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Military Medicine

Kathleen Marie Stack, J Edwin Nieves, Danielle Weck
No abstract text is available yet for this article.
February 20, 2019: Military Medicine
Benjamin Vipler, David Nissan
No abstract text is available yet for this article.
February 20, 2019: Military Medicine
Joshua S Will, Bryan Malave
Physicians in the military often take leadership roles much earlier in their career than their civilian counterparts. Military Graduate Medical Education programs must continue to provide relevant leadership training that prepares graduates for their imminent leadership roles. The following article illustrates the experience of a junior Army Medical Corps Officer deployed shortly after residency. His case illustrates how he utilized the tools and lessons learned from the professional development and leadership training in his residency to assure the operational readiness and success of his unit...
January 31, 2019: Military Medicine
Laura A Talbot Col Usafr Ret, Emily Brede, Marquita N Price, Pilar D Zuber, E Jeffrey Metter
Introduction: Knee injuries among active duty military are one of the most frequent musculoskeletal injuries and are often caused by exercise or intense physical activity or combat training. These injuries pose a threat to force readiness. Our objective was to assess feasibility (including recruitment and retention rates) of three self-managed strengthening strategies for knee injuries and determine if they resulted in improvements in lower extremity strength, function, pain, and activity compared to usual physical therapy (PT) in military members...
January 24, 2019: Military Medicine
(no author information available yet)
No abstract text is available yet for this article.
January 24, 2019: Military Medicine
Jonathan Abbott, Jenava Carty, Alison L Batig
Introduction: Successful breastfeeding provides multiple health benefits to Servicewomen and their infants and has positive indirect benefits to the military. Workplace lactation support influences breastfeeding continuation after a Servicewoman's return to work. Materials and Methods: This study evaluated the breastfeeding practices and workplace breastfeeding support among primiparous women serving in the U.S. Army. The study was a subanalysis of a non-blinded randomized controlled trial designed to determine the effect of postpartum appointment timing (either 2-3 or 6-8 weeks after delivery) on breastfeeding rates 6 months post-delivery...
January 24, 2019: Military Medicine
Mark Malebranche, Joseph Burkard, Jane Georges, David Bittleman
Introduction: Veterans face several potential difficulties upon leaving active duty. Among these is transition of healthcare to a different setting. The transition from active duty to veteran status is often a challenging time for veterans with diabetes. Changes in healthcare have been shown to decrease diabetes care compliance and diabetes self-management resulting in exacerbation in diabetes symptoms and increased healthcare expenditure. A seamless transition in healthcare management from active duty to veteran status has the potential to maintain or increase diabetes self-management...
January 24, 2019: Military Medicine
M Teresa Magone, Laura Kueny, Gemini A Singh, Katrina Chin Loy, Caroline H Kim, Will Grover, Soo Y Shin
Introduction: In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular comorbidities, we investigated the long-term visual outcomes and complications associated with small incision cataract surgery performed on veterans without any pre-existing eye disease...
January 24, 2019: Military Medicine
Scott A Simpson, Matthew Goodwin, Christian Thurstone
Introduction: Mental health specialists (MHS, or 68X) play a central role in meeting the growing demand for combat stress care among Service Members. Partnering with civilian institutions may enhance the MHS training experience beyond Advanced Individual Training (AIT). Methods: We describe a novel military-civilian collaboration to train U.S. Army Reserve MHS's in the psychiatric emergency service (PES) of a public, safety-net hospital. Details of implementation are described...
January 24, 2019: Military Medicine
Morgan Byrne, Robert Deiss, Octavio Mesner, Margaret Glancey, Anuradha Ganesan, Jason Okulicz, Karl Kronmann, Ryan Maves, Christina Schofield, Brian Agan, Grace Macalino
Introduction: There is a high prevalence of at-risk drinking in the U.S. military. Among HIV-infected individuals, alcohol abuse confers additional risk for adverse health outcomes. In the military, however, the characteristics of HIV-infected individuals who engage in high-risk drinking are not well defined. The purpose of this study was to assess risk factors associated with at-risk drinking in an HIV-positive longitudinal cohort of DoD beneficiaries. Materials and Methods: Annual prevalence of at-risk drinking was calculated for members of the U...
January 24, 2019: Military Medicine
Paige E Iovine-Wong, Corey Nichols-Hadeed, Jennifer Thompson Stone, Stephanie Gamble, Wendi Cross, Catherine Cerulli, Brooke A Levandowski
Introduction: Suicidal thoughts and behaviors (STB) and intimate partner violence (IPV) are both serious and prevalent problems in the Veteran population that often occur in tandem, particularly among women Veterans. Women Veterans, the fastest growing segment of the Veteran population, may have unique overlapping risks that are worth exploring. Although the intersection of IPV and STB is well documented in the civilian population, it has not been thoroughly explored in women Veterans...
January 24, 2019: Military Medicine
Kathleen Kramer, Sorana Raiciulescu, Cara Olsen, Kimberly Hickey, Martin Ottolini
Introduction: There is a widespread and long-held belief in the submarine community that submariners father more daughters than the general population. The U.S. Sex Ratio at birth (males/females) has remained around 1.05 since the early 2000s. Limited evidence exists that certain environmental exposures including chemicals, heavy metals, radiation and g-forces may influence sex ratio at birth. A reduction in male births in a population has been associated with lower male fertility. A 1970 single site study showed a higher ratio of female offspring in personnel serving aboard U...
January 24, 2019: Military Medicine
John Iskander, Jaspal Ahluwalia, Sara Luckhaupt, Brian Lewis
No abstract text is available yet for this article.
January 23, 2019: Military Medicine
Karen A Williams, Robin M Lawson, Osvaldo H Perurena, John D Coppin
Introduction: The rate of chronic migraine (CM) has been shown to be 20% or greater in the post 9/11 combat veteran population with a history of traumatic brain injury, while the rate is much lower at 3-5% in the general population. Studies have shown that medications such as oral topiramate or intramuscular injections of onabotulinum toxin A (Botox) have been used for CM prevention, and occipital blocks have been shown to be helpful in treating occipital neuralgia and short-term relief of CM...
January 23, 2019: Military Medicine
Hua-Wei Chen, Tatyana Belinskaya, Zhiwen Zhang, Wei-Mei Ching
Introduction: US Military and civilian personnel regularly deploy to regions that are endemic for the Hepatitis B virus (HBV), including the Western Pacific, Africa, Eastern Mediterranean, Southeast Asia, and Europe. When patients have life-threatening injuries that require any blood component that is not immediately available, they are typically transfused with locally collected fresh whole blood from a walking blood bank. Currently, there is no simple and easy method for sensitively screening fresh blood in deployed theaters of conflict...
January 23, 2019: Military Medicine
Matthew R D'Angelo, Diane Seibert, Matthew D Welder, Ronald M Cervero, Steven J Durning
No abstract text is available yet for this article.
January 23, 2019: Military Medicine
Renee E Cole, Stephanie A Meyer, Taylor J Newman, Adam J Kieffer, Sarah G Wax, Kim Stote, Hala Madanat
Introduction: The purpose of this pilot study was to assess the effectiveness of the revised My Body Knows When (MBKW) program to promote intuitive eating behaviors within a sample of a military population through an online or in-person delivery mode. Materials and Methods: Fifty-six overweight or obese adults (70% female); military service members (20%), retirees (38%) and family (42%) participated in the 10-week MBKW program at two military installations from 2012 to 2014...
January 23, 2019: Military Medicine
Jeffrey M Pyne, P Adam Kelly, Ellen P Fischer, Christopher J Miller, Patricia Wright, Kara Zamora, Christopher J Koenig, Regina Stanley, Karen Seal, John C Fortney
Introduction: Access to high-quality healthcare, including mental healthcare, is a high priority for the Department of Veterans Affairs (VA). Meaningful monitoring of progress will require patient-centered measures of access. To that end, we developed the Perceived Access Inventory focused on access to VA mental health services (PAI-VA). However, VA is purchasing increasing amounts of mental health services from community mental health providers. In this paper, we describe the development of a PAI for users of VA-funded community mental healthcare that incorporates access barriers unique to community care service use and compares the barriers most frequently reported by veterans using community mental health services to those most frequently reported by veterans using VA mental health services...
January 23, 2019: Military Medicine
Bruce S Cohen, Brooke M Pacheco, Stephen A Foulis, Maria C Canino, Jan E Redmond, Richard B Westrick, Keith G Hauret, Marilyn A Sharp
Introduction: Musculoskeletal injuries (MSKIs) pose a significant threat to military readiness and are difficult to monitor due to Soldiers' reluctance to seek medical treatment. There is high risk of developing MSKIs while going through initial entry training (IET), many of which go unreported. The purposes of this study were to identify the contributing factors that influence US Army trainees to not seek medical care for self-reported symptoms of musculoskeletal injury (SMSKI) and establish how those factors may differ by sex, training school, and installation site...
January 23, 2019: Military Medicine
Maurice L Sipos, Alexa A Lopez, Jennifer Nyland, Maura R Taylor, Jennifer McDonald, Matthew L LoPresti, Oscar A Cabrera, Amy B Adler
Introduction: While previous studies have examined the stress of the military training environment, studies have not systematically examined the stress associated with attending the Defense Language Institute Foreign Language Center (DLIFLC). Service members assigned to DLIFLC endure intense academic pressure to succeed while meeting military requirements. Thus, not only are traditional academic stressors likely to be of concern but there are other academic and military-related stressors that have to managed by students...
January 23, 2019: Military Medicine
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