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

Don't Overlook Syphilis: An Atypical Rash in a Woman With Neurologic, Ocular, and Otic Involvement
We present a case of a 20-year-old immunocompetent heterosexual woman who presented with a rash atypical for secondary syphilis and accompanied by neurologic, ocular, and otic manifestations. This case highlights the importance of considering syphilis in the differential diagnosis of sexually active patients with a rash, even when their clinical presentations do not align with the textbook description of a syphilitic rash. Health care providers must remain vigilant for the diagnosis of syphilis in diverse clinical contexts, as early recognition and treatment are vital to prevent further syphilitic complications and transmi...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Elena M Crouch Michael T O Stein Matthew R Geringer Aeja Weiss Molly Stalons Jamie L Geringer Source Type: research

Deployment-related Cigarette Smoking Behaviors and Pulmonary Function Among U.S. Veterans
CONCLUSIONS: Although cumulative pack-years smoking was modest in this cohort, an inverse association with pulmonary function was detectable. Deployment-related pack-years had a similar association with pulmonary function compared to non-deployment-related pack-years.PMID:38536226 | DOI:10.1093/milmed/usae049 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Jennifer R Maccarone Olivia R Sterns Andrew Timmons Anna M Korpak Nicholas L Smith Karen S Nakayama Coleen P Baird Paul Ciminera Farrah Kheradmand Vincent S Fan Jaime E Hart Petros Koutrakis Michael Jerrett Ware G Kuschner Octavian C Ioachimescu Philippe Source Type: research

Correction To: Maxillofacial Surgery in Ukraine During a War: Challenges and Perspectives-A National Survey
Mil Med. 2024 Mar 27:usae119. doi: 10.1093/milmed/usae119. Online ahead of print.NO ABSTRACTPMID:38537120 | DOI:10.1093/milmed/usae119 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research

Correction To: Dynamics of the Oral Microbiome During Initial Military Training at Fort Benning, Georgia
Mil Med. 2024 Mar 27:usae130. doi: 10.1093/milmed/usae130. Online ahead of print.NO ABSTRACTPMID:38537122 | DOI:10.1093/milmed/usae130 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research

Prediction of Occult Hemorrhage in the Lower Body Negative Pressure Model: Initial Validation of Machine Learning Approaches
CONCLUSIONS: Multivariate ensemble machine learning-based approaches for the prediction of hemodynamic instability appear to hold promise for the development of effective solutions. In the lower body negative pressure multivariate hemorrhage model, predictions based only on noninvasive measurements performed comparably to those using both invasive and noninvasive measurements.PMID:38537150 | DOI:10.1093/milmed/usae061 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Navid Rashedi Yifei Sun Vikrant Vaze Parikshit Shah Ryan Halter Jonathan T Elliott Norman A Paradis Source Type: research

Female-Specific Health Care of Military Female-Designated Service Members and Veterans: A Systematic Overview of Reviews
CONCLUSIONS: Female-designated military populations serving during periods of war face unique health challenges that should be considered in screening practices and the delivery of trauma informed care. Further research and reviews are needed for female-specific oncology, fertility, abortion access, and sexual and non-binary and expansive gender identities to better capture female-designated service member and veteran health during wartime and beyond.PMID:38537156 | DOI:10.1093/milmed/usae101 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Megan C McDermott Megan G Musilli Jill E Brown John L Melton Michael J Miller Rhonda J Allard Monica A Lutgendorf Source Type: research

Prevalence of Pain With Movement in Active Duty US Army Soldiers
CONCLUSIONS: Pain with functional movement patterns was common across a sample of uninjured Soldiers. The presence of pain with movement warrants further evaluation as it may impact a Soldier's physical performance, risk for future injury, and overall quality of life.PMID:38531071 | DOI:10.1093/milmed/usae048 (Source: Military Medicine)
Source: Military Medicine - March 26, 2024 Category: International Medicine & Public Health Authors: Jennifer S Emberton Benjamin G Adams Brittany R Hotaling Kristen L Zosel Stephen M Grist Nancy Henderson Joseph Kardouni Richard B Westrick Source Type: research

Letter From the Executive Director Dr. John Cho
Mil Med. 2024 Mar 26:usae100. doi: 10.1093/milmed/usae100. Online ahead of print.NO ABSTRACTPMID:38531076 | DOI:10.1093/milmed/usae100 (Source: Military Medicine)
Source: Military Medicine - March 26, 2024 Category: International Medicine & Public Health Authors: John M Cho Source Type: research

Comparison of Vestibular/Ocular Motor Screening (VOMS) and Computerized Eye-tracking to Identify Exposure to Repetitive Head Impacts
CONCLUSIONS: Participant-reported concussion symptoms, VOMS scores, and age were useful in identifying SOF operators exposed to RHI from controls. RightEye metrics were not useful in differentiating RHI groups from controls. Differences between snipers and breachers warrant further research. Overall, the findings suggest that VOMS may be a useful tool for screening for the effects of exposure to RHI in SOF operators. Future investigations should be conducted on a larger sample of military SMs, consider additional factors (e.g., RHI exposure levels, medical history, and sex), and include additional assessment domains (e.g.,...
Source: Military Medicine - March 26, 2024 Category: International Medicine & Public Health Authors: Anthony P Kontos Aaron J Zynda Amir Minerbi Source Type: research

Optimization and Validation of an FTIR-based, All-in-one System for Viable MDR Bacteria Detection in Combat-related Wound Infection
CONCLUSIONS: Our system has achieved excellent performance in detecting viable bacteria presence and in performing AST in a multiplex, automated, and easy-to-operate manner, on both lab-prepared and real samples. Our results have shown a path forward to a rapid (sample-to-answer time ≤3 hours), accurate, sensitive, species-specific, and portable system to detect the presence of MDR combat-related wound infections in the field environment. Our future efforts involve ruggedizing the RAPID system and evaluating performance under relevant environmental conditions.PMID:38516949 | DOI:10.1093/milmed/usae068 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Ying Chen Andrew Leung Yulia Wang Nathan K Archer Source Type: research

The Impact of COVID-19 on Health Behavior Engagement and Psychological and Physical Health Among Active Duty Military Enrolled in a Weight Management Intervention: An Exploratory Study
CONCLUSIONS: As expected, most participants perceived of the pandemic as heightening stress and interfering with engagement in health behaviors. It is possible that pandemic-related stress may have exacerbated weight gain-promoting behaviors and/or interfered with achievement of desired weight management outcomes. Outside the context of the pandemic, it may be beneficial for healthcare providers to screen individuals for stress and perceptions of ease of engagement in health behaviors before enrollment in a weight management intervention. Further, tailoring interventions to mitigate stress and promote perceptions of ease i...
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Jessica L Morse Jennalee S Wooldridge Matthew S Herbert Niloofar Afari Source Type: research

Interfacility Transfer Teams: A Pilot Study to Assess Viability as a Skill Sustainment Platform
CONCLUSIONS: IFT teams with local training were able to safely transport critically ill patients with no adverse outcomes, defined as direct harm to the patients as a result of transport. Patient care during transports included routine interventions, ventilator management, and troubleshooting of patient deteriorations. Our data further suggest IFT programs may be a viable skill sustainment platform for ERC clinicians.PMID:38518201 | DOI:10.1093/milmed/usae093 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Andrew J Medenbach Alexandre Nguyen Emily Raetz Theodore Morrison Benjamin Walrath Source Type: research

Self-Perception of Risk for HIV Acquisition and Calculated Risk for HIV Acquisition Among Active Duty Air Force Members With Newly Diagnosed HIV Infection
CONCLUSION: The majority of USAF members with incident HIV infection reported a low SPR despite risk factors and CRs identical to high SPR patients. In order to inform HIV prevention strategies in the military, further efforts are needed to educate the military population and providers about HIV risk perception.PMID:38518206 | DOI:10.1093/milmed/usae087 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Audie B Schmid Jason F Okulicz Walter Mika Shilpa Hakre Joseph M Yabes Source Type: research

Optimization and Validation of an FTIR-based, All-in-one System for Viable MDR Bacteria Detection in Combat-related Wound Infection
CONCLUSIONS: Our system has achieved excellent performance in detecting viable bacteria presence and in performing AST in a multiplex, automated, and easy-to-operate manner, on both lab-prepared and real samples. Our results have shown a path forward to a rapid (sample-to-answer time ≤3 hours), accurate, sensitive, species-specific, and portable system to detect the presence of MDR combat-related wound infections in the field environment. Our future efforts involve ruggedizing the RAPID system and evaluating performance under relevant environmental conditions.PMID:38516949 | DOI:10.1093/milmed/usae068 (Source: Military Medicine)
Source: Military Medicine - March 22, 2024 Category: International Medicine & Public Health Authors: Ying Chen Andrew Leung Yulia Wang Nathan K Archer Source Type: research