More Than Just Torsion: An Unusual Case of Testicular Pain.
Authors: Martin CD, Sulava E, Bloom A Abstract Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection, or trauma. Epididymitis and epididymo-orchitis are generally secondary to sexually transmitted infections or urinary tract pathogens. Epidymo-orchitis can compromise the testicular blood supply, leading to a microinfarction and rupture through the tunica...
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Implementation and Impact of Home-Based Cardiac Rehabilitation in a Veterans Affair Medical Center.
CONCLUSIONS: HBCR is an effective alternative to facility-based CR. Veterans who completed the program showed improvement in physical capacity and functional status. Compared to those who were eligible but did not complete the program, hospitalization for heart failure was reduced after completing HBCR. PMID: 31665411 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Detailed Analysis of Serious Personal Injuries Suffered by Full Time and Part Time Soldiers of the Australian Army.
CONCLUSIONS: Despite higher absolute numbers of SPIs occurring in ARA, ARES in fact report similar rates of SPIs when adjusted for service time. The natures and mechanisms of SPIs are also similar for both service types and therefore should be the focus of targeted programs to reduce such injuries. PMID: 31665412 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Blast Exposure and Risk of Recurrent Occupational Overpressure Exposure Predict Deployment TBIs.
CONCLUSIONS: Blast exposure and ROPE were independently associated with mTBIs, and Marines with both blast exposure during deployment and ROPE were especially likely to sustain an mTBI. This suggests that ROPE heightens the risk of mTBI following blast. Ongoing research is examining the severity, symptomology, and sequelae of TBIs as a function of ROPE. PMID: 31665414 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Wrist Injury in Deployed U.S. Marine-How to Maintain the Mission.
Authors: Franssen NT, Carpenter RJ, Stuart SM Abstract Wrist pain commonly affects military members and while most instances are benign, some require urgent orthopedic attention to prevent permanent loss of function. A 27-year-old male Marine while deployed presented with wrist pain after a seemingly benign fall during recreation. Radiographs were initially read as unremarkable and treated as a sprain. Though when reviewed by the Shock Trauma Platoon physicians, a perilunate dislocation was noted. After unsuccessful closed attempts to reduce injury, the Marine was sent to orthopedic surgery and underwent open reduc...
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Plasmodium falciparum Rapid Test Failures Threaten Diagnosis and Treatment of U.S. Military Personnel.
Authors: Forshey BM, Morton L, Martin N, Cheng Q, Waters NC, Lee J, Mancuso J PMID: 31665418 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Occupational Therapy Practice Patterns for Military Service Members With Upper Limb Amputation.
CONCLUSION: Findings of the current study suggest SMs with UL amputation utilize OT services often within the first year after injury and those who have sustained amputation proximal to the elbow received more therapy visits than their below elbow counterparts during months 4 to 12. Prosthetic training, therapeutic activities, and therapeutic exercise can be expected to be the highest used active interventions in the first year following UL amputation. Further research is needed to determine details on types and frequency of therapy utilization and recommended therapy strategies. PMID: 31665420 [PubMed - as supplied by...
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Career Satisfaction of Military Medical Officers.
CONCLUSIONS: Having a mentor was the only factor associated with intention to remain in the military among 2018 Uniformed Services Academy of Family Physicians Omnibus Survey respondents. These results support enhancing mentorship among military medical officers. PMID: 31665450 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - November 1, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Evisceration Versus Enucleation Following Ocular Trauma, a Retrospective Analysis at a Level One Trauma Center.
CONCLUSIONS: The postoperative outcomes demonstrated for the evisceration group are comparable to enucleation, which is consistent with the recent literature. Defect size and complexity did not affect surgical construction of the scleral shell during evisceration. If consistently proven to be a safe and viable alternative to enucleation, evisceration can offer shorter surgical times and better cosmesis for patients. More research into the long-term complication rates and more cases of evisceration for use following ocular trauma should be assessed. Still, this analysis demonstrates that evisceration is a viable surgical al...
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Electronic Cigarette Use and Related Factors among Active Duty Service Members in the U.S. Military.
Authors: Lin J, Zhu K, Hoang LCPK, Soliván-Ortiz LCAM, Larsen CSL, Irwin LCSP, Schneid CTR, Shriver CCD, Lee LCS Abstract INTRODUCTION: Electronic cigarettes (e-cigarettes) are increasingly used in the U.S.A. by young people. As young adults serve as the primary recruiting pool for military, active duty service members in military may be susceptible to using e-cigarettes. However, factors related to e-cigarette use in military population have rarely been studied. We aimed to identify factors associated with e-cigarette use and factors related to duration of use among active duty service members. MATERIAL...
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Military Mental Health Personnel Deployment Survey: A Secondary Analysis.
CONCLUSIONS: This is the first study of MMHP reporting CE rates and examining relationships between perceived outcomes and CE, deployment preparation, difficulties during deployment, and meaningful work. The vast majority of MMHP were exposed to more than one combat-related event; however, this rate of CE appears lower than what has been reported among a similar sample of military health care personnel. Although CE predicted difficulties, appraisals of difficulties during deployment experience predicted the highest rates of postdeployment difficulties, accounting for nearly a quarter or more of the outcome variance. The la...
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Heart Rate Variability as an Index of Resilience.
CONCLUSION: Greater resilience to stress was associated with HRV during nonstress periods. Higher levels of resilience to traumatic events were associated with HRV during circumstances that were more stressful and emotionally distressing. Post hoc analysis revealed that specific factors including flexibility, emotional control, and spirituality were driving the relationship between general resilience and HRV following emotionally laden stressors. Less stress vulnerability was associated with HRV following intermittent brief stressors. In sum, HRV appears to represent some aspects of an individual's overall resilience profi...
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Aeromedical Evacuations Within the French Armed Forces: Analysis of 2,129 Patients.
CONCLUSION: This is the first study to analyze the French Strategic-AE system, which is doctrinally unique when compared to its North Atlantic Treaty Organization allies. North Atlantic Treaty Organization allies favor care in the theatre in place of the French early Strategic-AE. However, in the event of a high intensity conflict, a combination of these two doctrines could be useful. PMID: 31642486 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Amyotrophic Lateral Sclerosis Among Veterans Deployed in Support of Post-9/11 U.S. Conflicts.
Authors: Sagiraju HKR, Živković S, VanCott AC, Patwa H, Gimeno Ruiz de Porras D, Amuan ME, Pugh MJV Abstract INTRODUCTION: Amyotrophic lateral sclerosis (ALS) is a recognized military service-connected condition. Prior prevalence studies of ALS among U.S. war Veterans were not able to address concerns related to neurodegenerative sequelae of traumatic brain injury (TBI) and disregarded risk heterogeneity from occupational categories within service branches. MATERIALS AND METHODS: We identified the prevalence of definite and possible ALS and cumulative incidence of definite ALS among Post-9/11 U.S. Veterans de...
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Educate, Try, and Share: A Feasibility Study to Assess the Acceptance and Use of Reiki as an Adjunct Therapy for Chronic Pain in Military Health Care Facilities.
This study was approved by the U.S. Army Medical Research and Materiel Command Institutional Review Board (No. M10617). RESULTS: Repeated measures ANOVA analyses showed that there was significant decrease (P 
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cohesion and Performance in Military Occupation Specialty Training.
CONCLUSIONS: The present results during military occupational specialty training paralleled previous findings that Australian Army recruits quickly developed solid team cohesion early in their training, which generally continued to rise in all three courses. Furthermore, as seen previously with recruits, vertical bonding between section members in all three courses and their instructor leaders tended to be higher than horizontal bonding among team members, which in turn was higher than vertical bonding of the trainees with the wider Army. These findings have useful implications for health professionals. When discussing fee...
Source: Military Medicine - October 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Treating SIRVA Early With Corticosteroid Injections: A Case Series.
Authors: Macomb CV, Evans MO, Dockstater JE, Montgomery JR, Beakes DE Abstract Shoulder injury related to vaccine administration (SIRVA) is defined as "shoulder pain with limited range of motion within 48 hours after vaccine receipt in individuals with no prior history of pain, inflammation, or dysfunction of the affected shoulder before vaccine administration." Corticosteroid injections (CSIs) have been proposed as a reasonable treatment modality for SIRVA, although evidence regarding efficacy is scanty. In this case series, we present two patients diagnosed with SIRVA who received CSI within 5 days of s...
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Adapting Mindfulness Training for Military Service Members With Chronic Pain.
CONCLUSIONS: The adaptation process was successful in generating an engaging mindfulness training program that was highly relevant to the military context. Obtaining input from stakeholders, such as military healthcare providers and active-duty soldiers, and iterative feedback and modification, were key to the process. Moreover, the program was designed to maintain the integrity and core elements of MBIs while adapting to military culture. A future randomized controlled trial design will be used to evaluate the effectiveness of the intervention in improving chronic pain in military personnel. This program is responsive to ...
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Community Balance and Mobility Scale: Detecting Impairments in Military Service Members With Mild Traumatic Brain Injury.
CONCLUSION: All objective measures distinguish participants with mTBI from controls, ranging from fair to excellent. The recommended CB&M cut score of 81.5 allows for good variance, standard deviation, and reduced risk of ceiling or floor effects. Further examination of the recommended CB&M cut score is warranted for use in the mTBI civilian populations. PMID: 31621858 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Diabetes by Air, Land, and Sea: Effect of Deployments on HbA1c and BMI.
Authors: Folaron I, True MW, Kazanis WH, Wardian JL, Tate JM, Graybill SD, Clerc PG, Jenkins CR Abstract INTRODUCTION: Service members (SMs) in the United States (U.S.) Armed Forces have diabetes mellitus at a rate of 2-3%. Despite having a chronic medical condition, they have deployed to environments with limited medical support. Given the scarcity of data describing how they fare in these settings, we conducted a retrospective study analyzing the changes in glycated hemoglobin (HbA1c) and body mass index (BMI) before and after deployment. MATERIALS AND METHODS: SMs from the U.S. Army, Air Force, Navy, and Mar...
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

How to Live Forever: Who are Grant, Grow, Hall, and O'Callaghan?
Authors: Gustafson JD, Welling DR PMID: 31621861 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Stemming the Tide of Opioid Addiction-Dramatic Reductions in Postoperative Opioid Requirements Through Preoperative Education and a Standardized Analgesic Regimen.
Authors: Sheldon RR, Weiss JB, Do WS, Forte DM, Carter PL, Eckert MJ, Sohn VY Abstract INTRODUCTION: Surgery is a known gateway to opioid use that may result in long-term morbidity. Given the paucity of evidence regarding the appropriate amount of postoperative opioid analgesia and variable prescribing education, we investigated prescribing habits before and after institution of a multimodal postoperative pain management protocol. MATERIALS AND METHODS: Laparoscopic appendectomies, laparoscopic cholecystectomies, inguinal hernia repairs, and umbilical hernia repairs performed at a tertiary military medical cent...
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Symptomatic Mefloquine Exposure as a Common Data Element in Studies of Military-Related Post Traumatic Stress Disorder.
Authors: Nevin RL PMID: 31621878 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Pilot Trial of Online Training for Family Well-Being and Veteran Treatment Initiation for PTSD.
CONCLUSION: Results from this pilot trial suggest that VA-CRAFT holds initial promise in reducing caregiver burden and as such it could be a useful resource for family members of veterans with PTSD. However, VA-CRAFT does not enhance veteran treatment initiation. It may benefit from enhancements to increase effectiveness and caregiver engagement. PMID: 31621884 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Mental Health Diagnoses in Veterans Referred for Outpatient Geriatric Psychiatric Care at a Veterans Affairs Medical Center.
CONCLUSIONS: Prevalence and comorbidity of major MH conditions is high in veterans referred for geriatric MH services. Future work will examine challenges faced by non-specialty providers in caring for older veterans, with the goal of developing targeted educational and clinical interventions to better address aging veterans' MH needs. PMID: 31621886 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 19, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

In Response to RE: Uniformed Services University Women's Enrollment and Career Choices in Military Medicine: A Retrospective Descriptive Analysis.
Authors: Cervero RM, Battista A, Schreiber-Gregory DN, Konopasky A, Torre D, Maggio LA, Boulet JR, Reamy BV, Durning SJ PMID: 31608382 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 16, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

RE: Uniformed Services University Women's Enrollment and Career Choices in Military Medicine: A Retrospective Descriptive Analysis.
Authors: MacKinnon LRM PMID: 31603216 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Semi-Automated Neurofeedback Therapy for Persistent Postconcussive Symptoms in a Military Clinical Setting: A Feasibility Study.
CONCLUSION: LZT treatment appears to be a feasible, non-pharmacological therapy amenable to SMs. Results from this pilot study promote further investigation of LZT as an intervention for SMs with persistent symptoms following TBI. PMID: 31603218 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Influence of Self-Reported Tobacco Use on Baseline Concussion Assessments.
The objective of this study was to compare baseline concussion assessment scores between service academy cadets who use and do not use tobacco. METHODS: Cadets completed a standard battery of concussion baseline assessments per standard of care and were classified into two groups: tobacco users (n = 1,232) and nonusers (n = 5,922). Dependent variables included scores on the Balance Error Scoring System, Standardized Assessment of Concussion, Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Brief Symptom Inventory-18, and Brief Sensation Seeking Scale (BSSS). Separate Mann-Whitney...
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Developing an Algorithm for Combining Race and Ethnicity Data Sources in the Veterans Health Administration.
CONCLUSIONS: We developed an algorithm of data source precedence in the VHA that improves the accuracy of the identification of historically under-identified minorities: (1) SHEP, (2) CDW, (3) Department of Defense's VADIR, and (4) Medicare. PMID: 31603222 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Teleophthalmology Prevents Unnecessary Evacuation from Warzone.
Authors: Cocozza LVR, Santamaria CJA, Giles CGB, Keehn MMC, Miller CK Abstract The purpose of this case report is to highlight the benefits of using teleconsultation to diagnose ophthalmologic conditions within the restraints of a combat environment. A previously healthy 49-year-old service member deployed in the Middle East presented with diplopia over the course of 2 weeks. Initial diagnosis by his primary care physician upon partial ophthalmologic exam was a pupil-sparing CN III palsy without ptosis. Initial teleconsultation response from Naval Medical Center Portsmouth was within 6 hours. After an oph...
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

In Response to: Decoding Readiness: Toward a Ready Military Health Care Force.
Authors: Case M, Brown K, Lennon R, Hwang D, Sanchack K PMID: 31603237 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Epidemiology and Financial Burden of Musculoskeletal Injuries as the Leading Health Problem in the Military.
CONCLUSION: Our study provided evidence that MSIs result in substantial financial burden. Injuries of the back, knee, and foot account for the majority of demands on curative care for MSIs. PMID: 31603239 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - October 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Burnout in Military Emergency Medicine Resident Physicians: A Cross-Sectional Study With Comparisons to Other Physician Groups.
CONCLUSION: In a small study of military EM resident physicians, level of burnout as measured by the MBI-HSS is similar to other EM populations including civilian residents and practicing physicians, though it was much higher than that of military orthopedic residents. No relationship between presence or absence of burnout and academic performance as measured by the ABEM-ITE was found. PMID: 31560056 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Communicating With Leadership: Behavioral Health and HIPAA in the Field.
We present a case of a junior officer that highlights these issues. PMID: 31560057 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Spontaneous Pneumopericardium in a U.S. Marine: Do not Lose Heart.
We report an unusual case of extensive subcutaneous emphysema, pneumomediastinum, and pneumopericardium identified in an otherwise healthy U.S. Marine who was enrolled in the Marine Corps School of Infantry. His training regimen included prolonged periods of yelling and elevation changes during sustained hiking through hilly terrain. The patient presented to the Fast Track with normal vital signs but complained of dyspnea, cough, and subjective fevers. Although he lacked a history of trauma, he was found to have pneumopericardium, pneumomediastinum, and subcutaneous emphysema without pneumothorax. He was admitted to the ge...
Source: Military Medicine - September 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Letter from the Executive Director Dr. John Cho.
Authors: PMID: 31506675 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 13, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Bangladesh Fistula Mission Partnership: Leveraging Assets from the United States Agency for International Development and the Department of Defense to Address a Health Care Crisis in a Developing Nation.
CONCLUSION: This IAA was the first USAID funded and DoD-executed health mission in the US Indo-Pacific Command Area of Responsibility. Direct participation in the IAA enabled TAMC to support the US Indo-Pacific Command Theater Campaign Plan, the Department of Defense Instruction 2000.30 on Global Health Engagements, the USAID Country Development Cooperation Strategy, and the US Ambassadors Integrated Country Strategy Objectives in Bangladesh. This effort can serve as a model for future cooperation between USAID and the DoD. PMID: 31503280 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Horner's Syndrome with Unilateral Brachial Plexus Blockade Mimicking Cerebrovascular Accident Following Lumbar Combined Spinal Epidural Analgesia for Labor.
We present a case of Horner's Syndrome and complete brachial plexus blockade following epidural bolus of lidocaine for labor analgesia that was initially misdiagnosed as a cerebrovascular accident. Use of the catheter was discontinued and the episode resolved with expectant management. This complication is otherwise benign and resolves without sequelae. PMID: 31504771 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Relationship Between Spiritual Well-being and Post-traumatic Stress Disorder Symptoms in United States Air Force Remotely Piloted Aircraft and Intelligence Personnel.
This study addresses a gap in research by examining the association of existential and spiritual health with post-traumatic stress disorder (PTSD) symptoms in RPA and intelligence personnel. METHODS: Three hundred and five U.S. Air Force RPA and intelligence personnel completed the Spiritual Well-Being Scale (SWBS) and PTSD Checklist-Military Version. Correlational analyses were used to examine the association between SWBS score and PTSD symptoms. FINDINGS: There was a negative correlation between the SWBS and PTSD Checklist-Military Version scores (Pearson correlation coefficient = -0.49, p
Source: Military Medicine - September 12, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Helping High School-Aged Military Dependents With Autism Gain Employment Through Project SEARCH + ASD Supports.
CONCLUSIONS: Initial results are promising and suggest that the PS + ASD model may help to meet the transition needs of military-dependent and -connected youth with ASD and the employment needs of local military communities. PMID: 31498390 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Self-report Pain Scale Reliability in Veterans and Service Members With Traumatic Brain Injuries Undergoing Inpatient Rehabilitation.
CONCLUSIONS: All four pain measures demonstrated good utility, very high test-retest reliability, and satisfactory responsiveness. Greater cognitive impairment was associated with elevated pain ratings, especially in the Faces and CAS. The NRS was the most preferred by patients, regardless of cognitive impairment level. PMID: 31498391 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

rs11670527 Upstream of ZNF264 Associated with Body Mass Index in the Coriell Personalized Medicine Collaborative.
CONCLUSIONS: the finding of an association between rs11670527 and BMI adds to the growing body of literature characterizing the complex genetics of obesity. These efforts may eventually inform personalized interventions aimed at achieving and maintaining healthy weight. PMID: 31498392 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Leptospirosis Seroconversion Surveillance Among US Marines Assigned to Japan, 2011-2015.
CONCLUSION: The 5% rate of seroconversion in 2013 and 2014 suggests that leptospirosis is a potential threat for Marines in the endemic region in Japan. PMID: 31498402 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Survey of Occupational and Environmental Exposure Monitoring Solutions.
CONCLUSIONS: Evolving technologies and data management strategies may advance personal exposure monitoring in the future. These new devices and methods will likely supplant current technologies, while still using the programmatic and data framework established with early implementation of current commercial off the shelf devices. PMID: 31498403 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Interaction Between Psychiatric Symptoms and History of Mild TBI When Evaluating Postconcussion Syndrome in Veterans.
CONCLUSIONS: The NSI score was primarily explained by symptoms of PTSD and depression, suggesting that the NSI is not specific to the experience of a brain injury. We recommend cautious interpretation when this measure is used in the chronic phase after mTBI, especially among patients with comorbid depression or PTSD. PMID: 31498405 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Noncontact Speckle Contrast Diffuse Correlation Tomography of Blood Flow Distributions in Burn Wounds: A Preliminary Study.
CONCLUSIONS: The unique noncontact 3D imaging capability makes the scDCT applicable for intraoperative assessment of burns/wounds, without risk of infection and without interfering with sterility of the surgical field. The portable scDCT device holds the potential to be used by surgeons in combat surgical hospitals to improve the acute management of battlefield burn injuries. PMID: 31498406 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Efficacy of Medical Operations and Layout Planning Onboard Nontraditional US Navy Vessels at High Seas.
CONCLUSION: This shows that the working conditions aboard the US Naval Ship Brunswick were satisfactory for the assigned tasks, indicating that these medical operations may be feasible aboard nontraditional US Navy vessels. PMID: 31498411 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - September 10, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Case Report of Slug Ingestion Causing Eosinophilic Meningitis, Papilledema, and Pronounced Motor Weakness in a US Marine.
We describe the unique clinical features of this disease in our patient. PMID: 31436288 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - August 24, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Case Study of a Breacher: Investigation of Neurotrauma Biomarker Levels, Self-reported Symptoms, and Functional MRI Analysis Before and After Exposure to Measured Low-Level Blast.
We report a case study on a single military member who received moderate blast overpressure (OP) exposure during routine breacher training. We extend previous research on blast exposure during training, which lacked sufficient data to assess symptom profiles and OP exposure. The present work was conducted because a subjective symptom profile similar to that seen in sports concussion has been reported by military personnel exposed to blast. Data collection for this study was carried out under a research protocol approved by the relevant Human Subjects Review Committees on one subject, who received the highest OP exposure du...
Source: Military Medicine - August 21, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research