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https://www.readbyqxmd.com/read/29466560/comparison-of-military-and-civilian-methods-for-determining-potentially-preventable-deaths-a-systematic-review
#1
Jud C Janak, Jonathan A Sosnov, Joan M Bares, Zsolt T Stockinger, Harold R Montgomery, Russ S Kotwal, Frank K Butler, Stacy A Shackelford, Jennifer M Gurney, Mary Ann Spott, Louis N Finelli, Edward L Mazuchowski, David J Smith
Importance: Military and civilian trauma experts initiated a collaborative effort to develop an integrated learning trauma system to reduce preventable morbidity and mortality. Because the Department of Defense does not currently have recommended guidelines and standard operating procedures to perform military preventable death reviews in a consistent manner, these performance improvement processes must be developed. Objectives: To compare military and civilian preventable death determination methods to understand the existing best practices for evaluating preventable death...
February 21, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29456518/environmental-physiology-and-diving-medicine
#2
REVIEW
Gerardo Bosco, Alex Rizzato, Richard E Moon, Enrico M Camporesi
Man's experience and exploration of the underwater environment has been recorded from ancient times and today encompasses large sections of the population for sport enjoyment, recreational and commercial purpose, as well as military strategic goals. Knowledge, respect and maintenance of the underwater world is an essential development for our future and the knowledge acquired over the last few dozen years will change rapidly in the near future with plans to establish secure habitats with specific long-term goals of exploration, maintenance and survival...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29447399/the-relationship-between-soldier-performance-on-the-two-mile-run-and-the-20-m-shuttle-run-test
#3
Maria C Canino, Bruce S Cohen, Jan E Redmond, Marilyn A Sharp, Edward J Zambraski, Stephen A Foulis
Background: The 20-m shuttle run test (MSRT) is a common field test used to measure aerobic fitness in controlled environments. The U.S. Army currently assesses aerobic fitness with the two-mile run (TMR), but external factors may impact test performance. The aim of this study is to examine the relationship between the Army Physical Fitness Test TMR performance and the MSRT in military personnel. Methods: A group of 531 (403 males and 128 females) active duty soldiers (age: 24...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29425355/an-initial-report-of-sleep-disorders-in-women-in-the-u-s-military
#4
Dale C Capener, Matthew S Brock, Shana L Hansen, Panagiotis Matsangas, Vincent Mysliwiec
Introduction: Sleep disorders are increasingly recognized in active duty service members (ADSM). While there are multiple studies in male ADSM, there are limited data regarding sleep disorders in women in the military. The purpose of this study was to characterize sleep disorders in female ADSM referred for clinical evaluation to provide a better understanding of this unique population. Materials and Methods: We conducted a retrospective review of female ADSM who underwent a sleep medicine evaluation and an attended polysomnogram (PSG)...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29420806/a-history-of-shoulder-instability-in-the-military-where-we-have-been-and-what-we-have-learned
#5
Jared A Wolfe, Daniel L Christensen, Timothy C Mauntel, Brett D Owens, Lance E LeClere, Jonathan F Dickens
Introduction: Shoulder instability is one of the most common pathologies seen by the orthopedic sports medicine surgeon. With a uniquely young, high-demand patient population in the U.S. Military, the incidence of shoulder instability is remarkably more common than the civilian population. As such, military orthopedic surgeons and sports medicine and shoulder specialists have developed a unique understanding and experience of shoulder instability. The historical advances of shoulder instability in the military have been instrumental in understanding the epidemiology, evaluation, pathology, treatment of first-time shoulder subluxations and dislocations, operative and non-operative treatment options, arthroscopic and open stabilization methods, management of the in-season athlete, treatment of combined and circumferential labral pathology, and associated pathology...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29420762/military-internal-medicine-resident-decision-to-apply-to-fellowship-and-extend-military-commitment
#6
Alice E Barsoumian, Joshua D Hartzell, Erin M Bonura, Roseanne A Ressner, Timothy J Whitman, Heather C Yun
Introduction: Nationally, the number of internal medicine physicians practicing in primary care has decreased amidst increasing interest in hospitalist medicine. Current priorities in the Military Health System include access to primary care and retention of trained personnel. Recently, we have conducted a study of military internal medicine residents' decision to enter infectious disease. As part of our larger effort, we saw an opportunity to characterize factors impacting decision making of internal medicine residents' desire to apply for subspecialty training and to extend active duty service obligations...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29420761/chinese-military-evaluation-of-a-portable-near-infrared-detector-of-traumatic-intracranial-hematomas
#7
Chun-Yang Liang, Yang Yang, Chun-Sen Shen, Hai-Jiang Wang, Nai-Ming Liu, Zhi-Wen Wang, Feng-Lei Zhu, Ru-Xiang Xu
Introduction: Secondary brain injury is the main cause of mortality from traumatic brain injury (TBI). One hallmark of TBI is intracranial hemorrhage, which occurs in 40-50% of severe TBI cases. Early identification of intracranial hematomas in TBI patients allows early surgical evacuation and can reduce the case fatality rate of TBI. As pre-hospital care is the weakest part of Chinese emergency care, there is an urgent need for a capability to detect brain hematomas early. In China, in addition to preventing injuries and diseases in military staff and in enhancing the military armed forces during war, military medicine participates in actions such as emergency public health crises, natural disasters, emerging conflicts, and anti-terrorist campaigns during peacetime...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29415223/a-maisonneuve-fracture-in-an-active-duty-sailor-a-case-report
#8
Ryan R Richmond, Andrew D Henebry
Maisonneuve fractures are relatively well known in the sports medicine, and orthopedic communities, however, can be commonly missed among primary care providers. The following case outlines an active duty 35-yr-old female patient who presented with acute pain on the left ankle and lower leg after she misjudged a step. The injury is a combination of high fibular and medial malleolar fractures with a disruption of the tibiofibular syndesmosis ligaments. This is a result of extreme external rotation and pronation of a fixed foot...
February 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29402269/expression-of-a-recombinant-hybrid-antimicrobial-peptide-magainin-ii-cecropin-b-in-the-mycelium-of-the-medicinal-fungus-cordyceps-militaris-and-its-validation-in-mice
#9
Min Zhang, Yuanlong Shan, Hongtao Gao, Bin Wang, Xin Liu, Yuanyuan Dong, Xiuming Liu, Na Yao, Yonggang Zhou, Xiaowei Li, Haiyan Li
BACKGROUND: Antibiotic residues can cause antibiotic resistance in livestock and their food safety-related issues have increased the consumer demand for products lacking these residues. Hence, developing safe and effective antibiotic alternatives is important to the animal feed industry. With their strong antibacterial actions, antimicrobial peptides have potential as antibiotic alternatives. RESULTS: We investigated the antibacterial and immunomodulatory activities and the mechanisms of action of an antimicrobial peptide...
February 5, 2018: Microbial Cell Factories
https://www.readbyqxmd.com/read/29401350/academic-medicine-in-the-military-health-system-problems-and-solutions-for-academic-leadership-development
#10
Jessica T Servey, Thomas McFate, Brian V Reamy
No abstract text is available yet for this article.
January 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29401339/gender-disparities-within-us-army-orthopedic-surgery-a-preliminary-report
#11
Christopher M Daniels, Theodora C Dworak, Ashley B Anderson, Alaina M Brelin, Leon J Nesti, Patricia L McKay, David E Gwinn
INTRODUCTION: Women account for approximately 15% of the active duty US Army, and studies show that women may be at an increased risk of musculoskeletal injury during sport and military training. Nationally, the field of orthopedic surgery comprises 14% women, lagging behind other surgical fields. Demographics for US Military orthopedic surgeons are not readily available. Similarly, demographic data of graduating medical students entering Military Medicine are not reported. We hypothesize that a gender disparity within military orthopedics will be apparent...
January 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29401333/recognizing-the-importance-of-leadership-a-recent-graduate-develops-a-corpsman
#12
Joshua D Hartzell, Laura Gilbert
There is a growing interest in leadership development within the field of medicine both within the military and the larger medical community. Recognition of the importance of leadership training during graduate medical education has grown, but many residents and faculty still argue that residency training should focus on clinical skills and medical knowledge. Most graduates of training programs in the military quickly find themselves in formal leadership positions or they must informally lead in their clinical practice...
January 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29388936/-the-department-of-balneology-and-physical-medicine-of-the-s-m-kirov-s-military-medical-academy-75-years-anniversary
#13
G N Ponomarenko
The article highlights the history of the creation of the Department of balneology and physiotherapy at the S.M. Kirov Military-medical academy and the stages of its development. Employees of the Academy have a priority in the scientific substantiation of main principles of physical medicine and rehabilitation. They stood at the forefront of development of scientific schools and research institutions. The article presents the main achievements of the Department in academic, research and clinical work.
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29386719/combat-psychiatry-indian-perspective
#14
REVIEW
P S Bhat
Indian Armed Forces have been engaged in various combat duties for long. The adverse effect of prolonged and repetitive deployment of troops in these highly stressful environment leads to many combat stress behaviors as well as misconduct behaviors. Preventing, identifying and managing these disruptive behaviors are an essential part of combat psychiatry within the larger domain of combat medicine. Indian Armed Forces have a well-oiled mechanism to handle these issues and military psychiatrists are deeply engaged in providing holistic mental health care to the esteemed clientele...
October 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/29386715/aeromedical-solutions-for-aerospace-safety
#15
Pawan Kapoor, Deepak Gaur
All facets of activity in the speciality of Aviation Medicine are essentially aimed at enhancing aerospace safety. This paper highlights some innovative changes brought about by Aerospace Medicine in the three major fields of the speciality namely, medical evaluation, aeromedical training and research. Based on lab and field studies, military aircrew are now permitted flying with Modifinil as 'Go' Pill and Zolpidem as 'No-Go' Pill during sustained operations. Several other drugs for disabilities like Hypertension and CAD are now permitted for aviators...
October 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/29383054/self-vs-other-focus-predicting-professionalism-remediation-of-emergency-medicine-residents
#16
Robert E Thaxton, Woodson S Jones, Fred W Hafferty, Carolyn W April, Michael D April
Introduction: Unprofessionalism is a major reason for resident dismissal from training. Because of the high stakes involved, residents and educators alike would benefit from information predicting whether they might experience challenges related to this competency. Our objective was to correlate the outcome of professionalism-related remedial actions during residency with the predictor variable of resident response to a standardized interview question: "Why is Medicine important to you?" Methods: We conducted a professional development quality improvement (QI) initiative to improve resident education and mentorship by achieving a better understanding of each resident's reasons for valuing a career in medicine...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29370056/the-history-and-promising-future-of-phage-therapy-in-the-military-service
#17
Daniel Gelman, Arik Eisenkraft, Nina Chanishvili, Nachman Dean, Shunit Coppenhagem Glazer, Ronen Hazan
The continuous evolvement of bacterial resistance to most, if not all currently available antibiotics is a worldwide problem. These strains, frequently isolated from military-associated environments, have created an urgent need to develop supplementary anti-infective modalities. One of the leading directions is phage therapy, which includes the administration of bacteriophages, viruses that specifically target bacteria, as bio-therapies. Though neglected in the West until recent years, bacteriophages have been widely studied and clinically administered in the former Soviet Union and Eastern Europe for over a century, where they were found to be incredibly efficient at battling numerous infectious diseases...
January 24, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29370052/implementation-of-a-national-trauma-research-action-plan-ntrap
#18
Eileen M Bulger, Todd E Rasmussen, Gregory J Jurkovich, Timothy C Fabian, Rosemary A Kozar, Raul Coimbra, Todd W Costantini, James Ficke, Ajai K Malhotra, Michelle A Price, Sharon L Smith, William G Cioffi, Ronald M Stewart
Traumatic injury is a significant public health problem and the leading cause of death under age 44 in the United States. Federal investment in research funding is needed to address this issue and minimize death and disability. This report seeks to lay out a strategy for the development and implementation of a National Trauma Research Action Plan as described in the 2016 report by the National Academies of Sciences, Engineering, and Medicine (NASEM) entitled, Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths after Injury...
January 24, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29369940/a-case-study-of-the-ncrp-156-wound-model-of-embedded-du-using-data-from-urine-uranium-concentrations-of-wounded-veterans
#19
Michael T Walkingstick, Eric S Krage, Richard R Brey
Depleted uranium (DU) munitions were initially used by the United States (U.S.) military during the first Persian Gulf War in 1991 in order to penetrate heavily armored vehicles. However, as a result of friendly fire, several U.S. military personnel received intakes from DU munitions. One of the ongoing concerns for these wounded veterans is the potential long-term exposure received from DU embedded fragments. The United States Army Institute of Public Health (AIPH) is the first laboratory that analyzes the urine bioassays from Army Soldiers that are injured with DU fragments...
March 2018: Health Physics
https://www.readbyqxmd.com/read/29332417/-concise-history-of-toxicology-from-empiric-knowledge-to-science
#20
Anna Tompa, Péter Balázs
Toxicology is a science of poisonings by xenobiotics and endogenous physiological changes. Its empiric roots may be traced back to the emerging of the human race because the most important pledge of our predecessors' survival was the differentiation between eatable and poisonous plants and animals. In the course of social evolution, there were three main fields of using poisons: 1) hunting and warfare, 2) to settle social tensions by avoiding military conflicts through hiding strategy of eliminating enemies by toxic substances, 3) medicines applied first as anti-poisons and later by introducing strong substances to defeat diseases, but paradoxically active euthanasia is also a part of the whole story...
January 2018: Orvosi Hetilap
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