A Preliminary Study of U.S. Air Force Pilot Perceptions of the Pilot-Flight Surgeon Relationship.
CONCLUSIONS: We sought to examine the pilot-flight surgeon relationship and its impact on daily flying operations. While limited, results suggest that there may be gaps in trust between pilots and their flight surgeons. These findings could present an opportunity to improve the pilot-flight surgeon relationship by identifying factors that contribute to closer pilot-flight surgeon relationships. PMID: 31090902 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Defining Normal Balance for Army Aviators: Corrigendum.
Authors: PMID: 31090903 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Diagnosis and Management of Rhabdomyolysis in the Absence of Creatine Phosphokinase: A Medical Record Review.
This study sought to propose a model utilizing an alternate biomarker to allow for the diagnosis and monitoring of clinically significant rhabdomyolysis in the absence of CPK. MATERIALS AND METHODS: We performed a retrospective chart review of 77 patients admitted to a tertiary medical center with a primary diagnosis of rhabdomyolysis. A linear regression model with aspartate aminotransferase (AST) as the independent variable was developed and used to predict CPK ≥5,000 U/L on admission and CPK values on subsequent hospital days. The study was approved and monitored by the Institutional Review Board at Walter Reed N...
Source: Military Medicine - May 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

An Exploratory Analysis of Self-Reported Protective Factors against Self-Harm in an Enrolled Veteran General Mental Health Population.
CONCLUSION: This is one of the first open-response studies of harm-risk protective factors, allowing for a patient-centered approach that prioritizes the individual's voice and values. New protective factors emerged through the open-response format, indicating important factors that kept Veterans safe from self-harm or suicide such as pets and hobbies. Increasing focus on strengths and positive aspects of Veterans' lives that serve as protective factors may ultimately improve mental health treatment and prevention of suicide and self-harm. PMID: 31090910 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Newborn Screening Pulse Oximetry to Detect Critical Congenital Heart Disease: A Follow-Up Survey of Current Practice at Army, Navy and Air Force Hospitals.
Authors: Robinson DL, Craig MS, Wells RS, Liesemer KN, Studer MA Abstract INTRODUCTION: The purpose of this study was to assess the evolution of newborn pulse oximetry screening (+POx) among Army, Air Force, and Naval military hospitals (MH), including prevalence, protocol use, quality assurance processes, access to echocardiography, and use of telemedicine. This is a follow-up from a prior study published in 2011. MATERIALS AND METHODS: An Internet-based questionnaire was forwarded to the chief pediatrician at MH worldwide which support newborn deliveries. Descriptive data were reported using percentages. Grou...
Source: Military Medicine - May 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Population Smoking Characteristics and Cessation Behaviors in a Nationally Representative Cohort of Hispanic Veterans and Hispanic Non-Veterans.
Authors: Hammett PJ, Nelson D, Burgess DJ, Fu SS, Pinsker EA Abstract INTRODUCTION: The proportion of Hispanics in the U.S. Veteran population is expected to increase rapidly in the next several decades. Although Veterans have a heightened smoking risk relative to the civilian population, few studies have examined whether this risk extends to Hispanic Veterans. The aims of the present study were to examine differences in the smoking and cessation characteristics of Hispanic Veterans and Hispanic non-Veterans, and to determine whether these differences persist after controlling for demographics and markers of accult...
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Unmet Needs for Information and Support Among Military Caregivers.
CONCLUSIONS: Needs for information and support differ for civilian and military caregivers and may reflect direct or indirect impacts on caregivers arising from differences in TRICARE and Veterans Affairs health insurance coverage and related benefits, services and systems or access to resources that address the unique needs of military populations. Future research is needed to better understand the unique concerns of military caregivers and inform interventions that support end-of-life care decision-making for military service members and their caregivers. PMID: 31067305 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Burden of Skin Disease on Deployed Servicemembers.
CONCLUSIONS: The total burden of disease based on diagnostic codes from 2008 to 2015 is 429,837 diagnoses. This accounts for 10% of TMD from 2008 to 2015 in the deployed setting. Diagnoses most prevalent in the deployed military setting had more in common with those made by civilian nondermatologists compared with military teledermatology and civilian dermatologists. At 10% of diagnoses made in the deployed military setting in this timeframe, skin disease accounts for a substantial burden on deployed servicemembers. Deployed servicemembers with skin disease should be supported through use of teledermatology resources and i...
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Explaining Performance on Military Tasks in the Canadian Armed Forces: The Importance of Morphological and Physical Fitness Characteristics: Erratum.
Authors: PMID: 31067309 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Physical Employment Standards for UK Royal Navy Personnel: A Survey of Tasks That Require Muscle Strength and Endurance.
CONCLUSION: Ten criterion tasks were identified and should undergo a further job analysis to inform the development of strength-based PES for the RN. PMID: 31067314 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Healer: A Medical Student's Reflection on the Art of Healing.
Authors: Derouin E PMID: 31067327 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Evaluation of Clinical Nurse Transition Program at US Army Hospitals.
Authors: Oblea PN, Berry-Caban CS, Dumayas JY, Adams AR, Beltran TA Abstract INTRODUCTION: The purpose of this evaluation was to determine the effectiveness of the clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one of the first evaluations conducted to document the outcomes of the Army Nurse Corps (ANC) transition-to practice residency program. MATERIALS AND METHODS: This project was a prospective pre-test/post-test design evaluation of newly licensed registered nurses (RNs) entering the military health system from Fall 2017 to Fall 2018 using Casey-Fink Readiness for Pract...
Source: Military Medicine - May 9, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Atopic Dermatitis and Implications for Military Service.
CONCLUSIONS: Atopic dermatitis is a very common disease that has the potential to complicate military service in many ways but the reported rates of these complications are actually very low. This is either because there is already an intervention in place or these complications are less common than theoretically anticipated. This is relevant because as it becomes easier to obtain waivers for a history of this condition there will be more individuals with atopic dermatitis in the military. PMID: 31054223 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 6, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Descriptive Analysis of Causalities Undergoing CASEVAC from the Point-of-Injury in the Department of Defense Trauma Registry: Corrigendum.
Authors: PMID: 31038155 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Health Characteristics of the Wayuu Indigenous People: Corrigendum.
Authors: PMID: 31038157 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Implementation of Low-Cost Obstetric Hemorrhage Simulation Training Models for Resident Education.
Authors: Ramseyer AM, Lutgendorf MA Abstract INTRODUCTION: Simulation is beneficial training for low frequency high acuity events such as management of obstetric hemorrhage. Our objective was to evaluate perceived competency in management of obstetric and pelvic hemorrhage following training with low fidelity task trainers using inexpensive and common medical supplies. MATERIALS AND METHODS: This was a prospective observational study of training residents for management of obstetric and pelvic hemorrhage using a brief didactic instruction and low-cost task trainers with inexpensive common medical supplies. Part...
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Latent Lyme disease resulting in chronic arthritis and early career termination in a United States Army Officer: Corrigendum.
Authors: PMID: 31038163 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Global Health Outreach by United States Ophthalmology Residency Programs: Understanding of Host Country Systems-Based Practice.
CONCLUSION: From the small sample of program directors, Ophthalmology residency program global health outreach varies in faculty and resident participation, and in goals and services offered. In addition, there was a wide variation in ophthalmology program director understanding of host country systems of care. PMID: 31038165 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Elevated Environmental Carbon Dioxide Exposure Confounding Physiologic Events in Aviators?
CONCLUSION: PEs are a growing safety concern for the aviation community in the military. As such, increasing measures are taken to ensure safety of flight and completion of the mission. To date, there is no correlation of CO2 exposure and altitude DCS. While elevated CO2 levels cannot be conclusively implicated as causative, this case series suggests a potential role of CO2 in altitude DCS through CO2 direct involvement with emboli gas composition, as well as pro-inflammatory cascade. Aviators exposed to elevated CO2 in poorly ventilated rooms developed PE symptoms consistent with DCS, while at the same command, aviators t...
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

On the Contrary, Dr Tuesca-Molina's Points Are Addressed in the Article.
Authors: Lennon RP, Orduña KC, Moreno JA, García FE, Chandler JW, Sweet NN, Hawley LA, Smith DK, Sanchack KE PMID: 31038181 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 2, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Development of an Emergency Medicine Resident Research Program in the United States Military.
CONCLUSION: Resident scholarly activity increased following the institution of a new research curriculum and graduation requirement. PMID: 31004142 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Discontinuation Rates of Antidepressant Use by Dutch Soldiers.
CONCLUSION: More than half of the soldiers discontinued their prescribed antidepressant within 3 months and after 6 months, only 30% were still on antidepressants. PMID: 31004149 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Outcomes of Pectoralis Major Tears in Active Duty US Military Personnel: A Comparison of Surgical Repairs Performed in the Forward Deployed Setting to Those Performed in the Continental United States.
CONCLUSIONS: When comparing deployed to CONUS results, we demonstrated that surgical repairs at one permanent US military in-theater tertiary referral medical center were as successful as repairs performed at one CONUS US Army academic tertiary referral medical center. Although in-theater surgical repair was technically feasible and clinically successful, we believe the lengthy convalescence, stringent post-operative restrictions, demanding environment and impact on operational readiness should preclude deployed surgical repairs from becoming standard practice. PMID: 31004160 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Brazilian Jiu Jitsu Training for US Service Members and Veterans with Symptoms of PTSD.
CONCLUSIONS: The results from this first-of-kind pilot study suggest that including BJJ as a complementary treatment to standard therapy for PTSD may be of value. It will be necessary to validate these promising results with a larger subject cohort and a more rigorous experimental design before routinely recommending this complementary therapy. PMID: 31004163 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Prospective Memory in Service Members with Mild Traumatic Brain Injury.
CONCLUSIONS: The results suggest that implementation intentions may be a useful PM remediation strategy for those who have sustained mTBI. Future research should validate these findings in a larger sample. PMID: 31004164 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Preserving the Military Medicine Workforce: One Team, One Fight.
Authors: Kellermann AL, Reamy BV PMID: 31004168 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

An Editorial Review of Mobile Health: Implications for the US Military Health System.
CONCLUSIONS: Mobile health is a powerful platform which can help deliver standardized care in missions around the world and improve access to care for patients at military treatment facilities in the United States. The United States Military Health System would benefit greatly from creating universal mobile health applications to assist providers in patient access to care, military mission readiness, and disease specific modules. Future resources should be dedicated to the development of a mobile health application pool that is universally implemented across services to improve quality of care delivered at home and in thea...
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cross-Sectional Study of Sexual Behavior, Alcohol Use, and Mental Health Conditions Associated With Sexually Transmitted Infections Among Deploying Shipboard US Military Personnel.
CONCLUSIONS: Previously unreported factors significantly associated with STIs at the PDT among MSW in the adjusted analysis were meeting sexual partners at work and IDC. IDC during the PDT warrants further exploration. These results can inform tailored STI reduction interventions among shipboard personnel and similarly aged civilians undergoing similar transition/travel experiences. PMID: 31004170 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Timing of Intradermal Rabies Pre-exposure Prophylaxis Injections: Immunological Effect on Vaccination Response.
CONCLUSIONS: Timing of vaccine dose administration, timing of serology testing, sex and age do significantly influence the humoral B-cell response to ID administered rabies vaccine. PMID: 31004174 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Scopolamine Toxicity in an Elderly Patient.
We present a case of a 66-year-old female who was to undergo a scheduled operation and placed on our institution's ERAS (Enhanced Recovery After Surgery) protocol. The intraoperative course was unremarkable. The patient developed delayed emergence in the Post-Anesthesia Care Unit. On physical exam, the patient was noted to have a transdermal scopolamine patch adjacent to an area of skin breakdown. She also displayed signs of central anti-cholinergic toxicity including mydriasis and tachycardia. Following removal of the scopolamine patch and administration of physostigmine, her mental status returned to baseline. This inter...
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Impact of Trust, Satisfaction, and Perceived Quality on Preference for Setting of Future Care Among Veterans With PTSD.
CONCLUSIONS: These findings suggest that it is important to retain foundational mental health services within VA, as well as to continue to invest in building provider and network capacity in community settings, to ensure alignment with veteran preferences for care setting. PMID: 31004426 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Validity of Digital and Manual Refractometers for Measuring Urine Specific Gravity During Field Operations: A Brief Report.
Authors: Heileson JL, Jayne JM Abstract INTRODUCTION: Dehydration can have an immediate negative impact on the performance of Soldiers in training or combat environments. Field expedient methods for assessing hydration status may be valuable for service members. Measurement of urine-specific gravity (USG) via refractometer is inexpensive, simple, fast, and a validated indicator of hydration status. Manual (MAN) and digital (DIG) refractometers are commonly used in laboratory settings however, digital (DIG) devices have not been validated in the field against MAN devices. The purpose of this study was to determine t...
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Emerging Infectious Diseases and Antimicrobial Resistance (EIDAR).
CONCLUSIONS: The EIDAR Research Area is responsive to military-relevant infectious disease threats that are also frequently global public health concerns. Several new EIDAR efforts are underway that will provide Combatant Command Surgeons, Infectious Diseases Service Chiefs, and other Force Health Protection stakeholders with epidemiological information to mitigate the impact of EIDs and antimicrobial resistance on the health of U.S. military service members and their dependents. PMID: 31004432 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Factors Affecting Performance on an Army Urban Operation Casualty Evacuation for Male and Female Soldiers.
This study was conducted to determine what physical and physiological characteristics contribute to the performance of an urban operation casualty evacuation (UO) and its predictive test, FORCE combat (FC) and describe the metabolic demand of the UO in female soldiers. METHODS: Seventeen military members (9 M and 8 F) completed a loaded walking maximal aerobic test, the UO and FC. Heart rate reserve (HRR) and completion time were used as efficiency/performance measures. Oxygen consumption (VO2) was directly measured for UO on five female participants with a portable indirect calorimetry system, and analyzed using descr...
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Missile Injury of the Sciatic Nerve: Observational Study Supporting Early Exploration and Direct Suture With Flexed Knee.
Authors: Mathieu L, Pfister G, Murison JC, Oberlin C, Belkheyar Z Abstract Missile injuries of the sciatic nerve are frequently encountered in modern violent conflicts. Gunshot and fragment wounds may cause large nerve defects, for which management is challenging. The great size of the sciatic nerve, in both diameter and length, explains the poor results of nerve repair using autografts or allografts. To address this issue, we used a simple technique consisting of a direct suture of the sciatic nerve combined with knee flexion for 6 weeks. Despite a published series showing that this procedure gives better results ...
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Letter From AMSUS Executive Director Dr. John Cho.
Authors: PMID: 30986305 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Defining Normal Balance for Army Aviators.
Authors: Karch SJ, Lawson BD, Milam LS Abstract INTRODUCTION: One challenge clinicians face is determining when a military Service Member (SM) can return to duty after an injury that affects the postural control. The gold standard to measure postural control is the Sensory Organization Test (SOT). This test measures the amount of sway present in an individual's static stance that may be used to examine range of function and monitor recovery from injury. Normative values currently available were developed using a sample of clinically normal adults from the general population (i.e., civilian non-aviator). Previous re...
Source: Military Medicine - April 6, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Restricting Retail Hours of Alcohol Sales within an Army Community.
CONCLUSIONS: This was the first known evaluation within a military community to report improvements in crime statistics following an eight hour reduction in daily retail sale hours of alcohol. The reduction in alcohol-related harms presented in this evaluation are typical for small communities implementing alcohol-related policies; however, the effect sizes reported here are larger than those reported in the current literature, suggesting that the policy positively impacted the installation community in decreasing alcohol-related harms. Evaluation data did not show statistically significant reductions in DUI/DWI citations ...
Source: Military Medicine - April 6, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Superficial Ballistic Trauma and Subjective Pain Experienced during Force-on-Force Training and the Observed Recovery Pattern.
CONCLUSIONS: Participants were able to safely conduct force-on-force training with simulated ammunition by following the manufacturer recommended safety standards. Participants did rate a statistically significant level of subjective pain, although this mild pain serves as a necessary factor to create the stressful environment of simulating combat conditions. It is possible that the subjective pain was rated higher for the chest due to the increased number of total rounds striking the chest, or the more direct impact of the rounds upon this tissue. The differences in subjective pain and recovery between impact regions of t...
Source: Military Medicine - April 6, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Epworth Sleepiness Scale in Service Members with Sleep Disorders.
This study assessed the clinical utility of the ESS in differentiating sleep disorders amongst a sample (N = 488) of U.S. military personnel with insomnia (n = 92), OSA (n = 142), COMISA (n = 221), and a NISA group (n = 33) which served as the control population. RESULTS: In the present sample, 68.4% of service members reported excessive daytime sleepiness (EDS) with an ESS> 10. ESS scores differed between military personnel with COMISA (13.5 ± 4.83) and those with OSA only (11.5 ± 4.08; p
Source: Military Medicine - April 6, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Arthroscopy for Management of Femoroacetabular Impingement Syndrome in the Military Health System: A 10-Year Epidemiological Overview of Cases with 2-year Follow-up.
CONCLUSION: Rates of arthroscopy have grown in the MHS over the last decade. Complication rates are similar to those reported in other populations and settings. Utilization of physical therapy was much more likely after surgery than prior to it. Opioid use was high prior to surgery and many individuals continued to receive opioid prescriptions beyond the initial perioperative period. PMID: 30941406 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Injury and Illness Surveillance During the 2016 Department of Defense Warrior Games: Review of Methods and Results.
CONCLUSIONS: From the surveillance data, staff levels and treatment supplies can be adjusted. In addition an improved surveillance tool can be created. Continuous surveillance is required to provide information on trends in injury and illness to support prevention strategies. PMID: 30941408 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Multidimensional Approach to Assessing Anthropometric and Aerobic Fitness Profiles of Elite Brazilian Endurance Athletes and Military Personnel.
CONCLUSION: In conclusion, military endurance athletes have similar anthropometric and physiological profiles to non-military athletes and superior levels to non-athlete military. These findings indicate that the Brazilian Armed Forces scouting system has been successful in identifying endurance athletic talent in line with their historic role of developing sport in Brazil. PMID: 30941410 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Burden of Dental Emergencies, Oral-Maxillofacial, and Cranio-Maxillofacial Injuries in US Military Personnel.
CONCLUSIONS: The percentage of DE and OMF casualties that can be expected in hostile environments is approximately 12%. Using the most recent data since 2000, the mean DE rate was 118.2 per 1,000 PPY and the OMF rate was 3.0 per 1,000 PPY. Future research should yield information which is representative of the evolving military environment. This information should be used to enhance military-specific dental therapies and to guide protection of the craniofacial region. More importantly, quality data are necessary (1) to enable the accurate prediction of DE, CMF, and OMF casualties to insure that troop levels are sufficient ...
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Prevalence of Faculty Physician Burnout in Military Graduate Medical Education Training Programs: A Cross-Sectional Study of Academic Physicians in the United States Department of Defense.
CONCLUSIONS: We estimate that 26% of physician faculty in military GME programs are experiencing burnout. No specialty, branch of service, or specific demographic was immune to burnout in our sample. Institutional leaders in the MHS should take action to address physician burnout and consider using our prevalence estimate to assess effectiveness of future interventions. PMID: 30941415 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Medical Encounters During the United States Army Special Forces Assessment and Selection Course.
CONCLUSION: The major limitations of this investigation were: 1) the low specificity with regard to many of the diagnoses/complaints; and 2) the fact that the medical problems reported here are only those seen by medical care providers and are likely an underestimate of the total morbidity in the SFAS course. Soldiers often self-treat and some may be reluctant to see medical personnel because of how it might affect their rating in the course. Nonetheless, this investigation alerts medical personnel to the injuries and illnesses to expect, and public health workers and leadership with activities to target for injury prevent...
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cost of Military Eye Injury and Vision Impairment Related to Traumatic Brain Injury: 2001-2017.
Authors: PMID: 30941427 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Factors Associated with Smoking in Veterans: Erratum.
Authors: PMID: 30941428 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Costs for Colon Cancer Treatment Comparing Benefit Types and Care Sources in the US Military Health System.
CONCLUSIONS: In the MHS, median cost for colon cancer treatment was lower in direct care compared to purchased care or patients using a combination of direct and purchased care. The variation in cancer treatment costs between care sources may be due to differences in treatment incentives or capabilities. Additional studies on cost differences between direct and purchased services are needed to understand how provision of care affects cancer treatment costs and to identify possible targets for cost reduction. PMID: 30941433 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Behaviors Associated with Internet Use in Military Medical Students and Residents.
CONCLUSIONS: The study results indicated that our population showed problematic Internet use in the lower range of global estimates of IA. Rates of IA further decreased between medical students and residents. Multiple lifestyle variables were significantly associated with IA score and may serve as indicators of a higher score. Interestingly, the use of social media during sleeping hours was most significantly associated with increased IAS. This paper discusses IA among military medical and nursing trainees and how problematic Internet use may affect work performance and force readiness. PMID: 30938768 [PubMed - as supp...
Source: Military Medicine - April 4, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research