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https://www.readbyqxmd.com/read/28429642/selected-weight-management-interventions-for-military-populations-in-the-united-states-a-narrative-report
#1
Jessica Murray, Basil H Aboul-Enein, Joshua Bernstein, Joanna Kruk
Overweight and obesity continues to be a significant public health burden in the US and particularly among military personnel. Although the US Department of Defense mandates standardized physical activity requirements for military members, incidence and prevalence of overweight and obesity among military personnel continue to increase. Each military department controls their own interventional strategies for physical fitness and weight control. However, unique challenges such as geographic transients, lack of central standardization and empirical efficacy data across military departments, and chronic stress associated with military service adversely affect program outcomes...
January 1, 2017: Nutrition and Health
https://www.readbyqxmd.com/read/28427350/evaluation-of-a-modified-version-of-the-posttraumatic-growth-inventory-short-form
#2
Navjot Kaur, Ben Porter, Cynthia A LeardMann, Laura E Tobin, Hector Lemus, David D Luxton
BACKGROUND: Posttraumatic growth is the positive change resulting from traumatic experiences and is typically assessed with retrospective measures like the Posttraumatic Growth Inventory (PTGI). The PTGI was designed to include reference to a specific traumatic event, making it difficult to implement, without change, in prospective survey studies. Thus, a modified Posttraumatic Growth Inventory-Short Form (PTGI-SF) was included in a large prospective study of current and former U.S. military personnel...
April 20, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28426558/combat-surgical-workload-in-oif-oef-the-definitive-analysis
#3
Caryn A Turner, Zsolt T Stockinger, Jennifer M Gurney
BACKGROUND: Relatively few publications exist on surgical workload in the deployed military setting. This study analyses U.S. Military combat surgical workload in Iraq and Afghanistan to gain a more thorough understanding of surgical training gaps and personnel requirements. METHODS: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Role 2 (R2) and Role 3 (R3) Military Treatment Facilities (MTFs), from January 2001 to May 2016...
April 20, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28424745/distinguishing-the-unique-neuropathological-profile-of-blast-polytrauma
#4
W Brad Hubbard, Shaylen Greenberg, Carly Norris, Joseph Eck, Erin Lavik, Pamela VandeVord
Traumatic brain injury sustained after blast exposure (blast-induced TBI) has recently been documented as a growing issue for military personnel. Incidence of injury to organs such as the lungs has decreased, though current epidemiology still causes a great public health burden. In addition, unprotected civilians sustain primary blast lung injury (PBLI) at alarming rates. Often, mild-to-moderate cases of PBLI are survivable with medical intervention, which creates a growing population of survivors of blast-induced polytrauma (BPT) with symptoms from blast-induced mild TBI (mTBI)...
2017: Oxidative Medicine and Cellular Longevity
https://www.readbyqxmd.com/read/28422576/mechanisms-of-action-contributing-to-reductions-in-suicide-attempts-following-brief-cognitive-behavioral-therapy-for-military-personnel-a-test-of-the-interpersonal-psychological-theory-of-suicide
#5
Craig J Bryan, David S Wood, Alexis May, Alan L Peterson, Evelyn Wertenberger, M David Rudd
Brief cognitive behavioral therapy (BCBT) is associated with significant reductions in suicide attempts among military personnel. However, the underlying mechanisms of action contributing to reductions in suicide attempts in effective psychological treatments remain largely unknown. The present study conducted a secondary analysis of a randomized controlled trial of BCBT versus treatment as usual (TAU) to examine the mechanisms of action hypothesized by the interpersonal-psychological theory of suicide (IPT): perceived burdensomeness, thwarted belongingness, and fearlessness about death...
April 19, 2017: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/28420487/personal-protective-equipment-solution-for-uk-military-medical-personnel-working-in-an-ebola-virus-disease-treatment-unit-in-sierra-leone
#6
P Reidy, T Fletcher, C Shieber, J Shallcross, H Towler, M Ping, L Kenworthy, N Silman, E Aarons
The combination of personal protective equipment (PPE) together with donning and doffing protocols was designed to protect British and Canadian military medical personnel in the Kerry Town Ebola Treatment Unit (ETU) in Sierra Leone. The PPE solution was selected to protect medical staff from infectious risks, notably Ebola virus, and chemical (hypochlorite) exposure. PPE maximized dexterity, enabled personnel to work in hot temperatures for periods of up to 2h, protected mucosal membranes when doffing outer layers, and minimized potential contamination of the doffing area with infectious material by reducing the requirement to spray PPE with hypochlorite...
March 18, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28419850/overpressure-blast-injury-induced-oxidative-stress-and-neuroinflammation-response-in-rat-frontal-cortex-and-cerebellum
#7
Hale Z Toklu, Zhihui Yang, Sehkar Oktay, Yasemin Sakarya, Nataliya Kirichenko, Michael K Matheny, Judy Muller-Delp, Kevin Strang, Philip J Scarpace, Kevin K W Wang, Nihal Tümer
BACKGROUND & AIM: Overpressure blast-wave induced brain injury (OBI) and its long-term neurological outcome pose significant concerns for military personnel. Our aim is to investigate the mechanism of injury due to OBI. METHODS: Rats were divided into 3 groups: 1) Control, 2) OBI (exposed 30psi peak pressure, 2-2.5ms), 3) Repeated OBI (r-OBI) (three exposures over one-week period). Lung and brain (cortex and cerebellum) tissues were collected at 24h post injury...
April 15, 2017: Behavioural Brain Research
https://www.readbyqxmd.com/read/28418113/autochthonous-chagas-disease-in-the-southern-united-states-a-case-report-of-suspected-residential-and-military-exposures
#8
N Harris, L Woc-Colburn, S M Gunter, R Gorchakov, K O Murray, S Rossmann, M N Garcia
Chagas disease is a parasitic infection that can result in a progressive dilated cardiomyopathy. Here, we present the epidemiologic details of a suspected locally acquired transmission case originating from the southern United States. This is the first published report of Chagas disease in a young, healthy United States veteran with repeat triatomine exposures in Arizona. Military personnel and Arizona residents should be aware of their Chagas disease transmission risks.
April 18, 2017: Zoonoses and Public Health
https://www.readbyqxmd.com/read/28411928/frostbite
#9
REVIEW
Charles Handford, Owen Thomas, Christopher H E Imray
Deep frostbite is a thermal injury associated with significant morbidity. Historically, this has been associated with military personnel; however, increasingly it is becoming an injury that afflicts the civilian population. The use of intravenous iloprost or intra-arterial thrombolytics has led to promising tissue salvage. This article provides an up-to-date understanding of frostbite pathophysiology, classification, prevention, and management. It also highlights the role of telemedicine in optimizing patient outcomes...
May 2017: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/28410014/gender-differences-in-posttraumatic-stress-disorder-among-u-s-navy-healthcare-personnel
#10
Andrew J MacGregor, Mary C Clouser, Jonathan A Mayo, Michael R Galarneau
BACKGROUND: The role of women in the U.S. military has changed markedly over the course of 20th- and 21st-century conflicts. Although women frequently occupy healthcare positions in the military, little is known about gender differences in posttraumatic stress disorder (PTSD) within this occupational subgroup. MATERIALS AND METHODS: A total of 4275 (667 women and 3608 men) U.S. Navy healthcare personnel supporting military operations in Iraq and Afghanistan were identified from electronic deployment records...
April 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28406404/risk-of-daytime-transmission-of-malaria-in-the-french-guiana-rain-forest
#11
V Pommier de Santi, I Dusfour, E de Parseval, B Lespinet, C Nguyen, P Gaborit, R Carinci, G Hyvert, R Girod, S Briolant
Between 2008 and 2014, there were 1070 malaria cases reported in French Guiana among members of the armed forces. Most of the malaria outbreaks investigated were multifactorial and followed missions conducted at illegal gold mining sites. For example, a malaria outbreak occurred in September 2013, three weeks after the deployment of 15 soldiers at Dagobert, which is such a site. The attack rate was 53%, with seven Plasmodium vivax infections and one coinfection with both Plasmodium vivax and Plasmodium falciparum...
February 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28403029/secular-trends-in-the-physical-fitness-of-united-states-army-recruits-on-entry-to-service-1975-2013
#12
Joseph Knapik, Marilyn Sharp, Ryan A Steelman
A systematic literature search was conducted to identify and analyze articles that reported on physical fitness of new United States (US) Army recruits. The National Library of Medicine's PubMed and the Defense Technical Information Center, were searched using the keywords {military personnel OR trainee OR recruit OR soldier} AND {physical fitness OR strength OR endurance OR flexibility OR balance OR coordination OR muscle contraction OR running OR exercise OR physical conditioning}. Reference lists of obtained articles and contact with authors enhanced the search...
April 11, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28400246/the-effects-of-captivity-survival-training-on-mood-dissociation-ptsd-symptoms-cognitive-performance-and-stress-hormones
#13
Cindy Suurd Ralph, Oshin Vartanian, Harris R Lieberman, Charles A Morgan, Bob Cheung
In the Canadian Armed Forces (CAF), Conduct After Capture (CAC) training is a 4-day captivity survival course during which soldiers are exposed to increasing stress, and evaluated on their ability to accomplish military objectives. We hypothesized that: (a) compared to baseline, CAC training would cause significant, reversible perturbations in measures of psychological functioning and serum and salivary stress hormone levels relevant to models of stress hardiness and vulnerability; and (b) deviations from baseline would be maximal at the time point of most intense stress during training...
April 8, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28399349/sexually-transmitted-infections-prevalence-knowledge-and-behaviours-among-professional-defence-forces-in-estonia-a-pilot-study
#14
David Parker, Kristi Rüütel
OBJECTIVES: Our study assessed sexually transmitted infections (STI) occurrence and risk behaviours from a sample of the defence forces of Estonia. Previous research on military personnel yields various results on the prevalence of STIs and high risk behaviours. The increasing recognition of high risk behaviours among military personnel is evident given increased programmes that focus on education of drug use and risky sexual behaviours. Many militaries conduct routine, periodic screening for diseases such as HIV and viral hepatitis at entry and pre-foreign deployment...
March 2017: Central European Journal of Public Health
https://www.readbyqxmd.com/read/28396477/command-and-control-of-sierra-leone-s-ebola-outbreak-response-evolution-of-the-response-architecture
#15
Emma Ross
Management, coordination and logistics were critical for responding effectively to the Ebola outbreak in Sierra Leone, and the duration of the epidemic provided a rare opportunity to study the management of an outbreak that endured long enough for the response to mature. This qualitative study examines the structures and systems used to manage the response, and how and why they changed and evolved. It also discusses the quality of relationships between key responders and their impact. Early coordination mechanisms failed and the President took operational control away from the Ministry of Health and Sanitation and established a National Ebola Response Centre, headed by the Minister of Defence, and District Ebola Response Centres...
May 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28395154/meta-analysis-of-depleted-uranium-levels-in-the-balkan-region
#16
Larisa Besic, Imer Muhovic, Adna Asic, Amina Kurtovic-Kozaric
In recent years, contradicting data has been published on the connection between the presence of depleted uranium and an increased cancer incidence among military personnel deployed in the Balkans during the 1992-1999 wars. This has led to numerous research articles investigating possible depleted uranium contamination of the afflicted regions of the Balkan Peninsula, namely Bosnia & Herzegovina, Serbia, Kosovo and Montenegro. The aim of this study was to collect data from previously published reports investigating the levels of depleted uranium in the Balkans and to present the data in the form of a meta-analysis...
April 7, 2017: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28385152/addressing-a-clinical-challenge-guidelines-for-the-diagnosis-and-treatment-of-leishmaniasis
#17
Naomi E Aronson
Leishmaniasis is a chronic intracellular parasitic infection that travelers, immigrants, deployed military personnel, and refugees from endemic global areas acquire from the bite of infected sand flies and carry with them, including to non-endemic countries where leishmaniasis may be an unfamiliar illness to medical providers. This commentary discusses the first clinical practice guidelines produced by the Infectious Diseases Society of America and American Society of Tropical Medicine and Hygiene for the diagnosis and management of leishmaniasis, targeted for clinicians in North America...
April 7, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28376827/lead-exposure-at-firing-ranges-a-review
#18
REVIEW
Mark A S Laidlaw, Gabriel Filippelli, Howard Mielke, Brian Gulson, Andrew S Ball
BACKGROUND: Lead (Pb) is a toxic substance with well-known, multiple, long-term, adverse health outcomes. Shooting guns at firing ranges is an occupational necessity for security personnel, police officers, members of the military, and increasingly a recreational activity by the public. In the United States alone, an estimated 16,000-18,000 firing ranges exist. Discharge of Pb dust and gases is a consequence of shooting guns. METHODS: The objectives of this study are to review the literature on blood lead levels (BLLs) and potential adverse health effects associated with the shooting population...
April 4, 2017: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/28371819/the-effects-of-patient-education-on-patient-safety-can-we-change-patient-perceptions-and-attitudes-lessons-from-the-armed-forces-capital-hospital-in-korea
#19
JinOk An, Seung Ju Kim, Sohee Park, Ki Tae Moon, Eun-Cheol Park
Objective: Strategies to promote patient involvement in medical error prevention have been implemented, but little is known about the effects of education on changes in perceptions and attitudes about patients' own safety. Design: We administered a survey to military personnel admitted to the Armed Forces Capital Hospital. Responses were classified according to perception and attitude. Setting: Single military hospital in Korea. Participants: A total of 483 completed surveys were included in our study; 252 of the respondents received safety education at admission...
March 28, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28370897/associations-of-childhood-bullying-victimization-with-lifetime-suicidal-behaviors-among-new-u-s-army-soldiers
#20
Laura Campbell-Sills, Ronald C Kessler, Robert J Ursano, Anthony J Rosellini, Tracie O Afifi, Lisa J Colpe, Steven G Heeringa, Matthew K Nock, Nancy A Sampson, Jitender Sareen, Michael Schoenbaum, Xiaoying Sun, Sonia Jain, Murray B Stein
BACKGROUND: Prior studies have documented associations of childhood bullying victimization with suicidal behaviors. However, many failed to adjust for concomitant risk factors and none investigated this relationship in military personnel. This study aimed to estimate independent associations of childhood bullying victimization with suicidal behaviors among U.S. Army soldiers. METHODS: Soldiers reporting for basic training completed a cross-sectional survey assessing mental disorders, suicidal behaviors, and childhood adversities including two types of bullying victimization: (1) Physical Assault/Theft and (2) Bullying Comments/Behaviors...
April 3, 2017: Depression and Anxiety
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