journal
https://read.qxmd.com/read/38758088/types-of-covid-19-disaster-work-and-psychological-responses-in-national-guard-service-members
#1
JOURNAL ARTICLE
Holly B Herberman Mash, Carol S Fullerton, Amy B Adler, Joshua C Morganstein, Dori B Reissman, Quinn M Biggs, Christina L La Croix, Alexandra Blumhorst, Robert J Ursano
INTRODUCTION: The National Guard (NG) served as a critical component of the U.S. response to the coronavirus disease 2019 pandemic. Understanding the impact of types of pandemic-related disaster work on mental health responses can aid in sustaining NG service members' health and preparation for subsequent activations and future pandemics. MATERIALS AND METHODS: We surveyed 1,363 NG unit (NGU) service members (88% Army; 80% enlisted; 32% 30 to 39 years old; 84% male) following activation in response to the pandemic...
May 17, 2024: Military Medicine
https://read.qxmd.com/read/38758085/ultrasound-guided-lidocaine-injection-as-a-novel-predictor-of-response-to-botulinum-for-patients-with-myofascial-pain-syndrome-a-case-report
#2
JOURNAL ARTICLE
Olivia A Agee, Jeffery C Leggit
Botulinum injection is a well-known non-surgical intervention utilized in the management of myofascial pain syndrome (MPS). However, sparse evidence exists regarding the utility of ultrasound guidance of injectate or lidocaine as a predictive marker of patient response to botulinum toxin A (BTX-A). A 39-year-old male active duty service member demonstrated typical signs and symptoms of MPS. He reported a 10-year history of neck and back spasms that were triggered by exertion but also could occur spontaneously...
May 17, 2024: Military Medicine
https://read.qxmd.com/read/38758075/effectiveness-of-in-theater-mental-health-assessments
#3
JOURNAL ARTICLE
SarahLouise Perez, Hasan U Dimayuga, Kevin M Estrada, Adan Flores, Andrew B Hall
INTRODUCTION: The leading cause for medical evacuation from the U.S. Central Command area of responsibility is because of mental health conditions. The In-Theater Mental Health Assessment (ITMHA) is a DoD-required screening of deployed personnel. It is vital to examine the efficacy of ITMHA's potential to significantly impact the mental health outcomes of service members. MATERIALS AND METHODS: All ITMHA results of individuals in 2 deployed Army battalions along with a brigade headquarters deployed to U...
May 17, 2024: Military Medicine
https://read.qxmd.com/read/38758073/incidence-of-surgically-managed-post-tonsillectomy-hemorrhage-associated-with-nsaid-prescribing-for-postoperative-pain-management
#4
JOURNAL ARTICLE
Andrew Jacobson, Douglas Mack, Germaine Herrera, Sarah N Bowe, Krista B Highland, Michael S Patzkowski
INTRODUCTION: Tonsillectomy ranks high among the most common pediatric surgical procedures in the United States. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), such as ibuprofen, are routinely prescribed to manage post-tonsillectomy pain, but may carry the risk of hemorrhage. MATERIALS AND METHODS: This retrospective, longitudinal, secondary-data analysis study compared the incidence of surgically managed post-tonsillectomy hemorrhage (sPTH) in pediatric patients prescribed ibuprofen at Brooke Army Medical Center (BAMC) after tonsillectomy compared to a similar cohort of pediatric patients at the Children's Hospital of Philadelphia (CHOP) not prescribed ibuprofen...
May 17, 2024: Military Medicine
https://read.qxmd.com/read/38758070/evaluation-of-a-military-global-health-engagement-mission-for-critical-wartime-surgical-specialty-readiness
#5
JOURNAL ARTICLE
Joseph Aryankalayil, Margaret Shields, Michael Baird, Rathnayaka M K D Gunasingha, W Michael Pullen, Mark Johnson, Jamie Fitch, Ian Uber, Tamara Worlton
INTRODUCTION: Surgical volume at Military Treatment Facilities (MTFs) has been gradually decreasing for roughly the past 2 decades. The Knowledge, Skills, and Abilities (KSA) Clinical Readiness Program linked surgical volume and readiness using a tool known as the KSA metric. However, the extent to which military medical missions contribute to the readiness of critical wartime specialties has not been evaluated using this metric. METHODS: In this study, a retrospective analysis was conducted using the surgical case logs from the US Naval Ship (USNS) Comfort missions in 2018 and 2019...
May 17, 2024: Military Medicine
https://read.qxmd.com/read/38756093/disability-claims-for-female-veterans-exposed-to-contaminated-water-at-marine-base-camp-lejeune
#6
JOURNAL ARTICLE
Frances M Weaver, Lishan Cao, Kevin T Stroupe, Alessandra Pratt, Caroline M Tanner, Samuel M Goldman
INTRODUCTION: Between 1953 and 1987, over one million Veterans were exposed to contaminated water at Marine Corps Base Camp Lejeune, North Carolina. We examined the relationship between toxicant exposure and subsequent disability ratings in female veterans. MATERIALS AND METHODS: Comparisons were made between females stationed at Camp Lejeune and from Marine Corps Base Camp Pendleton, California who were not known to have been exposed to these toxicants, between 1975 and 1985, using data from the Agency for Toxic Substances and Diseases Registry and VA data...
May 16, 2024: Military Medicine
https://read.qxmd.com/read/38748405/doxycycline-mediated-inhibition-of-snake-venom-phospholipase-and-metalloproteinase
#7
JOURNAL ARTICLE
Daniel K Arens, Meaghan A Rose, Emelyn M Salazar, Merideth A Harvey, Eun Y Huh, April A Ford, Daniel W Thompson, Elda E Sanchez, Yoon Y Hwang
INTRODUCTION: Warfighters are exposed to life-threatening injuries daily and according to the Joint Trauma System Military Clinical Practice Guideline-Global Snake Envenomation Management snakebites are a concerning threat in all theaters of operation. Snake venom is a complex mixture of toxins including phospholipases A2 (PLA2) and snake venom metalloproteinases (SVMP) that produce myotoxic, hemotoxic, and cytotoxic injuries. Antibody-based antivenom is the standard of care but new approaches including small-molecule inhibitors have gained attention in recent years...
May 15, 2024: Military Medicine
https://read.qxmd.com/read/38743585/revolutionizing-combat-casualty-care-the-power-of-digital-twins-in-optimizing-casualty-care-through-passive-data-collection
#8
JOURNAL ARTICLE
Jeremy C Pamplin, Mason H Remondelli, Darshan Thota, Jeremy Trapier, William T Davis, Nathan Fisher, Paul Kwon, Matthew T Quinn
The potential impact of large-scale combat operations and multidomain operations against peer adversaries poses significant challenges to the Military Health System including large volumes of critically ill and injured casualties, prolonged care times in austere care contexts, limited movement, contested logistics, and denied communications. These challenges contribute to the probability of higher casualty mortality and risk that casualty care hinders commanders' forward momentum or opportunities for overmatch on the battlefield...
May 14, 2024: Military Medicine
https://read.qxmd.com/read/38743582/tobacco-use-prevalence-in-the-military-health-system-a-retrospective-study
#9
JOURNAL ARTICLE
Steven Patrick, Colleen Boyle, Daniel LaMorte, Michael Dore
INTRODUCTION: Tobacco use is prevalent and has traditionally been higher in the U.S. Military population than in the civilian population, but studies are limited. The goal of this study was to evaluate tobacco use and tobacco cessation counseling within the US Military health system (MHS). MATERIALS AND METHODS: This was a retrospective study assessing tobacco use and cessation counseling rates within the MHS from July 2016 to March 2022. Data for military tobacco use were obtained from the Defense Health Agency (DHA) Dashboard...
May 14, 2024: Military Medicine
https://read.qxmd.com/read/38743577/point-of-care-ultrasounds-obtained-by-novice-physician-assistant-residents-pocus-on-par
#10
JOURNAL ARTICLE
Kristine L Jeffers, Jared Cohen, Eric Chin, Nicholas Thompson, Seshidar Tekmal, Robyn Lombardo, Jessica Barlow, Amie Billstrom, James Aden, Melissa Myers
INTRODUCTION: The integration of Point of Care Ultrasound (POCUS) into the care of trauma patients, specifically the E-FAST, has improved the accuracy of initial diagnoses and improved time to surgical intervention in critically ill patients. Physician assistants (PAs) are critically important members of any military trauma resuscitation team and are often team leaders in a pre-hospital setting. They may receive training in ultrasound but there are little data to support their use or evaluate their effectiveness in using POCUS...
May 14, 2024: Military Medicine
https://read.qxmd.com/read/38743575/ebola-virus-disease-outbreaks-lessons-learned-from-past-and-facing-future-challenges
#11
JOURNAL ARTICLE
Zygmunt Dembek, Steven Hadeed, Bersabeh Tigabu, Kierstyn Schwartz-Watjen, Michael Glass, Michelle Dressner, Dianne Frankel, David Blaney, Thomas G Eccles Iii, Tesema Chekol, Akeisha Owens, Aiguo Wu
INTRODUCTION: The purpose of this review is to examine African Ebola outbreaks from their first discovery to the present, to determine how the medical and public health response has changed and identify the causes for those changes. We sought to describe what is now known about the epidemiology and spread of Ebola virus disease (EVD) from the significant outbreaks that have occurred and outbreak control methods applied under often challenging circumstances. Given the substantial role that the U...
May 14, 2024: Military Medicine
https://read.qxmd.com/read/38743569/clothing-and-equipment-fit-among-male-and-female-canadian-armed-forces-members
#12
JOURNAL ARTICLE
Kristina M Gruevski, Adrienne Sy, Linda Bossi, Emma Moon, Junhan Bae, Allan Keefe
INTRODUCTION: The fit of military clothing and equipment is essential for the health and safety of military operators. Given the aim of increasing the proportion of women and the known biological and morphological differences between male and female soldiers, an understanding of fit across different items of kit is needed. The aim of this study was to quantify subjective fit ratings of 8 items of military clothing and equipment, including combat shirt, combat pants, rucksack, small pack, tactical vest, fragmentation vest, helmet, and ballistic eyewear as a function of relative stature and occupational group among male and female Canadian Armed Forces members...
May 14, 2024: Military Medicine
https://read.qxmd.com/read/38742829/military-family-perspectives-on-enrollment-and-engagement-in-the-wic-program
#13
JOURNAL ARTICLE
Binny Chokshi, Sidney Zven, Rachel Burris, Meaghan Wido, Elizabeth Hisle-Gorman
INTRODUCTION: One in four U.S. service members endorses food insecurity. The Supplemental Nutrition Program for Women, Infants, and Children (WIC) is an invaluable, underutilized resource that can increase access to nutritious food for families with children under 5 years of age. Our research sought to evaluate military family perceptions and engagement with the WIC program. MATERIALS AND METHODS: We conducted a mixed-method study, recruiting from a convenience sample of military families who applied for financial assistance for child care...
May 14, 2024: Military Medicine
https://read.qxmd.com/read/38743578/indications-and-outcomes-for-adult-extracorporeal-membrane-oxygenation-at-a-military-referral-facility
#14
JOURNAL ARTICLE
Samantha Murphy, Meaghan Flatley, Lydia Piper, Phillip Mason, Valerie Sams
INTRODUCTION: Extracorporeal life support, including extracorporeal membrane oxygenation (ECMO), is a potentially life-saving adjunct to therapy in patients experiencing pulmonary and/or cardiac failure. The U.S. DoD has only one ECMO center, in San Antonio, Texas. In this study, we aimed to analyze outcomes at this center in order to determine whether they are on par with those reported elsewhere in the literature. MATERIALS AND METHODS: In this observational study, we analyzed data from patients treated with ECMO at the only DoD ECMO center between September 2012 and April 2020...
May 13, 2024: Military Medicine
https://read.qxmd.com/read/38739497/effect-of-human-head-shape-on-the-risk-of-traumatic-brain-injury-a-gaussian-process-regression-based-machine-learning-approach
#15
JOURNAL ARTICLE
Kshitiz Upadhyay, Roshan Jagani, Dimitris G Giovanis, Ahmed Alshareef, Andrew K Knutsen, Curtis L Johnson, Aaron Carass, Philip V Bayly, Michael D Shields, K T Ramesh
INTRODUCTION: Computational head injury models are promising tools for understanding and predicting traumatic brain injuries. However, most available head injury models are "average" models that employ a single set of head geometry (e.g., 50th-percentile U.S. male) without considering variability in these parameters across the human population. A significant variability of head shapes exists in U.S. Army soldiers, evident from the Anthropometric Survey of U.S. Army Personnel (ANSUR II)...
May 13, 2024: Military Medicine
https://read.qxmd.com/read/38739493/pilot-study-developing-curriculum-to-prepare-fourth-year-medical-students-applying-for-obgyn-residency-within-the-defense-health-agency
#16
JOURNAL ARTICLE
Danielle Wright, David Bodecker, Alexander Ulfers, Logan Peterson
BACKGROUND: Obstetrics and gynecology (OBGYN) is becoming increasingly competitive among medical specialties. As a result, many medical schools have frameworks to help their students increase their competitiveness to maximize chances of a successful match. However, "boot camps" have traditionally been geared toward the transition to intern year and not to sub-internships during the fourth year of medical school. We aimed to develop a boot camp for rising fourth-year medical students planning to apply into OBGYN before the initiation of their sub-internships and interview season...
May 13, 2024: Military Medicine
https://read.qxmd.com/read/38739492/the-association-between-grip-strength-upper-body-power-and-limb-dominance-in-a-military-population
#17
JOURNAL ARTICLE
Amy Silder, Rebecca Zifchock, Luke Brown, Pinata Sessoms, Douglas Jones
INTRODUCTION: Military service members rely on upper body strength and power to accomplish tasks such as carrying heavy weapons and gear, rappelling, combat grappling, and marksmanship. Early identification of the factors that lead to reduced upper body strength and power would enable leadership to predict and mitigate aspects that decrease military operational readiness and increase injury risk. The purpose of this study was to investigate the relationship between grip strength and upper body power in U...
May 13, 2024: Military Medicine
https://read.qxmd.com/read/38739491/cognition-and-functional-capacity-an-initial-comparison-of-veteran-and-non-veteran-older-adults
#18
JOURNAL ARTICLE
Jacqueline E Maye, Colin A Depp, Ellen E Lee, Amber V Keller, Ho-Cheol Kim, Dilip V Jeste, Elizabeth W Twamley
INTRODUCTION: The U.S. Military Veterans aged 65 and older comprise an estimated 43% of the 22 million living Veterans in the United States. Veterans have high rates of physical, psychiatric, and social challenges, but it is not known whether Veteran status confers additional risk for cognitive or functional impairments in later life. Thus, this investigation specifically compared older Veterans with their non-Veteran peers in cognitive functioning and performance-based functional capacity...
May 13, 2024: Military Medicine
https://read.qxmd.com/read/38739476/the-feasibility-and-efficacy-of-warrior-health-and-fitness-a-3-month-fitness-and-nutrition-program-for-veterans
#19
JOURNAL ARTICLE
Sarah D Horwitz, Rachel A Millstein, Megan D McCarthy, Ryan Vanderweit, Jaime Fernandez, Armando R Hernandez, Victoria Wilson, Nicolette Maggiolo, Emily Collins, Ron Hirschberg, Philip Cefalo, Louisa G Sylvia
INTRODUCTION: Veterans are at risk for mental and physical health problems but may not seek traditional health care services. Wellness-based interventions, including exercise and nutrition, have been associated with improvements in physical and mental health among this population. This study explores the acceptability, feasibility, and efficacy of a 3-month health and fitness program for veterans. MATERIALS AND METHODS: Participants in 2 time-based cohorts from 2019 to 2023 (cohort 1: n = 261; cohort 2: n = 256) were cleared by a physician to participate...
May 13, 2024: Military Medicine
https://read.qxmd.com/read/38739474/hemostatic-evaluation-of-refrigerated-whole-blood-stored-7-days-post-expiration
#20
JOURNAL ARTICLE
Nicholas A Greene, Colby S McIntosh, Michael A Meledeo, Kristin M Reddoch-Cardenas
INTRODUCTION: The United States Army has shifted doctrine to focus on large-scale combat operations against peer to near-peer adversaries. Future conflicts could result in a limited supply chain, leaving medical providers with only expired blood products for treatment of hemorrhagic shock. This study evaluated quality, function, and safety metrics of whole blood stored for 1 week past regulated expiration (i.e., 35 days, in CPDA-1). MATERIALS AND METHODS: Whole blood units (n = 6) were collected in citrate phosphate dextrose adenine-1 (CPDA-1) anticoagulant and stored refrigerated for up to 42 days...
May 13, 2024: Military Medicine
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