The Rising Physicians Program: A Novel Approach for Mentoring Medical Students.
Conclusions: The Rising Physician Program provides a near-peer mentoring model for new medical students. Students preferred to communicate with their mentors in person, but the flexibility of communication appears to be important. New students have a variety of academic and professional development concerns that could partially be addressed through mentoring by residents. PMID: 30423166 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Predictors of Postdeployment Prescription Opioid Receipt and Long-term Prescription Opioid Utilization Among Army Active Duty Soldiers: Corrigendum.
Authors: PMID: 30423173 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 15, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Safety of Repeated Imported Fire Ant Ultra-Rush Protocols.
Authors: Adams KE, Johnson KS Abstract Treatment of imported fire ant (IFA) hypersensitivity includes avoidance and venom immunotherapy (VIT) that reduces the risk of reactions to less than 5%. Previous studies have shown that rush immunotherapy (RIT) is safe and efficacious. It is unknown if multiple RIT procedures on individuals with breaks in VIT are safe and effective. This is a retrospective chart review of three patients who have undergone six IFA VIT rush protocols at our institution. Patients were all female with a median age of 27 years. All are active duty service members without medical problems who resi...
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Instructor and Trainee Judgments of Cohesion in Mixed-Gender Military Teams.
Conclusions: Our findings agree with a previously published analysis of recruit performance over a 5-year period (2011-2015). Composite instructor ratings of recruit performance, including their teamwork, were similar for males and females regardless of the gender composition of platoons, which ranged from all male to 45% female. The next step in this research is to determine the pattern and dynamics of bonding between team members and their leaders as soldiers progress through their advanced training and ultimately operational deployment. Such research should reveal whether any differences in cohesion appear in relation t...
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Modular Adaptive Electrotherapy Delivery System (MAEDS): An Electroceutical Approach for Effective Treatment of Wound Infection and Promotion of Healing.
Authors: Bogie KM Abstract Background: Infected wounds are painful and cannot heal, with antibiotics showing reduced efficacy. Appropriate wound electrotherapy may limit incident planktonic and polymicrobial colonization, inhibit biofilm formation and accelerate healing. Methods: The Modular Adaptive Electrotherapy Delivery System (MAEDS) is a lightweight, flexible, battery-powered disposable bandage which delivers controlled reliable electrotherapy to the wound for up to 7 days. Large full-thickness excisional wounds (6 cm diameter) were created in a porcine model and freshly cultured 0.5 McFarland green fluor...
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The First 30 Months Experience in the Non-Doctrinal Operation Inherent Resolve Medical Theater.
Conclusions: Host nation military males injured by explosion comprised the majority of casualties. Open fracture was the most common major injury. Hence, future research should focus upon the unique challenges of delivering care to members of partner forces with particular focus upon interventions to optimize outcomes among patients sustaining open fractures. PMID: 30395276 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Demographics, Risk Factors, and Incidence of Melanoma in Patients in the New England VA Healthcare system.
Authors: Bae E, Leone D, Konnikov N, Mahalingam M Abstract Introduction: A recent study found that the incidence of melanoma and melanoma-related mortality was decreasing in residents of the New England region. However, it is unknown whether this trend is conserved in Veterans of New England who constitute more than 14% of the national Veteran population. Given this, our goal was to analyze the incidence of melanoma in patients of Veteran Integrated Service Network-1 (VISN-1) (geographically consisting of VA health care facilities in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) and t...
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Importance of Understanding the Medical Education System in Partner Nations.
Authors: Shinwari SA, Zuerlein S, Singer L, Kumpf J PMID: 30395281 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample.
Conclusions: Findings revealed that NLEs may impart a significant burden on military pain sufferers. Greater numbers of endorsed NLEs are associated with increased psychosocial distress and poor pain coping. Future longitudinal studies examining long-term psychosocial distress/poor pain coping as related to NLEs would help to elaborate the long-term consequences of NLEs on pain coping and psychosocial distress. PMID: 30395305 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Jaundice in a Service member Returning From Taiwan; Diagnostic Challenges in a Case of Acute Hepatitis E.
Authors: Bush A, Sadowski B, Torres D Abstract When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He was ultimately diagnosed with acute hepatitis E, but his diagnosis was initially confounded by multiple exposures to supplements known to cause drug-induced liver injury. This case illustrates the importance of broadened serologic testing in patients with a...
Source: Military Medicine - November 7, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Dietary Supplement Use in Australian Army Personnel.
This study investigated the prevalence and types of DS used by Australian Army personnel and examined the underpinning reasons and demographic factors influencing this use. Materials and Methods: A Convenience sample of Australian Army personnel from both Headquarter (desk-based) and Brigade (field-based) environments completed a researcher-designed DS questionnaire. The questionnaire examined 19 types of DS (including sports foods) and reasons for use. Logistic regression, adjusting for age, sex, education, physical activity, BMI, and occupational group were performed. Results: A total of 667 personnel completed t...
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Longitudinal Analysis of CAD/CAM Restoration Incorporation Rates into Navy Dentistry.
Conclusions: Implementation of CAD/CAM digital restorations has led to a significant decline in specific traditional analog procedures since productivity tracking of CAD/CAM was initiated in 2011. Navy dentistry has embraced CAD/CAM as an efficient means to prepare sailors and marines for deployments, improve operational dental readiness, and potentially decrease dental emergencies by reducing the need for provisional restorations. The trend toward increased utilization of digital dentistry is expected to continue for the following reasons: (1) incorporation of CAD/CAM technology into dental school curricula, (2) advanceme...
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Restrictive Transfusion Strategy Is More Effective in Massive Burns: Results of the TRIBE Multicenter Prospective Randomized Trial.
Authors: Palmieri TL, Holmes JH, Arnoldo B, Peck M, Cochran A, King BT, Dominic W, Cartotto R, Bhavsar D, Tredget E, Stapelberg F, Mozingo D, Friedman B, Sen S, Taylor SL, Pollock BH Abstract Objectives: Studies suggest that a restrictive transfusion strategy is safe in burns, yet the efficacy of a restrictive transfusion policy in massive burn injury is uncertain. Our objective: compare outcomes between massive burn (≥60% total body surface area (TBSA) burn) and major (20-59% TBSA) burn using a restrictive or a liberal blood transfusion strategy. Methods: Patients with burns ≥20% were block randomized by...
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Gender Differences in Post-deployment Adjustment of Air Force Personnel: The Role of Wartime Experiences, Unit Cohesion, and Self-efficacy.
Conclusion: There are similarities and differences in the wartime experiences of military men and women. Increased exposure to combat experiences is a risk factor for both groups. Women appear to have greater vulnerability to PTSD and depression at all levels of combat exposure, and also report lower levels of unit cohesion and self-efficacy. It is possible that interventions that boost self-efficacy and unit cohesion could promote resilience for combat-exposed military personnel. Because self-efficacy operated differently for men and women, the role of this variable in post-deployment adjustment should be examined more cl...
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Factors Associated With U.S. Army Physician Service After Obligation Completion.
Conclusions: The physicians most likely to continue serving after completion of their obligation and ultimately retire are those who had the most years of service accumulated when they could leave the Army. Graduates from the Uniformed Services University of the Health Sciences (USU) incur an obligation of 7 years vs. 4 years for most other programs. USU also attracts a higher proportion of applicants with prior military service and pre-medical school service obligations. The lack of significant difference in service after obligation completion or achievement of retirement eligibility between USU and non-USU graduates was ...
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Barriers and Enablers Influencing Dietary Practices in Australian Army Personnel.
Conclusion: Time, motivation, deployment, and ready access to take away food challenged healthy eating in this AA sample. However, participants were keen to engage with nutrition education for physique improvement, military readiness, and health reasons. PMID: 30371876 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Operational Readiness: Redesigning Advanced Practice Registered Nurse (APRN) Curriculum for an Evolving Battlefield.
Conclusions: This manuscript describes a novel approach to provide operational readiness education to military APRN students. Through an evaluation of the current literature, expert reports and information of the current operational requirements, the USU GSN has developed a model and curricula for APRN operational readiness that lie beyond the traditional skills in the peacetime setting. Through this plan of instruction, USU GSN APRN students will have the requisite skills to meet the evolving operational needs of the Department of Defense. PMID: 30371877 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Endocrine Effects of Simulated Complete and Partial Aortic Occlusion in a Swine Model of Hemorrhagic Shock.
Conclusions: Simulated EVAC was associated with higher serum angiotensin II, which may have contributed to previously reported cardiovascular benefits. Future studies should evaluate the renal effects of EVAC and the concomitant therapeutic use of angiotensin II. PMID: 30371879 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Modified Battlefield Acupuncture Does Not Reduce Pain or Improve Quality of Life in Patients with Lower Extremity Surgery.
Conclusion: The use of modified battlefield acupuncture protocol does not change pain opioid use or quality of life in those with lower extremity surgery. PMID: 30371882 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Association of Specific Lower Extremity Injuries With Delayed Amputation.
Authors: Eskridge SL, Hill OT, Clouser MC, Galarneau MR Abstract Introduction: Despite medical interventions to preserve viability and functionality of injured limb(s) among combat-injured service members, delayed amputations may occur. The goal of this study was to determine whether specific lower extremity (LE) injuries were associated with delayed amputations. Methods: The Expeditionary Medical Encounter Database was queried for combat-related LE injuries between 2003 and 2015. The Abbreviated Injury Scale (AIS) was used to categorize LE injuries by severity. Injury episodes with a maximum LE AIS of 1 or amp...
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Use of Oxygen Tissue Monitoring in Patients With Compartment Syndrome: Two Clinical Cases and Literature Review.
We present two clinical cases of patients with acute compartment syndrome, in which the use of near-infrared light spectroscopy was determinant, both for the diagnosis and to verify the surgical treatment performed. PMID: 30371908 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 30, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Videoconferenced Telebehavioral Health Referral Process Adherence: Erratum.
Authors: PMID: 30364962 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 28, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Guide to Understanding Reimbursement and Value-Based Care in the Military Health System: Corrigendum.
Authors: PMID: 30364988 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 28, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Interprofessional Healthcare Teams in the Military: A Scoping Literature Review.
Authors: PMID: 30325431 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 18, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Transgender Dependent Adolescents in the U.S. Military Health Care System: Demographics, Treatments Sought, and Health Care Service Utilization.
Conclusions: This study elucidated the sociodemographic and behavioral risk profile of a sample of TGD youth in the MHS. Military and non-military health care providers across a broad spectrum of specialties should be knowledgeable about the unique psychosocial and medical needs, requisite sensitivity, and available referral options in the care of TGD youth. Assumptions about one's gender identity, sexual orientation, gender expression, or behaviors cannot be made based on birth-assigned sex. Further research is needed to investigate the health and wellbeing of TGD military-affiliated youth over time and to determine quali...
Source: Military Medicine - October 18, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Prehospital Resuscitation Performed on Hypotensive Trauma Patients in Afghanistan: The Prehospital Trauma Registry Experience.
Conclusion: Most casualties with documented hypotension after trauma in the Prehospital Trauma Registry did not receive prehospital blood or fluid intervention. Of the interventions performed, most did not match with contemporary TCCC guidelines. PMID: 30295843 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 9, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Feasibility of Training Physical Therapists to Implement a Psychologically Informed Physical Therapy Program for Deployed U.S. Sailors and Marines with Musculoskeletal Injuries: Corrigendum.
Authors: PMID: 30295854 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 9, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Uniformed Services University Women's Enrollment and Career Choices in Military Medicine: A Retrospective Descriptive Analysis.
Conclusions: Women are making significant gains in enrollment at USU, obtaining board certification at similar, and in some cases, higher rates than their civilian peers, and practicing in diverse specialties. This study provides a descriptive picture of women's enrollment and practice characteristics from a military-based medical school. Future work could examine underlying factors that may influence their school choice, career experiences, and trajectories. Future research could also focus on women's experiences of mentoring and support to better understand these factors. PMID: 30295875 [PubMed - as supplied by publi...
Source: Military Medicine - October 9, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Combat-Related Invasive Fungal Infections: Development of a Clinically Applicable Clinical Decision Support System for Early Risk Stratification: Corrigendum.
Authors: PMID: 30295878 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 9, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cost and Healthcare Utilization Among Non-Elderly Head and Neck Cancer Patients in the Military Health System, a Single-Payer Universal Health Care Model.
Conclusions: To a single payer, the use of a single system of care exclusively among HNC patients is more cost-effective than use of a mixed-use system. The results suggest an over-utilization of ambulatory care services when both military and civilian care are accessed. Further investigation is needed to assess coordination between systems of care and improved efficiencies with respect to the cost and apparent over-utilization of health care services. PMID: 30295883 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 9, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Tale of Two Compulsions - Two Case Studies Using Accelerated Resolution Therapy (ART) for Obsessive Compulsive Disorder (OCD).
This article will present an overview of the theory behind the reconsolidation concept used in ART and two cases of obsessive compulsive disorder treatment using ART with outcome measures visual trend analysis. PMID: 30295890 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 9, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Additional Exertion, Unsupported Assertions, and Hyperhydration Confound Rhabdomyolysis Case Study.
Authors: Greene R, Fields D PMID: 30281076 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 5, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Deployment and Disaster Medicine in an Undergraduate Teaching Module.
Authors: Back DA, Lembke V, Fellmer F, Kaiser D, Kasselmann N, Bickelmayer J, Willy C Abstract Introduction: Modern health systems have to respond to a wide variety of catastrophic scenarios, from natural disasters to terror attacks. It is reasonable to already start educational approaches for physicians in this field at medical school level. An approach combining civilian disaster medicine and military deployment medicine can be beneficial both for clinical strategies and in undergraduate teaching. Materials and Methods: A curricular 4-week teaching module on "deployment and disaster medicine," inter...
Source: Military Medicine - October 5, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Doing What Is Right.
Authors: Weber LA, Nguyen DR Abstract Junior officers have an obligation to "lead up." They help senior officers successfully complete missions while maintaining accountability to core values and taking care of those they lead. The following case highlights one junior officer's challenge "leading up" in a very ambiguous situation. PMID: 30272203 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 3, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Common Data Elements in the Assessment of Military-Related PTSD Research Applied in the Consortium to Alleviate PTSD.
Conclusion: Although further research is needed to determine the incremental validity of these CDEs, preliminary analyses indicated that each mandated measure has very good internal consistency reliability. Investigators designing military-related PTSD research should consider using these field-tested CDEs to facilitate future data aggregation. Feedback based on empirical evidence or practical concerns to improve these CDEs is welcome. PMID: 30252077 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis-McChord.
Conclusions: Family planning services available to service members may be improved through enhanced provider education, targeting efficacy-based counseling and identification of barriers to access and provision of long-acting reversible contraceptive methods. PMID: 30252078 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Health Provider Training and Evaluation of a Problem-Solving Intervention to Reduce Distress and Enhance Readiness Among Service Members.
Authors: Cooper DC, Bates MJ Abstract Introduction: Department of Defense (DoD) has identified problem-solving training (PST) as a promising prevention/early intervention for mental health disorders. PST is a four-session group intervention that emphasizes building problem-solving and coping skills to mitigate emotional dysregulation and the adverse effects of stressful events. It was adapted from problem-solving therapy, which is an evidence-based, cognitive-behavioral approach that has shown effectiveness with treating depression and managing suicide risk. The current evaluation examined a pilot program that: (1)...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

PWD: Treatment Platform for Both Prolonged Field Care and Definitive Treatment of Burn-Injured Warfighters.
Conclusion: This study demonstrates that the PWD is an effective platform for delivery of antibiotics and negative pressure wound therapy for the treatment of full-thickness burns. Therefore, the PWD may be utilized for both prolonged field care and definitive treatment of burn- and blast-injured warfighters. PMID: 30252082 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Deployment Among Active-Duty Military Women and Pregnancy-Related Hypertensive Disorders.
Authors: Nash MC, Kip K, Wang W, Custer M, O'Rourke K Abstract Introduction: Today women comprise 15% of the U.S. active-duty military, but are often overlooked in research of the Armed Forces. While some of the challenges faced by women are similar to men, they encounter unique stressors, including pregnancy-related issues. Hypertensive disorders of pregnancy (HDPs) affect 5-10% of pregnancies annually and have been linked to maternal stress, but no studies have assessed the impact of maternal military deployment on HDP incidence. Thus, the purpose of the current study was to quantify the risk of HDP among active-...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Perceived Impact of Participation in a One-Time Expressive Arts Workshop.
Conclusions: Using art to express one's journey through cancer allows participants to articulate that journey "beyond language." This mixed methods study was administered by five non-professional art therapists with three having no expressive arts background. This study established that an expressive arts workshop can effectively be conducted by non-professional art therapists. The team of non-professional art therapists, who facilitated this one-time art-making workshop, demonstrated that a military member's stress can be decreased by giving them "a voice" through expressive art. PMID: 30252086 [Pu...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Family Physicians' Practices and Perceptions About Reproductive Health Services for Deploying Women.
This study examined the reproductive health practices and perceptions among family medicine physicians caring for servicewomen. Materials and Methods: We conducted an anonymous survey of 568 registered attendees at the March, 2018 Uniformed Services Academy of Family Physicians annual meeting. The response rate was 52.8% and 69% of responders met inclusion criteria. Results: Our sample of family medicine physicians was 58.3% male and 85.3% Caucasian. In all, 18.3% were current residents, 42.9% graduated between 2008 and 2017, and 38.7% graduated before 2008. A previous deployment was reported by 55.1%. Among physic...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Character Strengths of Junior Australian Army Officers.
Conclusions: The present study achieved its aims. First, it revealed five character strengths that junior officers in the Australian Army tended to see as their own chief strengths. Second, the junior officers saw their character strengths as aligned with those of their senior officers. By and large, this alignment extended across all the character strengths, regardless of their specific ranking. Subject to further experimental testing, this finding provides correlational evidence that junior officers may model their character on what they see in their senior officers. Third, in contrast, the junior officers' rankings were...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Physiology and Biomechanics of Load Carriage Performance.
Conclusions: This review provides a comprehensive overview of these factors and suggests a new Load-Speed Index, which can be utilized to define thresholds for load and speed combinations and contribute to the understanding of the physiological and biomechanical demands of load carriage marches. The literature recommends that load and speed should be managed in order to maintain an exercise intensity ~45% VO2 max to delay time to fatigue during prolonged marches, and the Load-Speed Index corroborated this finding, identifying 47% VO2 max as a threshold above which intensity increases at a greater rate with increases in loa...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Successful Use of Colistin Monotherapy as Outpatient Parenteral Antibiotic Therapy for XDR Acinetobacter Hepatic Abscesses.
Authors: Prestwood J, Chang D, McGann P, Barsoumian AE Abstract Acinetobacter baumannii is naturally resistant to several classes of antibiotics and readily develops further resistance mechanisms under antibiotic pressure. For patients infected with extremely drug-resistant organisms, effective antibiotic treatments are intravenous and often require inpatient hospitalization for monitoring and dose adjustment. A 31-year-old active duty service member, stationed in Southeast Asia, sustained thermal burns from an electrical arc injury to over 40% of his total body surface area. His hospital course was complicated by ...
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Formal Training for Ethical Dilemmas in Global Health.
Authors: Berkley H, Zitzman E, Jindal RM PMID: 30252094 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Primary Care in American Samoa: How Nurse Practitioners Created a Bridge Across an Ocean.
Authors: Schramm JF, Seibert DC, Thompson MJM, Binder MM, King Young S, Deleon PH PMID: 30252098 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Hospital Medicine: The U.S. Navy Experience to Date and a Proposal for Future Codification and Growth.
Authors: Shutt BJ, Quast TM, Buckland-Coffey DD PMID: 30252112 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Wounded Warrior Recovery Project: A Longitudinal Examination of Patient-Reported Outcomes Among Deployment-Injured Military Personnel.
Authors: Watrous JR, Dougherty AL, McCabe CT, Sack DI, Galarneau MR PMID: 30252116 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 26, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Renal Replacement Therapy Capability for the Treatment of Combat-Associated Acute Kidney Injury: A Historical Perspective to Plan for Future Conflicts.
Authors: Hoareau GL, Beyer CA, Walker LE, Chung KK, Stewart IJ Abstract Trauma-induced acute kidney injury (AKI) has affected many U.S. warfighters throughout history. We seek to provide a historical review of the epidemiology of combat-acquired AKI and to highlight the importance of adapting current renal replacement therapy (RRT) capabilities to prepare for the next armed conflict. While severe AKI was rare in the recent conflicts in Iraq and Afghanistan, an analysis of prior wars suggests that it will be more common in future combat operations characterized by prolonged evacuation times, limited resuscitation ca...
Source: Military Medicine - September 16, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

High-Reliability Uncaged: Safety Lessons From Army Aviation.
Authors: Malish RG, Sargent PD PMID: 30215752 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 16, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research