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Military Medicine

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https://www.readbyqxmd.com/read/29750266/hyperuricemia-is-associated-with-a-higher-prevalence-of-metabolic-syndrome-in-military-individuals
#1
Cheng-Wei Liu, Wei-Cheng Chang, Chiao-Chin Lee, Ko-Hung Chen, Yen-Wen Wu, Juey-Jen Hwang
Introduction: Hyperuricemia (HUA) is associated with metabolic syndrome (MetS) in the general population. Military individuals who perform high-intensity physical training might have lower rates of MetS. The present study aimed to investigate whether HUA might be associated with the prevalence of MetS in military individuals. Material and Methods: We retrospectively collected data from the annual military exam and randomly selected a single unit to represent the overall study population...
May 10, 2018: Military Medicine
https://www.readbyqxmd.com/read/29746695/finding-the-forgotten-motivating-military-veterans-to-register-with-a-primary-healthcare-practice
#2
Alan Finnegan, Robin Jackson, Robin Simpson
Introduction: In the UK, primary healthcare practices choose from a series of Read codes to detail certain characteristics onto a patient's medical documentation. One of these codes is for military veterans indicating a history relating to military service. However, veterans are poor at seeking help, with research indicating that this code is only applied in 7.9% of cases. Clinical staff have a clear role in motivating veterans to declare their ex-Forces status or register with a primary healthcare center...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29746692/increased-risk-of-upper-respiratory-infection-in-military-recruits-who-report-sleeping-less-than-6-h-per-night
#3
Laurel M Wentz, Mark D Ward, Claire Potter, Samuel J Oliver, Sarah Jackson, Rachel M Izard, Julie P Greeves, Neil P Walsh
Introduction: Professional sleep associations recommend 7-9 h of sleep per night for young adults. Habitually sleeping less than 6 h per night has been shown to increase susceptibility to common cold in otherwise healthy, adult civilians. However, no investigations have examined the importance of sleep duration on upper respiratory tract infection (URTI) and loss of training days in military recruits. The purpose of this study was to describe self-reported sleep duration in a large cohort of military recruits and to assess the relationship between reported sleep duration and incidence of URTI's...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29746651/the-impact-of-the-veteran-s-affairs-medical-system-on-an-otolaryngology-residency-training-program
#4
Alexander Lanigan, Mark Spaw, Christopher Donaghe, Joseph Brennan
Introduction: The field of otolaryngology has become the leading specialty in the management of head and neck pathology and trauma. Graduate medical education programs tasked to train military head and neck surgeons within the Department of Defense (DoD) maintain certification by ensuring adequate surgical case volume and training. In recent years, surgical case numbers have declined due to an overall healthy active duty patient population and deployments of residency faculty. As such, a novel initiative between the San Antonio Military Medical Center and the South Texas Veteran's Healthcare system was developed to provide seamless care among active duty service members, dependents, retirees, and veterans...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741728/interprofessional-healthcare-teams-in-the-military-a-scoping-literature-review
#5
Lara Varpio, Karlen S Bader, Holly S Meyer, Steven J Durning, Anthony R Artino, Meghan K Hamwey
Introduction: Research into healthcare delivered via interprofessional healthcare teams (IHTs) has uncovered that IHT can improve patient satisfaction, enhance collaborative behaviors, reduce clinical error rates, and streamline management of care delivery. Importantly, these achievements are attained by IHTs that have been trained via interprofessional education (IPE). Research indicates that interprofessional healthcare team training must be contextualized to suit the demands of each care context...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741715/forward-surgical-team-experience-fste-is-associated-with-increased-confidence-with-combat-surgeon-trauma-skills
#6
D Joshua Mancini, Brian P Smith, Travis M Polk, C William Schwab
Introduction: Little is known regarding the confidence of military surgeons prior to combat zone deployment. Military surgeons are frequently deployed without peers experienced in combat surgery. We hypothesized that forward surgical team experience (FSTE) increases surgeon confidence with critical skill sets. Methods: We conducted a national survey of military affiliated personnel. We used a novel survey instrument that was piloted and validated by experienced military surgeons to collect demographics, education, practice patterns, and confidence parameters for trauma and surgical critical care skills...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741698/the-future-of-steroids-for-performance-enhancement-in-the-u-s-military
#7
Lt Col Chad Peltier, Kyle Pettijohn
No abstract text is available yet for this article.
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741659/communication-preferences-and-satisfaction-of-secure-messaging-among-patients-and-providers-in-the-military-healthcare-system
#8
Belinda F Hernandez, Brenda J Morgan, Jennifer Ish, Lucky O Agbator, Soledad Lindo-Moon, Francine F Stotler, Cubby L Gardner
Introduction: Use of electronic secure messaging (SM) is rapidly growing in various healthcare settings. However, there is a large number of patients that choose not use SM or use it minimally. Thus, understanding preferences for patient-provider communication modalities is critically important, particularly among military healthcare beneficiaries. The purpose of this study was to assess preferences for patient-provider communication modalities (in person, telephone, SM, or mail) among a sample of patients, providers, and staff located at five Air Force military treatment facilities across the USA...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741654/assessment-of-muscular-fitness-as-a-predictor-of-flight-duty-limitation
#9
Tuomas Honkanen, Matti Mäntysaari, Janne Avela, Heikki Kyröläinen, Tuomo Leino
Introduction: The high acceleration (Gz) exposure among military pilots flying fighter aircraft has been associated with an increased risk for cervical and lumbar disorders. It has been suggested that an adequate level of physical performance could reduce the risk of experiencing these disorders. The Finnish Air Force has for several years used aerobic (bicycle ergometer) and muscular fitness tests (battery of five tests) in the selection process of military pilot candidates in order to evaluate their physical fitness level...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741653/what-the-military-health-system-can-learn-from-private-sector-mergers-and-acquisitions
#10
Travis L Robbins
No abstract text is available yet for this article.
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29718455/cortisol-testosterone-and-prospective-risk-for-war-zone-stress-evoked-depression
#11
Adam R Cobb, Robert A Josephs, Cynthia L Lancaster, Han-Joo Lee, Michael J Telch
Introduction: The major challenges of efforts to reveal biological risk factors and biomarkers of depression include the complexity of underlying systems, interactions with other systems, and contextual factors governing their expression. Altered endocrine function is believed to be a central contributor to depressive illness, but across studies, evidence for a link between endocrine markers and depression has been mixed, inconclusive, or conditional in nature. In the present study, we evaluated basal testosterone (T), cortisol (C), and CO2 inhalation-stress-reactivity measures of these hormones (TR, CR) as pre-deployment moderators of the later impact of war-zone stressors on depression symptoms in-theater...
April 27, 2018: Military Medicine
https://www.readbyqxmd.com/read/29718290/a-longitudinal-study-of-commonly-used-admissions-measures-and-disenrollment-from-medical-school-and-graduate-medical-education-probation-or-termination-from-training
#12
Ting Dong, William R Gilliland, David Cruess, Jeffrey Hutchinson, Lisa Morres, Jerri Curtis, Gail-Selina Hewitt-Clarke, Steven J Durning
Introduction: This is an empirical study to better understand commonly used medical school admission measures and disenrollment decisions during undergraduate medical education as well as graduate medical education (GME) probation or termination decisions. Materials and Methods: Based on the data of USUHS medical students matriculating between 1998 and 2011 (N = 2,460), we compared medical school graduates and those disenrolled from medical school on MCAT scores, undergraduate BCPM (Biology, Chemistry, Physics, Math) GPA, and undergraduate overall GPA...
April 27, 2018: Military Medicine
https://www.readbyqxmd.com/read/29697846/recent-changes-in-health-insurance-coverage-for-urban-and-rural-veterans-evidence-from-the-first-year-of-the-affordable-care-act
#13
Michel Boudreaux, Deanna Barath, Lynn A Blewett
Introduction: Prior to the Affordable Care Act, as many as 1.3 million veterans lacked health insurance. With the passage of the Affordable Care Act, veterans now have new pathways to coverage through Medicaid expansion in those states that chose to expand Medicaid and through private coverage options offered through the Health Insurance Marketplace. We examined the impact of the ACA on health insurance coverage for veterans in expansion and non-expansion states and for urban and rural veterans...
April 25, 2018: Military Medicine
https://www.readbyqxmd.com/read/29697835/socioecological-risk-and-protective-factors-for-smoking-among-active-duty-u-s-military-personnel
#14
Janice M Brown, Erin M Anderson Goodell, Jason Williams, Robert M Bray
Introduction: Cigarette smoking can have negative consequences in military populations including injury, reduced physical endurance, higher frequency of sick days, and reduced combat readiness. This study used the socioecological model to understand individual, interpersonal, and organizational influences on cigarette smoking among military members. Materials and Methods: The sample for this secondary analysis was drawn from personnel at 24 large U.S. military installations, six from each service branch...
April 25, 2018: Military Medicine
https://www.readbyqxmd.com/read/29697831/physical-therapists-forward-deployed-on-aircraft-carriers-a-retrospective-look-at-a-decade-of-service
#15
Michael D Rosenthal, Gregg W Ziemke, Matthew L Bush, Joshua Halfpap
Introduction: Navy physical therapists (PTs) have been a part of ship's company aboard Aircraft Carriers since 2002 due to musculoskeletal injuries being the number one cause of lost duty time and disability. This article describes a decade of physical therapy services provided aboard aircraft carriers. Materials and Methods: A retrospective survey was conducted to evaluate the types of services provided, volume of workload, value of services provided, and impact of PTs on operational readiness for personnel aboard Naval aircraft carriers...
April 25, 2018: Military Medicine
https://www.readbyqxmd.com/read/29697816/who-s-the-boss-a-reflective-comic
#16
Isaac E McCool
No abstract text is available yet for this article.
April 25, 2018: Military Medicine
https://www.readbyqxmd.com/read/29672720/how-views-of-the-organization-of-primary-care-among-patients-with-hypertension-vary-by-race-or-ethnicity
#17
George L Jackson, Karen M Stechuchak, Morris Weinberger, Hayden B Bosworth, Cynthia J Coffman, Miriam A Kirshner, David Edelman
INTRODUCTION: We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested by Wagner's Chronic Care Model (CCM). MATERIALS AND METHODS: A cross-sectional analysis of the results of the Patient Assessment of Chronic Illness Care (PACIC), which measured components of the care system suggested by the CCM and was completed at baseline by participants in a hypertension disease management clinical trial...
April 17, 2018: Military Medicine
https://www.readbyqxmd.com/read/29660016/an-interview-with-major-general-retired-melissa-rank-the-evolution-of-air-force-nurse-corps-leaders
#18
Robie Victoria Hughes
No abstract text is available yet for this article.
April 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29660010/costs-for-breast-cancer-care-in-the-military-health-system-an-analysis-by-benefit-type-and-care-source
#19
Yvonne L Eaglehouse, Janna Manjelievskaia, Stephanie Shao, Derek Brown, Keith Hofmann, Patrick Richard, Craig D Shriver, Kangmin Zhu
Introduction: Breast cancer care imposes a significant financial burden to U.S. healthcare systems. Health services factors, such as insurance benefit type and care source, may impact costs to the health system. Beneficiaries in the U.S. Military Health System (MHS) have universal healthcare coverage and access to a network of military facilities (direct care) and private practices (purchased care). This study aims to quantify and compare breast cancer care costs to the MHS by insurance benefit type and care source...
April 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29660009/critical-care-in-the-military-health-system-a-24-h-point-prevalence-study
#20
Raymond Fisher, Christopher J Colombo, Cristin A Mount, Elizabeth A Mann-Salinas, Adam W Bostick, Konrad Davis, James K Aden, Kevin K Chung, Mary S McCarthy, Jeremy C Pamplin
Background: Healthcare expenditures are a significant economic cost with critical care services constituting one of its largest components. The Military Health System (MHS) is the largest, global healthcare system of its kind. In this project, we sought to describe critical care services and the patients who receive them in the MHS. Methods: We surveyed 26 military treatment facilities (MTFs) representing 38 critical care services or intensive care units (ICUs)...
April 11, 2018: Military Medicine
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