keyword
https://read.qxmd.com/read/38024048/moyamoya-syndrome-in-children-with-sickle-cell-disease-in-saudi-arabia-a-single-center-experience
#21
JOURNAL ARTICLE
Abdalla M Zayed, Sulaiman Al-Muhaimeed, Turki Al-Otaibi, Elsayed Mohammed Ali, Rashid Saleh, Shangrila Joy Ancheta, Fahad Al-Harbi, Khawaja Bilal Waheed, Yasir Albahli, Hamid Alghamdi
Background Sickle cell disease (SCD) is relatively common in Saudi Arabia. Its neurologic complications such as stroke and Moyamoya syndrome (MMS) can be severe and devastating. Such complications can be minimized by modern investigative tools such as transcranial Doppler (TCD) ultrasound, which is unavailable in many high-risk places. Our aim is to investigate the prevalence and characteristics of these complications in children with SCD in our center where TCD is not available. Methods We conducted a retrospective record review of children with SCD admitted to the pediatric ward and visited the pediatric hematology outpatient clinic of King Fahad Military Medical Complex, Dhahran, Saudi Arabia, from January 2010 to December 2021...
November 2023: Curēus
https://read.qxmd.com/read/37989292/body-mass-index-and-visual-impairment-in-israeli-adolescents-a-nationwide-study
#22
JOURNAL ARTICLE
Itay Nitzan, Nitzan Shakarchy, Jacob Megreli, Inbal Akavian, Estela Derazne, Arnon Afek, Alon Peled
BACKGROUND: Previous research on the association between body mass index (BMI) and visual impairment (VI) in youth has reported inconsistent findings. We aimed to investigate this association in a national cohort of Israeli adolescents. METHODS: This retrospective, population-based, cross-sectional study included 1 697 060 adolescents (56.4% men; mean age 17 years) who underwent mandatory pre-military service assessments from 1993 to 2017. BMI was classified based on the US age- and sex-matched percentiles...
November 21, 2023: Pediatric Obesity
https://read.qxmd.com/read/37981920/bone-marrow-transplant-a-two-decade-single-centre-hematology-experience
#23
JOURNAL ARTICLE
Rajiv Kumar, Rajan Kapoor, Sanjeevan Sharma, Suman Kumar Pramanik, Uday Yanamandra, Kundan Mishra, Sanjeev Khera, Ajay Sharma, S Das, Tarun Verma, Jasjit Singh, Velu Nair
BACKGROUND: Bone Marrow Transplant (BMT) is a curative form of therapy for many hematological disorders in both the adult and pediatric patients. The availability of BMT in the AFMS at AHRR for the last 02 decades has been a game changer for the patients. METHODS: We reviewed our BMT data since the inception of the program till Feb 2023. RESULTS: Over 700 patients with more than 23 different types of hematological disorders have undergone this procedure 58%% patients underwent an Autologous BMT and 42% an allogenic BMT...
2023: Medical Journal, Armed Forces India
https://read.qxmd.com/read/37978823/evaluating-wic-engagement-and%C3%A2-food-insecurity-among-active-duty-military-families
#24
JOURNAL ARTICLE
Sidney E Zven, Brian Graziose, Kristen Smith, Ian Sorensen, Elizabeth Hisle-Gorman, Binny Chokshi
INTRODUCTION: Nearly a quarter of active duty service members identified as food insecure in a 2022 Department of Defense report. Food insecurity impacts military readiness, retention, and recruitment. The Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federal food supplementation program that can mitigate food insecurity for service members with children less than 5 years of age. To date, there is a lack of standardized screening for WIC eligibility or enrollment for service members and their families...
November 17, 2023: Military Medicine
https://read.qxmd.com/read/37970699/challenges-in-handling-a-civilian-mass-pediatric-disaster-during-flood-relief-in-a-partially-inundated-armed-forces-medical-facility
#25
JOURNAL ARTICLE
Saroj Kumar Patnaik, N S Lamba, Aradhana Aneja, Ashish Kumar Gupta
BACKGROUND: Armed forces hospitals are often called upon to provide medical aid to civilians during natural calamities. Though children are often the most vulnerable segment of population in these events, research that addresses their unique needs and the role of armed forces hospitals remains sparse. OBJECTIVES: We examined pediatric morbidity and mortality at a flooded armed forces hospital. Factors that affected outcomes were identified. METHODS: 158 patients were evacuated en masse from a children's hospital in northern India that was submerged by flood to an adjacent partially inundated armed forces hospital specializing in military medicine and adult trauma...
January 2023: American Journal of Disaster Medicine
https://read.qxmd.com/read/37948261/correlation-of-impulse-oscillometry-with-spirometry-in-deployed-military-personnel-with-airway-obstruction
#26
JOURNAL ARTICLE
Mateo C Houle, Christian T Cavacece, Michael A Gonzales, Jess T Anderson, John C Hunninghake, Aaron B Holley, Michael J Morris
INTRODUCTION: Evaluation of chronic respiratory symptoms in deployed military personnel has been conducted at Brooke Army Medical Center as part of the Study of Active Duty Military for Pulmonary Disease Related to Environmental Deployment Exposures III study. Although asthma and airway hyperreactivity have been the most common diagnoses, the clinical findings in these patients may be multifactorial. This study aims to evaluate the utility of impulse oscillometry (IOS) in diagnosing airway obstruction in patients undergoing multiple pulmonary function testing (PFT) studies...
November 8, 2023: Military Medicine
https://read.qxmd.com/read/37948239/chronic-pain-and%C3%A2-childhood-adversity-experiences-among-u-s-military-personnel
#27
JOURNAL ARTICLE
Juliana S Ee, Phillip A Culp, Zachary J Bevis, Godwin Y Dogbey, Robert N Agnello, Min Ho Chang
INTRODUCTION: Chronic pain in a military population is prevalent, is costly, and can limit daily activities and affect soldier readiness. It has been associated with childhood adversity (CA) within the veteran, adult, and pediatric populations. Given the need to maximize soldier resiliency, an examination of the link between CA and chronic pain in an active duty population for a better understanding that informs treatment options is warranted. MATERIALS AND METHODS: The analytic sample comprised 32 men and 8 women drawn from a retrospective review of 203 intake assessments at an interdisciplinary pain management center...
November 8, 2023: Military Medicine
https://read.qxmd.com/read/37930774/pediatric-obesity-prevalence-in%C3%A2-the-u-s-military-health-system-fiscal-years-2012-2018
#28
JOURNAL ARTICLE
Cortney C Bleach, Daniel I Brooks, Noelle S Larson
INTRODUCTION: Obesity prevalence in Military Health System (MHS) children has been reported through fiscal year (FY) 2012 as consistently lower than in the general population. Our study reports military pediatric overweight, obesity, and severe obesity prevalence through FY2018. We compared FY2018 prevalence to a sample of the general population using National Health and National Health and Nutrition Examination Survey (NHANES) 2017-2018 data. MATERIALS AND METHODS: The MHS Data Repository was queried for all children aged 2-17 years seen at any military treatment facility between FY2012 and FY2018...
October 31, 2023: Military Medicine
https://read.qxmd.com/read/37885182/-application-of-single-anterior-teeth-defect-with-computer-aided-design-and-computer-aided-manufacturing-polymethyl-methacrylate-single-retainer-resin-bonded-fixed-dental-prosthesis-in-children
#29
JOURNAL ARTICLE
Q Wang, S Zhong, C D Zhang, Y Hu, F Liu, L A Wu
Objective: To explore the clinical effect of computer-aided design and computer-aided manufacturing (CAD/CAM) polymethyl methacrylate (PMMA) single-retainer resin-bonded fixed dental prosthesis (RBFDP) for single anterior teeth defect. Methods: A total of 14 children between 10-14 years old (male 8, female 6) who visited the Department of Pediatric Dentistry, School of Stomatology, The Fourth Military Medical University from March to December 2022 with single anterior teeth loss were enrolled in this study...
October 26, 2023: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://read.qxmd.com/read/37870609/blepharoptosis-and-cognitive-performance-a-population-based-study-of-1-4-million-adolescents
#30
JOURNAL ARTICLE
Itay Nitzan, Estela Derazne, Arnon Afek, Zvi Gur, Orly Weinstein, Gilad Twig, Ofira Zloto
The purpose of this study is to examine the association between blepharoptosis and cognitive performance in late adolescence. This population-based, retrospective, cross-sectional study included 1,411,570 Israeli-born adolescents (620,107 women, 43.9%) aged 16-19 years who were medically examined before compulsory military service between 1993 and 2017. The diagnosis of blepharoptosis was verified by an ophthalmologist. Cognitive performance was assessed by a validated intelligence-quotient-equivalent test, comprising four domains (problem-solving, verbal abstraction and categorization, verbal comprehension, and mathematical abilities)...
October 23, 2023: European Journal of Pediatrics
https://read.qxmd.com/read/37856452/the-burden-of-vestibular-disorders-among-military-health-system-mhs-beneficiaries-fiscal-years-2018-2019
#31
JOURNAL ARTICLE
M Aaron Sayegh, Amanda Banaag, Jessica Korona-Bailey, Cathaleen Madsen, Amanda Frank, Tracey Pérez Koehlmoos
INTRODUCTION: Vestibular disorders affect an estimated 33 million adults and 3.5 million children and adolescents in the United States. Previous research relying on self-reported symptoms versus actual diagnosis has limited the ability to provide prevalence estimates for specific vestibular disorders at the population level. This study seeks to describe the burden of vestibular disorders among children and working-age adult beneficiaries in the Military Health System (MHS). MATERIALS AND METHODS: Using the MHS Data Repository (MDR), we conducted a cross-sectional study of all TRICARE Prime and Plus MHS beneficiaries aged 0 to 64 years from fiscal years (FY) 2018 to 2019...
2023: PloS One
https://read.qxmd.com/read/37748174/increasing-mental-health-screening-in%C3%A2-pediatric-subspecialty-clinics-an-improvement-project-at-brooke-army-medical-center
#32
JOURNAL ARTICLE
Victoria Cocozza, Lydia Sickbert, Timothy Kenny, Dimas Espinola, Sebastian Welsh, Zachary Turner, Kevin Pieroni
INTRODUCTION: Mental health screening allows for the early identification of patients at risk of mental health disorders such as anxiety and depression. The Defense Health Administration Procedures Manual 6025.01 established that patients older than 12 years of age should receive annual mental health screening assessing suicidality risk with a standardized screening tool. MATERIALS AND METHODS: To improve rates of mental health screening in this at-risk population, an A3 Lean approach to quality improvement was undertaken in the Pediatric Subspecialty Clinics at Brooke Army Medical Center...
September 25, 2023: Military Medicine
https://read.qxmd.com/read/37721525/a-case-of%C3%A2-hematogenous-osteomyelitis-in%C3%A2-a-5-week-old-male
#33
JOURNAL ARTICLE
Montane B Silverman, Reece E Tuckerman, Joseph Fisher
Pediatric osteomyelitis is a rare diagnosis associated with devastating consequences when treatment is delayed. We report a case of hematogenous osteomyelitis in a 5-week-old male presenting to the emergency department (ED) with a flaccid right upper extremity. In the ED, the patient was evaluated with comprehensive infectious and trauma workups. Initial CT imaging of the head and X-ray imaging of the extremity were unremarkable. C-reactive protein was elevated at 0.8; all other laboratory markers were within normal range...
September 18, 2023: Military Medicine
https://read.qxmd.com/read/37658800/hypermobility-spectrum-disorders-and-irritable-bowel-syndrome-a-nationwide-study-of-1-6-million-adolescents
#34
JOURNAL ARTICLE
Yair Zloof, Lidor Peretz, Maya Braun, Maya Simchoni, Avishai M Tsur, Dorit Tzur, Estela Derazne, Amir Ben-Tov, Orit Pinhas-Hamiel, Gil Amarilyo, Saleh Daher, Amir Shlaifer, Yolanda Braun-Moscovici
BACKGROUND AND AIM: The association between hypermobility spectrum disorders/hypermobile type Ehlers-Danlos syndrome (HDS/hEDS) and irritable bowel syndrome (IBS) is yet to be clarified. We aimed to assess this association in a national sample of adolescents. METHODS: A population-based cross-sectional study included 1 627 345 Israeli adolescents (58% male; mean age 17 years) who were medically assessed before compulsory military service during 1998-2020...
September 2, 2023: Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/37656504/the-comparative-effectiveness-and%C3%A2-provider-induced-demand-collaboration-project-a-pioneering-military-civilian-academic-partnership-to-build-health-services-research-capacity-for%C3%A2-the-military-health-system
#35
JOURNAL ARTICLE
Tracey Pérez Koehlmoos, Cathaleen Madsen, Amanda Banaag, Jessica Pope Mitro, Andrew J Schoenfeld, Peter A Learn, Zara Cooper, Joel S Weissman
INTRODUCTION: Like civilian health systems, the United States Military Health System (MHS) confronts challenges in achieving the aims of reducing cost, and improving quality, access, and safety, but historically has lacked coordinated health services research (HSR) capabilities that enabled knowledge translation and iterative learning from its wealth of data. A military-civilian academic partnership called the Comparative Effectiveness and Provider-Induced Demand Collaboration (EPIC), formed in 2011, demonstrated early proof-of-concept in using the MHS claims database for research focused on drivers of variation in health care...
September 1, 2023: Military Medicine
https://read.qxmd.com/read/37651579/juke-stick-a-case-of%C3%A2-pediatric-atraumatic-compartment-syndrome
#36
JOURNAL ARTICLE
Brandon Oswald, Devin R DeFeo, Joseph W Jude, Dan Brillhart, Nathan Borden
Compartment syndrome is usually due to trauma but can also have atraumatic causes. It is defined as a compromise of neurovascular and muscle function that presents symptomatically with the six P's: pain, pallor, paresthesia, paralysis, poikilothermia, and pulselessness. Diagnosis is confirmed by a delta pressure of <30 mmHg (diastolic blood pressure minus the compartment pressure). This case details a 15-year-old male football player with atraumatic compartment syndrome in the lateral compartment of the right lower leg...
August 31, 2023: Military Medicine
https://read.qxmd.com/read/37608756/emergency-department-admission-rates-waiting-times-and-mortality-an-observational-study-in-the-tertiary-center-most-proximal-to-gaza-during-a-military-conflict
#37
JOURNAL ARTICLE
Jacob Dreiher, Sharon Einav, Shlomi Codish, Amit Frenkel
OBJECTIVES: Military conflicts may be ongoing and encompass multiple medical facilities. This study investigated the impact of a military conflict ("Protective Edge" PE) on emergency department (ED) function in a tertiary medical center. METHODS: Visits to the ED during PE (July-August 2014) were compared with ED visits during July-August 2013 and 2015 with regard to admission rates, waiting times and 30-d mortality. Odds ratios (ORs) adjusted for confounders were used for the multivariable regression models...
August 23, 2023: Disaster Medicine and Public Health Preparedness
https://read.qxmd.com/read/37606620/hospitalists-as-facilitators-of-surge-and-contingency-medical-operations-and-planning
#38
JOURNAL ARTICLE
Christina A Olson, Jennifer Eng-Kulawy, Debra D Buckland-Coffey
Hospital medicine, a specialty encompassing physicians and advanced practice providers in internal medicine, pediatrics, and family medicine, has been a core and rapidly growing component of civilian health care for the past two decades. More recently, hospitalists have been taking on key roles during surge and contingency planning and operations, most notably during the COVID-19 pandemic which necessitated marked changes in inpatient care across the United States. The military health system has been slower to incorporate hospitalists into clinical care and planning than civilian organizations due to its unique features...
August 22, 2023: Military Medicine
https://read.qxmd.com/read/37606615/modalities-of%C3%A2-medical-assistance-to-populations-in%C3%A2-french-role-1-facilities-from-january-2020-to-december-2021
#39
JOURNAL ARTICLE
Julien Perret, David Varvenne
INTRODUCTION: Medical assistance to populations (MAP) is a rich and varied activity, but it is not well known, and its modalities are inconsistent and unclear, particularly in the pediatric field; they can confront the military doctor with difficult management issues. Today, a military doctor deployed in foreign operations (FOs) does not know if he will perform MAP. He does not know how it will be carried out, nor if it will include a pediatric component. Finally, he does not know what difficulties he will face and therefore cannot prepare himself effectively...
August 22, 2023: Military Medicine
https://read.qxmd.com/read/37590879/factors-associated-with-no-show-rates-in-a-pediatric-audiology-clinic
#40
JOURNAL ARTICLE
David Adkins, Marcia V Rojas-Ramirez, Anita Shanker, Clayton P Burruss, Becky Mirsky, Philip Westgate, Jennifer B Shinn, Matthew L Bush
OBJECTIVE: To evaluate factors associated with no-show rates in a pediatric audiology clinic. STUDY DESIGN: Retrospective review. SETTING: Tertiary referral center. PARTICIPANTS: All pediatric patients younger than 18 years whose parents/guardians scheduled an appointment at a tertiary Audiology Clinic between June 1, 2015, and July 1, 2017. MAIN OUTCOME MEASURES: Data included whether the patient came to their appointment, patient age, sex, race, insurance type, appointment type, location, season of appointment, and day of the week of the appointment...
August 16, 2023: Otology & Neurotology
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