Telemedicine for Potential Application in Austere Military Environments: Neurosurgical Support for a Decompressive Craniectomy
CONCLUSIONS: It is feasible to provide telemedicine neurosurgical support with a HMD during a decompressive craniectomy performed by a non-neurosurgically trained military surgeon. All military surgeons showed competence in performing a decompressive craniectomy after receiving a standardized concise lecture. The use of a HMD clearly demonstrated the potential to improve the quality of these neurosurgical procedures performed by military surgeons.PMID:38547413 | DOI:10.1093/milmed/usae094 (Source: Military Medicine)
Source: Military Medicine - March 28, 2024 Category: International Medicine & Public Health Authors: Pieter W Stark O J F van Waes John S Soria van Hoeve Boudewijn L S Borger van der Burg Rigo Hoencamp Source Type: research

The Impact of a Pandemic on a Military Oral and Maxillofacial Pathology Biopsy Service
CONCLUSIONS: Overall, preventative COVID-19 health measures and protocols resulted in a reduction in biopsy submission frequency, particularly during the second quarter (April to June) of 2020. However, case counts for malignant biopsies remained consistent between pre-COVID and COVID time intervals, suggesting that the identification and analysis of cases requiring follow-on care were unaffected by COVID-19 protocols.PMID:38536204 | DOI:10.1093/milmed/usae102 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Trevor E Miller Noel E Dickens Matthew R Rehmel Bradley E Jones Nicholas J Hamlin Quinn C Robbins Source Type: research

Identifying Risk Factors for Dental Emergency Visits in the US Army
CONCLUSION: This study supports a relationship between demographics, oral health characteristics, and dental emergencies. Age may be related to service members entering the military with untreated or managed dental needs, notably around the age of third molar eruption. Sex differences may be related to willingness or preference to utilize non-emergency dental care visits. The inverse relationship between caries risk and dental emergencies could be due to identification and management of high caries risk patients. This project highlights the need for further study and increasingly discrete measurement of oral health care ch...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Patrick J Arbuckle Thomas Beltran Erik Reifenstahl Source Type: research

Don't Overlook Syphilis: An Atypical Rash in a Woman With Neurologic, Ocular, and Otic Involvement
We present a case of a 20-year-old immunocompetent heterosexual woman who presented with a rash atypical for secondary syphilis and accompanied by neurologic, ocular, and otic manifestations. This case highlights the importance of considering syphilis in the differential diagnosis of sexually active patients with a rash, even when their clinical presentations do not align with the textbook description of a syphilitic rash. Health care providers must remain vigilant for the diagnosis of syphilis in diverse clinical contexts, as early recognition and treatment are vital to prevent further syphilitic complications and transmi...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Elena M Crouch Michael T O Stein Matthew R Geringer Aeja Weiss Molly Stalons Jamie L Geringer Source Type: research

Deployment-related Cigarette Smoking Behaviors and Pulmonary Function Among U.S. Veterans
CONCLUSIONS: Although cumulative pack-years smoking was modest in this cohort, an inverse association with pulmonary function was detectable. Deployment-related pack-years had a similar association with pulmonary function compared to non-deployment-related pack-years.PMID:38536226 | DOI:10.1093/milmed/usae049 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Jennifer R Maccarone Olivia R Sterns Andrew Timmons Anna M Korpak Nicholas L Smith Karen S Nakayama Coleen P Baird Paul Ciminera Farrah Kheradmand Vincent S Fan Jaime E Hart Petros Koutrakis Michael Jerrett Ware G Kuschner Octavian C Ioachimescu Philippe Source Type: research

Correction To: Maxillofacial Surgery in Ukraine During a War: Challenges and Perspectives-A National Survey
Mil Med. 2024 Mar 27:usae119. doi: 10.1093/milmed/usae119. Online ahead of print.NO ABSTRACTPMID:38537120 | DOI:10.1093/milmed/usae119 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research

Correction To: Dynamics of the Oral Microbiome During Initial Military Training at Fort Benning, Georgia
Mil Med. 2024 Mar 27:usae130. doi: 10.1093/milmed/usae130. Online ahead of print.NO ABSTRACTPMID:38537122 | DOI:10.1093/milmed/usae130 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research

Prediction of Occult Hemorrhage in the Lower Body Negative Pressure Model: Initial Validation of Machine Learning Approaches
CONCLUSIONS: Multivariate ensemble machine learning-based approaches for the prediction of hemodynamic instability appear to hold promise for the development of effective solutions. In the lower body negative pressure multivariate hemorrhage model, predictions based only on noninvasive measurements performed comparably to those using both invasive and noninvasive measurements.PMID:38537150 | DOI:10.1093/milmed/usae061 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Navid Rashedi Yifei Sun Vikrant Vaze Parikshit Shah Ryan Halter Jonathan T Elliott Norman A Paradis Source Type: research

Female-Specific Health Care of Military Female-Designated Service Members and Veterans: A Systematic Overview of Reviews
CONCLUSIONS: Female-designated military populations serving during periods of war face unique health challenges that should be considered in screening practices and the delivery of trauma informed care. Further research and reviews are needed for female-specific oncology, fertility, abortion access, and sexual and non-binary and expansive gender identities to better capture female-designated service member and veteran health during wartime and beyond.PMID:38537156 | DOI:10.1093/milmed/usae101 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Megan C McDermott Megan G Musilli Jill E Brown John L Melton Michael J Miller Rhonda J Allard Monica A Lutgendorf Source Type: research

The Impact of a Pandemic on a Military Oral and Maxillofacial Pathology Biopsy Service
CONCLUSIONS: Overall, preventative COVID-19 health measures and protocols resulted in a reduction in biopsy submission frequency, particularly during the second quarter (April to June) of 2020. However, case counts for malignant biopsies remained consistent between pre-COVID and COVID time intervals, suggesting that the identification and analysis of cases requiring follow-on care were unaffected by COVID-19 protocols.PMID:38536204 | DOI:10.1093/milmed/usae102 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Trevor E Miller Noel E Dickens Matthew R Rehmel Bradley E Jones Nicholas J Hamlin Quinn C Robbins Source Type: research

Identifying Risk Factors for Dental Emergency Visits in the US Army
CONCLUSION: This study supports a relationship between demographics, oral health characteristics, and dental emergencies. Age may be related to service members entering the military with untreated or managed dental needs, notably around the age of third molar eruption. Sex differences may be related to willingness or preference to utilize non-emergency dental care visits. The inverse relationship between caries risk and dental emergencies could be due to identification and management of high caries risk patients. This project highlights the need for further study and increasingly discrete measurement of oral health care ch...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Patrick J Arbuckle Thomas Beltran Erik Reifenstahl Source Type: research

Don't Overlook Syphilis: An Atypical Rash in a Woman With Neurologic, Ocular, and Otic Involvement
We present a case of a 20-year-old immunocompetent heterosexual woman who presented with a rash atypical for secondary syphilis and accompanied by neurologic, ocular, and otic manifestations. This case highlights the importance of considering syphilis in the differential diagnosis of sexually active patients with a rash, even when their clinical presentations do not align with the textbook description of a syphilitic rash. Health care providers must remain vigilant for the diagnosis of syphilis in diverse clinical contexts, as early recognition and treatment are vital to prevent further syphilitic complications and transmi...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Elena M Crouch Michael T O Stein Matthew R Geringer Aeja Weiss Molly Stalons Jamie L Geringer Source Type: research

Deployment-related Cigarette Smoking Behaviors and Pulmonary Function Among U.S. Veterans
CONCLUSIONS: Although cumulative pack-years smoking was modest in this cohort, an inverse association with pulmonary function was detectable. Deployment-related pack-years had a similar association with pulmonary function compared to non-deployment-related pack-years.PMID:38536226 | DOI:10.1093/milmed/usae049 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Jennifer R Maccarone Olivia R Sterns Andrew Timmons Anna M Korpak Nicholas L Smith Karen S Nakayama Coleen P Baird Paul Ciminera Farrah Kheradmand Vincent S Fan Jaime E Hart Petros Koutrakis Michael Jerrett Ware G Kuschner Octavian C Ioachimescu Philippe Source Type: research

Correction To: Maxillofacial Surgery in Ukraine During a War: Challenges and Perspectives-A National Survey
Mil Med. 2024 Mar 27:usae119. doi: 10.1093/milmed/usae119. Online ahead of print.NO ABSTRACTPMID:38537120 | DOI:10.1093/milmed/usae119 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research

Correction To: Dynamics of the Oral Microbiome During Initial Military Training at Fort Benning, Georgia
Mil Med. 2024 Mar 27:usae130. doi: 10.1093/milmed/usae130. Online ahead of print.NO ABSTRACTPMID:38537122 | DOI:10.1093/milmed/usae130 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research