Returning to Work After Traumatic Spine Fractures: Current Status in a Military Hospital
CONCLUSION: RTW is an important aspect that needs to be taken into consideration by health care providers. We found that age and high surgery time, blood loss, and hospital stay are significantly impacting patients' RTW after operated TSF.PMID:38343205 | DOI:10.1093/milmed/usae012 (Source: Military Medicine)
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Abdulrahman Yousef Alhabeeb Faisal Konbaz Sami Aleissa Ghada S Alhamed Thamer S Alhowaish Moustafa S Alhamadh Emad Masuadi Majed Abalkhail Fahad AlHelal Anouar Bourghli Source Type: research
Disparities in Demographics in Hip Arthroplasty Between U.S. Active Duty Military and the ACS-NSQIP Clinical Registry
CONCLUSIONS: Patients in the MHS are undergoing THA at a younger age and are more likely to be male compared to the general population. A significant portion of primary THAs in the MHS are also being performed at civilian institutions. These demographics may result in increased risk of revision; however, long-term studies are warranted to evaluate survivorship in this unique population.PMID:38345083 | DOI:10.1093/milmed/usae029 (Source: Military Medicine)
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Vivek M Abraham Joshua M Junge Greg Booth Aaron A Olsen George C Balazs Ashton H Goldman Source Type: research
Nonpharmacological Therapies for Musculoskeletal Injury in Military Personnel: A Systematic Review/Meta-Analysis
CONCLUSION: Evidence showed small beneficial effects in pain, strength, and physical performance by individual body regions for some interventions, compared to controls. The best evidence for a positive effect was for the knee. The findings suggest that some benefit may be obtained by including several treatments during deployment in austere environments and prolonged casualty care scenarios of military personnel with MSK injuries. Further research is warranted to better assess the potential benefits of using these treatments during deployments in austere environments as part of an individualized, multimodal approach for M...
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Laura A Talbot Lin Wu Christopher H Morrell David F Bradley Vanessa J Ramirez Ross M Scallan Pilar D Zuber Kayla Enochs Jesse Hillner Mathias Fagan E Jeffrey Metter Source Type: research
Chlamydial Proctitis Mimicking Inflammatory Bowel Disease in a Young Active Duty Sailor With Undiagnosed Human Immunodeficiency Virus Infection: A Case Report
We present the case of a young male sailor with subacute rectal bleeding who was hospitalized with initial concern for an index presentation of IBD. Endoscopic evaluation revealed proctitis although findings were atypical for inflammation related to IBD. Acquisition of additional history revealed that he had both receptive and insertive anal intercourse with both male and female partners. A full STI screening, including HIV was performed. Results were positive for both rectal C. trachomatis and HIV antigen and antibody serology, which were confirmed as HIV-1 on confirmatory testing. He was treated with doxycycline for his ...
Source: Military Medicine - February 12, 2024 Category: International Medicine & Public Health Authors: Logan Oliver Kevin Pak Adam Maier Brett Sadowski Source Type: research
Cervical Disc Displacement in Military Pilots
CONCLUSIONS: The U.S. Military helicopter pilots have an increased risk compared to fixed-wing pilots and non-pilot controls. CDD remains a rare, though career-threatening, condition. Increased education and awareness training are warranted for both helicopter pilots and flight physicians to recognize signs and symptoms of cervical pathology. Continued investigations into preventive measures to minimize injury and time unfit for flight are warranted.PMID:38334294 | DOI:10.1093/milmed/usae021 (Source: Military Medicine)
Source: Military Medicine - February 9, 2024 Category: International Medicine & Public Health Authors: Patrick J Tansey Cory F Janney Daniel C Jupiter Matthew Henriques Pouya Alijanipour Patrick B Morrissey Source Type: research
Correction To: Pain Catastrophizing Mediates the Relationship Between Pain Intensity and Sleep Disturbances in U.S. Veterans With Chronic Pain
Mil Med. 2024 Feb 5:usae020. doi: 10.1093/milmed/usae020. Online ahead of print.NO ABSTRACTPMID:38330075 | DOI:10.1093/milmed/usae020 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Source Type: research
Suspected Mal de Debarquement Syndrome: A Case Report Highlighting the Difficulty in Diagnosis and Management
We present the case of a young, female active duty Air Force Captain who developed symptoms while deployed. She underwent multiple treatments with variable success. Her clinical course highlights the difficulties for patients and providers posed by suspected MdDS.PMID:38330077 | DOI:10.1093/milmed/usae014 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Nathan M Tommas Meagan Ferguson Source Type: research
Impact of Overseas Deployment on Fatty Liver and Metabolic Diseases Among Korean Soldiers
CONCLUSIONS: Metabolic biomarkers improved, and the prevalence of metabolic diseases decreased significantly during OD. However, personnel with long-term deployment did not experience significant improvements in these parameters. Further analysis is needed to identify the factors influencing these discrepancies.PMID:38330091 | DOI:10.1093/milmed/usae016 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Chang In Han Jaejun Lee Source Type: research
When a Critically Ill Child is Oceans Away From a PICU: A Military Pediatric CCAT Mission
Mil Med. 2024 Feb 5:usae013. doi: 10.1093/milmed/usae013. Online ahead of print.ABSTRACTA 4-year-old former 26-week premature male presented to the U.S. Naval Hospital Guam emergency department in respiratory failure secondary to human metapneumovirus requiring urgent intubation. His condition was complicated by a bradycardic arrest requiring 15 minutes of resuscitation before the return of circulation. He was admitted to the adult intensive care unit and was managed via pediatric telecritical care from San Diego. He developed acute respiratory distress syndrome, acute renal failure, hypotension requiring multiple pressors...
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Kevin M Brinkman Luke Zabrocki Noelle Cadotte Ren ée I Matos Source Type: research
The Value of Strength as a Predictor of Musculoskeletal Injury in Canadian Armed Forces Basic Infantry Candidates
CONCLUSION: This study provides preliminary support for the value of measures of absolute muscular strength and cardiorespiratory fitness as predictors of MSKI in Canadian basic infantry candidates. Given the associations between physical performance measures and MSKI, and their necessity during occupational tasks, it is recommended that Canadian basic infantry training facilities integrate resistance training with external loads to best prepare their candidates to meet their occupational demands and potentially minimize MSKI. Further investigations to confirm the predictive capacity of these variables in a larger sample a...
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Eric Robitaille Tara Reilly Scott Heipel Hollie Buttici Etienne Chasse Hans Christian Tingelstad Source Type: research
Quantitative Analysis of Condition-based Limited Duty Duration of Musculoskeletal Conditions
CONCLUSIONS: The new condition-based LIMDU paradigm is successful in its aim to improve fleet readiness by returning Sailors and Marines to full duty status significantly faster. Regular assessment of ICD-10 diagnosis codes and update to recommended LIMDU assignment timelines should be conducted to maximize the effectiveness and accuracy for all medical conditions.PMID:38330163 | DOI:10.1093/milmed/usae010 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Christopher S Smith Laura Yoon Julia N Zuppke Mike Zundel Source Type: research
The Impact of Military Tobacco Control Policy: A Systematic Review
CONCLUSIONS: There is reasonable evidence to support that the tobacco control policy employed in the military population has multiple positive impacts in reducing the prevalence of TNCP use, increasing the cessation rates, reducing the intake, and lowering dependency. Other evidence-based strategies need to be fully utilized to materialize the tobacco endgame.PMID:38330180 | DOI:10.1093/milmed/usad507 (Source: Military Medicine)
Source: Military Medicine - February 8, 2024 Category: International Medicine & Public Health Authors: Muhamad Arham Bin Hashim Khairul Fikri Bin Sebri Muhammad Faiz Bin Mohd Hanim Diyana Shereen Binti Anwar Nawwal Alwani Binti Mohd Radzi Ahmad Farhan Bin Ahmad Fuad Budi Aslinie Binti Md Sabri Source Type: research
Incidence and Risk Factors for Bone Stress Injuries in United States Air Force Special Warfare Trainees
CONCLUSION: BSI incidence proportion for our sample was similar to those seen in other military settings. Military trainees without a history of high-impact sports participation who achieve lower scores on sit-ups tests and have a history of LE MSKI have a higher risk for developing a LE BSI during the first 120 days of AFSPECWAR training.PMID:38324749 | DOI:10.1093/milmed/usae017 (Source: Military Medicine)
Source: Military Medicine - February 7, 2024 Category: International Medicine & Public Health Authors: Andrew S Johnson Jean-Michel Brism ée Troy L Hooper Courtney N Hintz Benjamin R Hando Source Type: research
A Pathophysiological Approach for Selecting Medications to Treat Nociceptive and Neuropathic Pain in Servicemembers
DISCUSSION: From the knowledge of the mechanisms of action and pathways, we can be more likely to identify the causative origins of pain. As a result, we can correctly diagnose the type of pain, properly develop an efficient and personalized treatment plan, minimize adverse effects, and optimize clinical outcomes. The guideline, however, does not serve as a substitute for clinical judgment in patient-centered decision-making. Medication choices should be individualized judiciously based on the patient's comorbid conditions, available social and economic resources, and the patient's preferences to balance the benefits and r...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Khan Thi Nguyen Daniel W Beauchamp Reginald B O'Hara Source Type: research
Examining the Intersection of Strategic Thinking and Continuous Process Improvement Through the Lens of Military Medical Education to Build a Novel Model
This study aimed to create a novel and streamlined strategic planning model that combined best practices from continuous process improvement and strategic thinking without redundancy. A qualitative descriptive case study was used to analyze the detailed efforts through content analysis of 150 pages of documentation. A hybrid approach to coding uncovered 44 deductive codes and 5 inductive codes from 10 strategic tools. Results indicated a converging relationship between all strategic processes tested-strategic planning, strategic thinking, and continuous process improvement and their associated tools. A five-step model call...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Melanie M Lazarus Ruth L Bush Sara McNeil Source Type: research
