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U.S. Army Medical Department Journal

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https://www.readbyqxmd.com/read/28853127/winging-of-the-scapula-diagnosed-as-parsonage-turner-syndrome-a-case-report
#1
Christine Carroll, Bill Bass
A 24-year-old active duty female Soldier complained of right shoulder burning, stinging, electrical shock-like pain with radiation to the right hand after completing a ruck march. She also complained of swelling and feelings of her cold right hand. Examination showed a deficit in the deltoid, upper trapezius, supraspinatus, and also right winging of the scapula. She also exhibited weakness to right arm, weak right hand grip, and decreased sensation over the dorsal right hand. The right hand was also noticed to be colder to touch than the left one...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853126/improving-coding-accuracy-in-an-academic-practice
#2
Dana Nguyen, Heather O'Mara, Robert Powell
Practice management has become an increasingly important component of graduate medical education. This applies to every practice environment; private, academic, and military. One of the most critical aspects of practice management is documentation and coding for physician services, as they directly affect the financial success of any practice. Our quality improvement project aimed to implement a new and innovative method for teaching billing and coding in a longitudinal fashion in a family medicine residency...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853125/placement-and-replacement-rates-of-amalgam-and-composite-restorations-on-posterior-teeth-in-a-military-population
#3
Benjamin D Owen, Peter H Guevara, William Greenwood
OBJECTIVE: Replacement rates of direct dental restorations have been reported to be 37% to 70%, occupying a large proportion of a general dentist's time. Variations in the rate of initial placement and replacement of direct dental restorations may be associated with material placed (amalgam or composite), age, caries risk of the patient, and other factors. The purpose of this research was to clarify where the majority of patient care time is spent as a restorative Army dentist regarding either the initial placement or replacement of failed restorations; and how the location, caries risk, and material used (amalgam or composite) affects replacement rates...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853124/effect-of-smokeless-tobacco-on-surface-roughness-of-dental-restorations
#4
Shani O Thompson, Gerald D Griffin, Nicole Meyer, Manuel Pelaez
CLINICAL RELEVANCE: Surface alterations of dental restorations can result in increased plaque biofilm. This leads to increased risk of premature restoration failure. Smokeless tobacco, in common use by some US military personnel, represents a potential source for surface alteration. If smokeless tobacco causes an untoward effect, selection of a more resistant restorative material could increase restoration longevity, thus minimizing lost work time and costs associated with replacement of failed restorations...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853123/resistance-to-abrasion-of-extrinsic-porcelain-esthetic-characterization-techniques
#5
Woo J Chi, William Browning, Stephen Looney, J Rodway Mackert, Richard J Windhorn, Frederick Rueggeberg
STATEMENT OF PROBLEM: A novel esthetic porcelain characterization technique involves mixing an appropriate amount of ceramic colorants with clear, low-fusing porcelain (LFP), applying the mixture on the external surfaces, and firing the combined components onto the surface of restorations in a porcelain oven. This method may provide better esthetic qualities and toothbrush abrasion resistance compared to the conventional techniques of applying color-corrective porcelain colorants alone, or applying a clear glaze layer over the colorants...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853122/temporospatial-angiogenisis-associated-gene-expression-profiles-in-rat-ischemic-skin-flaps
#6
Thomas M Johnson, Esra Toussaint-Barrett, Jose M Pizarro
OBJECTIVES: Emerging therapies designed to improve soft tissue flap survival include the use of angiogenic factors. However, endogenous expression patterns for these factors have not been characterized. The purpose of this study was to identify spatial and temporal variations in expression patterns of angiogenesis-associated genes in ischemic rat skin flaps. STUDY DESIGN: This is an observational animal study characterizing spatial and temporal angiogenesis associated gene expression patterns in rat ischemic skin flaps...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853121/characteristics-of-us-combat-veterans-2001-2011-who-remain-on-active-duty-after-upper-extremity-amputations
#7
Sara H Kift, Taylor J Bates, Nathan A Franklin, Anthony E Johnson
OBJECTIVES: Return to duty following traumatic amputations has been extensively studied in those with lower extremity amputation. As upper extremity amputations occur less frequently, the issue of return to duty for those with upper extremity amputations has received relatively little research. The purpose of this study was to determine the rate at which service members remain on active duty at least one year after having sustained traumatic upper extremity amputations during Operation Iraqi Freedom, Operation Enduring Freedom, and other overseas contingency operations of the Global War on Terrorism...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853120/martial-arts-based-high-intensity-interval-training-in-the-rehabilitation-of-combat-amputees
#8
Gavin L Mills, David J Tennent, Joseph F Aldrete, Anthony E Johnson
No abstract text is available yet for this article.
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853119/martial-arts-based-high-intensity-interval-training-as-a-component-of-warfighter-rehabilitation-and-tactical-athlete-fitness
#9
Gavin L Mills, Anthony E Johnson
No abstract text is available yet for this article.
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853118/occlusion-training-pilot-study-for-postoperative-lower-extremity-rehabilitation-following-primary-total-knee-arthroplasty
#10
Christopher L Gaunder, Michael P Hawkinson, David J Tennent, Creighton C Tubb
With continued emphasis on the value of healthcare, factors such as quality of life and patient reported outcomes are critical in evaluating high-demand procedures such as knee replacement surgery. Equally important to the surgery itself is maximizing the effectiveness and efficiency of the treatment, both preoperatively and postoperatively, which can have a significant effect the final outcome. Technical outcomes of total knee replacement are generally considered excellent; however, many patients continue to have postoperative pain, functional limitations, and low treatment satisfaction...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853117/a-randomized-comparison-between-neurostimulation-and-ultrasound-guided-lateral-femoral-cutaneous-nerve-block
#11
Gaurav Gupta, Mohan Radhakrishna, Isaac Tamblyn, D Q Tran, Markus Besemann, Atikun Thonnagith, Maria Francisca Elgueta, Marie Eve Robitaille, Roderick J Finlayson
BACKGROUND: This prospective, randomized trial compared neurostimulation (NS) and ultrasound (US) guided lateral femoral cutaneous nerve (LFCN) block. We hypothesized that US would result in a shorter total anesthesia-related time (sum of performance and onset times). METHODS: Twenty-one volunteers were enrolled. The right lower limb was randomized to an NS- or US-guided LFCN block. The alternate technique was employed for the left lower limb. With NS, paresthesias were sought in the lateral thigh at a stimulatory threshold of 0...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853116/resilience-enhancing-relationships-what-we-can-learn-from-those-with-a-history-of-adverse-childhood-experiences
#12
Derrick Arincorayan, Larry Applewhite, Matthew Garrido, Victoria Cashio, Meghan Bryant
No abstract text is available yet for this article.
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853115/effects-of-mandatory-screening-labs-in-directing-the-disposition-of-the-apparently-healthy-psychiatric-patient-in-the-emergency-department
#13
Karyn E Kagel, Meghan Smith, Ilya V Latyshenko, Christopher Mitchell, Andrew Kagel
OBJECTIVE: To determine whether mandatory psychiatric admission laboratory tests yield results that change the disposition of a patient with primary psychiatric complaint from admission to a psychiatric service to admission to a medical service. METHODS: This was a single center retrospective cohort chart review study approved by the facility Institutional Review Board in which we used a records database maintained by the emergency department's social workers to access the records of every patient that presented to our emergency department with a psychiatric chief complaint between the dates of December 1, 2011, and December 1, 2013...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853114/low-prevalence-of-carbapenem-resistant-enterobacteriaceae-among-wounded-military-personnel
#14
Katrin Mende, Miriam L Beckius, Wendy C Zera, Fatma Onmus-Leone, Clinton K Murray, David R Tribble
Multidrug-resistant organisms (MDROs) are a global health problem that affect both civilian and military populations. Among wounded warriors, MDROs further complicate the care of trauma-related infections, resulting in extended duration of hospitalization, as well as increased morbidity and mortality. During the wars in Iraq and Afghanistan, extended spectrum β-lactamase-producing Enterobacteriaceae were frequently isolated from wounded warriors. The potential emergence of difficult-to-treat carbapenem-resistant Enterobacteriaceae represented a serious challenge for clinicians...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853113/a-retrospective-analysis-do-bacterial-culture-and-sensitivity-data-support-empiric-use-of-piperacillin-tazobactam-and-antipseudomonal-fluoroquinolones-in-hospitalized-patients
#15
Saxena Pulkit, Ryan V Burkhart, Craig R Ainsworth
No abstract text is available yet for this article.
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28853112/outcomes-of-a-military-regional-multispecialty-synchronous-telehealth-platform-and-the-importance-of-the-dedicated-patient-presenter
#16
Kirk H Waibel, Stephanie J Garner, Irfan Bojicic, Robin Smith
Implementing a successful multispecialty synchronous telehealth program requires identifying and overcoming numerous barriers. One key aspect of synchronous telehealth involves the telehealth presenter; however, the impact that a dedicated patient presenter has supporting routine multispecialty synchronous telehealth is unknown. METHODS: We conducted a retrospective review of telehealth encounters conducted from a single regional medical center over a two-year period to 12 outlying health clinics which provided one of 3 levels of patient presenter support: category 1 locations had a dedicated telehealth registered nurse, category 2 locations had a nondedicated registered nurse or licensed vocational nurse, and category 3 locations were supported by an Army medic (military occupational specialty 68W)...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28511281/indirect-military-occupational-lead-exposure-to-children-at-home-a-case-report
#17
Paul O Kwon
No abstract text is available yet for this article.
January 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28511280/challenges-of-practicing-environmental-epidemiology-in-the-us-military
#18
Coleen Baird, Jessica Sharkey, Joel Gaydos
No abstract text is available yet for this article.
January 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28511279/blast-associated-traumatic-brain-injury-in-the-military-as-a-potential-trigger-for-dementia-and-chronic-traumatic-encephalopathy
#19
James Hasoon
Traumatic brain injuries (TBIs) resulting from blast exposures have significantly affected US military personnel throughout the world, particularly in Iraq and Afghanistan. From 2000-2016, more than 350,000 military service members were diagnosed with a TBI. Since the majority of blast-related TBIs are classified as mild with no definitive findings on physical examination or diagnostic studies, it is difficult to accurately diagnose individuals inflicted with such injuries. There are likely far more mild TBIs that remain undiagnosed in the military...
January 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28511278/vector-borne-diseases-of-public-health-importance-for-personnel-on-military-installations-in-the-united-states
#20
Melissa N Garcia, Thomas L Cropper, Sarah M Gunter, Mathew M Kramm, Mary T Pawlak, Walter Roachell, Shannon E Ronca, Ralph A Stidham, Bryant J Webber, Heather C Yun
No abstract text is available yet for this article.
January 2017: U.S. Army Medical Department Journal
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