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Military trauma

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https://www.readbyqxmd.com/read/29676496/suicide-ideation-in-female-survivors-of-military-sexual-trauma-the-trauma-source-matters
#1
Rebecca K Blais, Lindsey L Monteith
Female veterans who have experienced military sexual trauma (MST) are at elevated suicide risk, yet knowledge is limited regarding correlates of suicide ideation (SI) in this population. MST is associated with a higher risk of posttraumatic stress disorder (PTSD) relative to other trauma types; however, no studies have examined whether experiencing SI differs based on the source of PTSD symptoms (MST-related, non-MST-related). Female service members/veterans (SM/Vs; n = 311) who screened positive for MST and reported exposure to a Criterion A event completed an online survey assessing self-reported demographics, PTSD, depression, the source of their PTSD symptoms, and SI...
April 20, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29672106/mmpi-2-rf-characteristics-of-veterans-seeking-treatment-for-military-sexual-trauma
#2
Eliza S McManus, Lisa-Ann J Cuccurullo, Madeline Uddo, C Laurel Franklin
Military sexual trauma (MST) is defined as experiences of sexual assault or repeated, threatening, harassment during military service. MST events may not qualify within posttraumatic stress disorder (PTSD) Criterion A, making symptoms associated with MST unique from trauma-related disorders. Little research has been done to understand those presenting for MST treatment. Thus, this article provides Minnesota Multiphasic Personality Inventory 2-Restructured Form (MMPI-2-RF) scores of 33 U.S. veterans who experienced MST in an effort to better understand psychological and personality characteristics of this important and unique group of veterans...
April 2018: Psychological Assessment
https://www.readbyqxmd.com/read/29669407/psychiatric-sequelae-of-former-comfort-women-survivors-of-the-japanese-military-sexual-slavery-during-world-war-ii
#3
REVIEW
Jeewon Lee, Young-Sook Kwak, Yoon-Jung Kim, Eun-Ji Kim, E Jin Park, Yunmi Shin, Bun-Hee Lee, So Hee Lee, Hee Yeon Jung, Inseon Lee, Jung Im Hwang, Dongsik Kim, Soyoung Irene Lee
"Comfort women" refers to young women and girls who were forced into sexual slavery by the Imperial Japanese military during World War II. They were abducted from their homes in countries under Imperial Japanese rule, mostly from Korea, and the rest from China, Philippines, Malaysia, Taiwan, Indonesia, the Netherlands, etc. "Comfort women" endured extreme trauma involving rape, sexual torture, physical abuse, starvation, threats of death, and witnessed many others being tortured and killed...
April 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29669185/distinct-trauma-types-in-military-service-members-seeking-treatment-for-posttraumatic-stress-disorder
#4
Brett T Litz, Ateka A Contractor, Charla Rhodes, Katherine A Dondanville, Alexander H Jordan, Patricia A Resick, Edna B Foa, Stacey Young-McCaughan, Jim Mintz, Jeffrey S Yarvis, Alan L Peterson
We examined the frequency of trauma types reported in a cohort of service members seeking treatment for posttraumatic stress disorder (PTSD) and compared symptom profiles between types. In this observational study, 999 service members (9.2% women; Mage = 32.91 years; 55.6% White) were evaluated using a standardized assessment procedure to determine eligibility for clinical trials. Participants were evaluated for DSM-IV-TR-defined PTSD using the PTSD Symptom Scale-Interview; all participants reported a Criterion A event...
April 2018: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29667171/mental-health-service-utilization-before-and-after-receipt-of-a-service-connected-disability-award-for-ptsd-findings-from-a-national-sample
#5
Rebecca K Sripada, Claire M Hannemann, Paula P Schnurr, Brian P Marx, Stacey J Pollack, John F McCarthy
OBJECTIVE: To determine patterns of mental health service use before and after VA disability compensation awards for posttraumatic stress disorder (PTSD). DATA SOURCES: A 10 percent random sample of VHA-enrolled Veterans with new or increased PTSD service connection between 2012 and 2014 (n = 22,249). STUDY DESIGN: We used latent trajectory analysis to identify utilization patterns and multinomial logistic regression to assess associations between Veteran characteristics and trajectory membership...
April 17, 2018: Health Services Research
https://www.readbyqxmd.com/read/29662256/analysis-of-combat-casualties-admitted-to-the-emergency-department-during-the-negotiation-of-the-comprehensive-colombian-process-of-peace
#6
Carlos A Ordoñez, Ramiro Manzano Nunez, Michael W Parra, Juan Pablo Herrera, Maria Paula Naranjo, Sara Sofia Escobar, Marisol Badiel, Monica Morales, Cecibel Cevallos, Juan G Bayona, Alvaro Ignacio Sanchez, Juan Carlos Puyana, Alberto F García
Aim: Our objective was to describe the variations in casualties admitted to the emergency department during the period of the negotiation of the comprehensive peace agreement in Colombia between 2011 and 2016. Methods: A retrospective study of all hostile military casualties managed at a regional Level I trauma center from January 2011 to December 2016. Patients were subsequently divided into two groups: those seen before the declaration of the process of peace truce (November 2012) and those after (negotiation period)...
December 30, 2017: Colombia Médica: CM
https://www.readbyqxmd.com/read/29660018/sexual-assault-and-disabling-ptsd-in-active-duty-service-women
#7
Denise Parnell, Vasudha Ram, Paulette Cazares, Jennifer Webb-Murphy, Melanie Roberson, Shiva Ghaed
Introduction: Sexual assault in the military is a major concern and may result in significant health problems, such as post-traumatic stress disorder (PTSD). Those developing disabling PTSD symptoms may require a disability evaluation. We examined disability evaluation trends for service women with PTSD to better understand characteristics associated with inability to continue Active Duty service. Methods: This is a retrospective review of disability reports and electronic medical records for 322 Active Duty women diagnosed with and treated for PTSD by psychiatrists and psychologists at a large military treatment facility between 2011 and 2014...
April 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29660009/critical-care-in-the-military-health-system-a-24-h-point-prevalence-study
#8
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
https://www.readbyqxmd.com/read/29659947/pediatric-thoracic-trauma-in-iraq-and-afghanistan
#9
Ryan J Keneally, Cynthia H Shields, Albert Hsu, Howard I Prior, Kevin M Creamer
Introduction: The objective of this study is to review available data on pediatric thoracic trauma seen at U.S. military treatment facilities in Iraq and Afghanistan and describe the scope of injuries, patterns seen, and associated mortality. The results were compared with adults injured in Iraq and Afghanistan and other reports of pediatric thoracic trauma in the literature. Materials and Methods: The investigators received approval from the Uniformed Services University of the Health Sciences' institutional review board before the study...
April 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29659771/infectious-complications-after-deployment-trauma-following-wounded-united-states-military-personnel-into-veterans-affairs-care
#10
Jay R McDonald, Stephen Y Liang, Ping Li, Salwa Maalouf, Clinton K Murray, Amy C Weintrob, Elizabeth R Schnaubelt, Janis Kuhn, Anuradha Ganesan, William Bradley, David R Tribble
Background: Infectious complications related to deployment trauma significantly contribute to the morbidity and mortality impacting wounded service members. The Trauma Infectious Disease Outcomes Study (TIDOS) collects data on U.S. military personnel injured in Iraq and Afghanistan in an observational cohort study of infectious complications. Patients enrolled in TIDOS may also consent to follow-up through the Department of Veterans Affairs (VA). We present data from the first 337 TIDOS enrollees to receive VA healthcare...
April 6, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29657190/fighting-for-freedom-by-killing-the-pain
#11
E Ann Jeschke
This symposium includes six personal narratives about military veterans' experiences receiving health care through the Military Health System or the Veterans' Health Administration. Five of the narratives were autobiographical accounts of men's personal experience of care and one of the accounts was written by a wife who watched her husband suffer with chronic pain after leaving the military. There is a good deal of literature in military and veteran's medical research pertaining to psychological and physical trauma rehabilitation; however, there is little reflection on what it is like for injured military personnel or veterans to overcome obstacles while in pain and attempting interface with these governmental health care systems...
2018: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/29651256/brain-structural-covariance-network-topology-in-remitted-posttraumatic-stress-disorder
#12
Delin Sun, Sarah L Davis, Courtney C Haswell, Chelsea A Swanson, Kevin S LaBar, John A Fairbank, Rajendra A Morey
Posttraumatic stress disorder (PTSD) is a prevalent, chronic disorder with high psychiatric morbidity; however, a substantial portion of affected individuals experience remission after onset. Alterations in brain network topology derived from cortical thickness correlations are associated with PTSD, but the effects of remitted symptoms on network topology remain essentially unexplored. In this cross-sectional study, US military veterans ( N  = 317) were partitioned into three diagnostic groups, current PTSD (CURR-PTSD, N  = 101), remitted PTSD with lifetime but no current PTSD (REMIT-PTSD, N  = 35), and trauma-exposed controls (CONTROL, n  = 181)...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29649912/post-combat-adaptation-improving-social-support-and-reaching-constructive-growth
#13
L Y Saltzman, R Pat-Horenczyk, M Lombe, A Weltman, Y Ziv, T McNamara, D Takeuchi, D Brom
BACKGROUND AND OBJECTIVES: Posttraumatic stress disorder, a commonly researched mental health outcome associated with trauma, does not develop in the majority of survivors. More common trajectories of adaptation include resilience, and posttraumatic growth (PTG). The objectives of the current study were to: (1) describe posttrauma adaptation profiles in a sample of Israeli male military veterans (N = 448); and (2) to explore the protective factors that promote constructive PTG within two profiles of posttrauma adaptation...
April 12, 2018: Anxiety, Stress, and Coping
https://www.readbyqxmd.com/read/29649042/factors-associated-with-the-benefits-of-concurrent-administration-of-intratympanic-steroid-injection-with-oral-steroids-in-patients-with-acute-acoustic-trauma
#14
Young-Soo Chang, Kanghyun Bang, Nayeon Choi, Jong Sei Kim, Gang-Gyu Lee
OBJECTIVE: To analyze the factors associated with the benefits of concurrent administration of intratympanic steroid injection (ITSI) and oral steroids in patients with acute acoustic trauma (AAT) incurred during military training. STUDY DESIGN: Retrospective analysis. PATIENTS: Nineteen patients eligible under the criteria established concerning treatment for AAT were retrospectively reviewed in this study. INTERVENTIONS: ITSI treatments were administered simultaneously alongside oral prednisolone...
April 11, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29648911/body-image-perceptions-of-women-veterans-with-military-sexual-trauma
#15
Wyona M Freysteinson, Susan Mellott, Tania Celia, Jinlan Du, Marilyn Goff, Tana Plescher, Zoheb Allam
The researchers were invited to a transitional home for homeless women veterans to help veterans with body image issues. Convenience sampling was used to recruit 12 veterans who perceived they had a physical difference due to military service. Data were obtained in focus groups where the veterans were invited to share stories. Ricoeur's hermeneutic phenomenology guided the study. The research team learned early in the data collection stage that 11 of the 12 participants suffered military sexual trauma (MST)...
April 12, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29645319/it-saved-my-life
#16
Nancy Lutwak
After being appointed the Women's Health Emergency Department Champion at our Veterans Administration (VA) Hospital, I became aware of the large number of veterans who experienced military sexual trauma (MST). I realized coming to our medical center for care could be daunting for many women. The expansive main lobby is a bustling place where many male veterans congregate speaking in loud voices causing them to seem frightening and aggressive. The men may sometimes approach women to chat, but I have been told by female veterans this act, although seemingly benign, causes anxiety and discomfort...
April 12, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29643121/fast-in-the-deployed-military-setting
#17
Nicholas James Carter, D Gay
INTRODUCTION: Focused assessment with sonography in trauma (FAST) is historically an effective method of assessing the patient in the trauma bay in order to aid decision-making and optimise patient outcomes. However, in the UK civilian practice, the use of FAST may decline given a recent change in National Institute for Health and Care Excellence guidance as a result of improvement in CT availability and resuscitation techniques. METHOD: In the Role 3 Medical Treatment Facility, Camp Bastion, 187 patients with trauma who received FAST in the trauma bay in 2014 were reviewed to determine the accuracy of FAST in the deployed environment...
April 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29642982/military-medical-skills-readiness-in-combat-advanced-trauma-life-support-performance-efficiency-at-afghanistan-role-3-hospitals
#18
Andrew Hall, Jacob Glaser, Dennis Hanseman, Ryan Parks, Michael Brazeau
No abstract text is available yet for this article.
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29609973/the-burden-of-gunshot-wounding-of-uk-military-personnel-in-iraq-and-afghanistan-from-2003-14
#19
T Stevenson, D J Carr, J G Penn-Barwell, T J Ringrose, S A Stapley
INTRODUCTION: Gunshot wounding (GSW) is the second most common mechanism of injury in warfare after explosive injury. The aim of this study was to define the clinical burden of GSW placed on UK forces throughout the recent Iraq and Afghanistan conflicts. METHODS: This study was a retrospective review of data from the UK Military Joint Theatre Trauma Registry (JTTR). A JTTR search identified records within the 12 year period of conflict between 19 Mar 2003 and 27 Oct 2014 of all UK military GSW casualties sustained during the complete timelines of both conflicts...
March 27, 2018: Injury
https://www.readbyqxmd.com/read/29609792/-the-nurse-and-the-reconstruction-of-military-casualties-through-sport
#20
REVIEW
Marie-Hedwige Boutet-de Basquiat, Anne Paris, Aline Delalande, Lackhéna Sarhok, Aurore Nguyen, Marie Thomas-Pohl
Soldiers are confronted with physical and mental injuries which constitute a social trauma. The French army has put in place tools, notably sports courses, to favour resilience and the reintegration of casualties. Nurses and nurse assistants working in physical medicine and rehabilitation and psychiatry, play a key role using their skills to support this scheme which runs outside the hospital setting.
April 2018: Revue de L'infirmière
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