Kirby H, Ponton R, McDonald LS Abstract INTRODUCTION: Interference screw fixation of soft tissue grafts is commonly used in anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to determine whether including suture material at the graft-screw interface affects ultimate fixation strength of soft tissue grafts using a tibialis anterior tendon allograft model. MATERIALS AND METHODS: Forty fresh-frozen human tibialis anterior tendon allografts were fixed to rigid polyurethane foam simulating the tibial tunnel. Twenty grafts underwent fixation w...
Source: Military Medicine - January 20, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Small Mammals as Reservoir for Zoonotic Agents in Afghanistan.
CONCLUSIONS: Further investigations will have to prove the potential value of rodents in army camps as sentinel animals. PMID: 33462624 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 20, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Ventilating the Bearded: A Randomized Crossover Trial Comparing a Novel Bag-Valve-Guedel Adaptor to a Standard Mask.
CONCLUSIONS: In bearded individuals, the BVGA provides significantly more efficient (less leak) ventilation compared to a face mask. This is also of particular importance in view of the increasing number of bearded individuals serving in the armed forces. Moreover, since effective ventilation with a mask requires experience, the relatively easy-to-apply BVGA will enable less experienced first responders to achieve higher success rates in this critical phase of treatment. Further studies are planned to evaluate the efficacy of the BVGA in the prehospital setting. PMID: 33444455 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - January 16, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Nerve Reconstruction Using Processed Nerve Allograft in the U.S. Military.
CONCLUSIONS: The military population had complex injuries with large nerve gaps. Despite the low rate of meaningful recovery (27.3%), large gaps in motor and mixed motor/sensory nerves are difficult to treat, and further research is needed to determine if autograft would achieve superior results. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic, Level III. PMID: 33449099 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 16, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Quickly Evaluating an Emerging Medical Technology Using Feedback From the Field: A Case Study of the BrainScope One and Infrascanner 2000 User Evaluation: Corrigendum.
Authors: PMID: 33449104 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 16, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Rare Multidrug-resistant Pseudomonas aeruginosa Identified in a U.S. Deployed Service Member Following Host-nation Medical Treatment.
Authors: Lawrence MW, Sachdeva M, Bennett JW, Menninger GU, Barrera MA, Benitez JG, Kliewer ML Abstract Decision-making related to the utilization of host-nation medical resources in austere forward-deployed environments is complex. Clinical circumstances, local medical intelligence availability, transportation assets, uncertainty regarding standard-of-care variations, military/host-nation funding complications, and regional security concerns all factor into consideration. A case of a U.S. active duty military service member who suffered a cardiac arrest on a military base in Southwest Asia is described in this rep...
Source: Military Medicine - January 16, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Retrospective Review of a Novel Virtual Medical Soldier Readiness Processing Process in Response to the COVID-19 Pandemic.
CONCLUSION: This is the first proof of concept of a virtual medical SRP on literature review. A virtual SRP process that combines a pre-visit record review with a virtual pre-DHA is a viable process for SRP. The ability to utilize providers outside of a confined location or post may allow for optimized utilization of this scarce resource and result in cost savings to the Army. The recreation of this virtual medical SRP within other Army installations may allow for the improvement and standardization of the medical SRP process as a whole. PMID: 33449110 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 16, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Sex Differences in Body Composition and Fitness Scores in Military Reserve Officers' Training Corps Cadets.
CONCLUSIONS: It is clear from our data that structured training programs and nutrition guidance are needed with an emphasis on changing body composition to increase lean mass and strength to increase the performance of ROTC cadets on the ACFT. PMID: 33449115 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 16, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Noise-Induced Hearing Loss Treatment: Systematic Review and Meta-analysis.
CONCLUSION: Steroids with or without HBOT appear to improve both low and high hearing thresholds following acoustic trauma. Future studies will require inclusion of control groups, precise definition of acoustic trauma intensity and duration, and genetic polymorphisms. PMID: 33428745 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 13, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Independent Evaluation of Two Prototype Immunochromatographic Tests for Dengue Fever Developed by InBios.
CONCLUSIONS: The InBios traditional format had a better overall performance and readability profile than the multiplex format, while the multiplex format was easier to set up. Both formats were highly sensitive and specific, were easy to perform, and did not require sophisticated equipment. They are ideal for use in resource-limited settings where dengue is endemic. Based on our overall assessment, the traditional format should be considered for further development and used in the upcoming multicenter clinical trial toward FDA clearance. PMID: 33428750 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 13, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Editorial Commentary of "Nerve Reconstruction Using Processed Nerve Allograft in the US Military".
Editorial Commentary of "Nerve Reconstruction Using Processed Nerve Allograft in the US Military". Mil Med. 2021 Jan 12;: Authors: Jacobson LA, Wood MD, Mackinnon SE PMID: 33433561 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 13, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Characterization of Long-range Aeromedical Transport and Its Relationship to the Development of Traumatic Extremity Compartment Syndrome: A 7-year, Retrospective Study.
CONCLUSION: The timing of tCSoE diagnosis is not associated with the timing of transport; therefore, AE likely does not influence the development of tCSoE. PMID: 33433584 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 13, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Bilateral Atypical Tension-sided Femoral Neck Stress Fractures in a Military Recruit.
Authors: Heig T, Mombell K, Deafenbaugh B Abstract A case report of a Marine Recruit with bilateral atypical tensile-sided femoral neck stress fracture. The patient was treated nonoperatively with protected weightbearing following an established protocol that included close observation with serial exams and advanced imaging. He recovered uneventfully and was able to return to running. He was eventually diagnosed with bilateral femoral acetabular impingement syndrome at the end of his treatment course demonstrating a growing association warranting further investigation. PMID: 33433591 [PubMed - as supplied by pu...
Source: Military Medicine - January 13, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Characterization of Limited Duty Neuromusculoskeletal Injuries and Return to Duty Times in the U.S. Army During 2017-2018.
CONCLUSION: This descriptive study is the first to present the U.S. Army population rates for MSKIs that result in LDPs, representing key time losses when soldiers cannot participate in their military occupational and physical training tasks. This study utilizes the LDP system to calculate limited duty days instead of attempting to estimate this information from other means. The eProfile system is limited in that it combines body regions such as ankle/foot and does not allow isolation of ankle or foot independently. It is recommended that research and training programs target the identification, development, and validation...
Source: Military Medicine - January 10, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Low-Volume, High-Risk Surgical Procedures in the Military Health System: Time for a Volume Pledge?
Authors: Armstrong JH, Jacobs LM, Jenkins DH PMID: 33410463 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Systems-based Strategies Improve Positive Screening Fecal Immunochemical Testing Follow-up and Reduce Time to Diagnostic Colonoscopy.
CONCLUSION: The addition of indication labels and patient navigation after positive screening FIT was associated with 57.1% absolute increase in timely diagnostic colonoscopy. Similar highly reliable systems-based solutions should be adopted for CRC screening, and further implementation for other preventative screening interventions should be pursued. PMID: 33410872 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Self-perceived Mental Health Status and Factors That Influence the Mental Health of Chinese Submariners in the South China Sea: A Cross-sectional Study.
CONCLUSIONS: This study demonstrates for the first time that soldiers and officers in the submarine force in the South China Sea are exposed to a number of mental health risks and are suffering from serious psychological problems. These findings provide a basis for military departments to effectively address these psychological problems. PMID: 33410886 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Qualitative Examination of Factors that Influence Sleep Among Shipboard Sailors: Erratum.
Authors: PMID: 33404602 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 7, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Comparison of Improvised and Commercially Available Point-of-Wounding Tourniquets in Simulated Traumatic Amputation With Catastrophic Haemorrhage: Corrigendum.
Authors: PMID: 33404604 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 7, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Authors' Reply to the Response to Our Article ("A Comparison of Improvised and Commercially Available Point-of-Wounding Tourniquets in Simulated Traumatic Amputation With Catastrophic Haemorrhage"): Corrigendum.
The Authors' Reply to the Response to Our Article ("A Comparison of Improvised and Commercially Available Point-of-Wounding Tourniquets in Simulated Traumatic Amputation With Catastrophic Haemorrhage"): Corrigendum. Mil Med. 2021 Jan 06;: Authors: PMID: 33404611 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 7, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Studying the Health and Performance of Shipboard Sailors: An Evidence Map: Erratum.
Authors: PMID: 33404613 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 7, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Implementing a Protocol to Reduce Opioid Prescriptions in Military Otolaryngology: A Quality Improvement Initiative.
CONCLUSIONS: The outcomes after PROP implementation for septoplasty and rhinoplasty at our institution suggest that opioid prescription rates can be significantly decreased to manage postoperative pain, with no difference in opioid refill rates. The results also warrant further investigation into patient pain, satisfaction, provider efficiency, and healthcare costs. PMID: 33394014 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 6, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Key to Combat Readiness Is a Strong Military-Civilian Partnership.
Authors: Sussman MS, Ryon EL, Urrechaga EM, Cioci AC, Herrington TJ, Pizano LR, Garcia GD, Namias N, Wetstein PJ, Buzzelli MD, Gross KR, Proctor KG Abstract INTRODUCTION: In peacetime, it is challenging for Army Forward Resuscitative Surgical Teams (FRST) to maintain combat readiness as trauma represents .15). However, medical experience differed for AD and AR: 18% vs. 29% had >15 years of experience in practice and 4% vs. 17% spent>50% of their time treating critically injured patients (all P 
Source: Military Medicine - January 6, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Preparing Austere Maritime Surgical Teams for Deployment During the COVID-19 Global Pandemic: Is It Time to Change the Training Pipeline?
CONCLUSIONS: We describe Navy Medicines R2LM ERSS capability and compare and contrast the standard R2LM pre-COVID-19 curriculum to the modified curriculum. Central to both curricula, the standard R2LM platform training is important for developing and honing team dynamics, communication skills and fluid leadership; important for the successful function austere surgical teams. Several opportunities for improvement in the pre-deployment training were identified for R2LM teams augmenting shipboard Role 1 medical departments. PMID: 33399864 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 6, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Top 10 Research Priorities for U.S. Military En Route Combat Casualty Care.
CONCLUSIONS: To ensure an evidence-based approach to future military conflicts and other medical challenges, focused research and technological development to address these 10 en route care research gaps are urgently needed. PMID: 33399866 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 6, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Eumycetoma: A Perspective for Military Primary Care.
Authors: Tunnage J, Vignali J, Eickhoff C Abstract This is a case report of a 42-year-old woman who presented to a clinic with a history of progressive left foot and ankle swelling. She had a suspected history of myectoma, but had never been officially diagnosed despite repeated cultures and debridements over the course of decades. The inciting event occurred approximately 30 years prior in her home country of Belize. Her wound culture revealed Scedosporium apiospermum as the causative agent. Treatment included surgical debridement and oral antifungal therapy. This case represents an interesting adjunct to the diff...
Source: Military Medicine - January 6, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Body Composition Modifications Due to the "Search, Rescue and Survival Training" in Male Military Firefighter Cadets.
CONCLUSIONS: The findings suggest that men who experience periods of high energy demands and sleep restriction followed by a period of food restriction will endure unavoidable physical consequences that can be mostly reversed by a 1-month recovery. PMID: 33399870 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 6, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Psychiatric Care in a Novel Federal COVID-19 Treatment Center: Development of a Consultation-Liaison Psychiatry Service at the Javits New York Medical Station.
Authors: Kaplan A, Smith CM, Toukolehto O, van Schalkwyk G Abstract At the outset of the 2019 coronavirus disease (COVID-19) pandemic, New York City faced the highest burden of COVID-19 cases in the United States. In response, the U.S. Federal Government deployed medical providers from various uniformed services to treat patients with COVID-19 at the Jacob Javits Convention Center in New York City. There quickly arose a need for psychiatric services for patients with COVID-19 and psychological support for medical staff. Psychiatrists were tasked with establishing a consult-liaison psychiatry service in this unique ...
Source: Military Medicine - January 3, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Kinematic Determinants of Front Kick Dynamics Across Different Loading Conditions.
Authors: Vagner M, Cleather D, Kubovy P, Hojka V, Stastny P Abstract INTRODUCTION: The efficiency of front kick is related to the kicking technique. Thus, the aim of this study was to find the kinematic determinants of front kick dynamics across different performance and loading levels (no load to 45-kg load). MATERIALS AND METHODS: Twenty-four elite and sub-elite professional military personnel (26.8 ± 10.1 years, 84.2 ± 5.4 kg, 181.1 ± 6.4 cm) performed six front kicks into a force plate across five different loading conditions. Three-dimensional ...
Source: Military Medicine - January 3, 2021 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Pieces.
Authors: PMID: 33372212 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Profiles After Acute Traumatic Injury: The Non-battle Injury Impact on Readiness at a Single Military Treatment Facility.
CONCLUSIONS: Non-battle injuries in the garrison setting are a significant threat to readiness. This analysis of acute traumatic injuries suggests that mechanism of injury was similar to previous reports with PT and falls being most common. Interventions should be targeted at PT and motor vehicle collisions as these were more common in the profile group. This series is also similar to previous reports that extremity injuries are the most common cause of profiles. However, TBIs were more common in our analysis. Further research that encompasses all garrison MTF acute traumatic injuries is needed to define the true impact on...
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Chorea as a Valuable Physical Exam Finding of Uncontrolled Hyperglycemia.
Authors: Iezzi-Blessing N, Dupre A, da Silva J PMID: 33372672 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Challenges in Oncologic Preparedness: A Retrospective Review of Incident Surgical Cancers During Pacific Partnership Missions, 2008-2016.
CONCLUSIONS: Despite current policies to screen out cancer patients on USNS Mercy missions, 9% of surgical biopsies were malignant. Cancer management during these missions presents a unique challenge because of limited resources for surgery, chemoradiotherapy, and follow-up care. Contingency plans must be considered to provide completion of care for these patients whose cancers are discovered incidentally. Furthermore, an understanding of host nation capabilities in relation to medical and surgical care is crucial to providing treatment in resource-limited areas. PMID: 33372673 [PubMed - as supplied by publisher] (Sour...
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Letter From Executive Director Dr. John Cho.
Authors: Cho JM PMID: 33372946 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Letter From AMSUS Executive Director Dr. John Cho.
Authors: Cho JM PMID: 33377493 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Utility of Nonspecific Laboratory Testing for Psychiatric Patients Undergoing Medical Screening in a Military Emergency Department.
CONCLUSIONS: The cumulative reimbursement costs of broad testing in the studied population were estimated at $36,325.17 and rarely altered patient disposition. Further testing does not increase the incidence of disposition altering diagnoses and is associated with increased costs. When individual state laws and the clinical assessment by the responsible emergency physician are considered, future standardized ED lab screening evaluations of psychiatric patients in military EDs may be concentrated to breathalyzer alcohol level, urine drug screen, serum salicylates, serum acetaminophen, and urine human chorionic gonadotropin....
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Finding Focus in Crisis: Resident-Driven Graduate Medical Education at a Military Training Facility during the COVID-19 Pandemic.
Authors: Reed DS, Hill MD, Justin GA, Giles GB, Santamaria JA, Hobbs SD, Davies BW, Legault GL PMID: 33377495 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Comparison of Acellular Solutions for Ex-situ Perfusion of Amputated Limbs.
CONCLUSION: With the exception of significantly higher levels of creatine kinase and lactate dehydrogenase, MP with dextran-enriched Phoxilium provides similar results as that of the commercially available perfusates such as Steen, without the need for cold storage, and at circa 5% of the cost of the Steen solution. Further large-scale replantation studies are necessary to evaluate the efficacy of dextran-enriched Phoxilium as an alternate perfusate solution. PMID: 33377496 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Manufacturing of 3D Printed models for the Neurotraumatological Education of Military Surgeons.
CONCLUSION: The presented method provided a way to fabricate precise 3D models of neurotrauma cases, which are suitable to teach the application of medical imaging in surgical planning. For further benefit analysis, the application of the presented education tool needs to be investigated within a neurotrauma course. PMID: 33377497 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Longitudinal Examination of COVID-19 Public Health Measures on Mental Health for Rural Patients With Serious Mental Illness.
CONCLUSIONS: Rural patients with serious mental illness may be fairly resilient in the face of the COVID-19 pandemic when they have access to treatment and supports. Longer-term outcomes are needed in rural patients with serious mental illness to better understand the impact of the pandemic on this population. PMID: 33377975 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Musculoskeletal Injuries Among Females in the Military: A Scoping Review.
CONCLUSIONS: This scoping review provides insight into the current state of the evidence regarding the types and causes of MSKi, as well as the factors that influence MSKi among females in the military. Future research endeavors should focus on randomized controlled trials examining training paradigms to see if women are more susceptible. The data presented in the scoping review could potentially be used to develop training strategies to mitigate some of the identified barriers that negatively impact women from pursuing careers in the military. PMID: 33367692 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 30, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Blood Product Administration During the Role 1 Phase of Care: The Prehospital Trauma Registry Experience.
CONCLUSIONS: The use of prehospital blood products is uncommon in U.S. combat settings. Patients who received blood products sustained severe injuries but had a high survival rate. Given the infrequent but critical use and potentially increased need for adequate prolonged casualty care in future near-peer conflicts, optimizing logistical chain circulation is required. PMID: 33367697 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 30, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Vestibular Physical Therapy Evaluation of Individuals Exposed to Directed Energy.
CONCLUSIONS: Evidence-based guidance for conducting a comprehensive vestibular physical therapy evaluation in individuals exposed to directed energy may aid in the identification and diagnosis of unconventional brain injury. This standardized approach can help physical therapists to evaluate complaints that do not match any previously known medical conditions but resemble brain injury or vestibular pathology. PMID: 33367739 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 30, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Opioid-Free Anesthesia in the Perioperative Setting-A Preliminary Retrospective Matched Cohort Study.
CONCLUSIONS: To our knowledge, this is the first matched cohort study directly comparing an OFA with a traditional anesthetic for general anesthesia in a wide range of surgical and clinical scenarios. There was no significant difference in SPI12 between the OFA group and OA group, suggesting that patients' subjective pain was similar immediately after surgery whether or not they received intraoperative opioids. Concurrently, no "catch-up" effect was observed as the PACU duration; MED12 and MED90 were not different between the OFA and OA groups. However, there were many covariates identified in this study because ...
Source: Military Medicine - December 30, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Ethical Considerations for Surgical Planners from the Lessons Learned on USNS COMFORT (T-AH 20) Deployment 2019.
Authors: Younger A, Worlton TJ, Wallace S, Steigleman WA, Ortiz-Pomales Y Abstract Ethical issues can arise when planning for direct patient care surgical missions. Based on the lessons learned from the USNS COMFORT Deployment 2019, the authors present concise considerations and recommendations for future hospital ship surgical mission planning. PMID: 33350446 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 24, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The U.S. Must Embrace Partner-led Global Health Engagement.
This article proposes that global health engagement should instead focus on partner-led health engagements to accomplish both of these goals. PMID: 33350448 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 24, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Rodent Model of Sulfur Mustard Hematologic Toxicity for the Efficacy Evaluation of Candidate Medical Countermeasures.
CONCLUSIONS: The small animal model developed in this study replicates many key aspects of human SM exposures and should serve as a relevant, rapid, and cost-effective platform to screen candidate medical countermeasures for SM-induced hematologic toxicity. PMID: 33346363 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Effect of Deployment on Pulmonary Function in Military Personnel With Asthma.
CONCLUSIONS: There was no significant post-deployment change in spirometry in this military population with asthma deployed to southwest Asia. These findings suggest that deployment itself is not associated with any short-term deleterious effect on post-deployment spirometric measures of lung function in many military personnel with asthma. PMID: 33346840 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Emergency Department Utilization in the U.S. Military Health System.
Authors: Dalton MK, Andriotti T, Matsas B, Chaudhary MA, Tilley L, Lipsitz S, Learn PA, Schoenfeld AJ, Jarman MP, Goralnick E Abstract INTRODUCTION: Emergency department (ED) utilization represents an expensive and growing means of accessing care for a variety of conditions. Prior studies have characterized ED utilization in the general population. We aim to identify the clinical conditions that drive ED utilization in a universally insured population and the impacts of care setting on ED use and admissions in the U.S. Military Health System. METHODS: We queried TRICARE claims data from October 1, 2012, to Sept...
Source: Military Medicine - December 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Editorial on "The Mitigation of Racial Disparities in Cervical Cancer Screening Among US Active Duty Service Women".
Editorial on "The Mitigation of Racial Disparities in Cervical Cancer Screening Among US Active Duty Service Women". Mil Med. 2020 Dec 17;: Authors: Wilson C PMID: 33331876 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research