Body Armor and Lumbar Disc Herniation in Young Military Veterans: A Case Series
CONCLUSIONS: For military veterans, onset of lower back pain from a disc herniation at a young age may be linked to carrying heavy body armor and loads. However, the small sample size of this case series limits causal relationship inferences.PMID:38554267 | DOI:10.1093/milmed/usae131 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Akongnwi Jungong Cheo Dominic Nkafu Nkemngong Michael Mortenson Source Type: research
Occult Lung Cancer-Associated Autoimmune Encephalitis Presenting as Acute Psychosis
Mil Med. 2024 Mar 30:usae116. doi: 10.1093/milmed/usae116. Online ahead of print.ABSTRACTDuring deployment, a 52-year-old male developed acute behavioral changes. Though initially considered to have PTSD and related agitation and confusional state, his evaluation was consistent with acute encephalopathy. Magnetic resonance imaging of the brain showed T2 hyperintensities, and CSF analysis was positive for anti-N-methyl-D-aspartate receptor antibody. A nuclear protein in testis carcinoma midline carcinoma was discovered in the lung. Immunotherapy and surgical resection led to steady improvement prior to adjuvant chemotherapy...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Shelly K McCarter K Robert Shen Mark E Wylam Source Type: research
The Military-Civilian Partnership Quality Improvement Program Concept: A Process to Improve Data Collection and Outcomes Assessment
CONCLUSIONS: The Military-Civilian Partnership Quality Improvement Program concept is an effective, locally driven process for enhancing the capture of external clinical workload data for military providers engaged in MCPs. Further examination of the Military-Civilian Partnership Quality Improvement Program process is needed at other institutions to validate its effectiveness and build a community of MCP champions.PMID:38554269 | DOI:10.1093/milmed/usae117 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Justin P Fox Ryan E Earnest Valerie Sams Source Type: research
Amplified PTSD Symptoms From Self-Attributed Moral Transgressions are Linked to Internalized Moral Identity During Military Deployment
CONCLUSIONS: The study highlights the significant role of self-attributed moral transgressions during deployment in the development of PTSS among military service members-especially in those with a strong internalized moral identity. This finding suggests a "target of opportunity" for the development of intervention strategies that mitigate PTSS by addressing the moral dimensions of military service.PMID:38554270 | DOI:10.1093/milmed/usae064 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Walter J Sowden Rachell L Jones Source Type: research
Clinical Readiness: Can Providers Learn to Perform Lower Leg Fasciotomy Through a Tablet-based Augmented Reality Surgical Training Environment?
CONCLUSIONS: Tablet-based AR procedural training improved procedural knowledge and tablet-based skills; however, those gains did not transfer to the ability to perform the procedure on a cadaver. The tablet's limited AR interface did not support the acquisition of requisite surgical technique, tissue handling, and decision-making in novice surgical trainees. Experienced surgeons may have different outcomes because their mature understanding of surgical constructs would allow extrapolation of abilities to other procedural contexts. Further investigation of the tablet-based training environments for surgical care is necessar...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Kieran Wolf Mark Bowyer Matthew Bradley Brenton Franklin Elizabeth Weissbrod Ryan Dinnen Pamela Andreatta Source Type: research
Lessons Learned: Large-Scale Perfused Cadaver Training in Three Different Curricular Environments
CONCLUSION: Perfused cadavers can be implemented effectively for hemorrhage control training, surgical and procedure skills, and even exercises in austere environments, but require significant logistical and planning considerations. The training value is maximized with a progressive curriculum from hemorrhage control iterations to more invasive surgical procedures, such as thoracotomy and exploratory laparotomy.PMID:38554274 | DOI:10.1093/milmed/usae110 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Alex Y Koo David K Rodgers Marc H Hohman Jason R Muise Kyle S Couperus Jillian F Phelps Source Type: research
Addressing Differences in Knowledge and Experience in Trauma Care Capabilities Among an International Team of Military Medical Care Providers in a Deployed Setting
This article examines the specialized training US Military medical personnel undergo before deployment and the increasing trend of deploying as part of multinational forces in operations like those in Afghanistan with NATO and non-NATO countries. Integrating medical teams from diverse backgrounds poses significant challenges in maintaining a cohesive and efficient team due to varying trauma management training standards and medical practices among the allied forces. Tactical Combat Casualty Care (TCCC) training and the development of clinical practice guidelines (CPG) by the US Joint Trauma Service have been key strategies...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Sarah Holvelinsky Taylor Travers Joshua B Stierwalt Paul Schunk Brian Patrick Murray Source Type: research
Exploring Knowledge, Skills, and Abilities Needed for Army Pharmacist Readiness Using the Nominal Group Technique
CONCLUSIONS: With modernized, relevant KSAs, the Army can measure and train a ready pharmacy force. Individual Critical Tasks augmented with KSAs are one potential approach we recommend as a strategy to improve Army pharmacist health profession education.PMID:38554276 | DOI:10.1093/milmed/usae111 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Ryan C Costantino Eulho Jung Michael Soh Anita Samuel Source Type: research
The Link Between Somatization and Dissociation and PTSD Severity in Veterans Who Sought Help From the IDF Combat Stress Reaction Unit
CONCLUSIONS: While there is direct reference to dissociation in the clinical assessment by PCL or CAPS, there is no such reference to somatization. Highly functioning combatants sometimes express their distress somatically. Our findings suggest regarding severe somatic symptoms as diagnostic criteria for PTSD.PMID:38554277 | DOI:10.1093/milmed/usae118 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Nizan Shabat Uzi Bechor Nirit Yavnai Lucian Tatsa-Laur Leah Shelef Source Type: research
Cumulative Blast Impulse Is Predictive for Changes in Chronic Neurobehavioral Symptoms Following Low Level Blast Exposure during Military Training
CONCLUSIONS: These results indicate that measures of cumulative blast impulse may have utility in predicting changes in NSI scores. Such paired dosimetry-symptom measures are expected to be an important tool in safely guiding Service members' occupational exposure and optimizing force readiness and lethality.PMID:38553989 | DOI:10.1093/milmed/usae082 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Cory McEvoy Adam Crabtree John Case Gary E Means Peter Muench Ronald G Thomas Rebecca A Ivory Jason Mihalik James S Meabon Source Type: research
A Case of Multidrug-Resistant Tuberculosis in an Active Duty Military Health Care Worker
We present a case of MDR-TB in an active duty U.S. Military health care worker and discuss several considerations for treatment that may present challenges for U.S. Military medical practitioners. A 30-year-old active duty Soldier was referred to Army public health services after a bronchoscopy sample was positive for Mycobacterium tuberculosis complex. Sputum smears were negative for acid-fast bacilli, suggesting lower risk for community spread. One month after initiation of the standard 4-drug regimen for active TB, genetic susceptibility testing found the patient's M. tuberculosis isolate to be resistant to rifampin, is...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Amanda E Saunders Kevin M Shanahan John W Downs Source Type: research
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
