Post-Traumatic Stress Disorder Symptoms Contribute to Worse Pain and Health Outcomes in Veterans With PTSD Compared to Those Without: A Systematic Review With Meta-Analysis.
CONCLUSION: In veterans with chronic pain, PTSD symptomology has a large effect for many negative health-related outcomes. This review supports the need for clinicians to screen and understand the effects of PTSD symptoms on patients with pain. Clinicians should recognize that veterans with PTSD and pain likely have elevated pain catastrophizing beliefs and decreased self-efficacy that should be targeted for intervention. PMID: 32248229 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 7, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Interventional Study of Dextromethorphan Abuse Within the U.S. Military Community in Okinawa, Japan.
Authors: Armstrong C, Kapolowicz MR Abstract Dextromethorphan, a common over-the-counter cough suppressant, has potential for abuse. In the present commentary, we summarize findings to suggest extensive dextromethorphan overuse/abuse within the U.S. military community residing in Okinawa, Japan. We first compared sales of dextromethorphan-containing medications within the U.S. military community of Okinawa, Japan with sales within the U.S military community from the other nearby locations in the Pacific region. Our report revealed that dextromethorphan use is far more prevalent within the military community in Okin...
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Accounting for Readiness-Integrating Time-Driven Activity-Based Costing (TDABC) into the Military Health System.
Authors: Nabi J, Haag AJ, Trinh QD PMID: 32236412 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Azoospermia Secondary to a Novel X-Autosomal Reciprocal Translocation: 46,Y, t(X:16)(p22.1:p11.2).
We present a novel case of azoospermia with a karyotype of 46,Y,t(X:16)(p22.1:p11.2). A 26-year-old, healthy, active duty male Solider presented with his dependent female partner for primary infertility. Female anatomical and endocrine evaluations were normal. Initial male evaluation revealed azoospermia on multiple semen analyses. Further evaluation with a detailed physical exam and laboratory tests were normal except for an abnormal karyotype with a reciprocal translocation at chromosomes X and 16. An open testicular biopsy demonstrated 75% late spermatid maturation arrest confirming reproductive potential although signi...
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Veterans Team Recovery Integrative Immersion Process (Vet TRIIP): A Qualitative Evaluation of Participation and Impact.
CONCLUSIONS: Evaluative studies on organizations that support Veterans are useful to gauge the effectiveness and impact. Through this study, Veterans expressed perceived strengths and weaknesses of the program so further development and appropriate services will be provided. Similar studies on the impact of non-profit organizations are encouraged. Vet TRIIP significantly impacts the lives of many through stress and pain reduction, potentially preventing suicide. PMID: 32236440 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Paradoxical Contralateral Herniation Detected by Pupillometry in Acute Syndrome of the Trephined.
Authors: Fischer VE, Boulter JH, Bell RS, Ikeda DS Abstract Severe traumatic brain injury has historically been a non-survivable injury. Recent advances in neurosurgical care, however, have demonstrated that these patients not only can survive, but they also can recover functionally when they undergo appropriate cerebral decompression within hours of injury. At the present, general surgeons are deployed further forward than neurosurgeons (Role 2 compared to Role 3) and have been provided with guidelines that stipulate conditions where they may have to perform decompressive craniectomies. Unfortunately, Role 2 medic...
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Being Prepared for the Next Conflict Part II: Case Analysis of a Military Level 1 Trauma Center.
CONCLUSIONS: This data supports prior identified trends in military cases correlating increased number of procedures with increased combat activity related to the conflicts in Iraq and Afghanistan in 2007 and 2011, respectively. The data showed relative stability in the numbers of civilian procedures with a slight uptrend beginning in mid-2012. A comparison after mid-2012 shows military procedures declining and civilian procedures increasing to eventually become equivalent at the end of the data collection. These trends follow previously reported data on tibia fracture fixation procedures and lower extremity amputations fo...
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Hairy Cell Leukemia and Ground Water Contamination With Industrial Solvents: a Case Report.
We report the case of a veteran stationed at Marine Corps Base Camp Lejeune during this period who developed hairy cell leukemia (HCL), a rare form of lymphocytic leukemia. We review his presentation, medical history, solvent exposure, and literature on the carcinogenicity of benzene and TCE. This patient represents a possible link of TCE or benzene to HCL. The case also informs clinicians of the updated epidemiology with regards to clinical findings for HCL. PMID: 32239156 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Association of Psychological Stress with Physical Fitness in a Military Cohort: The CHIEF Study.
CONCLUSIONS: Our findings suggest that the presence of higher psychological stress on military personnel may reduce their cardiorespiratory fitness but not affect the anaerobic fitness. PMID: 32239167 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Army Physician Career Satisfaction Based on a Medical Corps Survey.
CONCLUSIONS: There is significant room for improvement in MC officer career satisfaction. The drivers of satisfaction are multiple and apply differently among MC officers of varied ranks and experience. Senior officers are the ones who are the most satisfied with their military career. Results of this novel MC officer study may serve as an impetus to identify existing shortcomings and make necessary changes to retain skilled Army physicians. Army leaders should invest resources to develop and sustain initiatives that improve military career satisfaction and retention of MC officers. PMID: 32239169 [PubMed - as supplied...
Source: Military Medicine - April 4, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Pharyngitis Guidelines and Missional Goals.
Authors: Tanael M PMID: 32207515 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

How the Implementation of a Battlefield Clinical Practice Guideline Affects Documentation Practice and Informs Future Research Initiatives: Spinal Injuries and Cervical Collars.
Authors: Graham B, Johnson GM, Gurney JM, Shackelford SA, Howard JT, Janak JC Abstract INTRODUCTION: In 2010, the Joint Trauma System published a clinical practice guideline (CPG) for providing care to patients with suspicion of spinal cord injury. The CPG advocated for liberal use of cervical collars and adequate documentation of the practice. This performance improvement project examined C-spine CPG adherence in both the prehospital and military treatment facility (MTF) settings. Understanding challenges in CPG adherence facilitates evaluation of future CPGs and their success at implantation of the clinical guida...
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Pyridostigmine Impairs Pulmonary Function in Asthmatic Subjects: Reanalysis of Results From an Observational Study.
Authors: Hansen MRH, Schlünssen V PMID: 32207521 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Operational Virtual Health Modalities Increased Combat Power for 1st Squadron, 2nd Cavalry Regiment During the Enhanced Forward Presence Mission.
CONCLUSION: Operational VH is a force multiplier that brings the resources of the Medical Center to the Warfighter at the point of need. The full spectrum of VH modalities offers the greatest benefit for deployed units. Expansion of these technologies throughout the Department of Defense will reduce medical evacuations, increase Active Duty Service Member time on mission, and reduce risks for Commanders. PMID: 32207524 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Hidden Harms in Managing Adult Pharyngitis.
Authors: Ressner RA PMID: 32207526 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

HIV Care Continuum and Meeting 90-90-90 Targets: Cascade of Care Analyses of a U.S. Military Cohort.
CONCLUSIONS: U.S. military HIV policies have been highly successful in achieving VS goals, exceeding the UNAIDS 90-90-90 targets. In spite of limitations, including generalizability, this example demonstrates the feasibility of the DHHS initiative to decrease new infections through testing, early treatment, and retention in care. PMID: 32207528 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Physician Assistants Employed by the Federal Government.
CONCLUSION: The diverse utilization and deployment of PAs validate the importance of the role they serve as medical professionals in the federal government. From 2008 to 2019, PA employment in the federal government grew by approximately 50% supporting the forecast that substantial national PA growth is on track. PMID: 32207532 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Health Characteristics of the Madeira Riverine Population.
Authors: de Mattos Oliveira LFC, Lennon RP, Roman JW, Sullivan JF, Milder EA Abstract INTRODUCTION: The Amazon River Basin is the largest and the most complex fluvial system in the world. The Brazilian government provides dental and medical care to the riverine populations in this region in part through medical assistance missions, conducted by four hospital ships. The Brazilian Navy invited U.S. Navy medical personnel to join the February 2019 mission aboard Navio de Assistência Hospitalar (NAsH) Carlos Chagas to provide care along the Madeira River. MATERIALS AND METHODS: In the course of providing prim...
Source: Military Medicine - March 22, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Giant Appendicolith: A Case Report and Review of the Literature.
We present a young male diagnosed preoperatively on computed tomography to have a large appendiceal mass of 2.2 cm. This case is presented for the rarity of giant appendicoliths along with a review of the literature. PMID: 32196111 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 22, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Synovial Sarcoma: A Series of Small Tumors in Active Duty Service Members.
Authors: Bates T, Kao E, Alderete J, Lybeck D Abstract Synovial Sarcoma is a soft tissue sarcoma with a propensity to imitate a benign neoplasm. It is most common in males 15-40 years old, typically presents as a slow growing painful mass, and often arises insidiously without alarm to the patient. Three patients with synovial sarcomas who had each undergone an index procedure to treat a small presumedly benign mass that was later identified as synovial sarcoma were reviewed. All three patients required re-excision of the tumor and tumor bed and are currently undergoing routine surveillance. All patients exhibi...
Source: Military Medicine - March 22, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Use of Pharmacy Quality Measures to Enhance Value-Based Performance Within the Military Health System.
CONCLUSION: Opportunities exist within the DHA to leverage PQMs to evaluate the quality of pharmaceutical care, build trust with beneficiaries by increasing transparency, and maintain parity with the civilian healthcare system. Existing models and commercially available technology could be considered to rapidly operationalize the use of PQMs within the MHS. PMID: 32173760 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Aviation-Modeled Investigation of Significant Obstetric Events.
CONCLUSION: Obstetric RESET investigations inconsistently ascertain whether or not some of the aviation-based techniques are utilized by staff members or organizations in which serious obstetrical events have occurred. Standardization of investigative procedures and education directed at under-investigated practices may optimize medical investigation using proven tenets of an aviation-based approach. PMID: 32175558 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Effect of Patient Compliance With Treatment Recommendations on Clinical Outcomes in Chronic mTBI: A TEAM-TBI Study.
CONCLUSION: High compliance significantly reduced total Vestibular/Ocular Motor Screening scores compared to low/middle compliance (P = .005). Post-Concussion Symptom Scale was reduced by 48% and dizziness symptoms reduced by 31% in the high-compliance cohort. High compliance with prescribed exertion/vestibular rehabilitation therapies enhanced clinical outcomes for previously recalcitrant patients with chronic mTBI-related vestibular disorders. PMID: 32175565 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Musculoskeletal Injuries and United States Army Readiness Part I: Overview of Injuries and their Strategic Impact.
CONCLUSIONS: MSKIs significantly impact soldier health and U.S. Army readiness. MSKIs also figure prominently in medical disability discharges and long-term, service-connected disability costs. MSKI patterns and trends vary between trainees and soldiers in operational units and among military occupations and types of operational units. Coordinated injury surveillance efforts are needed to provide standardized metrics and accurately measure temporal changes in injury rates. PMID: 32175566 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Making the Case for Menstrual Suppression for Military Women.
Authors: Keyser EA, Westerfield K, Eagan S, Hall A, Yauger B, Powell-Dunford N PMID: 32175567 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Verification of Ocular Trauma Score for Intraocular Foreign Bodies in Lethal-Weapon-Related Ocular Injuries.
CONCLUSIONS: Visual outcome of this type of ocular injury may be unpredictable due to more frequent discouraging results. OTS failed to predict visual outcome in first three OTS categories in this study. Therefore, OTS appears to be verified only in better (OTS categories 4 and 5) categories. PMID: 32175569 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Outpatient Pharmacy Prescriptions During the First Year Following Serious Combat Injury: A Retrospective Analysis.
CONCLUSIONS: This is one of the first studies to provide a systematic analysis of outpatient medication prescriptions following serious combat injury. The results indicate substantial prescription activity from multiple medication categories throughout the first-year postinjury. Diagnoses of chronic pain, PTSD, and limb amputation and ISS were associated with significantly higher counts of prescriptions overall and more prescription medication categories. This study provides initial evidence to better understand medication prescription activity following serious combat injury. The results inform future research on medicati...
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Use of Telepain for Chronic Pain in the U.S. Armed Forces: Patient Experience from Walter Reed National Military Medical Center.
CONCLUSIONS: The majority of pain specialists within the Military Health System are located at major military medical centers, the most of which are distant from surrounding MTFs. Prior to the development of the WRNMMC Telepain service, personnel at remote MTFs had to endure extended time away from their mission to receive care. The majority of patients that participated in the NCR Telepain program reported a positively perceived impact on pain, access to care, quality of life, transportation burden, and time away from work. In conclusion, The NCR Telepain team of providers have worked together to successfully establish a ...
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mental Health Service Utilization and Perceived Barriers to Receiving Care in Deployed Soldiers.
CONCLUSIONS: Prevalence of common psychopathology and receipt of care in a combat environment was similar to previous reports from postdeployment settings. Nonprovider sources of care were more frequently utilized as compared to an in-Garrison report. Findings suggest important differences exist in sources of help and barriers to care in deployed vs. postdeployment environments. The hypothesized barriers to care did not preclude receiving any help, however, less than one-half of soldiers at mental health risk received help. Thus, future research should identify factors that have the greatest influence on help seeking behav...
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Functional Evaluation of a Shock Absorbing Insole During Military Training in a Group of Soldiers: A Pilot Study.
CONCLUSIONS: Shock-absorbing insoles can be an effective solution when fitted inside military boots. The present functional evaluation shows that wearing a prefabricated shock-absorbing insole can provide a significant amelioration of perceived foot comfort and plantar pressure parameters. Further studies are now needed with a larger population and more demanding exercises. PMID: 32175582 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Relationship to Deployment on Sarcoidosis Staging and Severity in Military Personnel.
Authors: Forbes DA, Anderson JT, Hamilton JA, Rawlins FA, Tinkelpaugh C, Abraham JH, Morris MJ Abstract INTRODUCTION: Ongoing studies are investigating the potential link between deployment to Operation Iraqi Freedom and Operation Enduring Freedom and relationship to increases in pulmonary disease. While increases in certain diseases such as asthma and airway hyperreactivity are well established, data on other chronic pulmonary diseases such as sarcoidosis have not been defined. MATERIAL AND METHODS: A retrospective chart review was conducted of all active duty military personnel diagnosed with sarcoidosis from...
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Chest Pain From Supplement Use in an Active Duty Soldier: A Case Report.
We present a case of the deleterious side effect profiles of these lesser studied components in overconsumption in an active duty soldier. Although improvements are being made regarding product safety, the paucity of ingredient regulation and quality assurance can result in warfighter morbidity and mortality, especially when these supplements are abused or combined with other products. PMID: 32175585 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Influence of Acetazolamide on Hand Strength and Manual Dexterity During a 30-h Simulated High Altitude Exposure.
Authors: Yurkevicius BR, Bradbury KE, Nixon AC, Mitchell KM, Luippold AJ, Mayer TA, Alba BK, Salgado RM, Charkoudian N Abstract INTRODUCTION: High altitude missions pose significant challenges to Warfighter medical readiness and performance. Decreased circulating oxygen levels cause a decrease in exercise performance and can cause debilitating symptoms associated with acute mountain sickness, especially with rapid ascent. Acetazolamide (AZ) is known to minimize symptoms of acute mountain sickness, but it is unknown whether this medication alters hand strength and manual dexterity during altitude exposure. MATER...
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Human Papilloma Virus Vaccination Compliance in a Military Aviation Training Community.
CONCLUSIONS: Electronic health records immunizations review noted a baseline vaccine completion rate of 19%. Our study showed a health inequity between enlisted and officers, with officers having 99% of the documented baseline completion rates per AHLTA data. Our prospective analysis noted statistically significant rate differences of 13.66% and rate ratios of 5.61 between intervention and control groups. This analysis of AHLTA data combined with survey response of 50.5% indicating a change in opinion about HPV vaccine use among those who had not yet started vaccine series suggests targeted education would be a low-cost in...
Source: Military Medicine - March 18, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Code of Ethics for Military Medicine.
Authors: Thomas R, Lough F, Girton J, Casciotti JA PMID: 32159768 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 12, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Traumatic Brain Injury, Working Memory, and Violent Crime in a Sample of U.S. Service Members Involved in the Military Justice System.
CONCLUSIONS: This study suggests that a history of mTBI is common among service members charged with criminal offenses. The findings that working memory scores were in the average range among service members with mTBI history may suggest that history of mTBI does not impair psycholegal relevant cognition. More research is needed to clarify how history of mTBI affects service member psycholegal capacities. PMID: 32159778 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 12, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Change in Anthropometrics and Physical Fitness in Norwegian Cadets During 3  Years of Military Academy Education.
CONCLUSIONS: Anthropometrics and physical fitness were relatively stable in Norwegian male and female army, navy, and air force cadets during 3 years of military academy education. Observed changes were typically classified as trivial or small. The initial gap in physical fitness between male and female cadets did not narrow during the education years. Norwegian male and female cadets displayed relatively good physical fitness profiles, compared to sex-matched cadets and soldiers from previously studied military populations. PMID: 32160302 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 12, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Cautionary Tale About Narcolepsy and Deferrals to the Civilian Network.
Authors: Kinkennon S PMID: 32147689 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 11, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exploring Nonbattle Injury in the Deployed Military Environment Using the Department of Defense Trauma Registry.
CONCLUSIONS: The deployed military environment is dangerous and NBI presents a primary prevention target for expeditionary operations. The DoDTR is a database of detailed injury and medical care information and lacks much of the data required to perform a comprehensive epidemiologic NBI analysis. Specific prevention recommendations cannot be made based solely on DoDTR data and integration with other DoD databases that assess operational and tactical data should be considered. PMID: 32147699 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - March 11, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Things They Carry: Diphyllobothriasis at Sea, a Case Report.
Authors: Reilly DF Abstract Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million people worldwide. A seldom on the Primary Care Physician's differential diagnosis in the United States, Diphyllobothrium spp. should be considered more readily when treating operational service members as they are exposed to endemic regions more frequentl...
Source: Military Medicine - March 6, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Musculoskeletal Injuries and United States Army Readiness. Part II: Management Challenges and Risk Mitigation Initiatives.
CONCLUSIONS: Standardized exercise programming has reduced trainee MSKI rates. Secondary risk reduction initiatives show promise for reducing MSKI-related duty limitations and nondeployability among AC soldiers; timely identification/evaluation and appropriate, early management of MSKIs are essential. Tertiary risk reduction initiatives show promise for identifying soldiers whose chronic musculoskeletal conditions may render them unfit for continued military service.Clinicians must document MSKI care with sufficient specificity (including diagnosis and external cause coding) to enable large-scale systematic MSKI surveillan...
Source: Military Medicine - March 1, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Value of Military Graduate Medical Education.
Authors: True MW, Bell DG, Faux BM, Matos RI, Valdez MM, Bonjour TJ, Morris MJ PMID: 32091600 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Assessing the Current Generation of Tourniquets.
The objective of this study was to assess the effectiveness of three new tourniquet designs: the CAT Generation 7 (CAT7), the SAM Extremity Tourniquet (SAM-XT), and the SOF Tactical Tourniquet Wide (SOFTT-W) as well as its correlation to the degree of slack. MATERIALS AND METHODS: The three tourniquet models were applied in a randomized sequence on a HapMed leg tourniquet trainer, simulating an above-the-knee traumatic amputation by 60 military medicine track cadets. Applied pressure, hemorrhage control status, time until the bleeding stopped, estimated blood volume loss, and slack were measured. RESULTS: The mean ...
Source: Military Medicine - February 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mortality and Functional Outcome Predictors in Combat-Related Penetrating Brain Injury Treatment in a Specialty Civilian Medical Facility.
CONCLUSIONS: Generally, combat-related penetrating brain injuries had satisfactory treatment outcomes. Treatment outcomes in this study were comparable to those previously reported by other authors in military populations and significantly better than outcomes of peacetime penetrating brain injury treatment. PMID: 32091603 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Use of a Digital Cognitive Aid in the Early Management of Simulated War Wounds in a Combat Environment, a Randomized Trial.
CONCLUSIONS: The use of a digital CA by combat casualty care providers improved technical and nontechnical performances during field training of simulated crises. Following recommendations on the design and use of CA, regular team training would improve fluidity in the use and acceptance of an aid, by a highly drilled professional corporation with a strong culture of leadership. Digital CA should be tested at a larger scale in order to validate their contribution to real combat casualty care. PMID: 32091610 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Memories of the 18th Field Hospital (PW)(Cadre).
Authors: Tulgan MH PMID: 32091611 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 25, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Predictors of Quality of Life Following Cognitive Processing Therapy Among Women and Men With Post-Traumatic Stress Disorder.
This study examined treatment-related changes in depression, anger, and PTSD following cognitive processing therapy (CPT) as potential predictors of QOL change. MATERIALS AND METHODS: Data from two randomized controlled trials, one examining CPT among female civilians and veterans (women's study NCT02362477; n = 126) and the other on CPT delivered to male veterans (men's study NCT00879255; n = 125), were used to test study aims. Linear mixed modeling examined changes in depression, anger, and PTSD as predictors of post-treatment QOL while controlling for baseline QOL. The VA Pacific Island Health Ca...
Source: Military Medicine - February 23, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Review of Biomarkers and Analytical Methods for Organophosphate Pesticides and Applicability to Nerve Agents.
CONCLUSION: Cholinesterase activity may have utility for identifying individuals with exposures surpassing a given threshold of OP nerve agent, but further investigation of how acetylcholinesterase and butyrylcholinesterase levels correlate with observed patient symptoms may be required to ensure accuracy of results. As CWAs and nerve agents are more readily used, more standardized reporting of biomarker measurements are needed to develop new approaches for OP nerve agent biomarkers. PMID: 32077949 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 23, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Self-Reported Knee Pain Does Not Impact Physical Training Negatively in Conscripts.
This study evaluated self-reported knee pain (KP) and its effect on physical performance during military service in the Estonian Defense Forces. MATERIAL AND METHODS: Ninety-five male conscripts aged 19-25 years were divided into two study groups based on the occurrence of KP or not. Self-reported KP and function according to the Knee Injury and Osteoarthritis Outcome Score (KOOS) were measured. Physical fitness level was scored using the Army Physical Fitness Test (APFT). KOOS and APFT were measured in the beginning and at the end of the 6-month period of military service. RESULTS: Significant differences in ...
Source: Military Medicine - February 23, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Identifying Risk and Resilience Factors Associated With the Likelihood of Seeking Mental Health Care Among U.S. Army Soldiers-in-Training.
CONCLUSION: Findings suggest few soldiers-in-training are likely to seek help when experiencing a problem. General efforts to encourage help-seeking when needed are warranted with particular focus on subsets of soldiers-in-training (eg, men, those with a history of some adverse childhood experiences). Strengths of this study include the examination of a large sample of soldiers-in-training to identify possible leverage points for early intervention or prevention prior to entering stressful military operating environments. Limitations of this study include the examination of only one military branch and exclusion of soldier...
Source: Military Medicine - February 23, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research