Medication Trends in the Military: A Comparative Analysis of Prescribing Patterns Among Service Members Seen by a Pharmacist and Implications for Medical Readiness
CONCLUSIONS: Understanding medication patterns among ADSMs may be able to help health care professionals proactively address pharmacological challenges and optimize pharmaceutical use in this unique population. This knowledge can also aid in the development of training modules focused on medication side effects, interactions, counseling, and implications on military deployment for the most commonly used medications. Future examination into prescribing cascades and medication use related to proton-pump inhibitors, docusate, benzonatate, and muscle relaxants may identify opportunities to provide better care or lower cost.PMI...
Source: Military Medicine - February 23, 2024 Category: International Medicine & Public Health Authors: Ryan C Costantino Laura E Gressler Lee Ann Zarzabal Cynthia M Vasquez Richard Juneau Source Type: research
A Pilot Study Using a Standardized Trauma Assessment Tool After Tactical Combat Casualty Care Course: A Comparison of the United States and Ghana
CONCLUSION: This study demonstrates use of a standardized scenario with graded checklist to compare between international programs. This can be used to and expanded to compare programs and support quality assurance and medical interoperability.PMID:38394453 | DOI:10.1093/milmed/usae034 (Source: Military Medicine)
Source: Military Medicine - February 23, 2024 Category: International Medicine & Public Health Authors: Catherine C Polley Rossi Adu-Gyamfi Tawfik Mahama-Toure Fattal Okpoti Konney Emmanuel Oti-Boateng Lawrence Nsohlebna Nsoh Timothy Ballard Source Type: research
The Association of High-Quality Hospital Use on Health Care Outcomes for Pediatric Congenital Heart Defects in a Universal Health Care System
CONCLUSIONS: After controlling for patient-level and facility-level covariates and adjusting for endogeneity, (1) HQH use did not increase the probability of more than one admission post 1-year CHD diagnosis, (2) HQH use lowered the probability of annual ER use post 1-year CHD diagnosis, and (3) HQH use did not increase the probability of mortality post 1-year CHD diagnosis. Patients who may have benefited from utilizing HQH for CHD care did not, alluding to potential barriers to access, such as health insurance restrictions or lack of patient awareness. Although we used hospital quality rating for congenital cardiac surge...
Source: Military Medicine - February 16, 2024 Category: International Medicine & Public Health Authors: Amber El-Amin Tracey Koehlmoos Dahai Yue Jie Chen Nam Yong Cho Peyman Benharash Luisa Franzini Source Type: research
Platelet-Rich Plasma Injections for the Treatment of Degenerative Orthopedic Conditions
Mil Med. 2024 Feb 13:usae025. doi: 10.1093/milmed/usae025. Online ahead of print.ABSTRACTPlatelet-rich plasma injections for the treatment of degenerative orthopedic conditions have good evidence for safety, pain relief, and functional improvement. The U.S. Military is providing platelet-rich plasma services for military services members and TRICARE beneficiaries. The use of this safe and effective treatment should be continued and expanded.PMID:38349194 | DOI:10.1093/milmed/usae025 (Source: Military Medicine)
Source: Military Medicine - February 13, 2024 Category: International Medicine & Public Health Authors: Gary E Means Peter Muench Source Type: research
Evaluation of the Pedagogical Impact of "Traum'Cast" Podcast: A Pilot Study Based on Metacognition
CONCLUSION: This podcast is an innovative teaching tool which has proven to strengthen the knowledge of the principles of war medicine.PMID:38343200 | DOI:10.1093/milmed/usae011 (Source: Military Medicine)
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Tara Pouessel Kafka Claire Soniak Widad Benbrika Antony Vacher Mathieu Boutonnet Thibault Martinez Source Type: research
Returning to Work After Traumatic Spine Fractures: Current Status in a Military Hospital
CONCLUSION: RTW is an important aspect that needs to be taken into consideration by health care providers. We found that age and high surgery time, blood loss, and hospital stay are significantly impacting patients' RTW after operated TSF.PMID:38343205 | DOI:10.1093/milmed/usae012 (Source: Military Medicine)
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Abdulrahman Yousef Alhabeeb Faisal Konbaz Sami Aleissa Ghada S Alhamed Thamer S Alhowaish Moustafa S Alhamadh Emad Masuadi Majed Abalkhail Fahad AlHelal Anouar Bourghli Source Type: research
Disparities in Demographics in Hip Arthroplasty Between U.S. Active Duty Military and the ACS-NSQIP Clinical Registry
CONCLUSIONS: Patients in the MHS are undergoing THA at a younger age and are more likely to be male compared to the general population. A significant portion of primary THAs in the MHS are also being performed at civilian institutions. These demographics may result in increased risk of revision; however, long-term studies are warranted to evaluate survivorship in this unique population.PMID:38345083 | DOI:10.1093/milmed/usae029 (Source: Military Medicine)
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Vivek M Abraham Joshua M Junge Greg Booth Aaron A Olsen George C Balazs Ashton H Goldman Source Type: research
Nonpharmacological Therapies for Musculoskeletal Injury in Military Personnel: A Systematic Review/Meta-Analysis
CONCLUSION: Evidence showed small beneficial effects in pain, strength, and physical performance by individual body regions for some interventions, compared to controls. The best evidence for a positive effect was for the knee. The findings suggest that some benefit may be obtained by including several treatments during deployment in austere environments and prolonged casualty care scenarios of military personnel with MSK injuries. Further research is warranted to better assess the potential benefits of using these treatments during deployments in austere environments as part of an individualized, multimodal approach for M...
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Laura A Talbot Lin Wu Christopher H Morrell David F Bradley Vanessa J Ramirez Ross M Scallan Pilar D Zuber Kayla Enochs Jesse Hillner Mathias Fagan E Jeffrey Metter Source Type: research
Chlamydial Proctitis Mimicking Inflammatory Bowel Disease in a Young Active Duty Sailor With Undiagnosed Human Immunodeficiency Virus Infection: A Case Report
We present the case of a young male sailor with subacute rectal bleeding who was hospitalized with initial concern for an index presentation of IBD. Endoscopic evaluation revealed proctitis although findings were atypical for inflammation related to IBD. Acquisition of additional history revealed that he had both receptive and insertive anal intercourse with both male and female partners. A full STI screening, including HIV was performed. Results were positive for both rectal C. trachomatis and HIV antigen and antibody serology, which were confirmed as HIV-1 on confirmatory testing. He was treated with doxycycline for his ...
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Logan Oliver Kevin Pak Adam Maier Brett Sadowski Source Type: research
Cervical Disc Displacement in Military Pilots
CONCLUSIONS: The U.S. Military helicopter pilots have an increased risk compared to fixed-wing pilots and non-pilot controls. CDD remains a rare, though career-threatening, condition. Increased education and awareness training are warranted for both helicopter pilots and flight physicians to recognize signs and symptoms of cervical pathology. Continued investigations into preventive measures to minimize injury and time unfit for flight are warranted.PMID:38334294 | DOI:10.1093/milmed/usae021 (Source: Military Medicine)
Source: Military Medicine - February 9, 2024 Category: International Medicine & Public Health Authors: Patrick J Tansey Cory F Janney Daniel C Jupiter Matthew Henriques Pouya Alijanipour Patrick B Morrissey Source Type: research
