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https://www.readbyqxmd.com/read/29779198/redeveloping-substance-abuse-treatment-for-military-personnel
#1
REVIEW
Christian Schrader, Antoinette Lenton, Peter Gertonson, Alexander Rahimi
PURPOSE OF REVIEW: We review the prevailing evidence surrounding treatment of substance use disorder (SUD), with specific focus on alcohol, tobacco, and prescription opiates, and how it informs guidelines for treating active duty military. We survey the evidence regarding preventive screening, treatment, and relapse prevention in substance misuse as it pertains to patient-centered care of the service member. RECENT FINDINGS: Holistic, patient-centered care with an emphasis on identifying maladaptive use or dependence prior to progression to chronic disease is now recognized as the evidenced approach to treating substance use disorders...
May 19, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29772483/the-influence-of-deployment-stress-and-life-stress-on-post-traumatic-stress-disorder-ptsd-diagnosis-among-military-personnel
#2
Janeese A Brownlow, Gerard A Zitnik, Carmen P McLean, Philip R Gehrman
There is increasing recognition that traumatic stress encountered throughout life, including those prior to military service, can put individuals at increased risk for developing Posttraumatic Stress Disorder (PTSD). The purpose of this study was to examine the association of both traumatic stress encountered during deployment, and traumatic stress over one's lifetime on probable PTSD diagnosis. Probable PTSD diagnosis was compared between military personnel deployed in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF; N = 21,499) and those who have recently enlisted (N = 55,814), using data obtained from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)...
May 8, 2018: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/29764915/remote-physiological-monitoring-in-an-austere-environment-a-future-for-battlefield-care-provision
#3
Matthew J Smyth, J A Round, A J Mellor
Wearable technologies are making considerable advances into the mainstream as they become smaller and more user friendly. The global market for such devices is forecasted to be worth over US$5 billion in 2018, with one in six people owning a device. Many professional sporting teams use self-monitoring to assess physiological parameters and work rate on the pitch, highlighting the potential utility for military command chains. As size of device reduces and sensitivity improves, coupled with remote connectivity technology, integration into the military environment could be relatively seamless...
May 14, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29753547/an-analysis-of-casualties-presenting-to-military-emergency-departments-in-iraq-and-afghanistan
#4
Steven G Schauer, Jason F Naylor, Joshua J Oliver, Joseph K Maddry, Michael D April
BACKGROUND: During the past 17 years of conflict the deployed US military health care system has found new and innovative ways to reduce combat mortality down to the lowest case fatality rate in US history. There is currently a data dearth of emergency department (ED) care delivered in this setting. We seek to describe ED interventions in this setting. METHODS: We used a series of ED procedure codes to identify subjects within the Department of Defense Trauma Registry from January 2007 to August 2016...
May 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29749980/delayed-complications-and-long-term-management-of-sulfur-mustard-poisoning-recent-advances-by-iranian-researchers-part-i-of-ii
#5
REVIEW
Emadodin Darchini-Maragheh, Mahdi Balali-Mood
Chemical warfare agents are the most brutal weapons among the weapons of mass destruction. Sulfur mustard (SM) is a potent toxic alkylating agent known as "the King of the Battle Gases". SM has been the most widely used chemical weapon during the wars. It was widely used in World War I. Thereafter, it was extensively employed by the Iraqi troops against the Iranian military personnel and even civilians in the border cities of Iran and Iraq in the period between 1983 and 1988. Long-term incapacitating properties, significant environmental persistence, lack of an effective antidote, and relative ease of manufacturing have kept SM a potential agent for both terrorist and military uses...
March 2018: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29749593/a-cortical-study-of-the-attention-in-military-simulation-tests
#6
M A Idiazabal-Alecha, M V Sebastian-Guerrero, M A Navascues-Sanagustin, C Arcos-Sanchez, M V Arana-Aritmendiz, C Ruiz-Lopez, J M Iso-Perez
INTRODUCTION: Attention is one of the most widely studied superior cerebral functions and base of many other cognitive processes. It is sometimes understood as concentration on a task or target. The level of execution of a task and the ability to process information are dependent on the state of cerebral activation of the subject. This brain activity can be recorded with the electroencephalogram (EEG). AIM: Attention is studied in states of rest and during the performance of tasks in military personnel, exploring the differences between two groups (cadets and officers/NCOs)...
May 16, 2018: Revista de Neurologia
https://www.readbyqxmd.com/read/29747068/intimate-partner-relationship-stress-and-suicidality-in-a-psychiatrically-hospitalized-military-sample
#7
Jessica M LaCroix, Victoria A Colborn, Helena O Hassen, Kanchana U Perera, Jennifer Weaver, Alyssa Soumoff, Laura A Novak, Marjan Ghahramanlou-Holloway
OBJECTIVE: Suicide among United States service members is a significant public health concern. Intimate partner relationship stress may contribute to suicide risk, as a failed or failing relationship is the most commonly documented stressor preceding military suicide attempts and deaths. However, little is known about the manner by which relationship stressors are associated with the experience of military suicidality. METHODS: A sample of 190 psychiatrically hospitalized military personnel and adult dependents enrolled in an ongoing randomized controlled trial evaluating the efficacy of an inpatient cognitive behavioral treatment for suicidality were included in this study...
April 21, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29742706/impact-of-presumed-service-connected-diagnosis-on-the-department-of-veterans-affairs-healthcare-utilization-patterns-of-vietnam-theater-veterans-a-cross-sectional-study
#8
Dennis A Fried, Mangala Rajan, Chin-Lin Tseng, Drew Helmer
During the Vietnam War, the US military sprayed almost 20 million gallons of Agent Orange (AO), an herbicide contaminated with dioxin, over Vietnam. Approximately, 2.7 million US military personnel may have been exposed to AO during their deployment. Ordinarily, veterans who can demonstrate a nexus between a diagnosed condition and military service are eligible for Department of Veterans Affairs (VA) service-connected disability compensation. Vietnam Veterans have had difficulty, however, establishing a nexus between AO exposure and certain medical conditions that developed many years after the war...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29741910/new-research-on-military-and-mass-trauma-an-introduction-to-the-special-issue
#9
Kathleen Kendall-Tackett
PTSD in military personnel and survivors of mass trauma are particularly pertinent to our world today. The stories of these trauma survivors are in the news nearly every day. With this in mind, the editors are pleased to present this special issue of Psychological Trauma focusing on military and mass trauma. Psychological Trauma is at the forefront of trauma research, and the editors are proud to present this compilation of articles on these two important topics. (PsycINFO Database Record
August 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/29741728/interprofessional-healthcare-teams-in-the-military-a-scoping-literature-review
#10
Lara Varpio, Karlen S Bader, Holly S Meyer, Steven J Durning, Anthony R Artino, Meghan K Hamwey
Introduction: Research into healthcare delivered via interprofessional healthcare teams (IHTs) has uncovered that IHT can improve patient satisfaction, enhance collaborative behaviors, reduce clinical error rates, and streamline management of care delivery. Importantly, these achievements are attained by IHTs that have been trained via interprofessional education (IPE). Research indicates that interprofessional healthcare team training must be contextualized to suit the demands of each care context...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29741715/forward-surgical-team-experience-fste-is-associated-with-increased-confidence-with-combat-surgeon-trauma-skills
#11
D Joshua Mancini, Brian P Smith, Travis M Polk, C William Schwab
Introduction: Little is known regarding the confidence of military surgeons prior to combat zone deployment. Military surgeons are frequently deployed without peers experienced in combat surgery. We hypothesized that forward surgical team experience (FSTE) increases surgeon confidence with critical skill sets. Methods: We conducted a national survey of military affiliated personnel. We used a novel survey instrument that was piloted and validated by experienced military surgeons to collect demographics, education, practice patterns, and confidence parameters for trauma and surgical critical care skills...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29739302/risk-for-lower-extremity-injury-after-concussion-a-matched-cohort-study-in-soldiers
#12
Joseph R Kardouni, Tracie L Shing, Craig J McKinnon, Dennis E Scofield, Susan P Proctor
Study Design Matched cohort study. Background Rates of lower extremity (LE) musculoskeletal injury are reportedly higher in professional and collegiate athletes following concussions. However, there is a paucity of evidence on this relationship outside of high level athletes. Objectives Examine the risk of acute LE musculoskeletal injury in Soldiers within 2 years of an incident concussion compared to matched non-concussed Soldiers. Methods This study used the medical encounter and personnel data of active duty U...
May 8, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29737931/rux-largely-restores-lungs-in-iraq-pm-exposed-mice-up-regulating-regulatory-t-cells-tregs
#13
David Lin, Jonathan Li, Rabail Razi, Niha Qamar, Laurie Levine, Thomas Zimmerman, Sayyed A Hamidi, Millicent Schmidt, Marc G Golightly, Todd Rueb, Andrea Harrington, Merrill Garnett, Frank Antonawich, Steven McClain, Courtney Cox, Po Hsuan Huang, Anthony M Szema
Background Military personnel post-deployment to Iraq and Afghanistan have noted new-onset respiratory illness. This study's primary objective was to further develop an animal model of Iraq Afghanistan War Lung Injury (IAW-LI) and to test a novel class of anti-injury drug called RuX. Methods Particulate Matter (PM) samples were obtained in Iraq then characterized by spectromicroscopy. C57BL/6 mice underwent orotracheal instillation with PM, followed by drinkable treatment with RuX. Lung histology, inspiratory capacity (FlexiVent), thymic/splenic regulatory T cell (Treg) number, and whole-lung genomics were analyzed...
May 8, 2018: Experimental Lung Research
https://www.readbyqxmd.com/read/29734570/a-historical-review-of-the-u-s-navy-s-busiest-recompression-chamber-in-the-pacific-theater-with-a-current-perspective-on-caring-for-civilian-divers-within-its-area-of-responsibility-short-communication
#14
Christopher Rendina
On the island Nation of Guam, the United States Department of Defense has stationed military personnel from every service branch. Guam is utilized as a strategic waypoint for the U.S. military in the Pacific theater. As the largest service branch in the region, the Navy has placed a few Diving Medical Officers in Guam to collectively manage and treat patients with recompression therapy. Guam is also a popular tourist destination, with multiple recreational diving companies certifying individuals who are looking to take advantage of the beautiful warm water and exotic marine life...
March 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29734566/hyperbaric-oxygen-for-post-concussive-symptoms-in-united-states-military-service-members-a-randomized-clinical-trial
#15
Lindell K Weaver, Steffanie H Wilson, Anne S Lindblad, Susan Churchill, Kayla Deru, Robert C Price, Chris S Williams, William W Orrison, James M Walker, Anna Meehan, Susan Mirow
Background: In prior military randomized trials, participants with persistent symptoms after mild traumatic brain injury (TBI) reported improvement regardless of receiving hyperbaric oxygen (HBO₂) or sham intervention. This study's objectives were to identify outcomes for future efficacy trials and describe changes by intervention. Methods: This Phase II, randomized, double-blind, sham-controlled trial enrolled military personnel with mild TBI and persistent post-concussive symptoms...
March 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29733340/re-a-decade-of-war-prospective-trajectories-of-posttraumatic-stress-disorder-symptoms-among-deployed-us-military-personnel-and-the-influence-of-combat-exposure
#16
Remington L Nevin
No abstract text is available yet for this article.
May 4, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29731979/long-term-predictive-models-of-risk-factors-for-early-chronic-kidney-disease-a-longitudinal-study
#17
Wen-Chih Wu, Po-Chien Hsieh, Fu-Kang Hu, Jen-Chun Kuan, Chi-Ming Chu, Chien-An Sun, Tsan Yang, Sui-Lung Su, Yu-Ching Chou
Background: The high incidence and prevalence of chronic kidney disease (CKD) in Taiwan have produced tremendous burdens on health care resources. The work environment of air force special operations personnel engenders high psychological stress, and the resulting increased blood pressure can lead to glomerular hypertension and accelerated glomerular injury in the long term. The aim of the study was to establish the predictive models to define the predictors of CKD. Results: The results indicated that the prevalence of CKD over 4 consecutive years was 3...
April 13, 2018: Oncotarget
https://www.readbyqxmd.com/read/29728331/3-4-methylenedioxymethamphetamine-mdma-assisted-psychotherapy-for-post-traumatic-stress-disorder-in-military-veterans-firefighters-and-police-officers-a-randomised-double-blind-dose-response-phase-2-clinical-trial
#18
Michael C Mithoefer, Ann T Mithoefer, Allison A Feduccia, Lisa Jerome, Mark Wagner, Joy Wymer, Julie Holland, Scott Hamilton, Berra Yazar-Klosinski, Amy Emerson, Rick Doblin
BACKGROUND: Post-traumatic stress disorder (PTSD) is prevalent in military personnel and first responders, many of whom do not respond to currently available treatments. This study aimed to assess the efficacy and safety of 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy for treating chronic PTSD in this population. METHODS: We did a randomised, double-blind, dose-response, phase 2 trial at an outpatient psychiatric clinic in the USA. We included service personnel who were 18 years or older, with chronic PTSD duration of 6 months or more, and who had a Clinician-Administered PTSD Scale (CAPS-IV) total score of 50 or greater...
April 30, 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/29723168/malaria-surveillance-united-states-2015
#19
Kimberly E Mace, Paul M Arguin, Kathrine R Tan
PROBLEM/CONDITION: Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles species mosquito. The majority of malaria infections in the United States occur among persons who have traveled to regions with ongoing malaria transmission. However, malaria is occasionally acquired by persons who have not traveled out of the country through exposure to infected blood products, congenital transmission, laboratory exposure, or local mosquitoborne transmission...
May 4, 2018: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/29723020/effects-of-social-support-and-resilient-coping-on-violent-behavior-in-military-veterans
#20
Elizabeth E Van Voorhees, H Ryan Wagner, Jean C Beckham, Daniel W Bradford, Lydia C Neal, Walter E Penk, Eric B Elbogen
Violence toward others has been identified as a serious postdeployment adjustment problem in a subset of Iraq- and Afghanistan-era veterans. In the current study, we examined the intricate links between posttraumatic stress disorder (PTSD), commonly cited psychosocial risk and protective factors, and violent behavior using a national randomly selected longitudinal sample of Iraq- and Afghanistan-era United States veterans. A total of 1,090 veterans from the 50 United States and all United States military branches completed 2 waves of self-report survey-data collection 1 year apart (retention rate = 79%)...
May 2018: Psychological Services
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