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Impact of International Department of Defense Surgical Missions on Readiness: Perspectives from Military Surgeons. 国际国防部外科任务对战备状态的影响:来自军事外科医生的观点。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-03 DOI: 10.1093/milmed/usaf348
Sharon Kim, Pranish Katawal, Debashree Mitra, Robert Lee, Sorana Raiciulescu, Carolyn Gosztyla, Jacob Stephenson, John Maddox, Joseph Aryankalayil, Tamara Worlton
{"title":"Impact of International Department of Defense Surgical Missions on Readiness: Perspectives from Military Surgeons.","authors":"Sharon Kim, Pranish Katawal, Debashree Mitra, Robert Lee, Sorana Raiciulescu, Carolyn Gosztyla, Jacob Stephenson, John Maddox, Joseph Aryankalayil, Tamara Worlton","doi":"10.1093/milmed/usaf348","DOIUrl":"https://doi.org/10.1093/milmed/usaf348","url":null,"abstract":"<p><strong>Introduction: </strong>Declining surgical case volumes in the Military Healthcare System have raised concerns about the readiness of Department of Defense (DoD) surgeons for deployment. Reduced opportunities for major surgeries at Military Treatment Facilities correlate with declines in surgical Knowledge, Skills, and Abilities metrics, which measures deployment preparedness. This challenge, termed the \"Walker Dip,\" is exacerbated during peacetime. International surgical missions and military Global Health Engagement (GHE) have been proposed to bridge this gap by offering military surgeons the chance to manage complex cases in low-resource settings. Although GHE missions aim to strengthen global partnerships and improve interoperability, their direct impact on readiness remains unclear. This study evaluates military surgeons' perceptions of readiness following participation in DoD surgical missions to better inform future mission planning.</p><p><strong>Materials and methods: </strong>An anonymous, voluntary survey was developed by medical students and military surgeons with GHE experience. Eligible participants were military surgeons with experience in DoD international surgical missions, excluding combat deployments and disaster response missions. The survey collected demographic data, mission characteristics, and participants' perceived readiness using Likert scales. Data analysis included descriptive statistics, chi-square tests, and Spearman's rank correlations.</p><p><strong>Results: </strong>A total of 47 respondents met the inclusion criteria. The majority were general surgeons (72%), with 57% serving in the Navy. Fifty-five percent of participants rated the missions helpful to their readiness, while 44.7% were neutral or found them unhelpful. Key factors associated with mission helpfulness included managing complex cases, treating critically ill patients, and performing blood transfusions (P < .05). Although case complexity significantly correlated with perceived readiness (P = .002), case volume did not (P = .109). Navy surgeons were less likely to rate missions as helpful compared to Army and Air Force surgeons (P = .002).</p><p><strong>Conclusion: </strong>This study highlights the critical role of case complexity and exposure to high-acuity patients in enhancing surgical readiness. International surgical mission planning for readiness should prioritize complexity and operational relevance over procedural volume. Further, optimizing mission design will ensure readiness and preparedness for future deployments while balancing global health and military objectives. Future research should explore standardized metrics to evaluate readiness and the long-term impact and ethical implications of these missions.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimating the Clinical Care Performed During the Periodic Health Assessment. 评估定期健康评估期间所执行的临床护理。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-03 DOI: 10.1093/milmed/usaf128
Jacob H Cole, Beth Chang, Moira C McManus, Jason J Longwell
{"title":"Estimating the Clinical Care Performed During the Periodic Health Assessment.","authors":"Jacob H Cole, Beth Chang, Moira C McManus, Jason J Longwell","doi":"10.1093/milmed/usaf128","DOIUrl":"https://doi.org/10.1093/milmed/usaf128","url":null,"abstract":"<p><strong>Introduction: </strong>The Periodic Health Assessment (PHA) is a critical annual screening program for active duty military personnel. It aims to identify any health conditions that could impact a service member's (SM) ability to perform their duties and maintain overall wellness. The current PHA process involves a self-assessment by the SM, a medical record review by a clinician, and a person-to-person encounter that includes a mental health assessment (MHA). However, concerns have been raised that a significant portion of PHAs may be primarily administrative, failing to identify new health issues. This study investigates the prevalence of potentially \"low-risk\" PHAs within the Naval Medical Forces Atlantic (NMFL) area of responsibility (AOR) to inform potential workflow improvements.</p><p><strong>Methods: </strong>Data from calendar year 2022 on PHAs completed at various NMFL facilities was collected from the MHS MART (M2) and analyzed. The study defined \"low-risk\" PHAs as those where no further actions, such as referrals to specialists, lab tests, or radiology orders, were initiated within 5 days of the encounter. Data on provider workload and the specialties performing the most PHAs were also collected. Local IRB determination found that this analysis was exempted from IRB review.</p><p><strong>Results: </strong>The analysis revealed that over 84,000 PHAs were conducted in 2022 by a total of 857 providers across the NMFL AOR. On average, only 13.3% of these PHAs resulted in some form of follow-up action, suggesting that a substantial proportion, potentially exceeding 86.7%, could be categorized as \"low-risk.\" Lab tests were the most common follow-up, followed by referrals to other specialists and radiology orders. The data also showed that nurse practitioners, physician assistants, independent duty corpsmen, general medical officers, and family medicine physicians performed the majority of PHAs. Notably, a larger share of the workload fell on advanced practice providers compared to other specialties.</p><p><strong>Conclusion: </strong>These findings suggest that the current PHA process generates a significant administrative burden for health care providers. The study estimates that over a third of a million provider-hours annually are spent on potentially low-risk PHAs that offer minimal medical benefit to the service member. This workload reduction could free-up valuable clinician time for addressing the needs of SMs with more complex health concerns, improving both force medical readiness and the clinical readiness of our medical force.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Insight to Humanitarian and Trauma Crisis Response: Operation Allies Refuge and Operation Allies Welcome at Landstuhl Regional Medical Center. 儿童对人道主义和创伤危机反应的洞察:兰德斯图尔地区医疗中心的盟友避难所和盟友欢迎行动。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-03 DOI: 10.1093/milmed/usaf336
Caitlin McSorley, Margaret Shields, Melinda Funk, Aaron Dahlin, Jeramy Mahoney, Emily Parsons
{"title":"Pediatric Insight to Humanitarian and Trauma Crisis Response: Operation Allies Refuge and Operation Allies Welcome at Landstuhl Regional Medical Center.","authors":"Caitlin McSorley, Margaret Shields, Melinda Funk, Aaron Dahlin, Jeramy Mahoney, Emily Parsons","doi":"10.1093/milmed/usaf336","DOIUrl":"https://doi.org/10.1093/milmed/usaf336","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric patients account for disproportionate medical resource utilization in times of disaster and war. This was demonstrated in 2021 during Operation Allies Refuge/Operation Allies Welcome (OAR/OAW) following withdrawal of U.S. troops from Afghanistan. Landstuhl Regional Medical Center (LRMC), a U.S. military hospital in Germany, played a pivotal role in medical support for evacuees from Afghanistan, including critically injured children. The objective of this study is to define the injury and disease patterns of pediatric patients admitted to LRMC during OAR/OAW.</p><p><strong>Materials and methods: </strong>A retrospective chart review of pediatric patients was performed to extract data elements including demographic variables, mechanism of injury, primary and secondary diagnoses, length of stay (LOS), LOS in the intensive care unit (ICU), number of days requiring mechanical ventilation, procedures, and final disposition. Injury patterns were determined based on diagnosis codes and procedures performed.</p><p><strong>Results: </strong>A total of 82 pediatric patients ≤17 years of age were identified. Of these, 37.8% (N = 31) were infants born at LRMC to families who had evacuated. Infants had a median LOS of 3 days (range 1-14 days), with 3 infants requiring neonatal ICU care. Outside of births, the most common reason for admission was infection (39.2%, N = 20), followed by those injured in the Hamid Karzai International Airport (HKIA) bomb attack in Kabul, Afghanistan (25.5%, N = 13), chronic medical conditions (19.6%, N = 10), and acute medical/surgical needs (15.7% N = 7). HKIA blast victims had longer lengths of stay, were more likely to require ICU admission, and underwent more procedures.</p><p><strong>Conclusions: </strong>This study provides a snapshot of pediatric care needs at one institution in the setting of a complex disaster that was affected by both mass population evacuation and a bombing event. Although patients with infections constituted the majority of non-birth pediatric admissions, HKIA blast victims required the most resource utilization. The need for pediatric-trained medical providers and pediatric equipment is crucial in upholding a high standard of care in military support hospitals during disaster relief operations.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence for a Somatic and Non-Somatic Factor Structure in the Patient Health Questionnaire-8 in a Military Sexual Assault Sample. 军人性侵犯患者健康问卷-8中躯体和非躯体因素结构的证据
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-02 DOI: 10.1093/milmed/usaf351
Nicole D Duby, Rebecca K Blais
{"title":"Evidence for a Somatic and Non-Somatic Factor Structure in the Patient Health Questionnaire-8 in a Military Sexual Assault Sample.","authors":"Nicole D Duby, Rebecca K Blais","doi":"10.1093/milmed/usaf351","DOIUrl":"https://doi.org/10.1093/milmed/usaf351","url":null,"abstract":"<p><strong>Introduction: </strong>The Patient Health Questionnaire-8 (PHQ-8) is a measure of depression symptom severity that is the 8-item version of the more widely used Patient Health Questionnaire-9 (PHQ-9). However, the PHQ-8 lacks the question about suicide ideation and is often used when questions about suicide ideation cannot be administered. A recent review of the literature on the PHQ-9 indicates mixed findings on factor structure, with evidence for both a unidimensional model and a 2-factor model of somatic and non-somatic symptoms. To date, few studies have explored the factor structure of the PHQ-8, and none to our knowledge have examined this in military samples. This secondary analysis examined this in a sample of military sexual assault survivors given their heightened risk for depression.</p><p><strong>Materials and methods: </strong>Service members and veterans who experienced assault (N = 346; 49.1% female) completed the PHQ-8 in a previously published study. The parent study was approved by the Utah State University Institutional Review Board (IRB) and secondary analyses were exempted from IRB review by the Arizona State University IRB. Five structural models were tested using confirmatory factor analysis, including 1 unidimensional factor model and 4 2-dimensional factor models. The following goodness of fit statistics were compared between models: Chi-squared testing, Comparative Fit Index (CFI), Tucker Lewis Index (TLI), root mean square error of approximation (RMSEA), Bayesian Information Criterion (BIC) and standardized root mean square residual (SRMR). Strong model fit was determined by a CFI and TLI ≥ .95, RMSEA ≤ .06, and SRMR ≤ .08.</p><p><strong>Results: </strong>The 2-dimensional model with anhedonia, depressed mood, feelings of worthlessness, concentration difficulties, and psychomotor agitation/retardation specified on the non-somatic factor, and sleep difficulties, fatigue, and appetite changes specified on the somatic factor had the most optimal fit (X2 [df] = 46.19 [19], CFI = 0.98, TLI = 0.97, RMSEA = 0.06, SRMR = 0.03, BIC = 6,130.98). Other models had adequate fit, though the fit for the unidimensional model was statistically inferior.</p><p><strong>Conclusion: </strong>The use of 2-factor models of depression might be superior compared to the unidimensional model in samples of military sexual assault survivors which may provide clinical utility in treating specific depression symptom clusters. Studies that wish to examine potential differences in outcomes as a function of somatic and non-somatic depressive symptoms may consider this model. Future studies should examine model fit in samples that may not have been exposed to military sexual assault.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Educational Innovation: Leveraging the Scholarship of Teaching and Learning. 推进教育创新:发挥教与学的学术作用。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-01 DOI: 10.1093/milmed/usaf199
Michael Soh, Anita Samuel, Ronald M Cervero, Steven J Durning
{"title":"Advancing Educational Innovation: Leveraging the Scholarship of Teaching and Learning.","authors":"Michael Soh, Anita Samuel, Ronald M Cervero, Steven J Durning","doi":"10.1093/milmed/usaf199","DOIUrl":"https://doi.org/10.1093/milmed/usaf199","url":null,"abstract":"<p><p>The Master of Education in Health Professions Education (MEd-HPE) program at the Uniformed Services University was established in 2021 to advance the scholarship of teaching and learning across the Military Health System. This 3-year, part-time blended program requires learners to develop and disseminate an educational innovation, known as a culminating project, guided by Glassick's Criteria for Scholarship. As of fall 2024, the program has graduated 6 learners and 37 more working on deploying, evaluating, or disseminating their culminating projects. Learners represent various health professions and nearly all military branches, and interest and enrollment in the degree program continue to grow. This special edition celebrates completed scholarship of teaching and learning from our MEd-HPE program and reflects the Military Health System's investment in faculty development, strengthening teaching, leadership, and educational scholarship among military health professionals.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":"190 Supplement_1","pages":"1-2"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Military Physician Assistant Research: A Deliberate Approach to Digital Knowledge Management. 优化军医助理研究:一种深思熟虑的数字知识管理方法。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-01 DOI: 10.1093/milmed/usaf239
Robyn L Chalupa, Ronald Cervero, Anne Wildermuth, Anita Samuel
{"title":"Optimizing Military Physician Assistant Research: A Deliberate Approach to Digital Knowledge Management.","authors":"Robyn L Chalupa, Ronald Cervero, Anne Wildermuth, Anita Samuel","doi":"10.1093/milmed/usaf239","DOIUrl":"https://doi.org/10.1093/milmed/usaf239","url":null,"abstract":"<p><strong>Introduction: </strong>The U.S. Army-Baylor University Doctor of Science in Physician Assistant Studies programs requires the student to complete and defend a research project. Although the main intent of the 3 programs is for the student to develop clinical skills for military medical service in austere locations, self-directed learning around research was distracting from clinical experiences. The purpose of this project was to revise the curricula for the 3 doctorate-level research courses, to better support students in designing and conducting a research protocol and support students in conducting more rigorous research projects.</p><p><strong>Overview and project steps: </strong>The curriculum redesign was guided by Kern's 6-step framework: (1) problem identification and general needs assessment, (2) targeted needs assessment, (3) goals and objectives, (4) educational strategies, (5) implementation, and (6) evaluation and feedback. After assessing the curricula in place at the time, we clarified the course goals and objectives and curated a digital research resources library to support the mentored experiential learning already in place. The new curricula were implemented, and evaluation and feedback are ongoing.</p><p><strong>Conclusions: </strong>This project used Kern's 6-step process to revise curricula for a series of doctorate-level research courses by using a shared knowledge management platform and curating a research resources digital library. The new content will better support the students in designing and conducting a research protocol and will ultimately support conducting more rigorous projects that directly impact the U.S. military. Aspects of the curricula, such as the digital research resources library, may be helpful to other programs with modifications to meet their specific needs.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":"190 Supplement_1","pages":"26-30"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing Anesthesia Clinical Educators Through Structured Peer Observation of Teaching at a Military Treatment Facility. 通过对军事治疗机构教学的有组织的同伴观察培养麻醉临床教育工作者。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-01 DOI: 10.1093/milmed/usaf036
Benjamin A Drew, Ronald M Cervero, Alexis Battista
{"title":"Developing Anesthesia Clinical Educators Through Structured Peer Observation of Teaching at a Military Treatment Facility.","authors":"Benjamin A Drew, Ronald M Cervero, Alexis Battista","doi":"10.1093/milmed/usaf036","DOIUrl":"https://doi.org/10.1093/milmed/usaf036","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Anesthesia faculty assigned to graduate medical education programs within the Defense Health Agency are expected to train future physicians without formal health professions education instruction. This project was conceived to enhance clinical anesthesia teaching at Naval Medical Readiness and Training Command San Diego. The aim was to design, execute, and study a peer observation of anesthesia teaching program within the operating room using a novel teaching rubric.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Three anesthesia faculty with teaching certificates were recruited to serve as peer observers. Following an informational recruitment campaign, 10 anesthesia faculty volunteered as participants. The observers and participants paired up, reviewed the teaching rubric, and scheduled observations for precepting a new clinical anesthesia resident to induce anesthesia and intubate a patient. After each teaching session, observers provided feedback to participants. Semi-structured interviews with each participant were recorded, transcribed, and examined through content analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nine participants completed the study and endorsed a transformative perception of peer observation, an inclination to enact changes in teaching practice based on feedback, and a willingness to participate again. Barriers to engagement included limited familiarity with peer observation, performance anxiety, distractive concerns, and logistical burdens. Participants identified recommendations included incorporating the rubric as an advanced organizer, enhancing feedback timeliness, expanding the rubric for advanced learners, and systemic changes to increase impact. Before this study, no faculty participants had previously experienced peer observation of clinical anesthesia teaching. Preliminary impressions varied, with most approaching the experience feeling cautious to neutral (5, 55%). Others viewed peer observation as an opportunity for professional development (8, 88%), while a few participated because of curiosity (3, 33%). A majority of participants (7, 77%) reported feeling hesitant, specifically anxious (6, 66%) or distracted (2, 22%). One participant (1, 11%) expressed concern regarding the accuracy of feedback. During the observation, 4 participants (44%) expressed feelings of anxiousness; however, all participants (100%) reported the experience as positive and gained new insight about their teaching.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Although anesthesia faculty may have limited familiarity with peer observation and express hesitancy, participation can result in a positive, transformative impact on their teaching practices. This pilot study identified valuable insights to create a sustainable and informed peer observation clinical anesthesia teaching program, using a novel rubric. Future investigations should focus on rubric validation and modifying it for senior anesthesia learners and other procedural specialt","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":"190 Supplement_1","pages":"58-65"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Rare Presentation of a Giant Pararectal Implantation Dermoid Cyst Following a Blast Injury: A Case Report. 爆炸伤后罕见的巨大直肠旁植入皮样囊肿一例报告。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-01 DOI: 10.1093/milmed/usaf345
Eran Hapuarachchi, Sumudu Kumarage, Pramodh Chandrasinghe
{"title":"A Rare Presentation of a Giant Pararectal Implantation Dermoid Cyst Following a Blast Injury: A Case Report.","authors":"Eran Hapuarachchi, Sumudu Kumarage, Pramodh Chandrasinghe","doi":"10.1093/milmed/usaf345","DOIUrl":"https://doi.org/10.1093/milmed/usaf345","url":null,"abstract":"<p><p>Blast injuries to the perineum have become prevalent on battlefields with the use of improvized explosive devices. Such injuries were commonly encountered during the height of the internal conflict in Sri Lanka from 2007 to 2009. These were associated with unique complications as well as challenges in their management. We present a case of a complex perineal injury which was initially reconstructed with a Gracilis neosphincter, presenting a decade later as a giant implantation dermoid incorporating the rectum.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Are the Emergency Medical Pathologies Encountered Among United Nations Peacekeepers in Lebanon? A Retrospective Study From 2013 to 2023. 联合国驻黎巴嫩维持和平人员遇到的紧急医疗病症有哪些?2013 - 2023年回顾性研究
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-01 DOI: 10.1093/milmed/usaf320
Oscar Thabouillot, James Margain, Georges Pfister
{"title":"What Are the Emergency Medical Pathologies Encountered Among United Nations Peacekeepers in Lebanon? A Retrospective Study From 2013 to 2023.","authors":"Oscar Thabouillot, James Margain, Georges Pfister","doi":"10.1093/milmed/usaf320","DOIUrl":"https://doi.org/10.1093/milmed/usaf320","url":null,"abstract":"<p><strong>Introduction: </strong>Life-threatening or function-threatening emergencies in military forces deployed on operations, excluding war-related injuries, are rarely discussed in the literature. We questioned the prevalence of diseases within a military population on deployment because the characteristics of this population differ from those typically seen in emergency medicine in economically developed countries. In Lebanon, Blue Helmet military personnel suffering from a life-threatening or function-threatening emergency are exclusively evacuated by helicopter. The analysis of these records provides insight into the epidemiology of this military force, which is not involved in combat operations.</p><p><strong>Materials and methods: </strong>We analyzed all the files of the Aero Medical Evacuation Team (AMET), which evacuates all life-threatening or function-threatening emergencies from the United Nations forces in Lebanon. The main objective of the study was to identify the major pathological conditions encountered by all medical evacuation teams within the Blue Helmet force in Lebanon. To standardize the diagnoses, we used the International Classification of Diseases-11 available on the World Health Organization's website.</p><p><strong>Results: </strong>We analyzed 60 cases that met the inclusion criteria. Five cases were excluded: 2 because the patient had died before AMET arrived on site, and 3 because the files were incomplete. Of the 55 cases treated, the distribution of reasons for intervention was: injury or poisoning: 29 (53%); circulatory system: 14 (25%); nervous system: 8 (16%); immune system: 2 (4%); mental and behavioral disorders: 1 (1%); digestive system: 1 (1%).</p><p><strong>Conclusion: </strong>We found that the pathologies treated were varied. Although dominated by trauma, nearly half of the cases were non-trauma-related. This reinforces the idea that medical personnel assigned to evacuation missions should be physicians accustomed to emergency medicine. In conclusion, this study sheds light on the urgent medical pathologies faced by the AMET during the United Nations Interim Force in Lebanon mission in Lebanon.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Military Medical Student Technology Readiness and Resource Utilization. 军医学生技术准备与资源利用。
IF 1.2 4区 医学
Military Medicine Pub Date : 2025-07-01 DOI: 10.1093/milmed/usaf251
Jezreelyn Bulaklak, Ronald Cervero, Anita Samuel
{"title":"Military Medical Student Technology Readiness and Resource Utilization.","authors":"Jezreelyn Bulaklak, Ronald Cervero, Anita Samuel","doi":"10.1093/milmed/usaf251","DOIUrl":"10.1093/milmed/usaf251","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigates medical education technology use by medical students at the Uniformed Services University of the Health Sciences. It explores the resources students utilize, considering factors like effectiveness, cost, and peer influence, to optimize learning while ensuring responsible DoD fund stewardship. The research aims to inform student resource selection, institutional resource allocation, and faculty technology integration.</p><p><strong>Materials and methods: </strong>The technology readiness index survey was administered to medical students from the classes of 2023-2027.</p><p><strong>Results: </strong>A total of 98 responses were received. The reported estimated cost of third-party resources varied amongst students, ranging from $0 to up to $6,000. The distribution of cost shows a general increase in cost every year further into medical school and there is a difference in resource use timing. Students displayed significantly more positive attitudes of optimism regarding technology at a mean of 4.36/5, followed by insecurity at 3.43/5, slightly above neutral, followed by attitudes of discomfort and innovativeness at slightly below neutral.</p><p><strong>Conclusion: </strong>Our findings reveal a diverse landscape of resource utilization, with students drawing on both institution-provided and personally purchased tools to support their learning. Recommendations for institutions include considering student preferences on resource use at different points during the medical education journey.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":"190 Supplement_1","pages":"3-9"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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