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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
#1
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
#2
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
#3
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...
April 10, 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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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...
December 28, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27836236/optimising-ballistic-facial-coverage-from-military-fragmenting-munitions-a-consensus-statement
#10
J Breeze, D C Tong, D Powers, N A Martin, A M Monaghan, D Evriviades, J Combes, G Lawton, C Taylor, A Kay, J Baden, B Reed, N MacKenzie, A J Gibbons, S Heppell, R F Rickard
VIRTUS is the first United Kingdom (UK) military personal armour system to provide components that are capable of protecting the whole face from low velocity ballistic projectiles. Protection is modular, using a helmet worn with ballistic eyewear, a visor, and a mandibular guard. When all four components are worn together the face is completely covered, but the heat, discomfort, and weight may not be optimal in all types of combat. We organized a Delphi consensus group analysis with 29 military consultant surgeons from the UK, United States, Canada, Australia, and New Zealand to identify a potential hierarchy of functional facial units in order of importance that require protection...
February 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27822569/trends-in-research-with-u-s-military-service-member-participants-a-population-specific-clinicaltrials-gov-review
#11
Wendy A Cook, Ardith Z Doorenbos, Elizabeth J Bridges
BACKGROUND: ClinicalTrials.gov reviews have evaluated research trends for specific conditions and age groups but not for specific populations of research participants. No ClinicalTrials.gov reviews have evaluated research with military service member participants. PURPOSE: Study objectives were (a) to use ClinicalTrials.gov to identify trends in biomedical research from 2005 to 2014 in which U.S. military service members actively participated as research participants and (b) to describe a search strategy for adaptation in future ClinicalTrials...
August 15, 2016: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/27800276/macular-burns-from-nonmedical-lasers
#12
Işıl Sayman Muslubaş, Mümin Hocaoğlu, Serra Arf, Hakan Özdemir, Murat Karaçorlu
Laser devices are widely used for medical, military, industrial and entertainment purposes. This extensive and unregulated use of lasers can cause a variety of maculopathies that can result in permanent vision loss. Uncontrolled and inappropriate use of laser instruments should be prevented with strict rules. We strongly emphasize the importance of changing the general misperception that lasers are safe to use for entertainment purposes. In this study we aim to report the clinical features of three patients with a history of maculopathy caused by exposure to laser light in an entertainment venue...
June 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/27798535/urinary-biomarkers-are-associated-with-severity-and-mechanism-of-injury
#13
Jud C Janak, Ian J Stewart, Jonathan A Sosnov, Jeffrey T Howard, Edward D Siew, Mallory M Chan, Nancy Wickersham, T Alp Ikizler, Kevin K Chung
Combat-related blast trauma results in massive tissue injury and tends to involve multiple systems. Further, an acute measure of injury severity based on underlying biological mechanisms may be important for the triage and treatment of these types of patients. We hypothesized that urinary biomarkers (UBs) would reflect severity of injury and that they would be elevated for blast injuries compared with gunshot wounds (GSW) in a cohort of combat casualties. We also postulated that UBs would be higher in patients with burns compared with patients with non-burn trauma in a civilian cohort...
May 2017: Shock
https://www.readbyqxmd.com/read/27794548/local-resiniferatoxin-induces-long-lasting-analgesia-in-a-rat-model-of-full-thickness-thermal-injury
#14
Margaux M Salas, John L Clifford, Jessica R Hayden, Michael J Iadarola, Dayna L Averitt
OBJECTIVE:  Opioid-based analgesics are a major component of the lengthy pain management of burn patients, including military service members, but are problematic due to central nervous system-mediated side effects. Peripheral analgesia via targeted ablation of nociceptive nerve endings that express the transient receptor potential vanilloid channel 1 (TRPV1) may provide an improved approach. We hypothesized that local injection of the TRPV1 agonist resiniferatoxin (RTX) would produce long-lasting analgesia in a rat model of pain associated with burn injury...
October 29, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27685701/assessment-of-somatosensory-function-in-patients-with-idiopathic-dry-eye-symptoms
#15
Anat Galor, Roy C Levitt, Katherine T McManus, Jerry P Kalangara, Benjamin E Seiden, Jasmine J Park, Derek B Covington, Constantine D Sarantopoulos, Elizabeth R Felix
Importance: Somatosensory dysfunction likely underlies dry eye (DE) symptoms in many individuals yet remains an understudied component of the disease. Its presence has important diagnostic and therapeutic implications. Objective: To assess the integrity of nociceptive system processes in persons with DE and ocular pain using quantitative sensory testing (QST) techniques applied at a site remote from the eye. Design, Setting, and Participants: A cross-sectional study conducted at Miami Veterans Affairs Hospital included 118 individuals with a wide variety of DE symptoms and signs...
November 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27680577/leptospirosis-in-a-british-soldier-after-travel-to-borneo
#16
Daniel S Burns, K A Clay, M S Bailey
Undifferentiated febrile illness in a returning soldier is a common problem encountered by serving medical officers. A 32-year-old soldier presented to Birmingham Heartlands Hospital with fever and acute kidney injury after return from Borneo. Leptospirosis was suspected and empirical antibiotics were started before subsequent confirmation by serology and PCR. Leptospirosis is common in South-East Asia, and troops exercising in jungle areas, and in the UK, are at risk. Advice, including inpatient management when appropriate, is available from the UK Role 4 Military Infectious Diseases and Tropical Medicine Service...
December 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27647072/-efficacy-of-a-hydrosurgery-system-applied-in-the-debridement-of-extensive-residual-wounds-of-patients-with-severe-burn
#17
G C Liu, Z H Kan, J J Sheng, H H Li, L Li, Y Sun, S Z Ji, S H Zhu
Objective: To explore the efficacy of a hydrosurgery system applied in the debridement of extensive residual wounds of patients with severe burn prospectively. Methods: Seventy-six severely burned patients with extensive residual wounds after treatment were admitted into Department of Burn Surgery of Changhai Hospital of the Second Military Medical University from May 2012 to November 2015. The patients were divided into hydrosurgery system debridement group (HD, n=34) and traditional debridement group (TD, n=42) according to the random number table, and their residual wounds were debrided by a hydrosurgery system and conventional surgical instruments respectively...
September 20, 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/27520712/the-acute-respiratory-distress-syndrome-ards-in-mechanically-ventilated-burn-patients-an-analysis-of-risk-factors-clinical-features-and-outcomes-using-the-berlin-ards-definition
#18
Robert Cartotto, Zeyu Li, Steven Hanna, Stefania Spano, Donna Wood, Karen Chung, Fernando Camacho
BACKGROUND: The Berlin definition of Acute Respiratory Distress Syndrome (ARDS) has been applied to military burns resulting from combat-related trauma, but has not been widely studied among civilian burns. This study's purpose was to use the Berlin definition to determine the incidence of ARDS, and its associated respiratory morbidity, and mortality among civilian burn patients. METHODS: Retrospective study of burn patients mechanically ventilated for ≥48h at an American Burn Association-verified burn center...
November 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27501110/microrna-expression-profiling-of-the-armed-forces-health-surveillance-branch-cohort-for-identification-of-enviro-mirs-associated-with-deployment-based-environmental-exposure
#19
Clifton L Dalgard, Keith F Polston, Gauthaman Sukumar, Col Timothy M Mallon, Matthew D Wilkerson, Harvey B Pollard
OBJECTIVE: The aim of this study was to identify serum microRNA (miRNA) biomarkers that indicate deployment-associated exposures in service members at military installations with open burn pits. Another objective was to determine detection rates of miRNAs in Department of Defense Serum Repository (DoDSR) samples with a high-throughput methodology. METHODS: Low-volume serum samples (n = 800) were profiled by miRNA-capture isolation, pre-amplification, and measurement by a quantitative PCR-based OpenArray platform...
August 2016: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/27501107/polycyclic-aromatic-hydrocarbons-and-polychlorinated-dibenzo-p-dioxins-dibenzofurans-in-microliter-samples-of-human-serum-as-exposure-indicators
#20
Xiaoyan Xia, Alesia Carroll-Haddad, Nicole Brown, Mark J Utell, Col Timothy M Mallon, Philip K Hopke
OBJECTIVE: The objectives were: 1) measure polycyclic aromatic hydrocarbons (PAHs), polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) in 100 μL of human serum and 2) assess PAH and PCDD/PCDF as markers of burn pit exposures during military deployments. METHODS: PAHs and PCDDs/PCDFs were analyzed in 100 μL serum samples collected pre- and post-deployment from 200 persons deployed to Iraq or Afghanistan (CASE); 200 persons not deployed (CONTROL) with gas chromatography/mass spectrometry...
August 2016: Journal of Occupational and Environmental Medicine
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