Correction To: Pain Catastrophizing Mediates the Relationship Between Pain Intensity and Sleep Disturbances in U.S. Veterans With Chronic Pain
Mil Med. 2024 Feb 5:usae020. doi: 10.1093/milmed/usae020. Online ahead of print.NO ABSTRACTPMID:38330075 | DOI:10.1093/milmed/usae020 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Source Type: research

Suspected Mal de Debarquement Syndrome: A Case Report Highlighting the Difficulty in Diagnosis and Management
We present the case of a young, female active duty Air Force Captain who developed symptoms while deployed. She underwent multiple treatments with variable success. Her clinical course highlights the difficulties for patients and providers posed by suspected MdDS.PMID:38330077 | DOI:10.1093/milmed/usae014 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Nathan M Tommas Meagan Ferguson Source Type: research

Impact of Overseas Deployment on Fatty Liver and Metabolic Diseases Among Korean Soldiers
CONCLUSIONS: Metabolic biomarkers improved, and the prevalence of metabolic diseases decreased significantly during OD. However, personnel with long-term deployment did not experience significant improvements in these parameters. Further analysis is needed to identify the factors influencing these discrepancies.PMID:38330091 | DOI:10.1093/milmed/usae016 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Chang In Han Jaejun Lee Source Type: research

When a Critically Ill Child is Oceans Away From a PICU: A Military Pediatric CCAT Mission
Mil Med. 2024 Feb 5:usae013. doi: 10.1093/milmed/usae013. Online ahead of print.ABSTRACTA 4-year-old former 26-week premature male presented to the U.S. Naval Hospital Guam emergency department in respiratory failure secondary to human metapneumovirus requiring urgent intubation. His condition was complicated by a bradycardic arrest requiring 15 minutes of resuscitation before the return of circulation. He was admitted to the adult intensive care unit and was managed via pediatric telecritical care from San Diego. He developed acute respiratory distress syndrome, acute renal failure, hypotension requiring multiple pressors...
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Kevin M Brinkman Luke Zabrocki Noelle Cadotte Ren ée I Matos Source Type: research

The Value of Strength as a Predictor of Musculoskeletal Injury in Canadian Armed Forces Basic Infantry Candidates
CONCLUSION: This study provides preliminary support for the value of measures of absolute muscular strength and cardiorespiratory fitness as predictors of MSKI in Canadian basic infantry candidates. Given the associations between physical performance measures and MSKI, and their necessity during occupational tasks, it is recommended that Canadian basic infantry training facilities integrate resistance training with external loads to best prepare their candidates to meet their occupational demands and potentially minimize MSKI. Further investigations to confirm the predictive capacity of these variables in a larger sample a...
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Eric Robitaille Tara Reilly Scott Heipel Hollie Buttici Etienne Chasse Hans Christian Tingelstad Source Type: research

Quantitative Analysis of Condition-based Limited Duty Duration of Musculoskeletal Conditions
CONCLUSIONS: The new condition-based LIMDU paradigm is successful in its aim to improve fleet readiness by returning Sailors and Marines to full duty status significantly faster. Regular assessment of ICD-10 diagnosis codes and update to recommended LIMDU assignment timelines should be conducted to maximize the effectiveness and accuracy for all medical conditions.PMID:38330163 | DOI:10.1093/milmed/usae010 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Christopher S Smith Laura Yoon Julia N Zuppke Mike Zundel Source Type: research

The Impact of Military Tobacco Control Policy: A Systematic Review
CONCLUSIONS: There is reasonable evidence to support that the tobacco control policy employed in the military population has multiple positive impacts in reducing the prevalence of TNCP use, increasing the cessation rates, reducing the intake, and lowering dependency. Other evidence-based strategies need to be fully utilized to materialize the tobacco endgame.PMID:38330180 | DOI:10.1093/milmed/usad507 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Muhamad Arham Bin Hashim Khairul Fikri Bin Sebri Muhammad Faiz Bin Mohd Hanim Diyana Shereen Binti Anwar Nawwal Alwani Binti Mohd Radzi Ahmad Farhan Bin Ahmad Fuad Budi Aslinie Binti Md Sabri Source Type: research

Incidence and Risk Factors for Bone Stress Injuries in United States Air Force Special Warfare Trainees
CONCLUSION: BSI incidence proportion for our sample was similar to those seen in other military settings. Military trainees without a history of high-impact sports participation who achieve lower scores on sit-ups tests and have a history of LE MSKI have a higher risk for developing a LE BSI during the first 120 days of AFSPECWAR training.PMID:38324749 | DOI:10.1093/milmed/usae017 (Source: Military Medicine)
Source: Military Medicine - February 7, 2024 Category: International Medicine & Public Health Authors: Andrew S Johnson Jean-Michel Brism ée Troy L Hooper Courtney N Hintz Benjamin R Hando Source Type: research

A Pathophysiological Approach for Selecting Medications to Treat Nociceptive and Neuropathic Pain in Servicemembers
DISCUSSION: From the knowledge of the mechanisms of action and pathways, we can be more likely to identify the causative origins of pain. As a result, we can correctly diagnose the type of pain, properly develop an efficient and personalized treatment plan, minimize adverse effects, and optimize clinical outcomes. The guideline, however, does not serve as a substitute for clinical judgment in patient-centered decision-making. Medication choices should be individualized judiciously based on the patient's comorbid conditions, available social and economic resources, and the patient's preferences to balance the benefits and r...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Khan Thi Nguyen Daniel W Beauchamp Reginald B O'Hara Source Type: research

Examining the Intersection of Strategic Thinking and Continuous Process Improvement Through the Lens of Military Medical Education to Build a Novel Model
This study aimed to create a novel and streamlined strategic planning model that combined best practices from continuous process improvement and strategic thinking without redundancy. A qualitative descriptive case study was used to analyze the detailed efforts through content analysis of 150 pages of documentation. A hybrid approach to coding uncovered 44 deductive codes and 5 inductive codes from 10 strategic tools. Results indicated a converging relationship between all strategic processes tested-strategic planning, strategic thinking, and continuous process improvement and their associated tools. A five-step model call...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Melanie M Lazarus Ruth L Bush Sara McNeil Source Type: research

The Fascial Distortion Model in Military Aircrew with Chronic Neck Pain: A Case Study
Mil Med. 2024 Jan 30:usae008. doi: 10.1093/milmed/usae008. Online ahead of print.ABSTRACTMusculoskeletal pain can be a significant safety risk to aircrew. Flight surgeons are the primary care providers for aircrew and are responsible for safely treating musculoskeletal pain. Certain medical interventions can be used to treat pain while maintaining the ability to fly safely. A previous F-18 Naval Flight Officer presented to the flight surgeon with chronic neck pain seeking noninvasive and nonpharmacological therapy. After one Osteopathic Manual Treatment session using the Fascial Distortion Model (FDM), the patient had impr...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Allison J Fullenkamp Source Type: research

Feeling the Strain: Understanding the Relationship between Stress and Physical Activity in Members of the Royal Canadian Navy
CONCLUSIONS: The findings of this study support a complex relationship between experiencing stress and engaging in physical activity, which showed varying patterns based on BMI classification. Although the cross-sectional nature of the data precludes any inferences about the direction of these effects, the results suggest that some members of the RCN are more at risk of experiencing decrements in physical activity. Future research should examine the types of physical activity supports and incentives that are needed to ensure that navy personnel derive the benefits of an active lifestyle, especially in times of stress.PMID:...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Eva Gu érin Shannon Gottschall Source Type: research

Stability of One-Step Spray-on Splint for Lower Extremity Fractures During Splinting, MEDEVAC, and Impact
CONCLUSION: FastCast maintains stabilization of fractured lower extremities during transport and impacts to a significantly greater extent than SAM splints. Therefore, FastCast can potentially reduce the risk of fracture complications following physical stressors associated with combat and extraction.PMID:38294066 | DOI:10.1093/milmed/usae001 (Source: Military Medicine)
Source: Military Medicine - January 31, 2024 Category: International Medicine & Public Health Authors: C Grace P Hobayan Nathaniel A Bates John Heyniger Kenan Alzouhayli Franco Piscitani Clifton R Haider Christopher Felton Adam T Groth Kevin D Martin Source Type: research

Disguised Among the Sea: The Implications of Artificial Islands on Casualty Care in the Indo-Pacific
Mil Med. 2024 Jan 23:usae002. doi: 10.1093/milmed/usae002. Online ahead of print.ABSTRACTAs reported in the 2022 Biden-Harris National Security Strategy, China is perceived as the primary U.S. competitor with the intent and means to become the world's greatest superpower. China's efforts, which are at odds with America's ambition to maintain its global influence, are complemented by ostensibly harmless "gray zone tactics," defined as coercive geopolitical, economic, military, and cyber activities below the use of kinetic military force. Such tactics may be utilized with seemingly innocuous intentions, but in reality, they ...
Source: Military Medicine - January 31, 2024 Category: International Medicine & Public Health Authors: Ryan M Leone Mason H Remondelli Jason B Brill Jay B Baker Source Type: research

Return to Sport and Duty in French Military Personnel after Medial Opening Wedge High Tibial Osteotomy
CONCLUSIONS: A total of 83% of the operated soldiers were able to return to their professional activities in less than 6 months. We observed a functional improvement at the last follow-up. Comparing these results with data from civilian populations, the rate of occupational recovery is comparable. However, the return to sport is much better in the series of nonmilitary patients with approximately 90% return to work and sport in the year following surgery. MOWHTO improves the functional results of the knee, enabling a return to work and sport in most cases in young, active populations such as the French military.PMID:382941...
Source: Military Medicine - January 31, 2024 Category: International Medicine & Public Health Authors: Bernard de Geofroy Lucas Chateau Olivier Barbier Thomas Demoures S ébastien Coste Laurent Mathieu Nicolas de L'Escalopier Camille Choufani Source Type: research