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https://www.readbyqxmd.com/read/28814441/left-of-bang-interventions-in-trauma-ethical-implications-for-military-medical-prophylaxis
#1
Neil Eisenstein, David Naumann, Daniel Burns, Sarah Stapley, Heather Draper
Advances in medical capability should be accompanied by discussion of their ethical implications. In the military medical context there is a growing interest in developing prophylactic interventions that will mitigate the effects of trauma and improve survival. The ethics of this novel capability are currently unexplored. This paper describes the concept of trauma prophylaxis (Left Of Bang Interventions in Trauma) and outlines some of the ethical issues that need to be considered, including within concept development, research and implementation...
August 16, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28734714/arthroscopic-treatment-of-posterior-shoulder-instability-in-patients-with-and-without-glenoid-dysplasia-a-comparative-outcomes-analysis
#2
Joseph W Galvin, Douglas R Morte, Jason A Grassbaugh, Stephen A Parada, Samuel H Burns, Josef K Eichinger
BACKGROUND: The purpose of this study was to evaluate the influence of glenoid dysplasia on outcomes after isolated arthroscopic posterior labral repair in a young military population. METHODS: Thirty-seven male patients who underwent arthroscopic posterior labral repair for symptomatic posterior shoulder instability were evaluated at a mean duration of 3.1 years. A comparative analysis was performed for those with glenoid dysplasia and without dysplasia. Additional factors analyzed included military occupational specialty (MOS), preoperative mental health clinical encounters and mental health medication use, and radiographic characteristics (version, posterior humeral head subluxation, and posterior capsular area) on a preoperative standard shoulder magnetic resonance arthrogram...
July 19, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28636707/incidence-and-predictors-of-opioid-prescription-at-discharge-after-traumatic-injury
#3
Muhammad Ali Chaudhary, Andrew J Schoenfeld, Alyssa F Harlow, Anju Ranjit, Rebecca Scully, Ritam Chowdhury, Meesha Sharma, Stephanie Nitzschke, Tracey Koehlmoos, Adil H Haider
Importance: In the current health care environment with increased scrutiny and growing concern regarding opioid use and abuse, there has been a push toward greater regulation over prescriptions of opioids. Trauma patients represent a population that may be affected by this regulation, as the incidence of pain at hospital discharge is greater than 95%, and opioids are considered the first line of treatment for pain management. However, the use of opioid prescriptions in trauma patients at hospital discharge has not been explored...
June 21, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28626295/restoring-effective-sleep-tranquility-rest-a-feasibility-and-pilot-study
#4
Aaron M Eakman, Arlene A Schmid, Kimberly L Henry, Natalie R Rolle, Catherine Schelly, Christine E Pott, Joshua E Burns
INTRODUCTION: The purpose of this pilot study was to establish the feasibility of completing a future controlled trial of a multi-component cognitive behavioral therapy for insomnia program for military veterans with sleep disturbance. METHOD: This was a single-arm feasibility and pilot study. Participants were United States post-9/11 veterans with service-connected injuries, university students, and had self-reported sleep disturbances. Restoring Effective Sleep Tranquility was a multi-component cognitive behavioral therapy for insomnia intervention consisting of seven sessions of group therapy and eight 1:1 sessions delivered by occupational therapists...
June 2017: British Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28624042/wound-management-and-outcome-of-595-electrical-burns-in-a-major-burn-center
#5
Haisheng Li, Jianglin Tan, Junyi Zhou, Zhiqiang Yuan, Jiaping Zhang, Yizhi Peng, Jun Wu, Gaoxing Luo
BACKGROUND: Electrical burns are important causes of trauma worldwide. This study aims to analyze the clinical characteristics, wound management, and outcome of electric burns. METHODS: This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University during 2013-2015. Data including the demographics, injury patterns, wound treatment, and outcomes were collected and analyzed. RESULTS: A total of 595 electrical burn patients (93...
June 15, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28618276/common-explosives-tnt-rdx-hmx-and-their-fate-in-the-environment-emphasizing-bioremediation
#6
REVIEW
Soumya Chatterjee, Utsab Deb, Sibnarayan Datta, Clemens Walther, Dharmendra K Gupta
Explosive materials are energetic substances, when released into the environment, contaminate by posing toxic hazards to environment and biota. Throughout the world, soils are contaminated by such contaminants either due to manufacturing operations, military activities, conflicts of different levels, open burning/open detonation (OB/OD), dumping of munitions etc. Among different forms of chemical explosives, 2,4,6-trinitrotoluene (TNT), hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX), and octahydro-1,3,5,7-tetranitro- 1,3,5,7-tetrazocine (HMX) are most common...
October 2017: Chemosphere
https://www.readbyqxmd.com/read/28592936/grafting-both-acute-wound-site-and-adjacent-donor-site-with-the-same-graft-an-easy-and-safe-procedure-to-improve-healing-and-minimize-pain-in-elderly-and-bedridden-patients
#7
C Keilani, D Agard, A Duhoux, A Lakhel, O Giraud, M Brachet, P Duhamel, E Bey
In harvesting skin to cover the defect caused by a burn, a second wound is created, the donor site wound. We propose an alternative method to manage the donor site: taking a split-thickness skin graft (STSG) from a donor site adjacent to the burn wound to be treated, and meshing at a 3:1 ratio to cover both sites at once. The main objective of this study is to evaluate the effectiveness of covering both burn wound and adjacent donor site with the same STSG in elderly and bedridden patients. We retrospectively reviewed the medical records of 6 patients over 60 years old or/and bedridden presenting with a small burn wound who underwent STSG of both burn wound and adjacent donor site between April 2016 and November 2016 in the Department of Plastic Surgery and Burn Treatment at Percy Military Hospital (France)...
March 31, 2017: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28573147/the-progress-of-chinese-burn-medicine-from-the-third-military-medical-university-in-memory-of-its-pioneer-professor-li-ao
#8
REVIEW
Haisheng Li, Junyi Zhou, Yizhi Peng, Jiaping Zhang, Xi Peng, Qizhi Luo, Zhiqiang Yuan, Hong Yan, Daizhi Peng, Weifeng He, Fengjun Wang, Guangping Liang, Yuesheng Huang, Jun Wu, Gaoxing Luo
Professor Li Ao was one of the founders of Chinese burn medicine and one of the most renowned doctors and researchers of burns in China. He established one of the Chinese earliest special departments for burns at Third Military Medical University (TMMU) in 1958. To memorialize Professor Li Ao on his 100th birthday in 2017 and introduce our extensive experience, it is our honor to briefly review the development and achievement of the Chinese burn medicine from TMMU. The epidemiology and outcomes of admitted burn patients since 1958 were reviewed...
2017: Burns and trauma
https://www.readbyqxmd.com/read/28544507/the-effect-of-binaural-beat-technology-on-the-cardiovascular-stress-response-in-military-service-members-with-postdeployment-stress
#9
MeLisa A Gantt, Stephanie Dadds, Debra S Burns, Dale Glaser, Angelo D Moore
PURPOSE: To assess the efficacy of embedded theta brainwave frequency in music using binaural beat technology (BBT) compared to music alone on the cardiovascular stress response in military service members with postdeployment stress. DESIGN: A double-blinded, randomized, pre- and postintervention trial. METHODS: Seventy-four military services members with complaint of postdeployment stress were randomized to either music with BBT or music alone...
July 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28467535/association-of-the-modified-frailty-index-with-30-day-surgical-readmission
#10
Tyler S Wahl, Laura A Graham, Mary T Hawn, Joshua Richman, Robert H Hollis, Caroline E Jones, Laurel A Copeland, Edith A Burns, Kamal M Itani, Melanie S Morris
Importance: Frail patients are known to have poor perioperative outcomes. There is a paucity of literature investigating how the Modified Frailty Index (mFI), a validated measure of frailty, is associated with unplanned readmission among military veterans following surgery. Objective: To understand the association between frailty and 30-day postoperative unplanned readmission. Design, Setting, and Participants: A retrospective cohort study was conducted among adult patients who underwent surgery and were discharged alive from Veterans Affairs hospitals for orthopedic, general, and vascular conditions between October 1, 2007, and September 30, 2014, with a postoperative length of stay between 2 and 30 days...
August 1, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28458962/team-approach-helps-patient-survive-high-voltage-electric-burn
#11
Noha Saied, Ahmed Harfoush, Tamer Ayed, Alaa Moustafa, Rania Hassan, Ezz Eldolify, Hany Abdelaziz
A 20-year-old man was subjected to high-voltage electric burn, which was occupational. The patient was admitted to AlGalaa Military Medical Complex almost 2 weeks after the accident had happened. According to Lund and Browder's chart, the patient had a 40% total body surface area burn involving the upper limbs, anterior and posterior trunks, and the left thigh (third- and fourth-degree burns). The aim of this study was to stabilize the patient by conducting lifesaving operations in multiple scheduled sessions, bilateral below-elbow amputations, escharotomies, and excision of affected ribs and cartilages...
March 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28422897/outcomes-associated-with-blast-versus-nonblast-related-traumatic-brain-injury-in-us-military-service-members-and-veterans-a-systematic-review
#12
Nancy Greer, Nina Sayer, Eva Koeller, Tina Velasquez, Timothy J Wilt
OBJECTIVES: To systematically review the literature on comparative clinical and functional outcomes following blast-related versus nonblast-related traumatic brain injury (TBI) among US service members and Veterans. DESIGN: MEDLINE search (January 2001 to June 2016) supplemented with hand search of reference lists and input from peer reviewers. RESULTS: Thirty-one studies (in 33 articles) reported on health outcomes; only 2 were rated low risk of bias...
April 18, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28405275/the-reproductive-potential-and-importance-of-key-management-aspects-for-successful-calluna-vulgaris-rejuvenation-on-abandoned-continental-heaths
#13
Katrin Henning, Goddert von Oheimb, Werner Härdtle, Andreas Fichtner, Sabine Tischew
The abandonment of traditional pastoralism as well as the use of heath areas for military purposes has had a major impact on dry heaths in the Continental biogeographical region of Europe, causing severe degradation of its key species Calluna vulgaris (L.) HULL. The reproductive potential of this species in a Continental climate is assumed to be low, although there is yet no observational or experimental evidence for this. More knowledge is also needed about cost-effective and sustainable measures to restore abandoned dry heaths in this biogeographical region, because traditional management options are often too expensive (e...
April 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/28394694/the-death-of-sir-victor-horsley-1857-1916-and-his-burial-in-amarah
#14
Nadeem Toodayan
Sir Victor Alexander Haden Horsley (1857-1916), the pioneering British neurological surgeon, passed away 100 years ago. He died young in his sixtieth year from the effects of heat stroke while serving as consulting military surgeon to the Mediterranean Expeditionary Force in Amarah, modern-day Iraq, and was buried in the now largely abandoned "Amara War Cemetery." By the time of his death in 1916, Victor Horsley had established himself as one of the most eminent innovators of modern neurological surgery. His pioneering researches in cerebral physiology earned him an early reputation in the field, and his experiences with vivisection allowed him to confidently operate on the brain and spinal cord at a time when surgical intervention of the nervous system was fraught with uncertainty...
July 2017: Journal of the History of the Neurosciences
https://www.readbyqxmd.com/read/28372828/epidemiology-of-pediatric-burns-in-southwest-china-from-2011-to-2015
#15
Haisheng Li, Song Wang, Jianglin Tan, Junyi Zhou, Jun Wu, Gaoxing Luo
BACKGROUND: Burns are a major form of injury in children worldwide. This study aimed to investigate the epidemiology, outcome, cost and risk factors of pediatric burns in southwest China. METHODS: This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University from 2011 to 2015. Data, including demographic, injury-related, and clinical data and patient outcome, were collected from medical records. RESULTS: A total of 2478 children with burns (58...
March 31, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28268001/return-to-duty-following-combat-related-multi-ligamentous-knee-injury
#16
Aaron E Barrow, Andrew J Sheean, Travis C Burns
INTRODUCTION: This retrospective cohort study characterized injury patterns, treatment practices, and identified the return to duty (RTD) rate following combat-related multi-ligament knee injuries (MLKI). PATIENTS AND METHODS: We evaluated injury characteristics and treatment methods of 46 military service members who had sustained a MLKI during combat activity. The primary clinical outcome measure was ability to return to active military duty. Secondary outcomes included subjective pain score, knee motion, knee instability, and use of ambulatory assistive device...
February 22, 2017: Injury
https://www.readbyqxmd.com/read/28194278/burns-and-frostbite-in-the-red-army-during-world-war-ii
#17
Vladimir Sokolov, Alexey Biryukov, Igor Chmyrev, Mikhail Tarasenko, Pavel Kabanov
The start of World War II (WWII) led to the deployment of combat troops in several continents. Destruction and many casualties among both the military and civilians became an inevitable consequence. A large amount of people injured were in need of life-saving treatment and a speedy return to duty. Intensive studies of the specific issues of diagnosis and treatment of thermal injury were conducted in the Soviet Union before the war. The first special units for patients with burn injuries were created, and the first specialists received their first clinical experience...
2017: Military Medical Research
https://www.readbyqxmd.com/read/28193747/novel-porcine-model-of-cutaneous-myiasis-a-training-tool-for-healthcare-workers
#18
Daniel S Burns, D Fletcher, K Johnston, M S Bailey, K Campbell
Cutaneous myiasis is a well-described problem in travellers to endemic regions including military personnel. Realistic training is important to ensure that healthcare workers have the confidence and expertise to recognise cutaneous myiasis and safely remove larvae if required. A model is described here that is simple, reproducible and realistic, and will allow for training of military healthcare workers in safe surgical removal of larvae when required.
February 13, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28043292/-face-the-challenge-create-brilliance-further-understanding-of-burn-surgery-confusion-in-our-country
#19
C Y Jia
Burn surgery has a glorious history in our country, but it still faces enormous challenges at present: the incidence of burn declines year by year, basic research and clinical diagnosis are more or less disjointed, national medical care and education system need to be further perfected, fusion of new technology lags behind, and army system adjustment in military hospitals is in progress, etc. We need to adjust strategies in time of peace, and prepare for challenges so as to create new splendor.
December 20, 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/28040370/benefit-of-extracorporeal-membrane-oxygenation-in-major-burns-after-stun-grenade-explosion-experience-from-a-single-military-medical-center
#20
Po-Shun Hsu, Yi-Ting Tsai, Chih-Yuan Lin, Shyi-Gen Chen, Niann-Tzyy Dai, Cheng-Jung Chen, Jia-Lin Chen, Chien-Sung Tsai
INTRODUCTION: Explosion injury is very common on the battlefield and is associated with major burn and inhalation injuries and subsequent high mortality and morbidity rates. Here we report six victims who suffered from explosion injuries caused by stun grenade; all were treated with extracorporeal membrane oxygenation (ECMO) as salvage therapy. This study was aimed to evaluate the indications and efficacy of ECMO in acute and critically ill major burn patients. METHODS: This was a retrospective analysis of six patients from Tri-Service General Hospital, National Defense Medical Center in Taiwan...
May 2017: Burns: Journal of the International Society for Burn Injuries
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