Proteomic Analysis of Inflammatory Biomarkers Associated With Breast Cancer Recurrence.
CONCLUSIONS: Our data indicated that the epigenetic regulation of inflammatory processes plays a critical role in breast cancer recurrence. The identified proteins could lay the groundwork for the development of a serum-based breast cancer recurrence assay. PMID: 32074342 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Low Incidence of Death and Renal Failure in United States Military Service Members Hospitalized with Exertional Heat Stroke: A Retrospective Cohort Study.
CONCLUSION: EHS is aggressively identified and treated in U.S. Military Treatment Facilities. Mortality and morbidity were strikingly low. PMID: 32074343 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Balancing Patient Care and Force Protection at Military Medical Treatment Facilities.
CONCLUSION: We identify the potential for patient harm due to delays in care resulting from the security protocols at our MTF. A review of force protection requirements with consideration for their impact on patient safety, especially in cases of time-sensitive conditions, has been conducted. PMID: 32074344 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

An Applied Test of Knowledge Translation Methods Using a Mobile Health Solution.
Authors: Armstrong CM, Ciulla RP, Williams SA, Micheel LJ Abstract INTRODUCTION: The study's objectives were to improve providers' knowledge of mobile health core competencies; increase providers' knowledge and clinical use of the Virtual Hope Box (VHB) mobile app as an evidence-based treatment tool; and test elements of a structured knowledge translation paradigm. MATERIALS AND METHODS: knowledge translation best practices were integrated into a training workshop with the goal to increase provider adoption of the VHB. Providers were trained at three sites and provided feedback before the training, post-trainin...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Measuring Blunt Force Head Impacts in Athletes.
CONCLUSIONS: While these data are useful for preliminary human tolerance limits, a larger population must be used to quantify real-world dose response as a function of impact magnitude, direction, location, and accumulation. This work is ongoing. PMID: 32074346 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Telementoring in Leg Fasciotomies via Mixed-Reality: Clinical Evaluation of the STAR Platform.
CONCLUSIONS: This work validates STAR as a viable surgical telementoring platform, which could be further explored to aid in scenarios where life-saving care must be delivered in a prehospital setting. PMID: 32074347 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Initial Biphasic Fractional Anisotropy Response to Blast-Induced Mild Traumatic Brain Injury in a Mouse Model.
CONCLUSIONS: Blast-induced mild traumatic brain injury in a mouse model follows a biphasic FA response within 12 days after a single blast similar to that reported for human subjects. PMID: 32074348 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Predicting and Planning for Musculoskeletal Service-Connected Disabilities in VA Using Disability for Active Duty OEF/OIF Military Service Members.
CONCLUSIONS: Although active duty SM with disability separations were more likely to receive MSK-related service-connected disability ratings in the VA, those with normal separations also received such awards. Identifying those at highest risk for MSK-related disability could lead to improved surveillance and prevention strategies in the Department of Defense and VA health care systems to prevent further damage and disability. PMID: 32074349 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Influenza Vaccination, Self-reported Illness, and Obstacles for Vaccination Among the 2010 ROTC Warrior Forge Cadet Cohort.
CONCLUSIONS: A historical anchor for vaccination rates and ILI is provided in a large cohort of college students following the 2009 H1N1 influenza pandemic. Influenza immunization locations were determined, as was self-reported obstacles to receiving vaccinations. These are important results for public health leaders seeking to increase vaccination rates during future influenza seasons. PMID: 32074350 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Towards a Treatment for Gulf War Illness: A Consensus Docking Approach.
CONCLUSIONS: Development of a drug treatment therapy for GWI is threatened by the tight interplay between the immune and hormonal systems, often leading to drug interactions. Increasing knowledge of these interactions can lead to break-through therapies. PMID: 32074351 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Hand Surgeon Perspectives on Upper Extremity Allograft: A Survey of the American Society for Surgery of the Hand.
CONCLUSIONS: In spite of variation with respect to their use, allograft tissue products are popular and interest in new products, especially to improve flexor tendon pulley reconstruction, is high. PMID: 32074352 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Development of a Tympanic Membrane Model and Probabilistic Dose-Response Risk Assessment of Rupture Because of Blast.
CONCLUSIONS: Dose-response curves are needed for probabilistic risk assessments of unintended effects like TMR. For increased functionality, the lumped parameter model was packaged as a software library that predicts eardrum rupture for a given blast loading condition. PMID: 32074353 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Deriving pQCT-Type Spatial Density from DXA Images.
CONCLUSIONS: High potential exists to create a practical protocol using DXA in place of pQCT to assess stress fracture risk and aid in mitigating musculoskeletal injuries seen in military recruits. PMID: 32074354 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Health and Readiness of Service Members: ACEs to PACEs.
CONCLUSIONS: The contrast by rank and sex in relation to ACEs punctuates the need for attention to ACEs and protective factors among early career service members in order to promote sustainable careers in the military. PMID: 32074355 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Temporal Effects of 2% Pilocarpine Ophthalmic Solution on Human Pupil Size and Accommodation.
CONCLUSIONS: 2% pilocarpine ophthalmic solution can safely simulate major ocular symptoms of OP exposure for behavioral research studies for at least 60 minutes. PMID: 32074356 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Delivering Transcranial Direct Current Stimulation Away From Clinic: Remotely Supervised tDCS.
CONCLUSIONS: RS-tDCS is feasible and tolerable for MS participants. The RS-tDCS protocol can be used to reach those in locations without clinic access and be paired with training or rehabilitation in locations away from the clinic. This protocol could be used to deliver tDCS paired with training or rehabilitation activities remotely to service members and veterans. PMID: 32074357 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Ultrasound Evaluation of the Peroneal Tendons in an Asymptomatic Elite Military Population: A Prospective Cohort Study.
CONCLUSION: The study demonstrates that the distance between the peroneal brevis and the lateral fibular ridge is consistent throughout extremes of motion. These results further the understanding of peroneal tendon function under dynamic examination. Our findings also establish side-to-side consistency prompting a bilateral examination to help identify abnormal pathology. PMID: 32074358 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Utilization of 19F MRI for Identification of Iraq-Afghanistan War Lung Injury.
CONCLUSIONS: This is consistent with our premise that WLI results in abnormal lung function and reflects small airways dysfunction and suggests that we may be able to provide a more sensitive tool for evaluation of WLI suspected cases. PMID: 32074359 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Assessing the Well-being of Sexual Minority Soldiers at a Military Academic Institution.
CONCLUSION: Organizational barriers, such as perceived prejudice and lack of support, appear to still exist for sexual minority soldiers. Increasing organizational support and implementing training and education for health care providers in order to better support the LGB soldier community may mitigate these barriers. PMID: 32074360 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Leveraging Integrated Continuous Manufacturing to Address Critical Issues in the U.S. Military.
This article describes how the implementation of continuous manufacturing, replacing outdated batch systems, can positively impact our health care sector. Important benefits will include the creation of advanced pharmaceutical manufacturing jobs in the United States, the establishment of capabilities and capacity to quickly produce drugs critical to U.S. citizens, the reduction of health care costs through more efficient manufacturing, and access to better quality drugs through more sophisticated and reliable production processes. Furthermore, the application of continuous manufacturing will enable the U.S. Government, in ...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Monitoring from Battlefield to Bedside: Serum Repositories Help Identify Biomarkers, Perspectives on Mild Traumatic Brain Injury.
CONCLUSION: Biorepositories are powerful resources for understanding the spectrum of morbidity. Biomarkers serve as a valuable diagnostic and therapeutic tool. PMID: 32074362 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Prototype of a Military Medic Smartphone Medical Graphical User Interface for Use by Medics in Deployed Environments.
CONCLUSIONS: The widespread deployment of this type of device will enable more effective health care, limit the impact of battlefield injuries, and save lives. PMID: 32074363 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Simulation of Cumulative Exposure Statistics for Blast Pressure Transmission Into the Brain.
This study develops and demonstrates an analysis approach to understand the statistics of cumulative pressure exposure of the brain to repetitive blasts events. MATERIALS AND METHODS: A finite element model of blast loading on the head was used for brain model biomechanical responses. The cumulative pressure exposure fraction (CPEF), ranging from 0.0 to 1.0, was used to characterize the extent and repetition of high pressures. Monte Carlo simulations were performed to generate repetitive blast cumulative exposures. RESULTS: The blast orientation effect is as influential as the blast overpressure magnitudes. A 75&de...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Understanding How Clinicians Use a New Web-based Tool for Disseminating Evidence-Based Practices for the Treatment of PTSD: The PTSD Clinicians Exchange.
CONCLUSIONS: This study demonstrates the importance of methodologically rigorous evaluations of participant engagement with web-based interventions. These approaches provide insight into who accesses these tools, when, how, and with what results, which can be translated into their strategic design, evaluation, and dissemination. PMID: 32074365 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exposure to Intense Noise Causes Vestibular Loss.
CONCLUSION: These data suggest that noise overstimulation, such as can occur in the military, could introduce an increased risk of imbalance that should be evaluated before returning a subject to situations that require normal agility and motion. Moreover, although there is recovery with time, some dysfunction persists for extended periods. PMID: 32074366 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Pediatric Prehospital Wound Prophylaxis in Iraq and Afghanistan.
CONCLUSIONS: The most frequently administered antibiotics were cephalosporins. TCCC recommended agents for adult prehospital wound prophylaxis were infrequently administered to pediatric casualties. Administration rates of pediatric prehospital wound prophylaxis may be improved with pediatric-specific TCCC guidelines recommending cephalosporins as first-line agents, fielding of a TCCC-oriented Broselow tape, and training prehospital providers on administration of antimicrobials. PMID: 32074367 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Continuity in Psychological Health and Role Functioning Across Deployment.
CONCLUSIONS: Study findings reinforce the importance of predeployment preparation, providing families with resources to maximize resilience in response to the stress of deployment. PMID: 32074368 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Prehospital Use of Ketamine in the Combat Setting: A Sub-Analysis of Patients With Head Injuries Evaluated in the Prospective Life Saving Intervention Study.
CONCLUSIONS: We found that combat casualties with suspected TBI that received prehospital ketamine had similar outcomes to those that received OAs or NAs despite injury differences. PMID: 32074369 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Assessment of the Efficacy and Safety of a Novel, Low-Cost, Junctional Tourniquet in a Porcine Model of Hemorrhagic Shock.
CONCLUSIONS: The tourniquet achieved effective arterial occlusion with minimal tissue damage, similar to reports of other JTQs. Subjected to further human trials, the tourniquet might be a suitable candidate for widespread frontline deployment because of its versatility, compactness, and affordable design. PMID: 32074370 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Experimental Basis for Creating an Osseointegrated Neural Interface for Prosthetic Control: A Pilot Study in Rabbits.
Authors: Dingle AM, Ness JP, Novello J, Millevolte AXT, Zeng W, Sanchez R, Nemke B, Lu Y, Suminski AJ, Markel MD, Williams JC, Poore SO Abstract INTRODUCTION: While debate persists over how to best prevent or treat amputation neuromas, the more pressing question of how to best marry residual nerves to state-of-the-art robotic prostheses for naturalistic control of a replacement limb has come to the fore. One potential solution involves the transposition of terminal nerve ends into the medullary canal of long bones, creating the neural interface within the bone. Nerve transposition into bone is a long-practiced, cli...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

The Prehospital Evaluation and Care of Moderate/Severe TBI in the Austere Environment.
Authors: Gurney JM, Loos PE, Prins M, Van Wyck DW, McCafferty RR, Marion DW Abstract Increased resource constraints secondary to a smaller medical footprint, prolonged evacuation times, or overwhelming casualty volumes all increase the challenges of effective management of traumatic brain injury (TBI) in the austere environment. Prehospital providers are responsible for the battlefield recognition and initial management of TBI. As such, targeted education is critical to efficient injury recognition, promoting both provider readiness and improved patient outcomes. When austere conditions limit or prevent definitive ...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Prehospital Battlefield Casualty Intervention Decision Cognitive Study.
Authors: Schweizer MA, Wampler D, Lu K, Oh AS, Rahm SJ, Studer NM, Cunningham CW Abstract INTRODUCTION: Airway compromise is the third most common cause of preventable battlefield death. Surgical cricothyroidotomy (SC) is recommended by Tactical Combat Casualty Care (TCCC) guidelines when basic airway maneuvers fail. This is a descriptive analysis of the decision-making process of prehospital emergency providers to perform certain airway interventions. METHODS: We conducted a scenario-based survey using two sequential video clips of an explosive injury event. The answers were used to conduct descriptive analyse...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

A Novel Intervention Platform for Service Members With Subjective Cognitive Complaints: Implementation, Patient Participation, and Satisfaction.
CONCLUSIONS: This program model may benefit other military facilities looking to provide and assess novel therapeutic approaches. PMID: 32074374 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Anthropomorphic Blast Test Device for Primary Blast Injury Risk Assessment.
CONCLUSION: The ABTD was validated successfully for open field tests. For occupational blast injury assessments, ABTD can be used in place of the BTD and provide enhanced capabilities. PMID: 32074375 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Developing the Prototype Embedded Health Engagement Team.
Authors: Burkett EK, Neese B, Lawrence CY Abstract Small, well prepared, culturally competent, and embedded health engagement teams (EHET) tailored to work within a partner health system, rather than outside of it, will achieve greater mutual benefit, desired military objectives, and better health outcomes for the United States Department of Defence and its partners. EHETs have significant advantages over traditional methods of choice for health security cooperation and humanitarian assistance missions. These advantages include enhanced capability and capacity building, greater trust through intentional cultural ex...
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Hearing Damage Induced by Blast Overpressure at Mild TBI Level in a Chinchilla Model.
CONCLUSIONS: This study demonstrates that the number of blasts causing mild TBI critically affects hearing damage. PMID: 32074377 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Ex-Vivo Normothermic Limb Perfusion With a Hemoglobin-Based Oxygen Carrier Perfusate.
CONCLUSIONS: An HBOC-201-EVNLP produced outcomes similar to RBC-EVNLP with preservation of muscle contractility and mitochondrial structure. PMID: 32074378 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Forward.
Authors: Rauch TM PMID: 32074379 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Exploring Disparities in Awarding VA Service-Connected Disability for Post-Traumatic Stress Disorder for Active Duty Military Service Members from Recent Conflicts in Iraq and Afghanistan.
CONCLUSIONS: Despite being diagnosed with PTSD at similar rates to their referent categories, females and Black veterans are less likely to receive PTSD disability awards. Other racial/ethnic minorities and those with misconduct separations were more likely to receive PTSD diagnoses and awards. Further study is merited to explore variation in awarding SCDB. PMID: 32074380 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Overview.
Authors: Reilly PA PMID: 32074381 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Gap Analysis of Swine-Based Hemostasis Research: "Houses of Brick or Mansions of Straw?"
CONCLUSIONS: Methodological quality was poor. Although funding agencies actively promote good scientific practice, investigators have been slow to comply. Poorly executed and reported animal research is an ethical and translational issue, wasting animals and potentially harming patients. To properly assess the therapeutic benefit of novel interventions, investigators must rely less on rote hypothesis testing, develop skills in experimental design and quantitative analysis, and comply with best-practice reporting guidelines. PMID: 32074382 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Analysis of Casualties That Underwent Airway Management Before Reaching Role 2 Facilities in the Afghanistan Conflict 2008-2014.
CONCLUSIONS: In the R2D, airway intervention was associated with increased odds of mortality, although this was not statistically significant. Other patients had higher odds of undergoing an airway intervention than U.S. military. Awareness of these findings will facilitate training and equipment for future management of prehospital/prolonged field care airway interventions. PMID: 32074383 [PubMed - in process] (Source: Military Medicine)
Source: Military Medicine - February 21, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cardiovascular Screening in the U.S. Military: Time to Reconsider the Electrocardiogram.
CONCLUSION: Prospective study of ECG screening is needed to determine the impact on cardiovascular outcomes in U.S. military populations. PMID: 32065233 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 20, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Impact of a 4-hour Introductory eFAST Training Intervention Among Ultrasound-Na ïve U.S. Military Medics.
CONCLUSIONS: A 4-hour introductory eFAST training intervention can effectively train conventional military medics to perform the eFAST exam. Online, asynchronously available platforms may effectively mitigate some of the resource requirement burden associated with point-of-care ultrasound training. Future studies evaluating medic eFAST performance on real-world battlefield trauma patients are needed. Skill and knowledge retention must also be assessed for this degradable skill to determine frequency of refresher training when not regularly performed. PMID: 32060506 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Tiers for Education and Training in Global Health for Military Engagement.
This article describes four tiers for knowledge required by U.S. military personnel to effectively execute global health activities. Department of Defense policy does not identify a formal global health education path for personnel responsible for global health activities. Department of Defense must implement formal education programs to improve mission success and favorable health outcomes. PMID: 32060539 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

When, How, & Where Tobacco Initiation and Relapse Occur During U.S. Air Force Technical Training.
CONCLUSIONS: Tobacco use behaviors during Technical Training differed depending on the type of product. Specifically, new and emerging products were more likely to be bought off base and first used at a specialty store. Thus, military polices regulating on base tobacco pricing might not reduce the growing prevalence of e-cigarettes. Future policies might consider addressing the density of off-base tobacco retailers to reduce the high rates of tobacco use in this population. PMID: 32060547 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Internal Carotid Artery Dissection Presenting as Partial Horner's Syndrome and Vertigo.
Authors: Teixeira JC, Jackson PJ Abstract Distinguishing between central and peripheral causes of vertigo can be challenging not only in an acute setting but also in chronic settings. A thorough review of systems and physical exam can assist providers in differentiating central versus peripheral etiologies and the need for urgent imaging. In this case, a 47-year-old man presented with vertigo, right-sided hearing loss, right-sided headache, and right-sided facial pain that began 4 weeks before while the patient was on a cruise ship. His physical exam findings were notable for anisocoria with right pupil 3.5 an...
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Remote Access Therapy for Veterans With Psychological Problems: Current State of the Art.
CONCLUSIONS: Overall, studies reported largely positive outcomes for veterans undergoing remote access therapy and in general participants did not find the therapeutic process compromised by remote delivery. Studies showed that remote access therapy is being conducted successfully in both the US and UK. There is, however, a need for more research into the use of remote access therapies to treat a wider range of psychological difficulties in veterans. PMID: 32060551 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Post-9/11 Veteran Satisfaction With the VA eScreening Program.
CONCLUSIONS: These findings support the use of patient experiences and feedback to aide product development. In addition, post-9/11 veterans support the use of eScreening to assist health screening. However, evaluating the eScreening program in more diverse veteran groups and Veterans Affairs settings is needed to improve the generalizability of these findings to the larger veteran population. PMID: 32060553 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cardiorespiratory Fitness Is Associated With Better Cardiometabolic Health and Lower PTSD Severity in Post-9/11 Veterans.
CONCLUSIONS: These preliminary findings suggest that CRF and by proxy physical activity may be important factors in understanding the increased risk of cardiovascular and metabolic disease associated with PTSD. PMID: 32060558 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research