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https://www.readbyqxmd.com/read/29464830/dietary-approach-to-stop-hypertension-dash-diet-and-risk-of-renal-function-decline-and-all-cause-mortality-in-renal-transplant-recipients
#1
Maryse C J Osté, António W Gomes-Neto, Eva Corpeleijn, Rijk O B Gans, Martin H de Borst, Else van den Berg, Sabita S Soedamah-Muthu, Daan Kromhout, Gerjan J Navis, Stephan J L Bakker
Renal transplant recipients (RTR) are at risk of decline of graft function and premature mortality, with high blood pressure as important risk factor for both. To study the association of the Dietary Approach to Stop Hypertension (DASH) diet with these adverse events, we conducted a prospective cohort study of adult RTR. Dietary data was collected using a validated 177-item food frequency questionnaire and an overall DASH-score was obtained. We included 632 stable RTR (mean±SD age: 53.0±12.7 y, 57% men). Mean DASH score was 23...
February 21, 2018: American Journal of Transplantation
https://www.readbyqxmd.com/read/29463354/adrenal-stress-and-physical-performance-during-military-survival-training
#2
Tunde K Szivak, Elaine C Lee, Catherine Saenz, Shawn D Flanagan, Brian C Focht, Jeff S Volek, Carl M Maresh, William J Kraemer
INTRODUCTION: The purpose of this research was to evaluate neuroendocrine and physical performance responses in sailors and Marines undergoing U.S. Navy Survival, Evasion, Resistance, and Escape (SERE) training. METHODS: Participants were 20 men (Age: 25.3 ± 3.6 yr; Height: 178.1 ± 6.1 cm; Weight: 83.7 ± 12.6 kg). Men were further split into high fit (N = 10) and low fit (N = 10) subgroups based on physical fitness test scores. Blood samples were obtained at baseline (T1), stress (T2), and recovery (T3) timepoints, and were analyzed for plasma epinephrine, plasma norepinephrine, plasma dopamine, serum cortisol, serum testosterone, and plasma neuropeptide Y...
February 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29459433/glaucoma-awareness-indian-military-personnel-a-tri-service-study
#3
Atul Kumar Singh, P Pantola, M A Khan, A Tomar, V Dhabale
INTRODUCTION: In India, glaucoma is the third most common cause of blindness, reflecting both its asymptomatic presentation and a lack of knowledge in the general population. No previous published data of glaucoma awareness among the Indian Armed forces personnel exists, who constitute a unique group consisting of people drawn from all parts of the country and society. METHODS: Bilingual questionnaires were distributed to 496 serving Army, Navy and Air Force personnel serving in units local to the Zonal military hospital in North India...
February 19, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29450855/health-related-quality-of-life-among-us-military-personnel-injured-in-combat-findings-from-the-wounded-warrior-recovery-project
#4
Susan I Woodruff, Michael R Galarneau, Cameron T McCabe, Daniel I Sack, Mary C Clouser
PURPOSE: Little is known about the long-term, health-related quality of life (HRQOL) of those wounded in combat during Operations Enduring Freedom, Iraqi Freedom, and New Dawn. The present study described the overall HRQOL for a large group of US service members experiencing mild-to-severe combat-related injuries, and assessed the unique contribution of demographics, service- and injury-related characteristics, and mental health factors on long-term HRQOL. METHOD: The Wounded Warrior Recovery Project examines patient-reported outcomes in a cohort of US military personnel wounded in combat...
February 15, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29443862/red-tides-mass-casualty-and-whole-blood-at-sea-red-tides
#5
Benjamin T Miller, Andrew H Lin, Susan C Clark, Andrew P Cap, Joseph J Dubose
BACKGROUND: The U.S. Navy's casualty-receiving ships provide remote damage control resuscitation (RDCR) platforms to treat injured combatants deployed afloat and ashore. We report a significant mass casualty incident aboard the USS Bataan, and the most warm fresh whole blood (WFWB) transfused at sea for traumatic hemorrhagic shock since the Vietnam War. METHODS: Casualty-receiving ships have robust medical capabilities, including a frozen blood bank with packed red blood cells (pRBC) and fresh frozen plasma (FFP)...
February 13, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29420787/military-health-system-transformation-implications-on-health-information-technology-modernization
#6
Saad Khan
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29420777/management-of-acute-upper-gastrointestinal-disease-while-at-sea
#7
Matthew J Carr, Christopher Oxner, Eric A Elster, Eric M Ritter, Diego Vicente
Management of complex acute surgical pathology in austere environments necessitates rapid evaluation and resource appropriate management to avoid time-associated morbidity and potentially mortality. Obstructive upper gastrointestinal (UGI) pathologies can be particularly challenging and associated with significant morbidity. Herein, we present six patients with UGI obstructions encountered over the course of an 8-mo deployment onboard a US Navy Aircraft Carrier. Each patient presented to our medical department with signs and symptoms of obstructive UGI pathology including one gastric volvulus requiring operative management at sea, one with a new diagnosis of achalasia requiring transportation and continental United States outpatient evaluation, and four patients with food impaction requiring urgent endoscopic management...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29420759/non-modifiable-risk-factors-associated-with-sternoclavicular-joint-dislocations-in-the-u-s-military
#8
Baris Gun, Robert Dean, Beatrice Go, Catherine Richardson, Brian R Waterman
INTRODUCTION: Sternoclavicular joint (SCJ) dislocations, although uncommon, are observed in patients with ligamentous laxity as well as those who experience traumatic injuries. The incidence and epidemiology of this costly and debilitating injury to our relatively young and active military population have not previously been reported. The purpose of this study is to consider and quantify the non-modifiable risk factors associated with this injury. METHODS: Using Defense Medical Epidemiological Database, first-time occurrences, from 2006 to 2015 for the ICD-9-CM code 839...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29420751/enhanced-multi-service-markets-an-evolution-in-military-health-system-governance
#9
Ronald P Hudak, Rebecca Russell, P Paul Toland
Background: The evolution of governance models for the Military Health System's (MHS) large hospitals, called medical treatment facilities (MTFs), has culminated with the effort to implement Enhanced Multi-Service Markets (eMSM). The term eMSM refers to two separate concepts. First, MSM refers to those geographic areas, that is, markets, which have the following characteristics: they have MTFs that are operated by two or more Department of Defense (DoD) Services, that is, Army, Navy, or Air Force; there is a large beneficiary population; there is a substantial amount of direct care (i...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29415308/clinical-information-systems-integration-in-new-york-city-s-first-mobile-stroke-unit
#10
Benjamin R Kummer, Michael P Lerario, Babak B Navi, Adam C Ganzman, Daniel Ribaudo, Saad A Mir, Sammy Pishanidar, Tim Lekic, Olajide Williams, Hooman Kamel, Randolph S Marshall, George Hripcsak, Mitchell S V Elkind, Matthew E Fink
BACKGROUND:  Mobile stroke units (MSUs) reduce time to thrombolytic therapy in acute ischemic stroke. These units are widely used, but the clinical information systems underlying MSU operations are understudied. OBJECTIVE:  The first MSU on the East Coast of the United States was established at New York Presbyterian Hospital (NYP) in October 2016. We describe our program's 7-month pilot, focusing on the integration of our hospital's clinical information systems into our MSU to support patient care and research efforts...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29413384/advection-of-karenia-brevis-blooms-from-the-florida-panhandle-towards-mississippi-coastal-waters
#11
Inia M Soto, Mustafa Kemal Cambazoglu, Adam D Boyette, Kristina Broussard, Drew Sheehan, Stephan D Howden, Alan M Shiller, Brian Dzwonkowski, Laura Hode, Patrick J Fitzpatrick, Robert A Arnone, Paul F Mickle, Kimberly Cressman
Harmful Algal Blooms (HABs) of Karenia brevis have been documented along coastal waters of every state bordering the Gulf of Mexico (GoM). Some Gulf Coast locations, such as Florida and Texas, suffer from recurrent intense and spatially large blooms, while others such as Mississippi seem to rarely observe them. The main objective of this work is to understand the dynamics that led to the K. brevis bloom in Mississippi coastal waters in fall 2015. Blooms of K. brevis from the Florida Panhandle region are often advected westward towards the Mississippi-Alabama coast; however there is interannual variability in their presence and intensity in Mississippi coastal waters...
February 2018: Harmful Algae
https://www.readbyqxmd.com/read/29402152/a-signal-detection-item-response-theory-model-for-evaluating-neuropsychological-measures
#12
Michael L Thomas, Gregory G Brown, Ruben C Gur, Tyler M Moore, Virginie M Patt, Victoria B Risbrough, Dewleen G Baker
INTRODUCTION: Models from signal detection theory are commonly used to score neuropsychological test data, especially tests of recognition memory. Here we show that certain item response theory models can be formulated as signal detection theory models, thus linking two complementary but distinct methodologies. We then use the approach to evaluate the validity (construct representation) of commonly used research measures, demonstrate the impact of conditional error on neuropsychological outcomes, and evaluate measurement bias...
February 5, 2018: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/29400899/mild-cough-%C3%A2-wheezing-%C3%A2-loud-heart-sounds-%C3%A2-dx
#13
Arneh Babakhani, Robert N Clapp, William B Warner
A 25-year-old man, who was an active duty US Navy sailor, went to his ship's medical department complaining of a mild cough that he'd had for 2 days. He denied having any fevers, chills, night sweats, angina, or dyspnea. He said he hadn't experienced any exertional fatigue or difficulty completing the rigorous physical tasks of his occupation as an engineman on the ship. The patient had no medical or surgical history of significance, and he wasn't taking any medications or supplements. On exam, he was not in acute distress and his vital signs were within normal limits...
February 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29384972/long-term-low-dose-tolvaptan-treatment-in-hospitalized-male-patients-aged-90-years-with-hyponatremia-report-on-safety-and-effectiveness
#14
Yu-Hong Liu, Xiao-Bo Han, Yue-Hai Fei, Hong-Tao Xu
The retrospective study aimed at investigating the safety and clinical efficacy of long-term application of tolvaptan in patients >90 years old with hyponatremia. Although tolvaptan has been used to treat hyponatremia, the effect of its long-term use in elderly patients was unknown.Seven patients over 90 with isovolumic or hypervolemic hyponatremia admitted to the PLA Navy General Hospital between October 2011 and October 2013 were enrolled. The patients' serum sodium levels <135 mmol/L persisted for more than 3 months, and oral treatment with tolvaptan lasted for more than 12 months...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29372240/medical-specialties-of-clinicians-providing-mechanical-thrombectomy-to-patients-with-acute-ischemic-stroke-in-the-united-states
#15
Hooman Kamel, Caroline D Chung, Gbambele J Kone, Ajay Gupta, Nicholas A Morris, Matthew E Fink, Babak B Navi
No abstract text is available yet for this article.
January 25, 2018: JAMA Neurology
https://www.readbyqxmd.com/read/29369032/a-small-scale-investigation-into-the-effect-of-a-larvicidal-oil-on-oviposition-site-preference-by-aedes-aegypti
#16
M T Hall, A C Briley, E J Lindroth, J D Fajardo, J E Cilek, A G Richardson
Larvicidal oils can be used to control immature Aedes aegypti and other pestiferous mosquitoes. To test whether oil-based larvicides also act as oviposition deterrents, indoor and semi-field trials were conducted at the Navy Entomology Center of Excellence in Jacksonville, FL. In both studies, treatment cages consisted of oviposition cups lined with seed germination paper as an oviposition substrate and filled with 1-wk-old southern live oak ( Quercus virginiana) leaf litter-infused water. Treatment cages consisted of 2 cups treated with CocoBear™ Mosquito Larvicidal Oil, while 2 cups were untreated...
December 2017: Journal of the American Mosquito Control Association
https://www.readbyqxmd.com/read/29365191/vape-and-aviate-electronic-cigarette-use-and-misuse-in-naval-aviation
#17
Matthew T Hall, Ryan P Austin, Tai A Do, Andrea McGlynn
Electronic cigarettes (EC) are an emerging form of nicotine replacement that has had a discernible increase in prevalence in the general population. Little is known regarding EC use among different military demographic groups or the extent of influence that social determinants of health may have on the behavior. The purpose of this study was to assess the prevalence and correlates of EC use in a select population of active duty U.S. Naval personnel. This study is unique in that it allows for EC behavior comparison between a traditionally healthy demographic (aviators, a subset of aircrew) and a representative general military population sample...
January 20, 2018: Military Medicine
https://www.readbyqxmd.com/read/29357424/overweight-young-female-kidney-donors-have-low-renal-functional-reserve-post-donation
#18
Marco van Londen, Anouk W M A Schaeffers, Martin H de Borst, Jaap A Joles, Gerjan Navis, A Titia Lely
Maintenance of adequate renal function after living kidney donation is important for donor outcome. Overweight donors in particular may have an increased risk for end stage kidney disease (ESKD), and young female donors have an increased preeclampsia risk. Both of these risks may associate with low post-donation renal functional reserve (RFR). Because we previously found that higher BMI and lower post-donation RFR were associated, we now studied the relationship between BMI and RFR in young female donors. RFR, the rise in GFR (125I-Iothalamate clearance) during dopamine, was measured in female donors (<45 years) before and after kidney donation...
January 3, 2018: American Journal of Physiology. Renal Physiology
https://www.readbyqxmd.com/read/29352307/aerial-ulv-control-of-aedes-aegypti-with-naled-dibrom-inside-simulated-rural-village-and-urban-cryptic-habitats
#19
Seth C Britch, Kenneth J Linthicum, Robert L Aldridge, Mark S Breidenbaugh, Mark D Latham, Peter H Connelly, Mattie J E Rush, Jennifer L Remmers, Jerry D Kerce, Charles A Silcox
We conducted aerial fixed wing ultra low volume (ULV) spray trials with naled to investigate penetration of exposed and simulated cryptic habitat within opened buildings, partially sealed buildings, and outdoor locations targeting sentinel adult Aedes aegypti mosquitoes in north central Florida. Mortality was observed in open and closed buildings and outdoors, even in mosquitoes placed in cryptic habitats. Observations on the impact of building type, mosquito exposure method such as placement in cryptic habitat, and spray nozzle size on mosquito mortality are described and analyzed...
2018: PloS One
https://www.readbyqxmd.com/read/29351158/physical-performance-measures-of-flexibility-hip-strength-lower-limb-power-and-trunk-endurance-in-healthy-navy-cadets-normative-data-and-differences-between-sex-and-limb-dominance
#20
Thiago Jambo Alves Lopes, Milena Simic, Daniel de Souza Alves, Priscila Dos Santos Bunn, Allan Inoue Rodrigues, Bruno de Souza Terra, Maicom da Silva Lima, Fabrício Miranda Ribeiro, Patrick Vilão, Evangelos Pappas
The objectives were to provide normative data on commonly used physical performance tests that may be associated with musculoskeletal injuries in Navy cadets, and assess for sex and limb dominance differences. A large cohort of Navy cadets were assessed for physical performance tests of flexibility (ankle dorsiflexion range of motion and sit and reach), isometric hip strength, lower limb power (single leg hop), and trunk endurance (plank and side plank tests). Besides providing normative data tables, sex and limb dominance differences were assessed by a two-way mixed ANOVA...
January 17, 2018: Journal of Strength and Conditioning Research
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