Interfacility Transfer Teams: A Pilot Study to Assess Viability as a Skill Sustainment Platform
CONCLUSIONS: IFT teams with local training were able to safely transport critically ill patients with no adverse outcomes, defined as direct harm to the patients as a result of transport. Patient care during transports included routine interventions, ventilator management, and troubleshooting of patient deteriorations. Our data further suggest IFT programs may be a viable skill sustainment platform for ERC clinicians.PMID:38518201 | DOI:10.1093/milmed/usae093 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Andrew J Medenbach Alexandre Nguyen Emily Raetz Theodore Morrison Benjamin Walrath Source Type: research

Self-Perception of Risk for HIV Acquisition and Calculated Risk for HIV Acquisition Among Active Duty Air Force Members With Newly Diagnosed HIV Infection
CONCLUSION: The majority of USAF members with incident HIV infection reported a low SPR despite risk factors and CRs identical to high SPR patients. In order to inform HIV prevention strategies in the military, further efforts are needed to educate the military population and providers about HIV risk perception.PMID:38518206 | DOI:10.1093/milmed/usae087 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Audie B Schmid Jason F Okulicz Walter Mika Shilpa Hakre Joseph M Yabes Source Type: research

Optimization and Validation of an FTIR-based, All-in-one System for Viable MDR Bacteria Detection in Combat-related Wound Infection
CONCLUSIONS: Our system has achieved excellent performance in detecting viable bacteria presence and in performing AST in a multiplex, automated, and easy-to-operate manner, on both lab-prepared and real samples. Our results have shown a path forward to a rapid (sample-to-answer time ≤3 hours), accurate, sensitive, species-specific, and portable system to detect the presence of MDR combat-related wound infections in the field environment. Our future efforts involve ruggedizing the RAPID system and evaluating performance under relevant environmental conditions.PMID:38516949 | DOI:10.1093/milmed/usae068 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Ying Chen Andrew Leung Yulia Wang Nathan K Archer Source Type: research

The Impact of COVID-19 on Health Behavior Engagement and Psychological and Physical Health Among Active Duty Military Enrolled in a Weight Management Intervention: An Exploratory Study
CONCLUSIONS: As expected, most participants perceived of the pandemic as heightening stress and interfering with engagement in health behaviors. It is possible that pandemic-related stress may have exacerbated weight gain-promoting behaviors and/or interfered with achievement of desired weight management outcomes. Outside the context of the pandemic, it may be beneficial for healthcare providers to screen individuals for stress and perceptions of ease of engagement in health behaviors before enrollment in a weight management intervention. Further, tailoring interventions to mitigate stress and promote perceptions of ease i...
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Jessica L Morse Jennalee S Wooldridge Matthew S Herbert Niloofar Afari Source Type: research

Interfacility Transfer Teams: A Pilot Study to Assess Viability as a Skill Sustainment Platform
CONCLUSIONS: IFT teams with local training were able to safely transport critically ill patients with no adverse outcomes, defined as direct harm to the patients as a result of transport. Patient care during transports included routine interventions, ventilator management, and troubleshooting of patient deteriorations. Our data further suggest IFT programs may be a viable skill sustainment platform for ERC clinicians.PMID:38518201 | DOI:10.1093/milmed/usae093 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Andrew J Medenbach Alexandre Nguyen Emily Raetz Theodore Morrison Benjamin Walrath Source Type: research

Self-Perception of Risk for HIV Acquisition and Calculated Risk for HIV Acquisition Among Active Duty Air Force Members With Newly Diagnosed HIV Infection
CONCLUSION: The majority of USAF members with incident HIV infection reported a low SPR despite risk factors and CRs identical to high SPR patients. In order to inform HIV prevention strategies in the military, further efforts are needed to educate the military population and providers about HIV risk perception.PMID:38518206 | DOI:10.1093/milmed/usae087 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Audie B Schmid Jason F Okulicz Walter Mika Shilpa Hakre Joseph M Yabes Source Type: research

Optimization and Validation of an FTIR-based, All-in-one System for Viable MDR Bacteria Detection in Combat-related Wound Infection
CONCLUSIONS: Our system has achieved excellent performance in detecting viable bacteria presence and in performing AST in a multiplex, automated, and easy-to-operate manner, on both lab-prepared and real samples. Our results have shown a path forward to a rapid (sample-to-answer time ≤3 hours), accurate, sensitive, species-specific, and portable system to detect the presence of MDR combat-related wound infections in the field environment. Our future efforts involve ruggedizing the RAPID system and evaluating performance under relevant environmental conditions.PMID:38516949 | DOI:10.1093/milmed/usae068 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Ying Chen Andrew Leung Yulia Wang Nathan K Archer Source Type: research

The Impact of COVID-19 on Health Behavior Engagement and Psychological and Physical Health Among Active Duty Military Enrolled in a Weight Management Intervention: An Exploratory Study
CONCLUSIONS: As expected, most participants perceived of the pandemic as heightening stress and interfering with engagement in health behaviors. It is possible that pandemic-related stress may have exacerbated weight gain-promoting behaviors and/or interfered with achievement of desired weight management outcomes. Outside the context of the pandemic, it may be beneficial for healthcare providers to screen individuals for stress and perceptions of ease of engagement in health behaviors before enrollment in a weight management intervention. Further, tailoring interventions to mitigate stress and promote perceptions of ease i...
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Jessica L Morse Jennalee S Wooldridge Matthew S Herbert Niloofar Afari Source Type: research

Interfacility Transfer Teams: A Pilot Study to Assess Viability as a Skill Sustainment Platform
CONCLUSIONS: IFT teams with local training were able to safely transport critically ill patients with no adverse outcomes, defined as direct harm to the patients as a result of transport. Patient care during transports included routine interventions, ventilator management, and troubleshooting of patient deteriorations. Our data further suggest IFT programs may be a viable skill sustainment platform for ERC clinicians.PMID:38518201 | DOI:10.1093/milmed/usae093 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Andrew J Medenbach Alexandre Nguyen Emily Raetz Theodore Morrison Benjamin Walrath Source Type: research

Self-Perception of Risk for HIV Acquisition and Calculated Risk for HIV Acquisition Among Active Duty Air Force Members With Newly Diagnosed HIV Infection
CONCLUSION: The majority of USAF members with incident HIV infection reported a low SPR despite risk factors and CRs identical to high SPR patients. In order to inform HIV prevention strategies in the military, further efforts are needed to educate the military population and providers about HIV risk perception.PMID:38518206 | DOI:10.1093/milmed/usae087 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Audie B Schmid Jason F Okulicz Walter Mika Shilpa Hakre Joseph M Yabes Source Type: research

Optimization and Validation of an FTIR-based, All-in-one System for Viable MDR Bacteria Detection in Combat-related Wound Infection
CONCLUSIONS: Our system has achieved excellent performance in detecting viable bacteria presence and in performing AST in a multiplex, automated, and easy-to-operate manner, on both lab-prepared and real samples. Our results have shown a path forward to a rapid (sample-to-answer time ≤3 hours), accurate, sensitive, species-specific, and portable system to detect the presence of MDR combat-related wound infections in the field environment. Our future efforts involve ruggedizing the RAPID system and evaluating performance under relevant environmental conditions.PMID:38516949 | DOI:10.1093/milmed/usae068 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Ying Chen Andrew Leung Yulia Wang Nathan K Archer Source Type: research

The Impact of COVID-19 on Health Behavior Engagement and Psychological and Physical Health Among Active Duty Military Enrolled in a Weight Management Intervention: An Exploratory Study
CONCLUSIONS: As expected, most participants perceived of the pandemic as heightening stress and interfering with engagement in health behaviors. It is possible that pandemic-related stress may have exacerbated weight gain-promoting behaviors and/or interfered with achievement of desired weight management outcomes. Outside the context of the pandemic, it may be beneficial for healthcare providers to screen individuals for stress and perceptions of ease of engagement in health behaviors before enrollment in a weight management intervention. Further, tailoring interventions to mitigate stress and promote perceptions of ease i...
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Jessica L Morse Jennalee S Wooldridge Matthew S Herbert Niloofar Afari Source Type: research

Interfacility Transfer Teams: A Pilot Study to Assess Viability as a Skill Sustainment Platform
CONCLUSIONS: IFT teams with local training were able to safely transport critically ill patients with no adverse outcomes, defined as direct harm to the patients as a result of transport. Patient care during transports included routine interventions, ventilator management, and troubleshooting of patient deteriorations. Our data further suggest IFT programs may be a viable skill sustainment platform for ERC clinicians.PMID:38518201 | DOI:10.1093/milmed/usae093 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Andrew J Medenbach Alexandre Nguyen Emily Raetz Theodore Morrison Benjamin Walrath Source Type: research

Self-Perception of Risk for HIV Acquisition and Calculated Risk for HIV Acquisition Among Active Duty Air Force Members With Newly Diagnosed HIV Infection
CONCLUSION: The majority of USAF members with incident HIV infection reported a low SPR despite risk factors and CRs identical to high SPR patients. In order to inform HIV prevention strategies in the military, further efforts are needed to educate the military population and providers about HIV risk perception.PMID:38518206 | DOI:10.1093/milmed/usae087 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Audie B Schmid Jason F Okulicz Walter Mika Shilpa Hakre Joseph M Yabes Source Type: research

Public versus Private Care in the Military Health System: Evidence From Low Back Pain Patients
CONCLUSION: This study found that privately provided care was associated with significantly higher opioid prescribing, less use of benzodiazepines and physical therapy, and lower costs. No systematic differences in outcomes (as measured by resolved cases) were identified. The findings suggest that publicly funded health care within the MHS context can attain quality comparable to privately provided care, although differences in treatment choices and costs point to possibilities for improved care within both systems.PMID:38491995 | DOI:10.1093/milmed/usae074 (Source: Military Medicine)
Source: Military Medicine - March 16, 2024 Category: International Medicine & Public Health Authors: Christopher G Leggett Rachel O Schmidt Jonathan Skinner Jon D Lurie William Patrick Luan Source Type: research