The Fascial Distortion Model in Military Aircrew with Chronic Neck Pain: A Case Study
Mil Med. 2024 Jan 30:usae008. doi: 10.1093/milmed/usae008. Online ahead of print.ABSTRACTMusculoskeletal pain can be a significant safety risk to aircrew. Flight surgeons are the primary care providers for aircrew and are responsible for safely treating musculoskeletal pain. Certain medical interventions can be used to treat pain while maintaining the ability to fly safely. A previous F-18 Naval Flight Officer presented to the flight surgeon with chronic neck pain seeking noninvasive and nonpharmacological therapy. After one Osteopathic Manual Treatment session using the Fascial Distortion Model (FDM), the patient had impr...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Allison J Fullenkamp Source Type: research
Feeling the Strain: Understanding the Relationship between Stress and Physical Activity in Members of the Royal Canadian Navy
CONCLUSIONS: The findings of this study support a complex relationship between experiencing stress and engaging in physical activity, which showed varying patterns based on BMI classification. Although the cross-sectional nature of the data precludes any inferences about the direction of these effects, the results suggest that some members of the RCN are more at risk of experiencing decrements in physical activity. Future research should examine the types of physical activity supports and incentives that are needed to ensure that navy personnel derive the benefits of an active lifestyle, especially in times of stress.PMID:...
Source: Military Medicine - February 1, 2024 Category: International Medicine & Public Health Authors: Eva Gu érin Shannon Gottschall Source Type: research
Stability of One-Step Spray-on Splint for Lower Extremity Fractures During Splinting, MEDEVAC, and Impact
CONCLUSION: FastCast maintains stabilization of fractured lower extremities during transport and impacts to a significantly greater extent than SAM splints. Therefore, FastCast can potentially reduce the risk of fracture complications following physical stressors associated with combat and extraction.PMID:38294066 | DOI:10.1093/milmed/usae001 (Source: Military Medicine)
Source: Military Medicine - January 31, 2024 Category: International Medicine & Public Health Authors: C Grace P Hobayan Nathaniel A Bates John Heyniger Kenan Alzouhayli Franco Piscitani Clifton R Haider Christopher Felton Adam T Groth Kevin D Martin Source Type: research
Disguised Among the Sea: The Implications of Artificial Islands on Casualty Care in the Indo-Pacific
Mil Med. 2024 Jan 23:usae002. doi: 10.1093/milmed/usae002. Online ahead of print.ABSTRACTAs reported in the 2022 Biden-Harris National Security Strategy, China is perceived as the primary U.S. competitor with the intent and means to become the world's greatest superpower. China's efforts, which are at odds with America's ambition to maintain its global influence, are complemented by ostensibly harmless "gray zone tactics," defined as coercive geopolitical, economic, military, and cyber activities below the use of kinetic military force. Such tactics may be utilized with seemingly innocuous intentions, but in reality, they ...
Source: Military Medicine - January 31, 2024 Category: International Medicine & Public Health Authors: Ryan M Leone Mason H Remondelli Jason B Brill Jay B Baker Source Type: research
Return to Sport and Duty in French Military Personnel after Medial Opening Wedge High Tibial Osteotomy
CONCLUSIONS: A total of 83% of the operated soldiers were able to return to their professional activities in less than 6 months. We observed a functional improvement at the last follow-up. Comparing these results with data from civilian populations, the rate of occupational recovery is comparable. However, the return to sport is much better in the series of nonmilitary patients with approximately 90% return to work and sport in the year following surgery. MOWHTO improves the functional results of the knee, enabling a return to work and sport in most cases in young, active populations such as the French military.PMID:382941...
Source: Military Medicine - January 31, 2024 Category: International Medicine & Public Health Authors: Bernard de Geofroy Lucas Chateau Olivier Barbier Thomas Demoures S ébastien Coste Laurent Mathieu Nicolas de L'Escalopier Camille Choufani Source Type: research
Heart Rate Variability Biofeedback as a Treatment for Military PTSD: A Meta-Analysis
CONCLUSIONS: The present study is the first meta-analysis to examine HRVB as a treatment for military service members with PTSD. Results indicate that HRVB may be a viable treatment approach to reduce PTSD symptomatology. Low attrition rates, ease of accessibility, and favorable participant outlook serve as additional benefits for the use of HRVB.PMID:38287778 | DOI:10.1093/milmed/usae003 (Source: Military Medicine)
Source: Military Medicine - January 30, 2024 Category: International Medicine & Public Health Authors: Jordan Kenemore Grant Benham Ruby Charak Juventino Hernandez Rodriguez Source Type: research
Aerosolized Particulate Matter and Blunting of Ciliary Dynamic Responses: Implications for Veterans and Active Duty Military in Southwest Asia
CONCLUSIONS: There is a neutralization of the dynamic ciliary response following chronic particulate matter exposure, similar to ciliary pathologies observed in patients with chronic rhinosinusitis. Aerosolized particulate matter endured by military personnel in the Southwest Asia may cause dysfunctional mucociliary clearance; these data help to explain the increased prevalence of respiratory pathology in individuals who are or have been deployed in this region.PMID:38287786 | DOI:10.1093/milmed/usae007 (Source: Military Medicine)
Source: Military Medicine - January 30, 2024 Category: International Medicine & Public Health Authors: Alan D Workman Robert J Lee Noam A Cohen Source Type: research
An Assessment of Clinical Accuracy of Vital Sign-based Triage Tools Among U.S. and Coalition Forces
CONCLUSIONS: This study retrospectively applied seven triage tools to a database of 12,268 cases from the Department of Defense Trauma Registry to evaluate their performance in predicting early death or massive transfusion in combat. All scoring systems performed well with an AUROC >0.8 for both outcomes. Although the SI and MSI performed best for predicting massive transfusion (both had an AUROC of 0.89), they ranked last for assessment of mortality within 24 hours, with the other tools performing well. START, RTS, NTS, MGAP and GAP reliably identified early death and need for massive transfusion, with MGAP and GAP per...
Source: Military Medicine - January 29, 2024 Category: International Medicine & Public Health Authors: Tate E Vernon Michael D April Andrew D Fisher Julie A Rizzo Brit J Long Steven G Schauer Source Type: research
What We Know About Homeless Veterans With Other-than-honorable and Punitive Discharges: Data From the Grant and Per Diem (GPD) Program
CONCLUSIONS: The GPD program serves hundreds of homeless Veterans with OTH and Punitive discharges every year, but they seem to be at greater risk for negative health and psychosocial outcomes and do not have the same access to VA services as other Veterans. These findings may inform policy considerations about expanding VA care and opportunities for community providers to serve Veterans with OTH and Punitive discharges.PMID:38252587 | DOI:10.1093/milmed/usad485 (Source: Military Medicine)
Source: Military Medicine - January 22, 2024 Category: International Medicine & Public Health Authors: Eric Jutkowitz Ellen McCreedy Christopher Halladay Jack Tsai Source Type: research
Evaluation of Gender Disparity in Tactical Combat Casualty Care
CONCLUSIONS: A lack of female representation in trauma training may have contributed to the higher case fatality rate of female soldiers compared to male soldiers during Operation Enduring Freedom. Female live actors and Gender Retrofit Kits can augment trauma casualty assessment and treatment training scenarios and better prepare our forces to respond to life-threatening emergencies.PMID:38252890 | DOI:10.1093/milmed/usad455 (Source: Military Medicine)
Source: Military Medicine - January 22, 2024 Category: International Medicine & Public Health Authors: Shanna R Vaughan Timothy Ballard Pamela Ward-Demo Leslie Vojta Anwar E Ahmed Amy Costello Source Type: research
Dynamics of the Oral Microbiome During Initial Military Training at Fort Benning, Georgia
CONCLUSIONS: The temporary convergence of microbiomes is coincident with a rise in communicable infections in this population. The dynamic response of microbiomes during initial military training supports similar observations in the literature of transient convergence of the human microbiome under cohabitation in the time frame including in this experiment. This population and the associated longitudinal studies allow for controlled studies of human microbiome under diverse conditions.PMID:38243767 | DOI:10.1093/milmed/usad488 (Source: Military Medicine)
Source: Military Medicine - January 20, 2024 Category: International Medicine & Public Health Authors: Kristina K Zudock Robert Player Amanda Ernlund Collin M Timm Caroline E English Michael W Ellis David R Tribble D Scott Merrell Jason W Bennett Eugene V Millar Source Type: research
Expedited Provisionalization of a Missing Crown: A Case Report
Mil Med. 2024 Jan 18:usae004. doi: 10.1093/milmed/usae004. Online ahead of print.ABSTRACTProvisional restorations are required in fixed prosthodontics to protect a prepared tooth until a definitive restoration can be delivered. A patient sought treatment at a prosthodontics practice to replace a missing provisional crown until definitive treatment could be performed once the patient returned from a field exercise. This case report describes a novel way to provide a provisional restoration when other techniques are not feasible, which can be utilized in the clinic or in an austere environment.PMID:38245001 | DOI:10.1093/mil...
Source: Military Medicine - January 20, 2024 Category: International Medicine & Public Health Authors: Andrew S Ryser Steven E Handel Jennifer V Sabol Katie M Senkiw Source Type: research
Race Does Not Affect Rates of Surgical Complications at Military Treatment Facility
CONCLUSIONS: Risk-adjusted surgical complication rates do not vary by race at this military treatment facility. This suggests that postoperative racial disparities may be mitigated within a universal health care system.PMID:38241780 | DOI:10.1093/milmed/usad502 (Source: Military Medicine)
Source: Military Medicine - January 19, 2024 Category: International Medicine & Public Health Authors: Erin West Laurinda Jackson Howard Greene Donald J Lucas Kyle D Gadbois Pamela M Choi Source Type: research
When Taking Pay off the Table: A Qualitative Study of Gender Equity for Academic Leaders in the US Military
CONCLUSIONS: This study revealed that equitability for pediatric GME leadership in the military heavily relied on structures and support created by former leaders and mentors. Isolating these structures within a unique context of military academic medicine can illuminate physicians' experiences to address barriers and better support equitable leadership roles in both military and civilian academic medicine.PMID:38241782 | DOI:10.1093/milmed/usad489 (Source: Military Medicine)
Source: Military Medicine - January 19, 2024 Category: International Medicine & Public Health Authors: Elizabeth V Schulz Tasha R Wyatt TingLan Ma Lauren A Maggio Source Type: research
Misuse of Tourniquets in Ukraine may be Costing More Lives and Limbs than they Save
Mil Med. 2024 Jan 17:usad503. doi: 10.1093/milmed/usad503. Online ahead of print.ABSTRACTHands-on training and social media sites have heavily emphasized the use of tourniquets to treat limb injuries during the Ukraine war. Tourniquet overuse or misuse can lead to significant tragedy-limb loss, physiologic complications, and even death. Casualty evacuation in Ukraine often exceeds 6 hours, and the liberal use of limb tourniquets may have unintentionally increased morbidity. Tourniquet application was appropriate in 24.6% of the wounded with tourniquets in one recent publication by a Ukrainian vascular surgeon. The longer a...
Source: Military Medicine - January 19, 2024 Category: International Medicine & Public Health Authors: Rom A Stevens Michael S Baker Ostap B Zubach Michael Samotowka Source Type: research
