A Comprehensive Summary of the Meta-Analyses and Systematic Reviews on Platelet-Rich Plasma Therapies for Knee Osteoarthritis
CONCLUSION: The results of this review support the efficacy of PRP for relieving symptoms of pain and improving function, stiffness, and quality of life for patients experiencing knee OA within 12 months. As a result, leukocyte-poor-PRP could be considered for members of the CAF with mild to moderate knee OA (Kellgren-Lawrence grades 1-3) to slow the progression of OA and extend the military careers of CAF members. There continues to be a need for future studies to investigate the longer-term effects of PRP to verify sustained benefits at follow-up points greater than 12 months, including findings of improvement in a delay...
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Emily Mende Ryan J Love Jody-Lynn Young Source Type: research
An Augmented Reality Rifle Qualification Test for Return-to-Duty Assessment in Service Members
CONCLUSION: The complex scenario provoked dual-task interference in SMs as evidenced by worsening postural sway and reaction time differences between the cognitive and motor tasks. An AR RQT provides objective and quantitative outcomes during a military-specific task. Greater precision in evaluating cognitive and motor performance during a military-relevant task has the potential to aid in the detection and management of SMs and their RTD following MTBI.PMID:38422491 | DOI:10.1093/milmed/usae028 (Source: Military Medicine)
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Ryan D Kaya Karissa Hastilow Kelsey M Owen Eric M Zimmerman Anson B Rosenfeldt Jay L Alberts Source Type: research
A Novel Peritoneal Packing Method for Management of Hyperkalemia During Acute Kidney Injury in Trauma
CONCLUSIONS: This is the first demonstration of an effective technology for the management of hyperkalemia in trauma in the absence of standard of care; renal replacement therapy. We identified that PBP was able to consistently maintain a concentration gradient between dialysate in the peritoneum and system potassium concentration throughout the experiment. Furthermore, systemic potassium concentrations were reduced in a clinically relevant manner in the PBP group compared to CON. This suggests that peritoneal packing technology for the management of metabolic disturbances in trauma has potential for clinical application. ...
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Eric M Zimmerman Ian J Stewart Todd L Graham Timothy J Kovacs Tamaz Guliashvili Thomas D Golobish James D Ross Source Type: research
Mental and Physical Health-Related Quality of Life Following Military Polytrauma
CONCLUSIONS: Overall, HRQoL increased during the 2-year follow-up period, driven by PCS improvement. Increasing HRQoL was associated with time since hospital discharge and limb amputation, whereas a downward trend in HRQoL was associated with spinal injury and post-discharge infection. The longitudinal decline in MCS, driven by TBI occurrence, time since hospital discharge, and developing post-discharge infections, emphasizes the importance of longitudinal mental health care in this population.PMID:38421743 | DOI:10.1093/milmed/usae055 (Source: Military Medicine)
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Jay R McDonald Matthew Wagoner Faraz Shaikh Erica Sercy Laveta Stewart Emma R Knapp John L Kiley Wesley R Campbell David R Tribble Source Type: research
A Comprehensive Summary of the Meta-Analyses and Systematic Reviews on Platelet-Rich Plasma Therapies for Knee Osteoarthritis
CONCLUSION: The results of this review support the efficacy of PRP for relieving symptoms of pain and improving function, stiffness, and quality of life for patients experiencing knee OA within 12 months. As a result, leukocyte-poor-PRP could be considered for members of the CAF with mild to moderate knee OA (Kellgren-Lawrence grades 1-3) to slow the progression of OA and extend the military careers of CAF members. There continues to be a need for future studies to investigate the longer-term effects of PRP to verify sustained benefits at follow-up points greater than 12 months, including findings of improvement in a delay...
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Emily Mende Ryan J Love Jody-Lynn Young Source Type: research
An Augmented Reality Rifle Qualification Test for Return-to-Duty Assessment in Service Members
CONCLUSION: The complex scenario provoked dual-task interference in SMs as evidenced by worsening postural sway and reaction time differences between the cognitive and motor tasks. An AR RQT provides objective and quantitative outcomes during a military-specific task. Greater precision in evaluating cognitive and motor performance during a military-relevant task has the potential to aid in the detection and management of SMs and their RTD following MTBI.PMID:38422491 | DOI:10.1093/milmed/usae028 (Source: Military Medicine)
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Ryan D Kaya Karissa Hastilow Kelsey M Owen Eric M Zimmerman Anson B Rosenfeldt Jay L Alberts Source Type: research
Persistent MRI Findings Unique to Blast and Repetitive Mild TBI: Analysis of the CENC/LIMBIC Cohort Injury Characteristics
CONCLUSIONS: In deployment-related mTBI, significant findings in this cohort were only observed when considering mTBI sub-groups (blast mechanism and total number/dose). Simply comparing healthy controls and those with a positive mTBI history is likely an oversimplification that may lead to non-significant findings, even in consortium analyses.PMID:38401164 | DOI:10.1093/milmed/usae031 (Source: Military Medicine)
Source: Military Medicine - February 24, 2024 Category: International Medicine & Public Health Authors: David F Tate Benjamin S C Wade Carmen S Velez Erin D Bigler Nicholas D Davenport Emily L Dennis Carrie Esopenko Sidney R Hinds Jacob Kean Eamonn Kennedy Kimbra Kenney Andrew R Mayer Mary R Newsome Carissa L Philippi Mary J Pugh Randall S Scheibel Brian A Source Type: research
Medication Trends in the Military: A Comparative Analysis of Prescribing Patterns Among Service Members Seen by a Pharmacist and Implications for Medical Readiness
CONCLUSIONS: Understanding medication patterns among ADSMs may be able to help health care professionals proactively address pharmacological challenges and optimize pharmaceutical use in this unique population. This knowledge can also aid in the development of training modules focused on medication side effects, interactions, counseling, and implications on military deployment for the most commonly used medications. Future examination into prescribing cascades and medication use related to proton-pump inhibitors, docusate, benzonatate, and muscle relaxants may identify opportunities to provide better care or lower cost.PMI...
Source: Military Medicine - February 23, 2024 Category: International Medicine & Public Health Authors: Ryan C Costantino Laura E Gressler Lee Ann Zarzabal Cynthia M Vasquez Richard Juneau Source Type: research
A Pilot Study Using a Standardized Trauma Assessment Tool After Tactical Combat Casualty Care Course: A Comparison of the United States and Ghana
CONCLUSION: This study demonstrates use of a standardized scenario with graded checklist to compare between international programs. This can be used to and expanded to compare programs and support quality assurance and medical interoperability.PMID:38394453 | DOI:10.1093/milmed/usae034 (Source: Military Medicine)
Source: Military Medicine - February 23, 2024 Category: International Medicine & Public Health Authors: Catherine C Polley Rossi Adu-Gyamfi Tawfik Mahama-Toure Fattal Okpoti Konney Emmanuel Oti-Boateng Lawrence Nsohlebna Nsoh Timothy Ballard Source Type: research
Medication Trends in the Military: A Comparative Analysis of Prescribing Patterns Among Service Members Seen by a Pharmacist and Implications for Medical Readiness
CONCLUSIONS: Understanding medication patterns among ADSMs may be able to help health care professionals proactively address pharmacological challenges and optimize pharmaceutical use in this unique population. This knowledge can also aid in the development of training modules focused on medication side effects, interactions, counseling, and implications on military deployment for the most commonly used medications. Future examination into prescribing cascades and medication use related to proton-pump inhibitors, docusate, benzonatate, and muscle relaxants may identify opportunities to provide better care or lower cost.PMI...
Source: Military Medicine - February 23, 2024 Category: International Medicine & Public Health Authors: Ryan C Costantino Laura E Gressler Lee Ann Zarzabal Cynthia M Vasquez Richard Juneau Source Type: research
A Pilot Study Using a Standardized Trauma Assessment Tool After Tactical Combat Casualty Care Course: A Comparison of the United States and Ghana
CONCLUSION: This study demonstrates use of a standardized scenario with graded checklist to compare between international programs. This can be used to and expanded to compare programs and support quality assurance and medical interoperability.PMID:38394453 | DOI:10.1093/milmed/usae034 (Source: Military Medicine)
Source: Military Medicine - February 23, 2024 Category: International Medicine & Public Health Authors: Catherine C Polley Rossi Adu-Gyamfi Tawfik Mahama-Toure Fattal Okpoti Konney Emmanuel Oti-Boateng Lawrence Nsohlebna Nsoh Timothy Ballard Source Type: research
