Three Overlooked Principles in Evaluation of Global Health Engagements.
Authors: Waller SG Abstract Three important but neglected principles of evaluation of global health engagement missions are stakeholder engagement, impact, and relative value. Implementing better M&E programs could be carried out in this fiscal year, without new appropriations or manpower. The result would be cost savings and improved security cooperation. PMID: 31942621 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Soldier-Centered Care: A Concept Analysis.
CONCLUSIONS: The concept of soldier-centered care often emerges in discussions about optimal physical performance and medical readiness for soldiers. Although soldier-centered care and patient-centered care have similar conceptual underpinning, it is important to clarify the unique physical and medical requirements for soldiers that differentiate soldier-centered care from patient-centered care. Implementing the defining attributes of soldier-centered care in the U.S. Army primary care setting may improve the quality of care and health outcomes for soldiers. When defining performance metrics for primary care models of care...
Source: Military Medicine - January 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Lung Cancer Screening at a Military Treatment Facility: A Retrospective Review.
CONCLUSIONS: These preliminary results demonstrate the success of a Military Treatment Facility (MTF)-based LCS Program in the detection of early stage lung cancer. Earlier stage detection may result in better health outcomes for affected patients. In the population studied, duration of smoking proved to be more significant than pack-years in predicting lung cancer risk. These results validate the newly dedicated resources and continued efforts to strengthen the LCS program at NMCSD and across MTFs. PMID: 31925432 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 12, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Faculty Assessments in a Military Medical Field Practicum: Rater Experience and Gender Do Not Appear to Influence Scoring.
CONCLUSIONS: The study revealed that there were no differences in ratings of student leader performance based on faculty experience. In addition, there were no differences in ratings of student leader performance based on faculty gender. PMID: 31925445 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 12, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mysterious Cause of Respiratory Failure and Multilobar Atelectasis in a 17-Month-Old Male.
Authors: Davis GW, Lockett CJ, Charny G Abstract A 17-month-old male presented to a community hospital emergency department in respiratory distress suggestive of reactive airway exacerbation or pneumonia. He rapidly deteriorated into fulminant respiratory failure with multilobar atelectasis. He was managed with continuous albuterol, intravenous antibiotics, corticosteroids, intubation, and vasopressors. He was then transported to a tertiary Children's Hospital. The patient was extubated 20 hours after presentation and again developed respiratory failure while in the pediatric intensive care unit. During prepar...
Source: Military Medicine - January 11, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Multidrug Resistant Mycobacterium tuberculosis Among Military and Civilian Personnel seen at a Tertiary Military Hospital, Manila, Philippines (2015-2018).
CONCLUSION: This report describes high MTB and MDR-TB prevalence rates among symptomatic military patients with military personnel having higher odds of MTB infection compared to the civilian patients in the study. Since DSSM (ZN) sensitivity greatly varied depending on MTB load, the Xpert MTB/RIF should be used as a first-line diagnostic tool to identify MTB and detect rifampin resistance among presumptive TB cases instead of DSSM (ZN) microscopy. PMID: 31915831 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 11, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Clinical Research and Practice Collaborative: An Evidence-Based Nursing Clinical Inquiry Expansion.
CONCLUSIONS: Intentionally scheduled collaboration between PhD nurse scientists and advanced practice registered nurses is a promising model to promote an expanded culture of nursing clinical inquiry and should be considered for medical facilities seeking to enhance EBP and nursing research efforts. PMID: 31912871 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Guideline Adherence and Hearing Outcomes of Sudden Sensorineural Hearing Loss in the Military Health System.
CONCLUSION: The MHS is uniquely positioned to evaluate adherence to CPGs on a national and international level given the robust and standardized electronic medical record. Areas identified for improvement include more timely initiation of treatment, standardization of IT steroid dosing, more accurate coding for diagnosis and treatment, and standardization of audiology evaluation. PMID: 31912876 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Impact of Robotic-Assisted Technology on Attitudes of Host Nation Individuals Participating in Pacific Partnership 2018: Improving Partnerships Through Technology.
Authors: Worlton TJ, Braden J, Gadbois K, Lefringhouse J, Lockrow E Abstract The USNS Mercy (T-AH 19) on Pacific Partnership 2018 was the first mobile, expeditionary platform to utilize the da Vinci Surgical System. Using a de-identified, web-based survey, the impact of this new technology on Pacific Partnership 2018 on the attitudes of host nation surgeons was examined. PMID: 31912877 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Quantifying Training Load During Physically Demanding Tasks in U.S. Army Soldiers: A Comparison of Physiological and Psychological Measurements.
CONCLUSIONS: SumHR and sRPE are acceptable alternatives to TotalRelVO2 when attempting to quantify and/or monitor training load during soldiering tasks. PMID: 31912878 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 9, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Health System Access to Care: Performance and Perceptions.
CONCLUSIONS: Measuring ATC is a vital step in ensuring the health of patients and the provision of high quality care. Both patient surveys and administrative data are widely used for measuring ATC. This study found statistically significant moderate associations between survey and administrative ATC measures, which remained significant even after controlling for patient characteristics of the facilities. These study results suggest that administrative data can provide an accurate assessment of access; however, survey items can be useful for diagnosing potential issues with access, such as call center scheduling and provide...
Source: Military Medicine - January 8, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mental Health Outcomes Among Military Service Members After Severe Injury in Combat and TBI.
CONCLUSIONS: Combat-associated TBI may have a broad effect on several mental health conditions among critically injured combat casualties. Early recognition and treatment for trauma-associated mental health are crucial to improving outcomes among service personnel as they transition to post-deployment care in the DoD, Department of Veterans Affairs, or community health systems. PMID: 31889174 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exercise-Induced Bronchoconstriction in Iraq and Afghanistan Veterans With Deployment-Related Exposures.
CONCLUSIONS: Approximately 17% of our sample of non-treatment seeking deployed Iraq and Afghanistan veterans demonstrated EIB, similar to the general population prevalence. However, persistent respiratory symptoms and alternative indices of probable EIB supports continued monitoring of this population. PMID: 31889186 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Universal Anesthesia Machine: Clinical Application in an Austere, Resource-Limited Environment.
CONCLUSION: The UAM can be used where a lack of resources and training exist because of its simple design, built-in oxygen concentrator, and capacity to revert from continuous-flow to draw-over anesthesia in the event of a power failure or if external oxygen supplies are unavailable. We believe the UAM addresses some of the shortcomings of modern anesthesia machines and has the potential to improve the delivery of safe general anesthesia in combat and austere scenarios. Further studies could consider different types of surgeries than those reported here and involve more complex patients. Studies involving alternative anest...
Source: Military Medicine - January 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exploring Dentist Opinions on the Provision of Intravenous Sedation in Primary Dental Care for UK Armed Forces Personnel.
CONCLUSIONS: Civilian Dental Practitioners in the sample indicated that they were less likely to recommend a patient for JMES review, less likely to prevent patients from deploying and less likely to believe that individuals requiring sedation for routine treatment should not be recruited into the UK AF. These attitudes are contrary to current Defence direction and could increase the risk of UK AF personnel experiencing morbidity on deployment requiring aeromedical evacuation. Over the longer term, civilianization of Defence dentistry is likely to reduce collective operational experience and Defence must ensure that clinic...
Source: Military Medicine - January 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Application of the Joint Trauma System Clinical Practice Guideline for Pain, Anxiety, and Delirium in a Combat Support Hospital in Iraq.
CONCLUSIONS: This report indicates that acute pain service teams integrated in a CSH can feasibly implement JTS CPGs using a team-based approach. Given the military's emphasis on managing complex pain and disability among survivors beginning in the combat environment, it is imperative that innovations and best practices, like the JTS CPG, be assessed in the combat setting. PMID: 31889192 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Variation in Bariatric Surgery Costs and Complication Rates in the Military Health System.
CONCLUSIONS: We find large variations in complication rates even after controlling for patient health. Furthermore, surgical complications are a significant determinant of cost. Policymakers should target efforts to improve surgical quality across facilities and physicians. Surgical quality improvement initiatives could produce savings to the MHS through reduced complications and improved surgical readiness. PMID: 31889200 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - January 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Are Fathering Interventions Acceptable to Veterans? A Needs and Preferences Survey.
CONCLUSIONS: Returning Veteran fathers demonstrate interest in and willingness to participate in fathering programs suggesting that parenting programs may be a way to engage Veterans in mental health care following deployment. PMID: 31875894 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 28, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Primary Blast Lung Injury: The UK Military Experience.
CONCLUSIONS: 8.1% of blast exposed casualties suffered primary blast lung injury. It was a less severe disease than other nontraumatic forms of acute lung injury and did not cause deaths once a casualty had reached a combat support hospital. It was well managed with a relatively brief period of conventional mechanical ventilation. PMID: 31875895 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 28, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Addressing Inter-Rater Variability in the ASA-PS Classification System.
CONCLUSIONS: While there was improvement in agreement following an education intervention, the agreement seen was not statistically significant. More research needs to be done to determine how to improve inter-rater reliability of the ASA-PS classification system with a focus on non-anesthesia providers. PMID: 31875897 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 28, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Association Between Performance in Muscle Fitness Field Tests and Skeletal Muscle Mass in Soldiers.
Authors: Aandstad A Abstract INTRODUCTION: Muscle strength and muscle endurance are important fitness components related to safe and efficient execution of physically demanding military work. In soldiers, these components are traditionally measured from simple field tests like push-ups, sit-ups, and pull-ups. However, the validity of such muscle fitness field tests is questioned due to reports of low association between test performance and the ability to conduct strength demanding military work (eg, lift and carry tasks). It is therefore necessary to study, develop, and implement more valid field tests, which are ...
Source: Military Medicine - December 28, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Effect of Simulated Field Storage Conditions on Dental Restorative Materials for Military Field Use.
CONCLUSION: Some materials degrade more than others in aggravated conditions. Both resin composite materials were more resistant to high temperatures and humidity levels than the glass ionomers tested. These changes in physical characteristics should be considered when reviewing or optimizing the ADAL/AMAL for different projected operational environments. PMID: 31875899 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 28, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Evaluation of Surgical Caseload Aboard the USNS COMFORT (T-AH 20) During Enduring Promise 2018.
Authors: Norris EA, Johnson MS, Mann KE, Pryor HI Abstract The USNS COMFORT (T-AH-20) deployed in support of Enduring Promise 2018 (EP-18) for an 11-week humanitarian mission providing care to the residents of four host nations in Central and South America. The COMFORT provides the capability of providing medical, dental, and surgical care in humanitarian aid missions. PMID: 31875903 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 28, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Inclusion of Mefloquine Exposure as a Common Data Element in Studies by the Consortium to Alleviate PTSD.
Authors: Peterson AL, Barnes JB, Litz BT, Consortium to Alleviate PTSD PMID: 31868217 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 25, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Using Simulation to Train Medical Units for Deployment.
CONCLUSION: Training using simulation has been invaluable to improving team cohesiveness. Building a training curriculum has generated a new perspective on ways in which military units may train and assess the strengths and opportunities of the unit. The ability to see participants in action allowed for a clearer understanding of the knowledge and skill each participant actually possessed versus what was assumed. The information obtained was invaluable to leadership in determining the true readiness of the unit for deployment. The authors offer the scenarios, lesson plans, and curriculum that they developed to other units ...
Source: Military Medicine - December 25, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Forward Surgical Team Procedural Burden and Non-operative Interventions by the U.S. Military Trauma System in Afghanistan, 2008-2014.
CONCLUSIONS: Forward surgical team training and performance improvement metrics should focus on optimizing commonly performed operative procedures and non-operative interventions. Operative procedures that were commonly performed, and those associated with higher rates of morbidity and mortality, can set surgical benchmarks and outline training and skillsets needed by forward surgical teams. PMID: 31863088 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Analysis of Factors and Conditions Influencing Military Neurosurgery Recruitment and Retention.
DISCUSSION: Service in the US military is a positive experience with camaraderie, patriotism, and unique military experiences predictive of recruitment. Meanwhile, focus on pay discrepancy can result in lost retention. These factors should be explored regarding recruitment and retention of military neurosurgeons. PMID: 31863095 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Joint Space Injection for Osteitis Pubis in an Airborne Jump Injury: A Case Report.
We report a case of a 22-year-old Male Active Duty Army Soldier who presented with OP immediately after landing during a routine Airborne Jump exercise. The Soldier reported landing in such a way that his feet did not impact the ground at the same time, creating a sheering force on his pelvis. Following two months of failed treatment involving NSAIDS and PT, the patient was referred to Sports Medicine where he received an injection of 1 mL of 1% lidocaine and 40 mg of triamcinolone into the pubic symphysis joint space. Shortly afterward the patient endorses complete resolution of his symptoms without return of sy...
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Association Between History of an Ankle Sprain and Traumatic Meniscal Injury Among Infantry Combat Soldiers in the Israeli Defense Forces: A Historical Cohort Study.
CONCLUSION: The results of this study indicate ankle sprains to be a protective factor for meniscal injury. Our main conclusion from the results of this study is that the assumption that those with previous leg injuries are at a greater risk for further leg injuries is questionable and cannot be generalized. Hence, the association between different types of injuries should be investigated separately. PMID: 31863118 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Breast Cancer Risk Assessment and Chemoprevention Use Among Veterans Affairs Primary Care Providers: A National Online Survey.
Authors: Bidassie B, Kovach A, Vallette MA, Merriman J, Park YA, Aggarwal A, Colonna S Abstract INTRODUCTION: Breast cancer is the most common cancer diagnosed among women and the second most common cause of cancer death among women. There are ways to reduce a woman's risk of breast cancer; however, most eligible women in the United States are neither offered personalized screening nor chemoprevention. Surveys have found that primary care providers are largely unaware of breast cancer risk assessment models or chemoprevention. This survey aims to investigate Veterans Health Administration primary care providers' co...
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Supersaturated Oxygen Emulsion for the Topical Treatment of Ocular Trauma.
CONCLUSIONS: Maintaining adequate tissue oxygenation is critical for tissue preservation and wound repair, especially in avascular tissues like the cornea. Further studies examining the application of the SOE in corneal injury models are warranted. PMID: 31865377 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Recurrent Herpes Gladiatorum: Should we be Screening Our Service Members Prior to Close Combat Training?
Authors: Field RD, Taylor BM Abstract A 19-year-old active duty Marine presented to clinic with a history of a reoccurring vesicular rash on left side of his forehead. The lesion was cultured and identified as herpes simplex virus 1 (HSV-1). Herpes gladiatorum is a recurrent cutaneous infection caused by HSV-1 and spread by skin-to-skin contact. Serious complications have been reported, including blindness from acute retinal necrosis. Outbreaks of herpes gladiatorum have been observed in the high school and collegiate wrestling community for years and to prevent the spread, screening, and treatment guidelines have ...
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Outcomes of Casualties Without Airway Trauma Undergoing Prehospital Airway Interventions: A Department of Defense Trauma Registry Study.
CONCLUSIONS: In this subgroup analysis of casualties without apparent upper airway trauma, survival rates were lower when compared to our previous report. Higher quality data are necessary to better understand the resuscitation needs of this critically ill subset of combat casualties. PMID: 31865392 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 23, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Corrigendum to: Percutaneous Peripheral Nerve Stimulation for Pain Reduction and Improvements in Functional Outcomes in Chronic Low Back Pain.
Authors: Cohen SP, Gilmore CA, Kapural L, Hanling SR, Plunkett AR, McGee MJ, Boggs JW PMID: 31836904 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - December 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mental Health During Naval Deployment: The Protective Role of Family Support.
Authors: Nordmo M, Hystad SW, Sanden S, Johnsen BH Abstract INTRODUCTION: Minor mental health problems among service members deployed in combat areas are relatively common, but social support is a protective factor. With the advent of digital communication, as well as more frequent family separations, a stable family support system may be more important than before. In this exploratory study, we aimed to test the relationship between perceived family support and the development of minor psychiatric symptoms during a 4-month naval counter piracy mission in the Gulf of Aden. MATERIALS AND METHODS: We measured min...
Source: Military Medicine - December 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Tiered Framework for Organizing and Categorizing Medical Interoperability.
This article proposes a tiered framework that allows medical personnel to further describe and organize their engagement activities around the concept and practicalities of medical interoperability. As resources become diverted to other theaters or missions expand beyond assigned capabilities, medical interoperability provides Commanders with options to medically enable their missions through their partnerships with others. This framework links and connects activities and engagements to build partner capacity with long-term or regional interoperability among our partners and challenges engagement planners to consider ways ...
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Cross-Sectional Examination of the Association Between Social Media Use and Sleep Among a Sample of U.S. Army Soldiers.
This study surveyed 9,052 U.S. Soldiers in 2018 via a self-administered online questionnaire. Using multivariable logistic regression, we examined the association between social media use (
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Weight Perceptions and Weight Loss Attempts: Military Service Matters.
CONCLUSIONS: This study offers the new finding that underestimating weight is more likely among people reporting military service compared to those not reporting military service. Findings are consistent with past work demonstrating that underestimating weight is associated with a lower likelihood of pursuing weight loss. To combat weight misperceptions, clinicians may need to spend additional time discussing weight-related perceptions and beliefs with patients. The present findings suggest such conversations may be especially important for people reporting military service. Future research should be designed to understand...
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Latex content in adult vaccines.
CONCLUSIONS: Our study revealed undetectable levels of Hev b 1 natural rubber latex content in the tested adult vaccines. These data provide evidence for prospective studies into the safety of vaccinating latex allergic patients. PMID: 31822920 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Multiple Sclerosis Exacerbation Associated With High-Altitude Climbing Exposure.
Authors: Hsieh CDT, Warden LCGI, Butler MJM, Nakanishi E, Asano Y Abstract The spectrum of the neurological effects of high-altitude exposure can range from high-altitude headache and acute mountain sickness, to the more severe end of the spectrum with high-altitude cerebral edema. In general, patients with known unstable preexisting neurological conditions and those patients with residual neurological deficits from a preexisting neurological condition are discouraged from climbing to high altitudes because of the risk of exacerbation or worsening of symptoms. Although multiple sclerosis exacerbations can be trigge...
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Intratesticular Leiomyoma: A Case Report.
We report here a case of intratesticular leiomyoma, the associated imaging, and pathologic findings. PMID: 31825085 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The USU Global Health Distance Learning Program: An International Educational Consortium for Global Health Engagement.
Authors: Boetig B, Kumpf J, Jindal RM, Lawry LL, Baines L, Cullison TR Abstract USU's Global Health Distance Learning Program has successfully enrolled over 400 students from all four services spread across six continents. British and Australian military physicians have joined as international partners, and the program now invites additional international, as well as USG interagency and war college partnerships. The program should also be employed as a tool for global health engagement itself. PMID: 31829422 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Rare Use of Posterolateral Thoracotomy in an Austere Environment.
Authors: Devasahayam RJ, Fabich RA, Tighe CA, Becker TE Abstract A 25-year-old local national male presented to a split Forward Surgical Team after impalement of the posterior chest with a metal fragment. The patient was hemodynamically normal, but no imaging was available to determine the depth of penetration or the size of the internal portion of the fragment. This case represents a rare indication for posterolateral thoracotomy in an austere trauma setting. PMID: 31819958 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Functional Movement Screen (FMS ™) Scores and Demographics of US Army Pre-Ranger Candidates.
This study was a descriptive, cross-sectional investigation examining associations between FMS scores and the various measures of health and performance of active duty soldiers in light infantry units who were involved in the U.S. Army Pre-Ranger Course (PRC). MATERIALS AND METHODS: Before the PRC, 491 male soldiers (mean age = 24.0 ± 3.8 years; mean height = 176.6 ± 7.2 cm; mean body mass = 80.2 ± 9.8 kg) completed a questionnaire which included items on self-assessed physical fitness, last Army physical fitness test (APFT)...
Source: Military Medicine - December 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Case of Serum Sickness-Like Reaction in an Adult Treated with Omalizumab.
We report a case of serum sickness-like reaction in a patient treated with omalizumab for chronic idiopathic urticaria/angioedema. An adult female experienced episodic urticaria/angioedema without repeatable trigger, ultimately receiving diagnosis of chronic idiopathic urticaria/angioedema. After initial treatment, attempts with escalating cetirizine and montelukast doses were unsuccessful due to sedation; she began treatment with subcutaneous omalizumab 150 mg monthly. Urticaria frequency partially improved after two injections; therefore, the dose was increased to 300 mg after four treatments. Several days afte...
Source: Military Medicine - December 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cross-Border Military-Based Medical Involvement Can Reduce the Refugee Crisis: Israel's Experience.
Authors: Braverman A PMID: 31814015 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Risk of Preterm Birth and Newborn Low Birthweight in Military Women with Increased Pregnancy-Specific Anxiety.
CONCLUSIONS: Pregnancy-specific anxiety was found to significantly increase the risk of PTB and LBW in a military population. Understanding this relationship is essential in developing effective assessments and interventions. Results emphasize the importance of prenatal maternal mental health to fetal health and birth outcomes. Further research is needed to determine the specific physiological pathways that link prenatal anxiety and depression with poor birth outcomes. PMID: 31808825 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 8, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Empty Bullet-Related Ocular Injuries During Military Shooting Training: A 20-Year Review.
CONCLUSIONS: The prognosis of EBOI is unpredictable and is dependent on the severity of ocular damage. The best treatment option is prevention of EBOI with protective eyewear. PMID: 31808913 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 8, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Understanding Barriers to HPV Vaccination: Perspectives From Air Force Family Medicine Physicians and Active Duty Air Force Males.
CONCLUSION: Deficiencies in public knowledge and insufficient provider practices are likely contributing to the suboptimal rates of HPV vaccination among eligible males. Additionally, eligible males are not interested in speaking with their healthcare providers about either HPV or the HPV vaccine. If the rates of HPV vaccination within the male population are to increase, health educators, public health proponents, and vaccine advocates need to devise a more effective approach to disseminate this information to eligible male recipients. PMID: 31808930 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - December 8, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Diplopia and Strabismus After Corneal Refractive Surgery.
CONCLUSION: Diplopia and strabismus are rare complications after CRS in the U.S. military population. These procedures continue to increase the operational readiness of our service members with minimal risk of these potentially debilitating complications. Overall, this study provides support for the continued use of PRK and LASIK despite study limitations related to the use of large databases for retrospective review. Future prospective studies using delineated preoperative and postoperative examinations with sensorimotor testing included may be able to resolve the limitations of this study. PMID: 31808933 [PubMed - as...
Source: Military Medicine - December 8, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research