U.S. Army Medical Department journal最新文献_第2页

Animal Derived Thiol Induced Work Exacerbated Asthma: A Brief Case Report of a Unique Workplace Hazard. 动物源性硫醇诱发的工作加重哮喘:一个独特的工作场所危害的简短案例报告。

U.S. Army Medical Department journal Pub Date : 2018-07-01

John W Downs, Joshua M Renshaw

{"title":"Animal Derived Thiol Induced Work Exacerbated Asthma: A Brief Case Report of a Unique Workplace Hazard.","authors":"John W Downs, Joshua M Renshaw","doi":"","DOIUrl":"","url":null,"abstract":"A 33 year old female healthcare worker with a history of cough variant asthma presented with 2 weeks of dyspnea and cough that she believed to be due to recurring exposure to skunk spray in her work environment. The employee was working in a temporary structure outside the primary hospital campus. During the preceding 2 weeks, at least one striped skunk was observed multiple times by staff members to be crawling under the structure. The employee's symptoms were not initially considered serious by her supervisors who felt that the appreciable \"skunk smell\" was merely a nuisance odor. Repeated pre- and postexposure spirometry noted a 350 mL and 11% reduction in forced expiratory volume at one second (FEV1). A review of organic chemistry literature found that 2 thiols, also known as mercaptans, produced in striped skunk spray are structurally related to 1-butanethiol, a chemical workplace hazard and known respiratory irritant with established occupational exposure limits. The observation of the chemical similarities between these skunk-derived thiols and workplace thiols was the key factor in getting the employee temporarily removed from a hazardous, albeit unique, working environment.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 2-18","pages":"84-86"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36846322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case Report: Unilateral Paresis of the Abdominal Wall with Associated Thoraco-Lumbar Pain. 病例报告：单侧腹壁麻痹伴有胸腰部疼痛。

U.S. Army Medical Department journal Pub Date : 2018-07-01

Maria Francisca Elgueta, Nina Nan Wang, Gaurav Gupta, Markus Besemann

引用次数: 0

Motivational Guest Speaker Presentation as an Anti-Stigma Intervention for US Army Soldiers. 作为美军士兵反污名化干预措施的激励性客座演讲。

U.S. Army Medical Department journal Pub Date : 2018-07-01

Rohul Amin, Sarah C McLeroy, Victor M Johnson

引用次数: 0

Sexual Dimorphic Features Associated with Femoroacetabular Impingement. 与股髋臼撞击相关的两性二态特征。

U.S. Army Medical Department journal Pub Date : 2018-07-01

Victoria B Okpala, David J Tennent, Anthony E Johnson, Matthew R Schmitz

引用次数: 0

Lessons Learned: Military Screening for Posttraumatic Stress Disorder. 经验教训:创伤后应激障碍的军事筛查。

U.S. Army Medical Department journal Pub Date : 2018-07-01

Tiffany L Schweitzer, Earla J White, Ronald P Hudak

引用次数: 0

Infection Precedes Heterotopic Ossification in Combat Wounded. 战斗伤员感染先于异位骨化。

U.S. Army Medical Department journal Pub Date : 2018-07-01

Jessica K Juarez, Mary Jo Pugh, Joseph C Wenke, Jessica C Rivera

{"title":"Infection Precedes Heterotopic Ossification in Combat Wounded.","authors":"Jessica K Juarez, Mary Jo Pugh, Joseph C Wenke, Jessica C Rivera","doi":"","DOIUrl":"","url":null,"abstract":"Heterotopic ossification is the formation of ossified bone in soft tissue, particularly after soft tissue trauma. Heterotopic ossification is known cause of pain, prosthetic/orthotic malfit, and reoperation following combat extremity injury. The purpose of this research was to examine injury and treatment characteristics that are associated with heterotopic ossification in a broader population of deployment-injured subjects. The Department of Defense Trauma Registry and Military Orthopaedic Trauma Registry was queried for a sample of deployment-injured subjects and the complication of heterotopic ossification. Heterotopic ossification was identified in 15% of subjects following 5% of all injuries. Symptoms attributed to the heterotopic bone were present in 40% of subjects with diagnosed with heterotopic ossification. Heterotopic ossification was not associated with injury severity or aggressiveness of open wound treatment. However, infection was the only positive predictor of heterotopic ossification resulting in two-times greater odds of heterotopic bone formation. This finding is consistent with prior research suggesting that heterotopic ossification requires persistent inflammation to be present in at-risk soft tissue. Among all wounds sustained during deployment injury, heterotopic may not be abundantly common; however, the risk may be further minimized by focused infection control.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 2-18","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36890455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing Mission-Specific Medical Threat Readiness and Preventive Medicine for Service Members. 为服务人员优化特定任务的医疗威胁准备和预防医学。

U.S. Army Medical Department journal Pub Date : 2018-01-01

Caroline A Toffoli

{"title":"Optimizing Mission-Specific Medical Threat Readiness and Preventive Medicine for Service Members.","authors":"Caroline A Toffoli","doi":"","DOIUrl":"","url":null,"abstract":"Deployments and mobilizations of Army Soldiers have been continuing processes and will be sustainable requirements for the foreseeable future. Global deployments often position service members in austere environments that can include exposure to biological threats that can significantly affect their health and medical readiness. Unit commanders and operations personnel bear the responsibility for researching and disseminating up-to-date information on potential biological threats including vector-borne diseases and zoonotic diseases. It has been a significant challenge to inform and prepare service members for the potential threats in Army Reserve units and units that do not have access to preventive medicine advisors. With the expanding list of known pathogens and the discovery and surveillance of emerging threats, it is extremely important for leaders and providers to have readily-available access to information about current, mission-specific biological threats. This article discusses the resources that are available to leaders, providers, and service members, and provides an organized resource for obtaining current and complete information on global biological threats that could affect combat readiness.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 1-18","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hydration Strategies for the Female Tactical Athlete. 女战术运动员的补水策略。

U.S. Army Medical Department journal Pub Date : 2018-01-01

Taylor K Zak, Christina M Hylden, Anthony E Johnson

引用次数: 0

Surveillance for Scrub Typhus, Rickettsial Diseases, and Leptospirosis in US and Multinational Military Training Exercise Cobra Gold Sites in Thailand. 在美国和泰国眼镜蛇黄金军事训练演习地点监测丛林斑疹伤寒、立克次体病和钩端螺旋体病。

U.S. Army Medical Department journal Pub Date : 2018-01-01

Piyada Linsuwanon, Panadda Krairojananan, Wuttikon Rodkvamtook, Surachai Leepitakrat, Silas Davidson, Elizabeth Wanja

{"title":"Surveillance for Scrub Typhus, Rickettsial Diseases, and Leptospirosis in US and Multinational Military Training Exercise Cobra Gold Sites in Thailand.","authors":"Piyada Linsuwanon, Panadda Krairojananan, Wuttikon Rodkvamtook, Surachai Leepitakrat, Silas Davidson, Elizabeth Wanja","doi":"","DOIUrl":"","url":null,"abstract":"We report findings of field surveillance for disease vectors and the prevalence of Orientia tsutsugamushi, the causative agent for scrub typhus, and other Rickettsial species that cause murine typhus and spotted fever group rickettsioses, in chigger mites and small rodents; and Leptospira in rodent kidney, urine, and environmental water samples. The study sites included various Royal Thai Army military installations and other training sites, and surrounding areas where the multinational military training exercise Cobra Gold was conducted in Thailand in 2017 and 2018. The overall prevalence of O. tsutsugamushi and Rickettsia infection in chiggers was 1.3% (20/1,594) and 7.5% (119/1,594), respectively. Serum samples of the captured rodents indicated previous exposure to O. tsutsugamushi infection with a seropositive rate of 12.2%. Leptospira species were isolated from rodent kidneys and water samples collected from catchment areas as well as tap water used for hand washing. Findings from this surveillance are important in determining the potential for scrub typhus, rickettsioses, and leptospirosis risk to military and US government personnel, as well as for informing regional and combatant commanders for prevention, correct diagnosis, prompt treatment, and timely and focused implementation of vector control and personal protective measures.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 1-18","pages":"29-39"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public Health Response to Imported Mumps Cases-Fort Campbell, Kentucky, 2018. 对输入性腮腺炎病例的公共卫生应对——肯塔基州坎贝尔堡，2018。

U.S. Army Medical Department journal Pub Date : 2018-01-01

John W Downs

引用次数: 0