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https://www.readbyqxmd.com/read/28748419/can-we-train-military-surgeons-in-a-civilian-trauma-center
#1
H Uchino, V Y Kong, G V Oosthuizen, J L Bruce, W Bekker, G L Laing, D L Clarke
INTRODUCTION: The objective of this study was to review the trauma workload and operative exposure in a major South African trauma center and provide a comparison with contemporary experience from major military conflict. MATERIALS AND METHODS: All patients admitted to the PMTS following trauma were identified from the HEMR. Basic demographic data including mechanism of injury and body region injured were reviewed. All operative procedures were categorized. The total operative volume was compared with those available from contemporary literature documenting experience from military conflict in Afghanistan...
July 26, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28748307/systematic-review-of-mental-health-disorders-and-intimate-partner-violence-victimisation-among-military-populations
#2
REVIEW
Katherine Sparrow, Jamie Kwan, Louise Howard, Nicola Fear, Deirdre MacManus
PURPOSE: There is growing awareness of the problem of intimate partner violence (IPV) among military populations. IPV victimisation has been shown to be associated with mental disorder. A better understanding of the link between IPV and mental disorder is needed to inform service development to meet the needs of military families. We aimed to systematically review the literature on the association between IPV victimisation and mental health disorders among military personnel. METHODS: Searches of four electronic databases (Embase, Medline, PsycINFO, and Web of Science) were supplemented by reference list screening...
July 26, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28746705/risk-of-suicide-attempt-among-soldiers-in-army-units-with-a-history-of-suicide-attempts
#3
Robert J Ursano, Ronald C Kessler, James A Naifeh, Holly Herberman Mash, Carol S Fullerton, Paul D Bliese, Alan M Zaslavsky, Tsz Hin Hinz Ng, Pablo A Aliaga, Gary H Wynn, Hieu M Dinh, James E McCarroll, Nancy A Sampson, Tzu-Cheg Kao, Michael Schoenbaum, Steven G Heeringa, Murray B Stein
Importance: Mental health of soldiers is adversely affected by the death and injury of other unit members, but whether risk of suicide attempt is influenced by previous suicide attempts in a soldier's unit is unknown. Objective: To examine whether a soldier's risk of suicide attempt is influenced by previous suicide attempts in that soldier's unit. Design, Setting, and Participants: Using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (STARRS), this study identified person-month records for all active-duty, regular US Army, enlisted soldiers who attempted suicide from January 1, 2004, through December 31, 2009 (n = 9650), and an equal-probability sample of control person-months (n = 153 528)...
July 26, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28746183/visual-outcomes-after-balanced-salt-solution-infiltration-during-lenticule-separation-in-small-incision-lenticule-extraction-for-myopic-astigmatism
#4
Ting Liu, Xiaomin Zhu, Kaijian Chen, Ji Bai
To evaluate the refractive outcomes of balanced salt solution infiltration during small-incision lenticule extraction (SMILE).This randomized prospective study enrolled 52 patients (104 eyes) with myopic astigmatism. Patients underwent SMILE to correct the myopic astigmatism in Daping Hospital of the Third Military Medical University between January and July 2013. One eye of each patient received traditional SMILE (control group) and the other received a modified SMILE procedure (liquid infiltration group)...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28745075/outcomes-of-lisfranc-injuries-in-an-active-duty-military-population
#5
Michael P Hawkinson, David J Tennent, Jeffrey Belisle, Patrick Osborn
BACKGROUND: Traumatic injuries to the tarsometatarsal or Lisfranc joints can be complex problems associated with long-term morbidity. Currently there is no clear consensus regarding optimal fixation methods. The purpose of this study was to evaluate the association between time from injury to treatment and treatment method with outcome. It is hypothesized that patients who underwent open reduction internal fixation (ORIF) more acutely would have higher return to duty rates. METHODS: This study is a retrospective review of 171 low-energy closed tarsometatarsal dislocations and fracture dislocations in patients identified using a Department of Defense trauma registry...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28743195/examining-the-relationship-between-post-traumatic-stress-disorder-and-social-participation-among-veterans-with-spinal-cord-injuries-and-disorders
#6
Bella Etingen, Sara M Locatelli, Scott Miskevics, Sherri L LaVela
PURPOSE: The objectives of this study were to examine differences in social participation among Veterans with spinal cord injuries/disorders with and without post-traumatic stress disorder, and determine if lower social participation was independently associated with having post-traumatic stress disorder. METHODS: A cross-sectional mailed national survey was sent to a national sample of Veterans with spinal cord injuries/disorders who received prior-year Veterans Affairs healthcare...
July 26, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28743067/-we-must-cooperate-with-one-another-against-the-enemy-agency-and-activism-in-school-aged-children-as-protective-factors-against-ongoing-war-trauma-and-political-violence-in-the-gaza-strip
#7
Guido Veronese, Alessandro Pepe, Alaa Jaradah, Feda Murannak, Housam Hamdouna
This exploratory qualitative study investigated self-perceived risk and protection factors that may reinforce the ability of children living in refugee camps on the Gaza Strip to adjust to a traumatic and risky life context characterized by loss and dispossession. The sample comprised 200 Palestinian children recruited at primary schools in four refugee camps in the Gaza Strip following the Israeli military operation "Pillar of Defence" in 2012. Thematic content analysis was applied to written materials and narratives produced by the children...
July 22, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28742910/clinicopathological-evaluation-of-chronic-traumatic-encephalopathy-in-players-of-american-football
#8
Jesse Mez, Daniel H Daneshvar, Patrick T Kiernan, Bobak Abdolmohammadi, Victor E Alvarez, Bertrand R Huber, Michael L Alosco, Todd M Solomon, Christopher J Nowinski, Lisa McHale, Kerry A Cormier, Caroline A Kubilus, Brett M Martin, Lauren Murphy, Christine M Baugh, Phillip H Montenigro, Christine E Chaisson, Yorghos Tripodis, Neil W Kowall, Jennifer Weuve, Michael D McClean, Robert C Cantu, Lee E Goldstein, Douglas I Katz, Robert A Stern, Thor D Stein, Ann C McKee
Importance: Players of American football may be at increased risk of long-term neurological conditions, particularly chronic traumatic encephalopathy (CTE). Objective: To determine the neuropathological and clinical features of deceased football players with CTE. Design, Setting, and Participants: Case series of 202 football players whose brains were donated for research. Neuropathological evaluations and retrospective telephone clinical assessments (including head trauma history) with informants were performed blinded...
July 25, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28742078/longitudinal-changes-in-glucocorticoid-receptor-exon-1f-methylation-and-psychopathology-after-military-deployment
#9
R R Schür, M P Boks, B P F Rutten, N P Daskalakis, L de Nijs, M van Zuiden, A Kavelaars, C J Heijnen, M Joëls, R S Kahn, E Geuze, E Vermetten, C H Vinkers
Several cross-sectional studies have demonstrated the relevance of DNA methylation of the glucocorticoid receptor exon 1F region (GR-1F) for trauma-related psychopathology. We conducted a longitudinal study to examine GR-1F methylation changes over time in relation to trauma exposure and the development of post-deployment psychopathology. GR-1F methylation (52 loci) was quantified using pyrosequencing in whole blood of 92 military men 1 month before and 6 months after a 4-month deployment period to Afghanistan...
July 25, 2017: Translational Psychiatry
https://www.readbyqxmd.com/read/28741810/gender-differences-in-machine-learning-models-of-trauma-and-suicidal-ideation-in-veterans-of-the-iraq-and-afghanistan-wars
#10
Jaimie L Gradus, Matthew W King, Isaac Galatzer-Levy, Amy E Street
Suicide rates among recent veterans have led to interest in risk identification. Evidence of gender-and trauma-specific predictors of suicidal ideation necessitates the use of advanced computational methods capable of elucidating these important and complex associations. In this study, we used machine learning to examine gender-specific associations between predeployment and military factors, traumatic deployment experiences, and psychopathology and suicidal ideation (SI) in a national sample of veterans deployed during the Iraq and Afghanistan conflicts (n = 2,244)...
July 25, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28741249/ambroise-par%C3%A3-1510-1590-on-the-diagnosis-and-treatment-of-shoulder-dislocations
#11
REVIEW
Konstantinos Markatos, Marianna Karamanou, Gerasimos Tsourouflis, Georgios Androutsos, Andreas F Mavogenis
AIM OF STUDY: This article aims to summarize the treatment methods for shoulder dislocations supported by Ambroise Paré, and his clinical and academic contribution to this subject. INTRODUCTION: Ambroise Paré (1510-1590) was one of the most prominent surgeons of his time, and one of the most significant innovators of the Renaissance in the fields of military operation, bandages, wound healing, bloodletting, close blood vessels techniques and cesarean section. For many, he is considered "the Father of Modern Surgery"...
July 24, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28740941/effects-of-whole-body-vibration-intervention-on-handgrip-strength-of-brazilian-healthy-soldiers
#12
Danielle Soares Morel, Eloá Moreira-Marconi, Samuel Brandão Sobrinho Neto, Laisa Liane Paineiras Domingos, Patrícia Lopes de Souza, Danúbia da Cunha de Sá Caputo, Glenda Dias Costa, Cláudia Ferreira de Figueiredo, Roberto Carlos Resende Carmo, Patrícia de Castro de Paiva, Cintia Renata Sousa Gonçalves, Cristiane Ribeiro Kütter, Eliane de Oliveira Guedes de Aguiar, Mario Bernardo-Filho
BACKGROUND: Whole body vibration (WBV) exercises have been investigated as an alternative and complementary method to traditional resistance programs for fitness improvements in healthy subjects. Active militaries must have a high fitness level and have to improve some physical abilities to accomplish some specific tasks in Army, as climb ropes, climb walls and pull up. MATERIALS AND METHODS: Seven young and healthy soldiers from Brazilian Army were exposed to mechanical vibration in a push-up position, with different frequencies, as 25 (first session), 30 (second session), 35 (third session), 40 (fourth session) and 45 Hz (fifth session)...
2017: African Journal of Traditional, Complementary, and Alternative Medicines: AJTCAM
https://www.readbyqxmd.com/read/28740438/availability-and-use-of-hemostatic-agents-in-prehospital-trauma-patients-in-pennsylvania-translation-from-the-military-to-the-civilian-setting
#13
Adam Sigal, Anthony Martin, Adrian Ong
OBJECTIVE: To understand the translation of one innovation in trauma care from the military to the civilian setting, the adoption of topical hemostatic agents in the Emergency Medical Services (EMS) community and in Trauma Centers in Pennsylvania. METHOD: We utilized an anonymous electronic survey of EMS Agency Administrative Officers and Trauma Center Coordinators. RESULTS: We received responses from 23% (93/402) Advanced Life Support and Air Medical agencies in the State...
2017: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/28740347/chronic-hepatitis-b-nonalcoholic-steatohepatitis-and-physical-fitness-of-military-males-chief-study
#14
Yu-Jung Chen, Kai-Wen Chen, Yu-Leung Shih, Fang-Ying Su, Yen-Po Lin, Fan-Chun Meng, Felicia Lin, Yun-Shun Yu, Chih-Lu Han, Chih-Hung Wang, Jia-Wei Lin, Tsai-Yuan Hsieh, Yi-Hwei Li, Gen-Min Lin
AIM: To investigate the association of chronic hepatitis B and nonalcoholic steatohepatitis with physical fitness in a Taiwanese military male cohort. METHODS: We made a cross-sectional examination of this association using 3669 young adult military males according to cardiorespiratory fitness and hospitalization events recorded in the Taiwan Armed Forces study. Cases of chronic hepatitis B (n = 121) were defined by personal history and positive detection of hepatitis B surface antigen...
July 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28739579/the-prospective-validation-of-the-modified-physiological-triage-tool-mptt-an-evidence-based-approach-to-major-incident-triage
#15
James Vassallo, S Horne, J E Smith, L A Wallis
INTRODUCTION: Triage is a key principle in the effective management of major incidents. There is limited evidence to support existing triage tools, with a number of studies demonstrating poor performance at predicting the need for a life-saving intervention. The Modified Physiological Triage Tool (MPTT) is a novel triage tool derived using logistic regression, and in retrospective data sets has shown optimum performance at predicting the need for life-saving intervention. MATERIALS AND METHODS: Physiological data and interventions were prospectively collected for consecutive adult patients with trauma (>18years) presenting to the emergency department at Camp Bastion, Afghanistan, between March and September 2011...
July 23, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28738226/shock-attenuation-characteristics-of-three-different-military-boots-during-gait
#16
A M S Muniz, R R Bini
Musculoskeletal injuries are related to the cushioning properties of boots in military populations. This study aimed to compare ground reaction force (GRF) and subjective perceived comfort from two different military boots supplied by the Brazilian Army with a commercial boot. Twenty army recruits volunteered for a GRF assessment during walking on a 10-m walkway and a perceived comfort test after 20min walking on a treadmill. Both experiments were conducted with three different military boots: CC10 (styrene-butadiene rubber - SBR - midsole 30mm thickness, 65 Shore A; 631...
July 15, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28738210/neural-activity-and-emotional-processing-following-military-deployment-effects-of-mild-traumatic-brain-injury-and-posttraumatic-stress-disorder
#17
Daniel V Zuj, Kim L Felmingham, Matthew A Palmer, Ellie Lawrence-Wood, Miranda Van Hooff, Andrew J Lawrence, Richard A Bryant, Alexander C McFarlane
Posttraumatic Stress Disorder (PTSD) and mild traumatic brain injury (mTBI) are common comorbidities during military deployment that affect emotional brain processing, yet few studies have examined the independent effects of mTBI and PTSD. The purpose of this study was to examine distinct differences in neural responses to emotional faces in mTBI and PTSD. Twenty-one soldiers reporting high PTSD symptoms were compared to 21 soldiers with low symptoms, and 16 soldiers who reported mTBI-consistent injury and symptoms were compared with 16 soldiers who did not sustain an mTBI...
July 21, 2017: Brain and Cognition
https://www.readbyqxmd.com/read/28737954/an-app-a-day-keeps-the-doctor-away-guided-education-and-training-via-smartphones-in-subthreshold-post-traumatic-stress-disorder
#18
Michael J Roy, Michelle E Costanzo, Krista B Highland, Cara Olsen, Denece Clayborne, Wendy Law
Post traumatic stress disorder (PTSD) symptoms are common in military service members (SMs), but stigma can impede treatment initiation. Smartphone applications (apps) are available anywhere, anytime, with the potential to both mitigate the impact of stigma and reduce PTSD symptom severity. We provided 144 SMs or family members, with subthreshold PTSD symptoms (PTSD Checklist [PCL] scores of 28-49), with apps promoting psychoeducation, social engagement, and relaxation and randomized them to 6 weeks of resilience enhancement (brief cognitive-behavioral session, followed by daily text messages directing app use) or a control group (daily text messages of inspirational quotes)...
July 24, 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/28737585/biomarkers-in-sports-and-exercise-tracking-health-performance-and-recovery-in-athletes
#19
Elaine C Lee, Maren S Fragala, Stavros A Kavouras, Robin M Queen, J Luke Pryor, Douglas J Casa
Biomarker discovery and validation is a critical aim of the medical and scientific community. Research into exercise and diet-related biomarkers aims to improve health, performance, and recovery in military personnel, athletes, and lay-persons. Exercise physiology research has identified individual biomarkers for assessing health, performance, and recovery during exercise training. However, there are few recommendations for biomarker panels for tracking changes in individuals participating in physical activity and exercise training programs...
July 19, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28737358/-optimization-of-the-his-process-mapping-of-the-military-instruction-hospital-mohammed%C3%A2-v
#20
Sanae Jabbar, Farid Lahboube, Nissrine Souissi, Ounsa Roudies
Introduction: Development of process mapping is not easy, as, apart from identification of the key processes of the organization, mapping can hardly describe all of the interactions involved without becoming incomprehensible. In this context, the Rabat Military Hospital decided to review its process mapping to align it with the reference mapping proposed by the National Agency for Performance Support, which is designed to standardize and improve functional mapping of healthcare production systems. Methods: To assist the Military Hospital in this convergence process, this paper proposes the application of a convergence method on the current hospital process mapping, in order to guide hospital agents in the development of optimal process mapping, complying with guidelines for urbanization of information systems while remaining consistent with strategic guidelines...
July 10, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
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