Status of Robotic-Assisted Surgery (RAS) in the Department of Defense (DoD).
CONCLUSIONS: MTFs implemented RAS much later than the civilian world. However, since its implementation, the frequency of RAS use has increased at a faster rate in the DoD than in the civilian world. Possible reasons for this are a younger pool of surgeons in the military and less demands on cost-effective productivity, allowing these younger surgeons to focus on emerging technology rather than maximizing surgical cost efficiency. General surgery constitutes the majority of RAS cases in the DoD. It is unclear why this difference from the civilian world exists. PMID: 31216358 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Leadership Training in Graduate Medical Education: Time for a Requirement?
CONCLUSIONS: This pilot project supports the premise that leadership training should be integrated into GME. Initial results suggest training can improve leadership skills and inspire trainees to seek additional leadership education. Moreover, much like the published literature, residents believe they should learn about leadership during residency. While more effort is needed to determine the best approach to deliver and evaluate this content, it appears even small interventions can make a difference. Next steps for this program include developing assessment tools for observation of leadership behaviors during routine GME ...
Source: Military Medicine - June 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Beveled Edge.
Authors: Paul Happel J PMID: 31219165 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

An Examination of PTSD and Criminal Responsibility among US Servicemembers.
CONCLUSIONS: PTSD is often considered a "severe mental disease or defect" during Sanity Board evaluations, which differs from the legal standard for "severe mental disease or defect" used by the military justice system. Forensic practitioners consulting with the military justice system acknowledge that PTSD is a "severe mental disease or defect" often, but they rarely opine that PTSD renders a servicemember NCR. In the rare instance where PTSD was opined to render a servicemember NCR, the symptom of dissociation caused an inability to appreciate the nature and quality or wrongfulness of the ac...
Source: Military Medicine - June 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

From Trench to Bedside: Military Surgery During World War I Upon Its Centennial.
Authors: Barr J, Cancio LC, Smith DJ, Bradley MJ, Elster EA PMID: 31197315 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 15, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Severe Upper Limb Injuries in U.S. Military Personnel: Incidence, Risk Factor and Outcomes.
CONCLUSION: The study findings provide preliminary evidence on the incidence, natural history and distribution of SULI in this population. The findings indicate SULI may impact readiness and result in premature military separation. PMID: 31197319 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 15, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Delayed Diagnosis of Leprosy in a Micronesian Soldier - Case Report.
Authors: Bossalini JP, Bandino JP, Miletta NR Abstract Lepromatous leprosy represents a cutaneous infection by the bacterium Mycobacterium leprae. Once considered a common, fatal disease, leprosy has become increasingly rare with modern, inexpensive antibiotics. Most healthcare workers will never encounter a case of leprosy due to the low prevalence of the disease. However, military physicians, through deployments and contact with foreign-born servicemembers, are one of the first lines of defense against this disease. With an unknown method of transmission and an insidiously slow replication, it can take years for ...
Source: Military Medicine - June 15, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Non-modifiable Risk Factors Associated with Avascular Necrosis in the US Military.
CONCLUSIONS: The overall incidence of AVN was 0.19 per 1,000 person-years. Whilte increasing age had the greatest influence on the development of symptomatic AVN, other statistically significant risk factors were found to be increasing age, black race, senior enlisted rank, and Army branch of service. PMID: 31184698 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Provider Knowledge Gaps in HIV PrEP Affect Practice Patterns in the US Navy.
CONCLUSIONS: Although Navy providers were supportive of the provision of PrEP by the military, knowledge gaps remain. Training to address the knowledge deficit as well as improving sexual history taking are potential areas to target in implementing PrEP in primary care specialties. PMID: 31184703 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Role of Catheter Ablation in Military Personnel with Atrial Fibrillation.
Authors: Bush KNV, Gerasimon GG PMID: 31184712 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Examining the Factor Structure of the Moral Injury Events Scale in a Veteran Sample.
CONCLUSIONS: The factor structure identified in the present study aligns with current theoretical conceptualizations of moral injury. The inability to distinguish between event and reaction items and the lack of impact on the factor structure when event items were removed from the model suggest the MIES is more accurately described as a measure of moral pain as compared to a measure of potentially morally injurious experiences (PMIEs). Given that all events associated with moral injury have impinged upon welfare, justice, rights, and fairness considerations, one could argue that little would be gained by focusing attention...
Source: Military Medicine - June 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Incidence of Hyperoxia in Combat Wounded in Iraq and Afghanistan: A Potential Opportunity for Oxygen Conservation.
CONCLUSIONS: In our dataset, more than 1 in 5 casualties overall had documented hyperoxia on ABG measurement, 1 in 3 intubated casualties, and almost 1 in 2 TBI casualties. With limited oxygen supplies in theater and logistical challenges with oxygen resupply, efforts to avoid unnecessary oxygen supplementation may have material impact on preserving this scarce resource and avoid potential detrimental clinical effects from supraphysiologic oxygen concentrations. PMID: 31141134 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 31, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Shipboard Global Health Engagement Missions: Essential Lessons for Military Healthcare Personnel.
CONCLUSIONS: Widespread dissemination of the lessons learned from military global health engagement missions is crucial to shaping forces that operate effectively in a rapidly changing global environment. Sharing lessons learned increases efficiency, adaptability, and agility, while decreasing variance in processes and the need to relearn mission-specific lessons. PMID: 31141136 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 31, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Early Detection of Diabetic Ketoacidosis by Breathalyzer in a Sailor Reporting for Duty.
Authors: Reinhart J Abstract Diabetic ketoacidosis (DKA) is a severe medical condition involving the uncontrolled hyperglycemia and ketoacidosis that results from impaired insulin utilization. The biochemical response to insulin resistance or deficiency is a ketotic state in which fatty acids are converted to ketone bodies for an alternative energy source. Patients in DKA acutely develop severe symptoms, typically over the course of 24-48 hours. Classic symptoms include nausea, vomiting, lethargy, altered mental status, and abdominal pain. As the time course of ketoacidosis is relatively rapid, it is rare to identi...
Source: Military Medicine - May 31, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Infallible Life Plan: My Decision to Leave Residency.
Authors: Shukla A PMID: 31141146 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 31, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Ebola Response: A study of the Psychosocial Factors of Preparedness Among Commissioned Corps Officers of the United States Public Health Service.
This study used assessment instruments derived from Albert Bandura's concept of self-efficacy to analyze the occupational and general self-efficacy, and perceived preparedness levels of health services officers in the Commissioned Corps. 82 Commissioned Corps officers completed the assessment survey. To date, no study has examined the relationship between these constructs in this population. RESULTS: There was a statistically significant relationship between feeling confident in one's Commissioned Corps training and perceived preparedness (rs = 0.55, p
Source: Military Medicine - May 31, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Functional Movement Assessments Are Not Associated with Risk of Injury During Military Basic Training.
CONCLUSIONS: Functional performance did not predict future injury risk during the first 180 days of service. Poor LESS scores were associated with lower injury risk, but ROC analyses revealed little predictive value and limited clinical usefulness. Comprehensive risk reduction strategies may be preferable for mitigating MSK-I in military training populations. PMID: 31125066 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Microcystic Adnexal Carcinoma: A Rare, Commonly Misdiagnosed Malignancy.
We present a case report of a 43-year-old male Air Force U-2 pilot with a benign presentation and initial clinical misdiagnoses of MAC, who underwent Mohs micrographic surgery followed by cervicofacial flap reconstruction of a 5.5 × 3.5 cm defect. We also identify increased radiation exposure of U-2 pilots as a potential risk factor for the early development of MAC, emphasizing the importance of exploring patient risk factors while having a high index of suspicion to aid in early diagnosis. PMID: 31125069 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Joint Space Narrowing in Patients with Femoroacetabular Impingement: A Matched Cohort Study of Military versus Civilian Patients.
CONCLUSION: Military patients with FAI may have increased joint space narrowing compared to otherwise similar civilian patients. Femoral and acetabular chondromalacia are found in similar frequencies in military and civilian populations, however the grading system utilized accounts for the presence but not the size of high grade lesions. LEVEL OF EVIDENCE: Level 3. PMID: 31125070 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Advice for Leading and Mentoring Women Physicians in the MHS.
Authors: Nakamura TA, Nguyen DR PMID: 31125074 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Not Just Hocus POCUS: Implementation of a Point of Care Ultrasound Curriculum for Internal Medicine Trainees at a Large Residency Program.
CONCLUSION: A structured POCUS curriculum was successfully incorporated at a large multiservice military IM residency program, with demonstrated retention of knowledge, improved confidence in performance of ultrasound guided invasive procedures, and increased interest in the use of POCUS in future clinical practice. Similar programs should be implemented across all IM programs in military graduate medical education to enhance operational readiness and battlefield care. PMID: 31125075 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Impact of Aeroallergens on Military Readiness: A Case Report.
Authors: Fajardo KA, Wohltmann WE Abstract Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common precipitants of urticarial dermatitis, which is driven by a cell-mediated type IV hypersensitivity reaction. In this case report, we describe an Active Duty Air Force member stationed in San Antonio, TX, who presented to the dermatology clinic with a three year hi...
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Long-Term Outcomes of Refractive Surgery Performed During the Military.
CONCLUSION: This is the first long-term study evaluating refractive surgery outcomes up to 17 years in a military population. Our study demonstrates safety after refractive surgery in the military with less than 0.1D increase in myopia per year and strong keratometric stability. Other changes in the eye may be the likely cause for this observed mild refractive shift. PMID: 31125090 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Development of a Videoconference-Adapted Version of the Community Diabetes Prevention Program, and Comparison of Weight Loss With In-Person Program Delivery.
This study as part of a larger weight loss trial describes the videoconference adaption of Group Lifestyle Balance (GLB) program, a community group-based Diabetes Prevention Program intervention, and provides a comparison of weight loss and meeting attendance between in-person and videoconference delivery modes over 12 weeks in adult family members of military service members. Forty-three participants were enrolled from two military installations and received either the videoconference-adapted or an in-person GLB program in a non-randomized trial design. Differences in program attendance and percent weight lost at 12 weeks...
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Survey of Sexual Function and Pornography.
CONCLUSIONS: Pornography and sexual dysfunction are common among young people. No clear relationship exists between extent of addiction to pornography and sexual dysfunction in either gender. However, men who prefer masturbation with pornography to partnered sex have a significantly increased risk of sexual dysfunction. Given sexual dysfunction may be associated with mental health concerns, further evaluation of its causes and impact on military operational readiness are warranted. PMID: 31132108 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

An Analysis of Orthopedic Surgical Procedures Performed During U.S. Combat Operations from 2002 to 2016.
CONCLUSIONS: Orthopedic surgical procedures are common on the battlefield. Current dispersed military operations can occur without orthopedic surgeon support; general surgeons therefore become responsible for initial management of all injuries. Debridement of open fracture, fasciotomy, amputation and external fixation account for 2/3 of combat orthopedic volume; these procedures are no longer a significant part of general surgery training, and uncommonly performed by general/trauma surgeons at US hospitals. Given their frequency in war, expertise in orthopedic procedures by military general surgeons is imperative. PMID...
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Health Conditions Among Wayuu People: Medical Care Data Are Insufficient and Biased.
Authors: Tuesca-Molina R, Idrovo ÁJ, Martínez-Silva PA, Fernández-Niño JA PMID: 31132116 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Model for Supporting Grief Recovery Following Traumatic Loss: The Tragedy Assistance Program for Survivors (TAPS).
Authors: Dooley CM, Carroll B, Fry LE, Seamon-Lahiff G, Bartone PT PMID: 31132122 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Physical Therapy Practice Patterns for Military Service Members with Lower Limb Loss.
CONCLUSIONS: Service members with limb loss utilize PT services often within the first year after injury. Trends of PT practice are most likely influenced by comorbidities and healing time variance between levels of amputation. PMID: 31111891 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Medical Student Leader Performance in an Applied Medical Field Practicum.
CONCLUSION: With the guidance of a conceptual framework, the assessment tool was used to assess leader performance in a relevant, applied, medical teaching setting. The findings of this study indicate that leader performance can be measured. Additionally, leader performance appears to be a separate skillset from medical academic performance and both types of performance can be taught and developed. This was a retrospective correlation study and was conducted during a military medical field practicum at a single institution. Gathering additional validity evidence of the assessment tool is needed. With additional validity ev...
Source: Military Medicine - May 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Always Ready; Responding to an Emergency at Sea.
Authors: Fiore BD PMID: 31111895 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Pain Following Amputation.
CONCLUSIONS: Percutaneous PNS can durably reduce pain, thereby enabling improvements in quality of life, function, and rehabilitation in individuals with residual or phantom limb pain following amputation. Percutaneous PNS may have additional benefit for Military Service members and Veterans with post-surgical or post-traumatic pain. PMID: 31111898 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Regional and Rural-Urban Variation in Opioid Prescribing in the Veterans Health Administration.
The objective of this study was to characterize regional variation in opioid prescribing across Veterans Health Administration (VHA) and examine differences between rural and urban veterans. MATERIALS AND METHODS: Following IRB approval, this retrospective observational study used national administrative VHA data from 2016 to assess regional variation and rural-urban differences in schedule II opioid prescribing. The primary measure of opioid prescribing volume was morphine milligram equivalents (MME) dispensed per capita. Secondary measures included incidence, prevalence of any use, and prevalence of long-term use. ...
Source: Military Medicine - May 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

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