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https://www.readbyqxmd.com/read/28102530/surgeon-preparedness-for-mass-casualty-events-adapting-essential-military-surgical-lessons-for-the-home-front
#1
Kyle N Remick, Stacy Shackelford, John S Oh, Jason M Seery, Daniel Grabo, John Chovanes, Kirby R Gross, Shawn C Nessen, Nigel Rm Tai, Rory F Rickard, Eric Elster, C W Schwab
Military surgeons have gained familiarity and experience with mass casualty events (MCEs) as a matter of routine over the course of the last two conflicts in Afghanistan and Iraq. Over the same period of time, civilian surgeons have increasingly faced complex MCEs on the home front. Our objective is to summarize and adapt these combat surgery lessons to enhance civilian surgeon preparedness for complex MCEs on the home front. The authors describe the unique lessons learned from combat surgery over the course of the wars in Afghanistan and Iraq and adapt these lessons to enhance civilian surgical readiness for a MCE on the home front...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28101586/bone-cultures-from-war-wounded-civilians-in-the-middle-east-a-surgical-prospective
#2
Patrick Hérard, François Boillot, Rasheed M Fakhri
PURPOSE: Hidden infections in a reconstructive surgery program are frequently underestimated. METHODS: A retrospective study was undertaken of 1,891 civilian war-wounded patients from Iraq, Syria, Yemen and Gaza treated in Amman from August 2006 to January 2016. One thousand three hundred and fifty-three underwent surgical interventions for previous bone injury and had systematic bone cultures. RESULTS: Among patients (167) without any clinical, biological or radiological signs of infection, 46% demonstrated infection based on bone cultures...
January 18, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28098580/an-investigation-of-treatment-engagement-among-returning-veterans-with-problematic-anger
#3
Kirsten H Dillon, Eric F Crawford, Harold Kudler, Kristy A Straits-Troster, Eric B Elbogen, Patrick S Calhoun
Anger is a commonly reported problem among returning veterans, yet little attention has been devoted to studying treatment engagement among veterans who report anger problems but do not have posttraumatic stress disorder (PTSD). This study compares Iraq-Afghanistan veterans with anger/no PTSD (n = 159) to others reporting significant PTSD symptoms (n = 285) and those reporting neither anger nor PTSD (n = 716) on rates of treatment utilization, perceived barriers to treatment, and preferences for care. Relative to the PTSD group, the anger/no-PTSD group was significantly less likely to have received mental health treatment in the last year, despite endorsing barriers to treatment at a lower rate...
January 14, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28097722/antimicrobial-utilization-in-an-iraqi-province-a-comprehensive-evaluation-of-antibiotic-source-and-cost
#4
Ali A Al-Jumaili, Ahmed H Hussein, Mohammed D Al-Rekabi, Saba A Raheem, Erika J Ernst
PURPOSE: The aims were to calculate total systemic antibiotic consumption and cost in both public and private sectors in all care settings in Al-Najaf province, Iraq, during 2012, recognize the percentage of each pharmacological class for the dispensed antibiotics and identify oral and parenteral antibiotic percentages dispensed and the portions manufactured nationally and imported. METHODS: Cross-sectional study was conducted in Al-Najaf to calculate the total cost and quantities of antibiotics consumed during 2012 using World Health Organization Guidelines for Defined Daily Dose (DDD)...
February 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28091806/gout-in-immigrant-groups-a-cohort-study-in-sweden
#5
Per Wändell, Axel C Carlsson, Xinjun Li, Danijela Gasevic, Johan Ärnlöv, Martin J Holzmann, Jan Sundquist, Kristina Sundquist
Our aim was to study the association between country of birth and incidence of gout in different immigrant groups in Sweden. The study population included the whole population of Sweden. Gout was defined as having at least one registered diagnosis in the National Patient Register. The association between incidence of gout and country of birth was assessed by Cox regression, with hazard ratios (HRs) and 95% confidence intervals (95% CI), using Swedish-born individuals as referents. All models were conducted in both men and women, and the full model was adjusted for age, place of residence in Sweden, educational level, marital status, neighbourhood socio-economic status and co-morbidities...
January 13, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28080076/adverse-childhood-experiences-and-risk-for-suicidal-behavior-in-male-iraq-and-afghanistan-veterans-seeking-ptsd-treatment
#6
Timothy D Carroll, Joseph M Currier, Wesley H McCormick, Kent D Drescher
OBJECTIVE: Adverse childhood experiences (ACEs) are associated with increased risk for suicide and appear to occur in disproportionately high rates among men who served in the U.S. military. However, research has yet to examine a comprehensive range of ACEs among Iraq/Afghanistan veterans with combat-related posttraumatic stress disorder (PTSD) or whether these premilitary stressors may contribute to suicidal behavior in this highly vulnerable population. METHOD: A sample of 217 men entering a residential program for combat-related PTSD completed measures for ACEs, combat exposure, and lifetime suicidal ideation and attempts...
January 12, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28079238/human-leukocyte-antigen-hladrb1-determinants-susceptibility-to-gastroesophageal-reflux-disease
#7
Batool Mutar Mahdi, Riyadh Mohamad Hasan, Wafaa Hazim Salih
BACKGROUND: - Gastroesophageal reflux disease (GERD) is characterized by diverse symptoms. There is an evidence for a genetic component to GERD as supported by familial aggregation of this disease. OBJECTIVE: - To investigate whether certain human leucocyte antigen genes HLA-DRB1 are associated with GERD. METHODS: - Patients and controls were prospectively recruited from GIT center at Al-Kindy Teaching Hospital (Baghdad-Iraq) between January 2014 and July 2016...
January 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28077398/mild-traumatic-brain-injury-is-associated-with-reduced-cortical-thickness-in-those-at-risk-for-alzheimer-s-disease
#8
Jasmeet P Hayes, Mark W Logue, Naomi Sadeh, Jeffrey M Spielberg, Mieke Verfaellie, Scott M Hayes, Andrew Reagan, David H Salat, Erika J Wolf, Regina E McGlinchey, William P Milberg, Annjanette Stone, Steven A Schichman, Mark W Miller
Moderate-to-severe traumatic brain injury is one of the strongest environmental risk factors for the development of neurodegenerative diseases such as late-onset Alzheimer's disease, although it is unclear whether mild traumatic brain injury, or concussion, also confers risk. This study examined mild traumatic brain injury and genetic risk as predictors of reduced cortical thickness in brain regions previously associated with early Alzheimer's disease, and their relationship with episodic memory. Participants were 160 Iraq and Afghanistan War veterans between the ages of 19 and 58, many of whom carried mild traumatic brain injury and post-traumatic stress disorder diagnoses...
January 11, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/28077096/rates-and-trends-in-cesarean-sections-between-2008-and-2012-in-iraq
#9
Nazar P Shabila
BACKGROUND: The prevalence of cesarean sections is increasing globally; however, it can lead to significant increases in maternal and infant morbidity and mortality. This study aimed to determine the rates and trends of cesarean sections in Iraq. METHODS: The cesarean section rates of all births and public and private hospital-based births were calculated from the data on births provided by the annual reports of the Iraqi Ministry of Health for the years 2008 and 2012...
January 11, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28074368/evaluation-of-2d-resistivity-imaging-technique-for-delineating-subsurface-seepage-of-hydrocarbon-contaminated-water-southeast-of-karbala-city-iraq
#10
Firas H Al-Menshed, Jassim M Thabit
2D imaging technique was applied in (8) transects near a pit of contaminated water near contaminated well southeast of Karbala city, Iraq. Each transect was 30 m long with 1 m electrode spacing. Data acquisition was fulfilled by using Wenner electrode array. The resistivity of water-contaminated zone is found less than 3Ω.m and the top dry zone recorded relatively high resistivity (more than 170Ω.m). It is found that the greatest amount of seepage was found moving towards northeast direction coincided with groundwater movement direction, whereas there was no movement towards northwest and southeast directions and restricted on the closest areas to the pit location...
January 10, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28062527/lessons-from-the-organisation-of-the-uk-medical-services-deployed-in-support-of-operation-telic-iraq-and-operation-herrick-afghanistan
#11
Martin C M Bricknell, M Nadin
This paper provides the definitive record of the UK Defence Medical Services (DMS) lessons from the organisation of medical services in support of Operation (Op) TELIC (Iraq) and Op HERRICK (Afghanistan). The analysis involved a detailed review of the published academic literature, internal post-operational tour reports and post-tour interviews. The list of lessons was reviewed through three Military Judgement Panel cycles producing the single synthesis 'the golden thread' and eight 'silver bullets' as themes to institutionalise the learning to deliver the golden thread...
January 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28054799/the-risk-for-marital-infidelity-across-a-year-long-deployment
#12
Christina Balderrama-Durbin, Kimberley Stanton, Douglas K Snyder, Jeffrey A Cigrang, G Wayne Talcott, Amy M Smith Slep, Richard E Heyman, Daniel G Cassidy
Military deployment can create significant relationship strain. Although most couples navigate the challenges of deployment successfully, this period may render some couples more vulnerable to adverse relationship outcomes such as infidelity due to a convergence of factors including geographic separation and reduced emotional and physical intimacy. Despite anecdotal reports of increased rates of infidelity during deployment, empirical findings are lacking. This study used a prospective design to examine the prevalence and risk factors of infidelity across the deployment cycle including a year-long deployment to Iraq...
January 5, 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/28045798/the-association-between-toxic-exposures-and-chronic-multisymptom-illness-in-veterans-of-the-wars-of-iraq-and-afghanistan
#13
Bryann B DeBeer, Dena Davidson, Eric C Meyer, Nathan A Kimbrel, Suzy B Gulliver, Sandra B Morissette
OBJECTIVE: The purpose of this study was to determine if post-9/11 veterans deployed to the Iraq and Afghanistan conflicts experienced toxic exposures and whether they are related to symptoms of chronic multisymptom illness (CMI). METHODS: Data from 224 post-9/11 veterans who self-reported exposure to hazards in theater were analyzed using hierarchical regression. RESULTS: Of the sample, 97.2% endorsed experiencing one or more potentially toxic exposure...
January 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28043629/nontuberculosis-mycobacteria-isolation-from-clinical-samples-in-iraq
#14
Shatha T Ahmed, Ahmed A Alsudani, Ruqaya M Ali, Batool A Shihab, Sana A Hussein
OBJECTIVE/BACKGROUND: Nontuberculosis mycobacteria (NTM), defined as any mycobacterial strain other than Mycobacterium tuberculosis complex, are a diverse group of pathogens that cause a substantive, but often unappreciated worldwide burden of illness. NTM cause illness similar to M. tuberculosis, but generally do not respond to classic tuberculosis (TB) drug regimens. Here, we evaluated GenoType Mycobacterium CM/AS (Hain Lifesciences) for rapid identification of NTM and compared its results with those of other biochemical tests...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28043548/discordance-between-genexpert-assay-and-conventional-drug-susceptibility-testing-in-detecting-rifampicin-resistant-tuberculosis-a-perspective-of-the-line-probe-assay
#15
Ruqaya M Ali, Ahmed A Alsudani
BACKGROUND: Early detection for tuberculosis (TB) and rifampicin-resistant TB (RRTB) is crucial for proper control of this disease. WHO recommended the use of the GeneXpert assay at district level to cover these two public health demands? A study evaluated the diagnostic impact of the GeneXpert assay in detecting TB and RRTB. Odd results were observed in this study in the form of discordance between the GeneXpert assay and the conventional culture and drug-susceptibility testing (DST)...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28040826/consequences-of-ptsd-for-the-work-and-family-quality-of-life-of-female-and-male-u-s-afghanistan-and-iraq-war-veterans
#16
Dawne Vogt, Brian N Smith, Annie B Fox, Timothy Amoroso, Emily Taverna, Paula P Schnurr
PURPOSE: Although it is well established that combat-related PTSD can lead to reduced quality of life, less is known about the relative effect of PTSD on different aspects of former service members' post-military readjustment. Moreover, research on female veterans' reintegration experiences is limited. This study aimed to document the work and family quality of life of post-9/11 male and female veterans and evaluate the gender-specific impact of PTSD on veterans' work and family outcomes...
December 31, 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28039802/the-impact-of-a-civic-service-program-on-biopsychosocial-outcomes-of-post-9-11-u-s-military-veterans
#17
Monica M Matthieu, Karen A Lawrence, Emma Robertson-Blackmore
Volunteering as a health promotion intervention, improves physical health, mental health, and social outcomes particularly in older adults, yet limited research exists for veterans. We conducted a preliminary study to explore whether volunteering impacts a variety of biopsychosocial outcomes, including symptoms of post-traumatic stress disorder (PTSD) and depression, among returning military veterans from Iraq and Afghanistan. A survey enrolling a prospective cohort of United States (U.S.) veterans who served in the military after 11 September 2001 and who participated in a national civic service program was conducted...
December 23, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/28036106/genetic-characterization-and-phylogenic-analysis-of-h5n1-avian-influenza-virus-detected-in-peafowl-in-kirkuk-province-iraq
#18
Peshnyar M A Rashid, Nahla M Saeed, Hiewa Othman Dyary
A highly pathogenic avian influenza, H5N1, was detected for the first time in peafowls in Kirkuk province, Iraq in 2015. Genetic analysis of the Kirkuk H5N1 indicated molecular markers for avian-type receptors. The Kirkuk H5N1 hemagglutinin gene had an infrequent amino acid cleavage site (SPQREKRRKRGLF), and neuraminidase genes showed sensitive molecular markers for antiviral drugs. Additionally, the phylogenetic analysis found that the Kirkuk H5N1 belonged to subclade 2.3.2.1c. Our results showed that the 2015 H5N1 from the Iraqi city of Kirkuk exhibited new genetic characterization and was different from the 2006 H5N1 isolate from Iraq...
December 30, 2016: Journal of Medical Virology
https://www.readbyqxmd.com/read/28029496/accuracy-of-the-estimation-of-dental-age-in-comparison-with-chronological-age-in-a-spanish-sample-of-2641-living-subjects-using-the-demirjian-and-nolla-methods
#19
María Melo, Javier Ata-Ali
Age estimation is an important procedure in forensic medicine and is carried out for a number of reasons. For living persons, age estimation is performed in order to assess whether a child has attained the age of criminal responsibility, in scenarios involving rape, kidnapping or marriage, in premature births, adoption procedures, illegal immigration, pediatric endocrine diseases and orthodontic malocclusion, as well as in circumstances in which the birth certificate is not available or the records are suspect...
October 12, 2016: Forensic Science International
https://www.readbyqxmd.com/read/28029062/the-main-constituents-of-tulipa-systola-stapf-roots-and-flowers-their-antioxidant-activities
#20
Mohammed Farhad Ibrahim, Faiq Hama Saeed Hussain, Giuseppe Zanoni, Giovanni Vidari
People living on the mountains of the Kurdistan Region, Iraq make a large use of herbs in the local traditional medicine. Among them, Tulipa systola, which grows under and between rocks, is very popular as an anti-inflammatory remedy and pain-relief. The phytochemical study of an ethanolic extract obtained from flowers and roots of Tulip (T systola Stapf.) afforded three compounds, identified as (+)-1-O-E-feruloyl-3-O-E-p-coumaroylglycerol (1), (+)-6-tuliposide A (2), and (-)-kaempferol-3-O-rutinoside (3). The significant radical scavenging and antioxidant activity of the isolated compounds were evaluated on three tests, by determining the DPPH free radical scavenging activity, the total antioxidant activity and the hydrogen peroxide scavenging activity...
December 28, 2016: Natural Product Research
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