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Military Medicine

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https://www.readbyqxmd.com/read/29447407/the-feasibility-of-venovenous-ecmo-at-role-2-facilities-in-austere-military-environments
#1
Mohamed A T Mohamed, Tareq Maraqa, Matthew D Bacchetta, Michael McShane, Kenneth L Wilson
Introduction: Venovenous extracorporeal membrane oxygenation (VV-ECMO) has been gaining use to bridge the recovery from acute respiratory distress syndrome (ARDS) refractory to conventional treatment. However, these interventions are often limited to higher echelons of military care. We present a case of lung salvage from severe ARDS in an Afghani soldier with VV-ECMO at a Role-2 (R2) facility in an austere military environment in Afghanistan. Case: A 25-year-old Afghani soldier presented to an R2 facility with blast lung injury and multiple penetrating injuries following an explosion...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29447402/intraoperative-endotracheal-cuff-pressure-study-how-education-and-availability-of-manometers-help-guide-safer-pressures
#2
Gregory J Stevens, Joel W Warfel, James K Aden, Scott D Blackwell
Introduction: Endotracheal intubation is a medical procedure that is often indicated in both the perioperative and critical care environments. Cuffed endotracheal tubes (ETT) allow for safer and more efficient delivery of positive pressure ventilation, as well as create a barrier to reduce the risk of micro-aspiration and anesthetic pollution in the operating room environment. Over-inflation of the endotracheal cuff can lead to serious and harmful sequelae. This study aimed to assess if departmental education paired with ready access to a manometer to assess cuff pressure would result in an improvement in the proportion of ETT cuff pressures in the goal range...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29447400/prevalence-and-clinical-correlation-of-superficial-fungal-foot-infection-in-thai-naval-rating-cadets
#3
Punyawee Ongsri, Sumanas Bunyaratavej, Charussri Leeyaphan, Penvadee Pattanaprichakul, Pattachee Ongmahutmongkol, Chulaluk Komoltri, Kanokvalai Kulthanan
Background: Superficial fungal foot infection is one of the most important dermatological diseases currently affecting military personnel. Many Thai naval rating cadets are found to suffer from superficial fungal foot infections and their sequels. Objective: To investigate prevalence, potent risk factors, responding pathogens and clinical correlation of superficial fungal foot infection in Thai naval rating cadets training in Naval rating school, Sattahip, Thailand...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29447399/the-relationship-between-soldier-performance-on-the-two-mile-run-and-the-20-m-shuttle-run-test
#4
Maria C Canino, Bruce S Cohen, Jan E Redmond, Marilyn A Sharp, Edward J Zambraski, Stephen A Foulis
Background: The 20-m shuttle run test (MSRT) is a common field test used to measure aerobic fitness in controlled environments. The U.S. Army currently assesses aerobic fitness with the two-mile run (TMR), but external factors may impact test performance. The aim of this study is to examine the relationship between the Army Physical Fitness Test TMR performance and the MSRT in military personnel. Methods: A group of 531 (403 males and 128 females) active duty soldiers (age: 24...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29447398/secular-trends-in-the-physical-fitness-of-united-states-army-infantry-units-and-infantry-soldiers-1976-2015
#5
Joseph J Knapik, Jan E Redmond, Tyson L Grier, Marilyn A Sharp
Introduction: The purpose of this investigation was to examine changes over time in the physical fitness of the United States (US) Army infantry. A systematic review was conducted to identify and analyze articles and databases that reported on physical characteristics (height, weight, and body mass index) and/or Army Physical Fitness Test (APFT) scores of male infantrymen or men in infantry units. Materials and Methods: The National Library of Medicine's PubMed and the Defense Technical Information Center were searched using specific keywords...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29447384/antimicrobial-prophylaxis-with-combat-related-open-soft-tissue-injuries
#6
Bradley A Lloyd, Clinton K Murray, Faraz Shaikh, M Leigh Carson, Dana M Blyth, Elizabeth R Schnaubelt, Timothy J Whitman, David R Tribble
Introduction: All Department of Defense (DoD) guidance documents recommend cefazolin or clindamycin as post-trauma antibiotic prophylaxis for open soft-tissue injuries. Although not advocated, some patients with open soft-tissue injuries also received expanded Gram-negative coverage (EGN) prophylaxis based on the judgment of front-line trauma providers. During the study period, revised guidelines in 2011/2012 re-emphasized recommendations for using cefazolin or clindamycin, and stewardship efforts in the DoD trauma community aimed to reduce the practice of adding EGN to guideline-recommended antibiotic prophylaxis...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425378/government-cloud-computing-policies-potential-opportunities-for-advancing-military-biomedical-research
#7
Frank J Lebeda, Jeffrey J Zalatoris, Julia B Scheerer
Introduction: This position paper summarizes the development and the present status of Department of Defense (DoD) and other government policies and guidances regarding cloud computing services. Due to the heterogeneous and growing biomedical big datasets, cloud computing services offer an opportunity to mitigate the associated storage and analysis requirements. Having on-demand network access to a shared pool of flexible computing resources creates a consolidated system that should reduce potential duplications of effort in military biomedical research...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425375/impact-of-hypothermic-stress-during-special-operations-training-of-chilean-military-forces
#8
Claudio Nieto Jimenez, Jorge Cajigal Vargas, Vjera Sofia Triantafilo Vladilo, Jose Naranjo Orellana
Introduction: The Chilean Army considers processes that can optimize physical capacities for responding to the impact of situations and given stressors. The study of the effect of hypothermia as a stressor agent (HSA) and its relationship with cardiovascular, hematological, anthropometric, endocrine, and immunological parameters has not been fully addressed experimentally in military populations. Objective: To identify the endocrine, hematological, cardiovascular, and immunological changes caused by HSA and to associate these variables with body composition and physical fitness in the military special operation courses of the Chilean Army...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425367/a-rapid-handheld-device-to-assess-respiratory-resistance-clinical-and-normative-evidence
#9
Aaron B Holley, Wesley D Boose, Michael Perkins, Karen L Sheikh, Nancy P Solomon, Angela M Dietsch, Jafar Vossoughi, Arthur T Johnson, Jacob F Collen
Introduction: Following reports of respiratory symptoms among service members returning from deployment to South West Asia (SWA), an expert panel recommended pre-deployment spirometry be used to assess disease burden. Unfortunately, testing with spirometry is high cost and time-consuming. The airflow perturbation device (APD) is a handheld monitor that rapidly measures respiratory resistance (APD-Rr) and has promising but limited clinical data. Its speed and portability make it ideally suited for large volume pre-deployment screening...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425366/u-s-marines-perceptions-of-environmental-factors-associated-with-alcohol-binge-drinking
#10
Susan I Woodruff, Suzanne L Hurtado, Cynthia M Simon-Arndt
Introduction: Alcohol misuse, in particular binge drinking, is a serious concern among military personnel because it is strongly associated with adverse consequences and has a deleterious effect on readiness. Although most alcohol misuse studies have focused on individual risk factors, studies are increasingly examining environmental influences and strategies for reducing alcohol risks. The purpose of this study is to address gaps in what is known about how service members' perceptions of environmental factors are related to binge drinking in the U...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425357/novel-presentation-of-fibroepithelioma-of-pinkus-on-the-ear-of-a-patient-treated-on-a-panamanian-humanitarian-mission
#11
Whitney L Pollard, Liesl S Grenier, Todd T Kobayashi
Fibroepithelioma of Pinkus (FEP) is traditionally classified as an unusual variant of basal cell carcinoma. It has non-specific clinical findings yet distinct histologic features. The diagnosis can be challenging for clinicians because it often mimics benign entities such as intradermal nevi. FEP typically occurs on the trunk, but many body sites can be involved including the head, neck, and genitalia. According to a PubMed search of articles indexed in MEDLINE using "Fibroepithelioma of Pinkus" and "ear" or "auricle," there are no reports of FEP specifically occurring on the ear...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425355/an-initial-report-of-sleep-disorders-in-women-in-the-u-s-military
#12
Dale C Capener, Matthew S Brock, Shana L Hansen, Panagiotis Matsangas, Vincent Mysliwiec
Introduction: Sleep disorders are increasingly recognized in active duty service members (ADSM). While there are multiple studies in male ADSM, there are limited data regarding sleep disorders in women in the military. The purpose of this study was to characterize sleep disorders in female ADSM referred for clinical evaluation to provide a better understanding of this unique population. Materials and Methods: We conducted a retrospective review of female ADSM who underwent a sleep medicine evaluation and an attended polysomnogram (PSG)...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425352/women-and-men-together-in-recruit-training
#13
Geoffrey J Orme, E James Kehoe
Introduction: Although men and women recruits to the Australian Army have trained in mixed-gender platoons since 1995, restrictions on women joining the combat arms were only removed in 2016. As part of a longitudinal study starting with recruit training, this article examined recruit records collected before 2016 with the aims of delineating (1) the relative performance of women versus men in mixed-gender platoons and (2) the relative performance of men in mixed-gender platoons versus all-male platoons...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425345/recurrent-central-serous-retinopathy-with-permanent-visual-loss-in-a-u-s-naval-fighter-pilot
#14
Ryan R Richmond, Matthew Rings
Central serous retinopathy (CSR) is a disease process that involves accumulation of serous fluid within the macular retina. This fluid accumulation can temporarily or permanently disrupt vision and in many patients is often a recurrent problem. This case describes recurrent CSR in an experienced U.S. Naval F/A-18 fighter pilot. The patient had been troubled by recurrent CSR for several years which required him to be removed from a flying status. After several episodes and treatment with laser photocoagulation and finasteride, the patient's vision and disease process stabilized, but with permanent defective visual acuity in the right eye...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425329/how-valid-are-assumptions-about-re-emerging-smallpox-a-systematic-review-of-parameters-used-in-smallpox-mathematical-models
#15
Valentina Costantino, Mohana P Kunasekaran, Abrar A Chughtai, Chandini R MacIntyre
Background: Globally eradicated in 1980, smallpox is listed as a category A bioterrorism agent. If smallpox were to re-emerge, it may be due to an act of bioterrorism or a laboratory accident, and the impact is likely to be severe. Preparedness against smallpox is subject to more uncertainty than other infectious diseases because it is eradicated, there is uncertainty about population immunity, and the current global health workforce has no practical experience or living memory of smallpox...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425320/treatment-for-uncomplicated-plasmodium-falciparum-malaria-in-french-soldiers-deployed-in-sub-saharan-africa-gaps-between-policy-and-field-practice
#16
Anne Perisse, Guillaume Velut, Emilie Javelle, Gwion Loarer, Remy Michel, F Simon
Background: Malaria prevention and treatment are big challenges for the French forces deployed in sub-Saharan Africa. Since December 2013, 1,800 French soldiers have been deployed at any one time in the Central African Republic in the framework of "Operation Sangaris" and European Union Force (EUFOR). Over the 2014-2015 period, about 500 cases of malaria were notified in these troops during the operation or after their return (annual incidence: 13.4 p.100 person-year). The recommendation to use dihydroartemisinin-piperaquine (DHA-PQ) as the first-line treatment for French soldiers suffering from uncomplicated Plasmodium falciparum malaria in endemic areas is not always followed in practice in the field by French military general practitioners (GPs)...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425319/changes-in-temporary-disability-reporting-following-the-implementation-of-the-army-medical-readiness-transformation
#17
Jason E Sapp, Matthew J Cody, Kevin M Douglas
Introduction: In November 2014, the U.S. Army held a readiness summit to address concerns about the accuracy of medical reporting systems. At the time, soldiers on temporary disability were tracked as a medical readiness classification (MRC) 3A or 3B. MRC 3A soldiers had a medical condition with recovery expected within 30 d and MRC 3B soldiers were expected to take longer than 30 d to recover. Both groups were considered "non-available" and presumably non-deployable. Starting June 1, 2016, with the implementation of the Army Medical Readiness Transformation, soldiers on temporary disability longer than 14 d began to be reported as MRC 3s and are considered "non-deployable...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425312/risk-factors-for-early-intraocular-pressure-elevation-after-cataract-surgery-in-a-cohort-of-united-states-veterans
#18
Kaushik Annam, Allison J Chen, Irene M Lee, Alfred A Paul, Jorge J Rivera, Paul B Greenberg
Introduction: Cataract surgery is the most frequently performed surgery in the Veterans Health Administration (VHA). A well-known complication is a transient but potentially harmful elevation in intraocular pressure (IOP) within the 24-h postoperative period. The purpose of this study is to investigate the risk factors for IOP elevation 1 d after cataract surgery in a cohort of United States (US) veterans. Materials and Methods: The study included 784 patients who underwent cataract surgery between April 2013 and April 2016 at a single Veterans Affairs medical center in Providence, RI...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425310/cost-effectiveness-analysis-of-a-military-hearing-conservation-program
#19
Seth L Garcia, Kenneth J Smith, Catherine Palmer
Introduction: Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. Many military personnel are overexposed to noise and are provided hearing conservation services. Select military branches require all active duty personnel to follow hearing conservation program guidelines, regardless of individual noise exposure...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425305/usu-s-pediatric-interest-group-preparing-the-next-generation-of-military-pediatricians
#20
Michael Harding, Jessica Wilder, Meaghan Sledge Wido, Courtney Judd
No abstract text is available yet for this article.
February 7, 2018: Military Medicine
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