U.S. Army Medical Corps Recruitment, Job Satisfaction, and Retention: Historical Perspectives and Current Issues.
CONCLUSION: As the situation in the Department of Defense and Army Medical Department changes, with more focus on go-to-war specialties, the Army needs to better measure opinion among Medical Corps Officers to inform policy. These studies should be conducted regularly to generate reliable information on trends and allow prioritization of effort to areas that hamper recruiting, undermine satisfaction, and prevent retention. PMID: 32601696 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - July 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Air Force Medical Personnel: Perspectives Across Deployment.
CONCLUSION: Findings from the present study indicate that the military is largely doing a good job preparing Air Force medical providers to deploy. Results of the present study indicate that military medical personnel would benefit from: (1) increased predictability surrounding deployment timelines, (2) improved cross-cultural training, (3) advanced training for atypical injuries in unconventional patient populations, and (4) improvements in postdeployment workplace reintegration. The present research has the potential to positively impact the overall quality of life for deploying military service members and their familie...
Source: Military Medicine - July 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Biomarkers, Creatine Kinase, and Kidney Function of Special Operation Candidates During Intense Physiological Training.
CONCLUSIONS: In our low-powered case control study (pilot study), a nonpathologic elevation of CK is prevalent in high-intensity military training, but not shown to correlate with values associated with acute kidney injury. We assume that real-time collection of these markers could be used once sensors are capable of real-time collection and have the potential for diagnostic affordance. When measured in a between subjects design, our study showed a lack of significance when correlating markers of acute renal injury and elevation of CK. However, when utilized for tracking purposes (within subjects design), the results do sh...
Source: Military Medicine - July 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Digitizing U.S. Air Force Medical Standards for the Creation and Validation of a Readiness Decision Support System.
CONCLUSION: This study demonstrated key pilot steps to digitizing and mapping AF readiness standards to existing terminologies. The RDSS showed one potential application. The sensitivity between the SMEs and RDSS demonstrated its viability as a screening tool with further refinement and study. However, its performance was not evenly distributed by special duty status or for the indication of specific restrictions. With machine consumable medical standards integrated within existing digital infrastructure and clinical workflows, RDSSs would remove a significant administrative burden from providers and likely improve the acc...
Source: Military Medicine - July 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exploring Theta Burst Stimulation for Post-traumatic Stress Disorder in Australian Veterans-A Pilot Study.
CONCLUSIONS: Bilateral iTBS appears to be welltolerated by Australian veterans. Within this repeated-measures case series, iTBS treatment shows promise in reducing both PTSD and mood symptoms, as well as improving cognitive difficulties associated with these disorders. Large-scale randomized controlled trials of this promising treatment are warranted. PMID: 32601710 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - July 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Behavior Training is Not Enough: Empowering Middle Managers by Shifting Mindset.
Authors: Otocki AC, Turner BF Abstract In most organizations, middle managers are expected to meet goals and expectations passed down from above while also connecting with and inspiring the frontline employees doing the work of the organization. Caught in the middle, they often receive training on competencies intended to help them manage issues that arise from this situation. Yet this training tends to be temporarily helpful at best-and harmful at worst. Competency training, because it focuses on changing behavior, fails to address a foundational element necessary to consistently and effectively resolve their chal...
Source: Military Medicine - July 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Invasive Meningococcal Disease at Fort Ord and San Diego Naval Training Center, 1962-1964.
Authors: Christopher GW Abstract Meningococcal epidemics at 2 training facilities were early examples of outbreaks fueled by military demographics and because of lethal drug-resistant bacteria for which there are no vaccines or chemoprophylaxis. Positive outcomes included the elucidation of the natural history of meningococcal colonization and disease and the initiation of vaccine development. PMID: 32591792 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Evaluation of Self-Collection as a Method of Extragenital STI Screening.
CONCLUSIONS: Prior to implementation of EGS at our institution, we missed the opportunity to detect a substantial number of GC/CT infections with urogenital screening alone. Our results suggest that self-collection is a reliable method of EGS as compared to provider collection of samples. PMID: 32591826 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Transthoracic Doppler echocardiography during a military mission in a French role II in Mali: is it useful to learn this practice?
CONCLUSIONS: TTE can provide important information with a direct impact on the management of patients. Faced with cardiac emergencies, an adapted training can be proposed for the MP. Thereby, the transfer of conventional cardiac views could facilitate the advice of a cardiologist. PMID: 32591832 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Modeling Patient No-Show History and Predicting Future Appointment Behavior at the Veterans Administration's Outpatient Mental Health Clinics: NIRMO-2.
CONCLUSIONS: The National Initiative to Reduce Missed Opportunities-2 confirmed findings that previous patient attendance is one of the key predictors of a future attendance and provides an additional layer of complexity for analyzing the effect of a patient's past behavior on future attendance. The National Initiative to Reduce Missed Opportunities-2 establishes that appointment attendance is related to medication adherence, particularly for medications used for treatment of mood disorders or to block the effects of opioids. However, there is no way to confirm whether a patient is actually taking medications as prescribed...
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Prevalence of Tinnitus and Association with Self-Rated Health among Military Personnel Injured on Combat Deployment.
Authors: MacGregor AJ, Joseph AR, Dougherty AL Abstract INTRODUCTION: Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can adversely affect hearing. The present study explored the prevalence of tinnitus and the association with self-rated health among military personnel injured during combat deployment. MATERIALS AND METHODS: A total of 1,026 U.S. military personn...
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Health Services Research and Social Determinants of Health in the Nation's Largest Integrated Health Care System: Steps and Leaps in the Veterans Health Administration.
Authors: Blosnich JR, Dichter ME, Gurewich D, Montgomery AE, Kressin NR, Lee R, Hester CM, Hausmann LRM PMID: 32592393 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Reduction in Medical Evacuations from Iraq and Syria Following Introduction of an Asynchronous Telehealth System.
This study analyzes the baseline MEDEVAC rate in 3 months before the implementation of HELP telemedicine compared to 3 months following the implementation. RESULTS: Iraq and Syria cases in the HELP telemedicine system accounted for 17.2% (76) of total CENTCOM telemedicine case volume over the 7-month study period. Comparing the 3-month period before and after implementation of HELP, use of asynchronous telemedicine in Iraq and Syria was associated with a reduction in total MEDEVACs from 157 to 68 (56.7% reduction, p 
Source: Military Medicine - June 29, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Risk of Secondary Traumatic Stress in Treating Traumatized Military Populations: Results from the PTSD Clinicians Exchange.
CONCLUSIONS: Given that burnout was linked with STS, future intervention may use techniques targeting burnout and STS (eg, emotion regulation strategies). Research exploring the link between divergence from EBPs and STS may inform EBP dissemination efforts and STS interventions. Finally, results highlight the need for research optimizing STS intervention efficacy among clinicians treating military populations. PMID: 32588891 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 27, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Multidrug-Resistant Organisms from Ophthalmic Cultures: Antibiotic Resistance and Visual Acuity.
CONCLUSION: This study demonstrated a high frequency of corneal MDRO infections and specifically MRSA and Pseudomonas spp. isolates. Antibiotic treatments frequently required adjustment. Further prospective study of visual outcomes from ophthalmic MDRO cultures is needed. PMID: 32588895 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 27, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Comparable Disease Severity by Influenza Virus Subtype in the Acute Respiratory Infection Consortium Natural History Study.
CONCLUSIONS: Our study of influenza in a cohort of otherwise healthy, outpatient adult Department of Defense beneficiaries over 5 influenza seasons revealed few differences between influenza A(H1N1), influenza A(H3N2), and influenza B infection with respect to self-reported disease severity or clinical outcomes. This study highlights the importance of routine, active, and laboratory-based surveillance to monitor ongoing trends and severity of influenza in various populations to inform prevention measures. PMID: 32588899 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 27, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Impact of Succinct Training on Open Cricothyrotomy Performance: A Randomized, Prospective, Observational Study of U.S. Army First Responders.
CONCLUSION: With one manikin, a qualified trainer, and $35 worth of expendable supplies, 10 medics could be trained in the procedure in just 2-3 hours. Our study suggests that this simple intervention has the potential to significantly improve U.S. Army First Responders' ability to correctly perform an open cricothyrotomy and drastically decrease the time needed to perform this lifesaving procedure correctly, possibly saving one in four potentially survivable combat casualties suffering from airway compromise. PMID: 32567654 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 24, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Sentinel Case of COVID-19 at Fort Stewart, GA in a National Guard Soldier Participating in Annual Training: A Case Report.
Authors: Kline JD, Donovan AE Abstract For healthcare providers, specifically military and federal public health personnel, prompt and accurate diagnosis and isolation of SARS-CoV-2 novel coronavirus patients provide a two-fold benefit: (1) directing appropriate treatment to the infected patient as early as possible in the progression of the disease to increase survival rates and minimize the devastating sequelae following recovery and remission of symptoms; (2) provide critical information requirements that enable commanders and public health officials to best synchronize policy, regulations, and troop movement re...
Source: Military Medicine - June 24, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Improving the Efficiency of a Military Treatment Facility Transfer Center Process.
CONCLUSION: The improved transfer process at TAMC resulted in a decreased median time of transfer request process, increased total transfer requests, and improved relationships with local civilian hospitals. While we acknowledge that each MTF has facility and regional characteristics (such as capability, capacity, military staffing, and degree of availability of civilian healthcare resources) that may contribute to variation from TAMC, the concepts and changes made in the transfer process may be considered a best practice to be adopted by other military facilities to promote the recapture of beneficiaries into the Defense ...
Source: Military Medicine - June 24, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Personnel Ratings of a Deployment and Their Positive and Negative Deployment Experiences.
CONCLUSIONS: Military leadership is corroborated as a negative experience of military deployment, while a new finding indicates that intrinsic rewards are a common feature in positive evaluations of deployment. Leadership is a factor that Defence Forces can address to improve the deployment experience. The study strength is the range and size of the sample, with a limitation the potential for recall bias (the data were collected, on average, 5 years postdeployment). Future research should replicate this type of analysis to build a picture of the experiences and evaluations of personnel from a range of different deployments...
Source: Military Medicine - June 24, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Value of Evidence-Based Practice in Military Nursing.
Authors: Hoffman M, Roy D, Zabokrtsky D, Hatzfeld J PMID: 32561929 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Preoperative Chlorhexidine Gluconate Bathing on a Military Medical-Surgical Unit.
CONCLUSION: The findings suggest the proposed approach to control infection that may reduce the number of SSIs on a military medical-surgical unit, but this needs to be demonstrated through further longitudinal research on military surgical units. PMID: 32561930 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Nursing's Role in Preventing and Managing Back Pain in Military Members: Proceedings of the First Back Pain Summit.
Authors: Talbot LA, Wilson C, Nayback-Beebe A, Metter EJ, Hatzfeld J Abstract This is a review of the proceedings of the first Military Nursing Back Pain Summit focusing on nursing's role in preventing and managing back pain. The purpose of the summit was to present the state of the science in back pain and to identify key gaps in research, policy, education, and treatment that could be undertaken by military nurses, nurse leaders, nurse practitioners, and nurse scientists. Several key points were highlighted during the summit: (1) back pain is multifactorial and preventable; (2) military service members have uniqu...
Source: Military Medicine - June 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Obstructive Sleep Apnea Screening in Preoperative Patients.
Authors: Kertes SS Abstract Patients with the medical diagnosis of obstructive sleep apnea (OSA) and those with undiagnosed OSA have greater chances for adverse events during surgical procedures related to their medical condition. Early identification of at-risk OSA patients can help mitigate associated adverse events. The purpose of this project was to implement a preoperative process to provide early identification of at-risk OSA patients in the preadmission unit, at a large military level I trauma center in central Texas. The Population, Intervention, Comparison, Outcome, Time (PICOT) question for this project i...
Source: Military Medicine - June 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Bringing Evidence to the Point of Care: TriService Nursing Research Program Battlefield and Disaster Nursing Pocket Guide.
This article summarizes the development of the pocket guide, summarizes some of the updates from the first edition, and demonstrates the integration of the guide into the major phases of evidence translation: knowledge, creation, and distillation; diffusion and dissemination; and adoption, implementation, and institutionalization. The incorporation of the pocket guide into readiness training reflects a goal of TriService Nursing Research Program to "develop and strengthen the Triservice community of nurse scholars to generate new knowledge in military nursing and translate it into practice" and an unending commit...
Source: Military Medicine - June 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mental Health Care for Military Personnel in the COVID-19 Epidemic.
Authors: Guo X, Wu L, Yu X, Sun Z, Liu W PMID: 32559299 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 20, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Possible Mercapto-Benzothiazole Content in Vaccines.
Authors: Davenport J, Gomez R, Smith D PMID: 32514529 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Embedded Mental Health in the United States Marine Corps.
CONCLUSIONS: Improving on the organizational structure of mental health in the Marine Corps by placing a mental health Special Staff Officer at the MEF level and focusing on the principles of community mental health will shift the focus back to the primary and secondary prevention care efforts across all levels of the Marine Corps and provide clinical and leadership oversight as it relates to the philosophy, role, and implementation of organic mental health Officers. PMID: 32514537 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Response to Lyme Disease Prevalence by ICD-10-CM Codes.
Authors: Schubert SL, Melanson VR PMID: 32514548 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

3D Bioprinting and Its Application to Military Medicine.
CONCLUSIONS: 3D bioprinting is a rapidly evolving field that provides researchers the ability to build tissue constructs that are more complex and physiologically relevant than traditional 2D culture methods. Advances in bioprinting techniques, bioink formulation, and cell culture methods are being translated into new paradigms in tissue engineering and physiological system modeling, advancing the state of the art, and increasing construct availability to the military medicine research community. PMID: 32514549 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Lyme Disease Prevalence by ICD-10-CM Codes.
Authors: Barsoumian AE, Okulicz JF, Yabes JM PMID: 32514564 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Repeated Noise Exposure Does Not Reach Hazardous Levels During Total Joint Arthroplasty.
Authors: Slaven SE, Wheatley BM, Christensen DL, Saxena SK, McGill RJ Abstract INTRODUCTION: Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the recommended standard for occupational noise exposure. MATERIALS AND METHODS: A sound level meter was used to record cumulative and peak noise exposure levels in 10 primary THA and 10 primary TKA surgeries, as well as 10...
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Anchoring Bias on Lyme Disease Leading to Delayed Diagnoses.
Authors: Lowry L, Yabes J, Pomerantz H, Barsoumian AE PMID: 32514575 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mental Health Outcomes of Premature Discharge from United States Air Force Basic Military Training.
CONCLUSIONS: The findings of this study indicate that this population of trainees who were prematurely discharged from USAF BMT for reasons other than mental health concerns has high levels of depression and anxiety symptoms. Discharge from BMT may be associated with substantial distress when the individual disagrees with the reason for discharge. Enhanced procedures and continued research regarding their postdischarge well-being seem warranted. PMID: 32514580 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Evaluating the Impact of Office Hysteroscopy in a Military Treatment Facility.
CONCLUSIONS: Compared to traditional operating room hysteroscopy, we were able to demonstrate reduced costs with increased reimbursement while performing the same scope of care for patients undergoing office hysteroscopy. Decreased total time in performing office hysteroscopy suggests the potential benefit of increased patient and provider satisfaction. Our study indicated substantial incentive for military gynecologists to incorporate office hysteroscopy into their practice given the increased relative value units generated. Our office hysteroscopy protocol is discussed to encourage other military facilities to follow in ...
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Patients With Traumatic Brain Injury Transported by Critical Care Air Transport Teams: The Influence of Altitude and Oxygenation during Transport.
CONCLUSIONS: Patients with TBI who flew with a CAR did not differ in clinical outcomes from those without a CAR. PMID: 32515785 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Intense Light Pretreatment Improves Hemodynamics, Barrier Function and Inflammation in a Murine Model of Hemorrhagic Shock Lung.
CONCLUSIONS: Our data demonstrate that mice exposed to intense light before hemorrhagic shock lung have less lung inflammation and improved alveolar epithelial barrier function. We further show that intense light therapy downregulates lung injury promoting proteins in human plasma. Together, these data suggest intense light as a possible strategy to ameliorate the consequences of a hemorrhagic shock on lung injury. PMID: 32515788 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 10, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Letter From the Executive Director Dr. John Cho.
Authors: Cho JM PMID: 32501482 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 7, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Chronic Peroneal Tendon Dislocation: A Case Report.
We present a unique case of chronic peroneal tendon dislocation in a 47-year-old active duty military member with a 2-mo history of acute onset lateral ankle pain due to sports injury. Magnetic resonance imaging revealed superficial peroneal retinaculum (SPR) disruption, a flattened retrofibular groove, dislocation of the peroneus longus tendon, and a tear of the peroneus brevis tendon. The patient was managed operatively with fibular groove deepening, SPR reconstruction, peroneus brevis debridement, and peroneus longus tubulurization. No complications were observed during the intra- or perioperative periods. At their 3-mo...
Source: Military Medicine - June 7, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Factors Considered When Ranking Military Orthopedic Surgery Residency Candidates.
CONCLUSIONS: The most important factor when considering an orthopedic surgery applicant was how well the applicant performed on an audition rotation, followed by their United States Medical Licensing Examination scores. Grit has become an important consideration in resident selection. PMID: 32495837 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 6, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Incidence Rates of Gynecologic Cancers in the U.S. Active Duty Military Population.
This study sought to determine the incidence rates of all gynecologic, including peritoneal, malignancies in the U.S. Active Duty population compared to the general US population as reported in the Surveillance, Epidemiology, and End Results Program database. MATERIALS AND METHODS: Gynecologic cancers diagnosed in U.S. Active Duty women aged 20-59 between 2004 and 2013 were retrospectively ascertained. Cancer cases were identified in both the Automated Central Tumor Registry and the Military Health System Data Repository. All cases in Automated Central Tumor Registry plus cases recorded in Military Health System Data R...
Source: Military Medicine - June 6, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Clinical Use of the Automated Neuropsychological Assessment Metrics TBI-Mil Expanded Battery in Evaluating Concussion Recovery: A Retrospective Study.
CONCLUSIONS: Findings of this investigation revealed three specific outcomes. First, a computerized neurocognitive assessment instrument should be used as an adjunct measure in evaluating the resolution of physiological symptoms following a concussive injury. Second, results revealed that based on the RCIs of postinjury ANAM4 assessments, it is possible to estimate the remaining recovery time needed for a return to neurocognitive baseline. Third, results of this analysis revealed that gender appears to be a factor in time between concussive injury and resolution of symptoms. PMID: 32495844 [PubMed - as supplied by publ...
Source: Military Medicine - June 6, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Transition From Military Prehospital Medicine to Civilian EMS.
CONCLUSION: The majority of survey respondents held an EMS certification of some kind and suggests that recent efforts to supply military medics with civilian certifications have been largely successful. However, there is still a large portion that remains noncertified or expresses disinterest with entering the civilian workforce. Generally, many of those certified feel their military scope of practice exceeded civilian EMT certification and requested AEMT or paramedic licensure opportunities while still active duty military. PMID: 32495845 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 6, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Procedural Volume Within Military Treatment Facilities-Implications for a Ready Medical Force.
CONCLUSIONS: This retrospective analysis demonstrates a significant variation in procedural volumes across MTFs, illustrating disproportionate opportunities for procedural skill maintenance among Army EPs. Low procedural volume threatens the maintenance of critical EP skills. These numbers could also suggest low skills for other providers (such as physician assistants), further illustrating decreased skill readiness throughout the force. Further research is needed to examine procedural volumes per individual EP, as well as those performed by other providers to evaluate for overall procedural readiness across the military f...
Source: Military Medicine - June 3, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Measures to Limit COVID-19 Outbreak Effects Among Military Personnel: Preliminary Data.
CONCLUSIONS: Despite the limited availability of laboratory testing for COVID-19 our actions enabled us to lead a strict risk-management policy while maintaining most of the available workforce. PMID: 32484225 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 3, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

COVID-19 Pandemic: A Collection of Relevant Publications from Military Medicine.
Authors: Talbot LA, Haffner WHJ, Rice CL, Rothwell SW PMID: 32484227 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - June 3, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Role of Military Medical Personnel as Part of the Public Sector During the COVID-19 Outbreak in Korea: A Personal Experience.
Authors: Kim JG PMID: 32469072 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cannabinoid Hyperemesis Syndrome: An Unexpected Problem in an Unusual Setting-A Case Report.
We present a case of cannabinoid hyperemesis syndrome that was diagnosed and treated in a combat-zone US military emergency department in Southwest Asia. PMID: 32472123 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 31, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Relationship Between Army Soldiers' Perceived Stress and Army Life Adjustment: Focusing on the Mediating Effect of Stress Response and the Moderating Effect of Cohesion.
CONCLUSIONS: The stress perceived by soldiers not only directly affects their military life adjustment but also indirectly affects their adjustment through the stress responses. In addition, soldiers' levels of adjustment to military life change significantly based on cohesion levels only when they perceive less stress. PMID: 32463082 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 30, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Requested editorial for: The opioid epidemic: Challenge to military medicine and national security.
Authors: Buckenmaier CC PMID: 32463085 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - May 30, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research