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U.S. Army Medical Department Journal

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https://read.qxmd.com/read/30623405/institution-of-military-working-dog-physical-profile-record-to-clarify-medical-readiness-category-status
#1
Sean P Curry, Jerry W Lewis
The current medical readiness category (CAT) status system used for military working dogs (MWDs) simply outlines the deployability of an MWD. This system, however, does not detail any other restrictions or the reason for assigning the current CAT status. The question is often raised as to whether the MWD can continue to work and perform everyday duties despite not being a CAT I. Using the Physical Profile Record system established for human providers, a system was adapted for MWDs. This system will allow Veterinary Corps Officers to give specific instructions to the handler and owning unit about the nature, progression, and details of injury or dysfunction beyond the CAT status...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623404/animal-derived-thiol-induced-work-exacerbated-asthma-a-brief-case-report-of-a-unique-workplace-hazard
#2
John W Downs, Joshua M Renshaw
A 33 year old female healthcare worker with a history of cough variant asthma presented with 2 weeks of dyspnea and cough that she believed to be due to recurring exposure to skunk spray in her work environment. The employee was working in a temporary structure outside the primary hospital campus. During the preceding 2 weeks, at least one striped skunk was observed multiple times by staff members to be crawling under the structure. The employee's symptoms were not initially considered serious by her supervisors who felt that the appreciable "skunk smell" was merely a nuisance odor...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623403/application-of-high-energy-extracorporeal-shockwave-therapy-on-musculoskeletal-conditions-in-us-military-medical-facilities
#3
Salley Corey, Terry Mueller, John Bojescul, Craig Cameron
Outcomes of extracorporeal shockwave therapy (ESWT) vary due to the heterogeneity of application protocols and patient characteristics. United States military medical facilities offer a unique environment to study the effects of ESWT due to the large use, consistent protocol, and ability to care for young active individuals. A retrospective review was conducted from November 2008 to March 2015 to assess types of musculoskeletal conditions treated by ESWT in US military medical treatment facilities, the demographics of patients treated with ESWT (age and gender), the trend throughout the time in question, and the protocols implemented...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623402/case-report-unilateral-paresis-of-the-abdominal-wall-with-associated-thoraco-lumbar-pain
#4
Maria Francisca Elgueta, Nina Nan Wang, Gaurav Gupta, Markus Besemann
No abstract text is available yet for this article.
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623401/sexual-dimorphic-features-associated-with-femoroacetabular-impingement
#5
Victoria B Okpala, David J Tennent, Anthony E Johnson, Matthew R Schmitz
Sexual dimorphism describes differences in biologic response between males and females due to inherent chromosomal differences. These differences similarly affect orthopaedic-related injuries and treatment outcomes as seen with femoroacetabular impingement, an abnormal hip morphology where females have shown worse hip function scores than male counterparts before and after surgery. Potential dimorphic factors that increase susceptibility of females to injury and/or worse outcomes may include joint laxity, hip morphology, and osseous biology...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623400/military-medicine-implements-in-home-virtual-health-in-europe
#6
Steven M Cain, Robert J Cornfeld, Kirk H Waibel, Kendra L Jorgensen-Wagers, Ronald S Keen, Jennifer N Brown, Hunter A Hearn, Ashley L Jack, Irma Black, Edwin Ortiz-Rosado
OBJECTIVE: This report outlines a multispecialty implementation effort which included 12 specialty practices and 28 clinicians within Regional Health Command Europe (RHCE) and Landstuhl Regional Medical Center (LRMC) to pilot an in-home virtual health (VH) program using existing resources. METHODS AND MATERIALS: Synchronous VH encounters were performed using an Acano desktop conferencing client (Cisco Systems, Inc, San Jose, CA) and a USB web camera at the provider (distant) site and the patient's own computer or device in the home...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623399/lessons-learned-military-screening-for-posttraumatic-stress-disorder
#7
Tiffany L Schweitzer, Earla J White, Ronald P Hudak
The purpose of this study was to assist military communities of interest to more accurately identify service members who may have emotional and behavior disorders. Specifically, this study identifies service members' perceptions of the Department of Defense Post-Deployment Health Reassessment (PDHRA) screening instrument for posttraumatic stress disorder (PTSD). Findings were that responses to the PDHRA were related to how it was administered and the respondents' perceptions of how the PTSD diagnosis could affect the ability to obtain jobs and obtain promotions...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623398/motivational-guest-speaker-presentation-as-an-anti-stigma-intervention-for-us-army-soldiers
#8
Rohul Amin, Sarah C McLeroy, Victor M Johnson
Stigma towards mental illness represents a significant challenge. No specific anti-stigma military training curricula currently exists. An infantry division sought to reduce stigma by inviting 2 guest speakers to address Soldiers. The intervention was designed on social contact theory and executed as a quality improvement project. The intervention was speakers self-disclosing their own mental health struggles and having the audience contact with persons from the stigmatized group. Postintervention evaluation (N=361) demonstrated significant reduction in stigma scores (t=8...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623397/evaluation-of-nu-flexsiv-socket-performance-for-military-service-members-with-transfemoral-amputation
#9
Starr E Brown, Elizabeth Russell Esposito, Andrea J Ikeda, Jason M Wilken, Stefania Fatone
Ischial containment sockets are the current standard of care for military service members with transfemoral amputation. However, they fit intimately with the ischium, which may limit hip motion and contribute to proximal socket discomfort, a common complaint among prosthesis users. Subischial sockets, such as the newly described Northwestern University Flexible Subischial Vacuum (NU-FlexSIV) Socket technique, do not interact with the ischium, potentially increasing hip motion and improving comfort. PURPOSE: To transfer the NU-FlexSIV Socket technique to military prosthetists and evaluate performance among military service members with transfemoral amputation...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623396/human-papillomavirus-incidence-and-sexually-transmitted-coinfections-among-us-military-recruits-2009-2015
#10
Paul O Kwon, Jenny Lay, David Hrncir, Lynn Levin
No abstract text is available yet for this article.
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623395/the-etiology-of-injuries-in-us-army-initial-entry-training
#11
Veronique D Hauschild, Terrence Lee, Stephen Barnes, Lanna Forrest, Keith Hauret, Bruce H Jones
BACKGROUND: US Army initial entry training (IET) trainees engage in intense physical activities for 10 or more weeks prior to their assignment to operational units. Many trainees succumb to injury during IET. Injuries to the lower extremities and back have historically been the most common, and thus have been the focus of routine health surveillance. OBJECTIVES: The primary goal of this analysis was to verify the training-related injuries of greatest concern and to update the clinical diagnostic codes (ICD-10-CM) used in surveillance...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623394/risk-factors-for-sprains-and-strains-among-physically-active-young-men-a-us-army-study
#12
Robyni C Martin, Tyson Grier, Michelle Canham-Chervak, Timothy T Bushman, Morgan K Anderson, Esther O Dada, Bruce H Jones
This investigation aimed to identify risk factors for lower extremity sprain/strain injuries in physically active men. Lower extremity (LE) sprain/strain injuries are a significant source of morbidity among physically active populations. Data on and risk factors for injuries, including personal characteristics, and physical training and fitness were obtained from male Soldiers in an operational US Army division (N=6,865) by survey. Injury risks, risk ratios (RR), odds ratios (OR), and 95% confidence intervals (95% CI) were calculated...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623393/injury-mechanisms-activities-and-limited-work-days-in-us-army-infantry-units
#13
Michelle Canham-Chervak, Catherine Rappole, Tyson Grier, Bruce H Jones
Injuries are a leading health and readiness concern for the US Army. For effective prevention planning, details concerning circumstances associated with injuries are needed. Over 5,000 Soldiers were surveyed to collect demographic and injury details (type, body part, mechanism, activity, limited duty days); 874 reported an injury within 6 months of survey administration. The greatest proportion of limited duty time was associated with knee (19.2%), ankle (14.8%), and lower back injuries (12.9%). Overexertion was the leading injury mechanism (43...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30623392/infection-precedes-heterotopic-ossification-in-combat-wounded
#14
Jessica K Juarez, Mary Jo Pugh, Joseph C Wenke, Jessica C Rivera
Heterotopic ossification is the formation of ossified bone in soft tissue, particularly after soft tissue trauma. Heterotopic ossification is known cause of pain, prosthetic/orthotic malfit, and reoperation following combat extremity injury. The purpose of this research was to examine injury and treatment characteristics that are associated with heterotopic ossification in a broader population of deployment-injured subjects. The Department of Defense Trauma Registry and Military Orthopaedic Trauma Registry was queried for a sample of deployment-injured subjects and the complication of heterotopic ossification...
July 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30165726/hydration-strategies-for-the-female-tactical-athlete
#15
REVIEW
Taylor K Zak, Christina M Hylden, Anthony E Johnson
With unprecedented expansion of the roles of women in the military and the longest period of continuous active combat in US history, it is time that research expanded, including the nutritional and hydration requirements of the female tactical athlete. Dehydration has a negative effect on athletic performance, most significantly in high intensity, aerobic endurance activities. There is evidence female athletes may be more prone to the potentially lethal effects of over hydration. The purpose of this article is to provide a review of the literature to ascertain optimal hydration strategies for the female tactical athlete...
January 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30165725/barriers-to-physical-activity-among-military-hospital-employees
#16
Darren Hearn, Anna Schuh-Renner, Michelle Canham-Chervak, Elina Urli Hodges, Lori Evarts
No abstract text is available yet for this article.
January 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30165724/missed-opportunities-in-human-papillomavirus-vaccination-uptake-among-us-air-force-recruits-2009-2015
#17
Paul O Kwon, Jenny Lay, David Hrncir, Lynn Levin
No abstract text is available yet for this article.
January 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30165723/developing-medical-surveillance-examination-guidance-for-new-occupational-hazards-the-imx-101-experience
#18
W Scott Monks
New materials are constantly being created to address the operational needs of the US Army. These materials provide challenges to occupational health practitioners by presenting unknown health risks and possible effects to workers they evaluate. The responsibility for developing a medical surveillance exam, as part of a comprehensive workplace surveillance program, may become the responsibility of the provider working in a clinic on a military installation where manufacturing, testing, and/or use of the material is being conducted...
January 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30165722/public-health-response-to-imported-mumps-cases-fort-campbell-kentucky-2018
#19
John W Downs
Mumps is an acute viral disease caused by a paramyxovirus that presents with fever and swelling of one or more of the salivary glands. Although not generally considered a disease of military importance, mumps has been associated with outbreaks among young adults in close living quarters, potentially placing Soldiers at risk for transmission of mumps when living in congregated settings. This article reports a recent public health response to 3 imported mumps cases occurring at Fort Campbell, Kentucky, that resulted in a contact investigation for 109 close contacts across varied settings...
January 2018: U.S. Army Medical Department Journal
https://read.qxmd.com/read/30165721/optimizing-mission-specific-medical-threat-readiness-and-preventive-medicine-for-service-members
#20
Caroline A Toffoli
Deployments and mobilizations of Army Soldiers have been continuing processes and will be sustainable requirements for the foreseeable future. Global deployments often position service members in austere environments that can include exposure to biological threats that can significantly affect their health and medical readiness. Unit commanders and operations personnel bear the responsibility for researching and disseminating up-to-date information on potential biological threats including vector-borne diseases and zoonotic diseases...
January 2018: U.S. Army Medical Department Journal
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