The Exploration of the GWOT Combat Amputee's Experience With Longitudinal Care: A Qualitative Study
CONCLUSION: Based on the research question, this study found an intricate relationship between mental health, pain, and the experiences of the participants regarding their care and rehabilitation. However, the nature of qualitative research makes it impossible to determine generalizations that can be used to create meaningful change to address improving combat amputee veteran care. Further research into long-term health outcomes based on hypotheses not evaluated in existing literature would further improve the ability of health care providers to care for this unique patient population.PMID:38150398 | DOI:10.1093/milmed/usa...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Alexander Pursel Ryoma Nichols Dan Evans Kristina Lindquist Source Type: research

Subcutaneous Anti-inflammatory Therapies to Prevent Burn Progression in  a Swine Model of Contact Burn Injury
CONCLUSIONS: This report employs an established model of porcine contact burn injury in order to test the ability of local subcutaneous delivery of therapeutics to prevent burn progression at the point of injury, via what is believed to be the inhibition of inflammation. Several treatments successfully prevented burn progression to a full-thickness injury, potentially improving wound healing outcomes in a simulated battlefield scenario. Subcutaneously administered therapies combating burn-induced inflammation at the point of injury may serve as a field-deployable treatment modality to improve warfighter recovery and return...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Marc A Thompson Lucy Shaffer David A Larson Michelle Stavena-Holik Carole Nail Logan Leatherman Seth Tomblyn Luke Burnett Julie Rizzo Robert J Christy Christine J Kowalczewski Source Type: research

Licensure Portability for Military Families
Mil Med. 2023 Dec 27:usad487. doi: 10.1093/milmed/usad487. Online ahead of print.NO ABSTRACTPMID:38150387 | DOI:10.1093/milmed/usad487 (Source: Military Medicine)
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Karen Burkart Madrigal Source Type: research

Associations Between Self-Reported Burn Pit Exposure and  Functional Status, 1990-2021
CONCLUSION: This study suggests a dose-response relationship between cumulative burn pit exposure and decreased functional status. It also suggests a modest positive relationship between cumulative deployment days and reported function, which may represent a "healthy deployer" effect.PMID:38150392 | DOI:10.1093/milmed/usad474 (Source: Military Medicine)
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Jean-S ébastien Chassé Carlo Rossi John Downs Jose Ortiz Source Type: research

The Exploration of the GWOT Combat Amputee's Experience With Longitudinal Care: A Qualitative Study
CONCLUSION: Based on the research question, this study found an intricate relationship between mental health, pain, and the experiences of the participants regarding their care and rehabilitation. However, the nature of qualitative research makes it impossible to determine generalizations that can be used to create meaningful change to address improving combat amputee veteran care. Further research into long-term health outcomes based on hypotheses not evaluated in existing literature would further improve the ability of health care providers to care for this unique patient population.PMID:38150398 | DOI:10.1093/milmed/usa...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Alexander Pursel Ryoma Nichols Dan Evans Kristina Lindquist Source Type: research

Subcutaneous Anti-inflammatory Therapies to Prevent Burn Progression in  a Swine Model of Contact Burn Injury
CONCLUSIONS: This report employs an established model of porcine contact burn injury in order to test the ability of local subcutaneous delivery of therapeutics to prevent burn progression at the point of injury, via what is believed to be the inhibition of inflammation. Several treatments successfully prevented burn progression to a full-thickness injury, potentially improving wound healing outcomes in a simulated battlefield scenario. Subcutaneously administered therapies combating burn-induced inflammation at the point of injury may serve as a field-deployable treatment modality to improve warfighter recovery and return...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Marc A Thompson Lucy Shaffer David A Larson Michelle Stavena-Holik Carole Nail Logan Leatherman Seth Tomblyn Luke Burnett Julie Rizzo Robert J Christy Christine J Kowalczewski Source Type: research

Licensure Portability for Military Families
Mil Med. 2023 Dec 27:usad487. doi: 10.1093/milmed/usad487. Online ahead of print.NO ABSTRACTPMID:38150387 | DOI:10.1093/milmed/usad487 (Source: Military Medicine)
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Karen Burkart Madrigal Source Type: research

Associations Between Self-Reported Burn Pit Exposure and  Functional Status, 1990-2021
CONCLUSION: This study suggests a dose-response relationship between cumulative burn pit exposure and decreased functional status. It also suggests a modest positive relationship between cumulative deployment days and reported function, which may represent a "healthy deployer" effect.PMID:38150392 | DOI:10.1093/milmed/usad474 (Source: Military Medicine)
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Jean-S ébastien Chassé Carlo Rossi John Downs Jose Ortiz Source Type: research

The Exploration of the GWOT Combat Amputee's Experience With Longitudinal Care: A Qualitative Study
CONCLUSION: Based on the research question, this study found an intricate relationship between mental health, pain, and the experiences of the participants regarding their care and rehabilitation. However, the nature of qualitative research makes it impossible to determine generalizations that can be used to create meaningful change to address improving combat amputee veteran care. Further research into long-term health outcomes based on hypotheses not evaluated in existing literature would further improve the ability of health care providers to care for this unique patient population.PMID:38150398 | DOI:10.1093/milmed/usa...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Alexander Pursel Ryoma Nichols Dan Evans Kristina Lindquist Source Type: research

Subcutaneous Anti-inflammatory Therapies to Prevent Burn Progression in  a Swine Model of Contact Burn Injury
CONCLUSIONS: This report employs an established model of porcine contact burn injury in order to test the ability of local subcutaneous delivery of therapeutics to prevent burn progression at the point of injury, via what is believed to be the inhibition of inflammation. Several treatments successfully prevented burn progression to a full-thickness injury, potentially improving wound healing outcomes in a simulated battlefield scenario. Subcutaneously administered therapies combating burn-induced inflammation at the point of injury may serve as a field-deployable treatment modality to improve warfighter recovery and return...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Marc A Thompson Lucy Shaffer David A Larson Michelle Stavena-Holik Carole Nail Logan Leatherman Seth Tomblyn Luke Burnett Julie Rizzo Robert J Christy Christine J Kowalczewski Source Type: research

Licensure Portability for Military Families
Mil Med. 2023 Dec 27:usad487. doi: 10.1093/milmed/usad487. Online ahead of print.NO ABSTRACTPMID:38150387 | DOI:10.1093/milmed/usad487 (Source: Military Medicine)
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Karen Burkart Madrigal Source Type: research

Associations Between Self-Reported Burn Pit Exposure and  Functional Status, 1990-2021
CONCLUSION: This study suggests a dose-response relationship between cumulative burn pit exposure and decreased functional status. It also suggests a modest positive relationship between cumulative deployment days and reported function, which may represent a "healthy deployer" effect.PMID:38150392 | DOI:10.1093/milmed/usad474 (Source: Military Medicine)
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Jean-S ébastien Chassé Carlo Rossi John Downs Jose Ortiz Source Type: research

The Exploration of the GWOT Combat Amputee's Experience With Longitudinal Care: A Qualitative Study
CONCLUSION: Based on the research question, this study found an intricate relationship between mental health, pain, and the experiences of the participants regarding their care and rehabilitation. However, the nature of qualitative research makes it impossible to determine generalizations that can be used to create meaningful change to address improving combat amputee veteran care. Further research into long-term health outcomes based on hypotheses not evaluated in existing literature would further improve the ability of health care providers to care for this unique patient population.PMID:38150398 | DOI:10.1093/milmed/usa...
Source: Military Medicine - December 27, 2023 Category: International Medicine & Public Health Authors: Alexander Pursel Ryoma Nichols Dan Evans Kristina Lindquist Source Type: research

Leading Graduate Medical Education in the Face of Uncertainty
Mil Med. 2023 Dec 22:usad492. doi: 10.1093/milmed/usad492. Online ahead of print.ABSTRACTLeading through uncertainty poses significant challenges. The COVID-19 pandemic, the Afghanistan withdrawal, and the implementation of a new electronic medical records system led to massive shortages of health care workers throughout the Military Health System (MHS). This case describes the leadership challenges of a surgical residency program director during uncertain times.PMID:38140957 | DOI:10.1093/milmed/usad492 (Source: Military Medicine)
Source: Military Medicine - December 23, 2023 Category: International Medicine & Public Health Authors: Matthew Bradley Brian Reamy Source Type: research

When Patient Portals Break Bad News
Mil Med. 2023 Dec 22:usad482. doi: 10.1093/milmed/usad482. Online ahead of print.ABSTRACTElectronic patient portals facilitate communication between providers and patients, but they can complicate the art of breaking bad news. Nearly half of oncology patients will view their diagnosis on a patient portal before speaking with a provider. Physicians and advanced practice providers receive training on how to deliver bad news in person and over the telephone. This is done in an empathetic and supportive manner. The patient's emotions are acknowledged, and questions are answered. While surveys of patients suggest that most peop...
Source: Military Medicine - December 23, 2023 Category: International Medicine & Public Health Authors: Eleanor Iodice Emily Penick Stuart S Winkler Source Type: research