U.S. Army Medical Department journal最新文献_第4页

The influence of smoking on recovery from subacromial pain syndrome: a cohort from the Military Health System. 吸烟对肩峰下疼痛综合征康复的影响:来自军队卫生系统的队列。

U.S. Army Medical Department journal Pub Date : 2017-10-01

Daniel I Rhon, John S Magel

{"title":"The influence of smoking on recovery from subacromial pain syndrome: a cohort from the Military Health System.","authors":"Daniel I Rhon, John S Magel","doi":"","DOIUrl":"","url":null,"abstract":"Background: Smoking rates are higher in the military population than in the civilian sector. Smoking is associated with poor prognosis for many musculoskeletal injuries. The purpose of this study was to investigate the effects of smoking on recovery from a shoulder injury in a prospective cohort seeking care at a military treatment facility.Methods: Secondary analysis of 98 patients referred to physical therapy for unilateral shoulder pain. Patients received a corticosteroid injection or 6 sessions of physical therapy. Sociodemographic and historical variables were analyzed to assess their influence on whether a patient achieved the minimally clinically important difference of 12 or more points on the Shoulder Pain and Disability Index following treatment.Results: The mean improvement was almost 50% in both groups and maintained to one year. Smoking was associated with not achieving a clinically significant improvement in disability scores at 4 weeks, but not 6 months. Higher levels of disability at baseline and receiving only the treatment originally assigned (not crossing over) were associated with achieving clinically significant changes at both 4 weeks and 6 months.Comment: Smoking is a modifiable variable that may help explain lack of improvement in patients with shoulder pain. Healthcare providers in the military setting should keep this in mind when educating this patient population and determining their prognosis, especially given high rates of smoking. Further research is needed to validate these findings and determine their influence on other musculoskeletal injuries.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 3-17","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35623952","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

A 12-month descriptive analysis of emergency intubations at Brooke Army Medical Center: a National Emergency Airway Registry study. 布鲁克陆军医疗中心紧急插管12个月描述性分析:一项国家紧急气道登记研究。

U.S. Army Medical Department journal Pub Date : 2017-10-01

Michael D April, Steven G Schauer, Calvin A Brown Rd, Patrick C Ng, Jessie Fernandez, Andrea E Fantegrossi, Joseph K Maddry, Shane Summers, Daniel J Sessions, Robert M Barnwell, Mark Antonacci

{"title":"A 12-month descriptive analysis of emergency intubations at Brooke Army Medical Center: a National Emergency Airway Registry study.","authors":"Michael D April, Steven G Schauer, Calvin A Brown Rd, Patrick C Ng, Jessie Fernandez, Andrea E Fantegrossi, Joseph K Maddry, Shane Summers, Daniel J Sessions, Robert M Barnwell, Mark Antonacci","doi":"","DOIUrl":"","url":null,"abstract":"Emergency airway management is a critical skill for military healthcare providers. Our goal was to describe the Emergency Department (ED) intubations at Brooke Army Medical Center (BAMC) over a 12-month period.Material and methods: Physicians performing endotracheal intubations in the BAMC ED complete data collection forms for each intubation event as part of the National Emergency Airway Registry, including patient demographics, intubation techniques, success and failure rates, adverse events, and patient disposition. We cross-referenced these forms against the numbers of intubation events reported in the ED nursing daily reports to ensure capture of all intubations. Providers completed forms for every intubation within 6 weeks of the procedure. We analyzed data from March 28, 2016, to March 27, 2017.Results: During the study period, providers performed 259 intubations in the BAMC ED. Reasons for intubation were related to trauma for 184 patients (71.0%) and medical conditions for 75 patients (29.0%). Overall, first-attempt success was 83.0%. Emergency medicine residents performed a majority of first attempts (95.0%). Most common devices chosen on first attempt were a video laryngoscope for 143 patients (55.2%) and a direct laryngoscope for 115 patients (44.4%). One patient underwent cricothyrotomy. The 2 most common induction agents were ketamine (59.8%; 95% CI, 55.2%-67.4%) and etomidate (19.3%; 95% CI, 14.7%-24.7%). The most common neuromuscular blocking agents were rocuronium (62.9%; 95% CI, 56.7%-68.8%) and succinylcholine (18.9%; 95% CI, 14.3%-24.2%).Conclusion: In the BAMC ED, emergency intubation most commonly occurred for trauma indications using video laryngoscopy with a high first-pass success.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 3-17","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35624957","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

Smoking and periodontal disease. 吸烟和牙周病。

U.S. Army Medical Department journal Pub Date : 2017-10-01 DOI: 10.5005/jp/books/18042_15

T. Johnson

引用次数: 0

Antibiotics in the treatment of patients with lower back pain associated with Modic changes: a case series. 抗生素治疗与Modic变化相关的腰痛患者:一个病例系列。

U.S. Army Medical Department journal Pub Date : 2017-10-01

Gaurav Gupta, Peter Jarzem, Sean Meredith, Mohan Radhakrishna, Markus Besemann, Maria Francisca Elgueta, Roshanak Charghi, Jeffrey Chankowsky

{"title":"Antibiotics in the treatment of patients with lower back pain associated with Modic changes: a case series.","authors":"Gaurav Gupta, Peter Jarzem, Sean Meredith, Mohan Radhakrishna, Markus Besemann, Maria Francisca Elgueta, Roshanak Charghi, Jeffrey Chankowsky","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To determine the clinical effect of antibiotic treatment for patients with low back pain and Modic 1 changes.Methods: This is a retrospective case series of patients treated at the Canadian Forces Health Services Centre in Ottawa and the McGill University Health Centre. Where available, pain, functional, and imaging outcomes in 11 patients treated between 2013 and 2015 were analyzed to determine effect of antibiotic treatment for patients with low back pain and associated Modic 1 changes on magnetic resonance imaging.Results: Conservatively, only 3 of 11 patients met the criteria for improvement for pain and/or function. While a larger proportion improved in the long term, outcomes were not thought to be temporally attributable to antibiotic treatment, as in most cases, ongoing therapy, medications, and/or injections were required. There did not appear to be a correlation between clinical improvement and associated end plate volume involvement for Modic changes.Conclusion: Antibiotics for the treatment of low back pain in the context of Modic changes on MRI did not generally provide significant improvement in pain and function for patients in this small cohort. Despite early excitement regarding this treatment, further research is required.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 3-17","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35229018","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

Effects of technique-focused training in conjunction with physical readiness training on Army physical fitness test performance. 技术训练与体能训练相结合对陆军体能测试表现的影响。

U.S. Army Medical Department journal Pub Date : 2017-10-01

Mark D Thelen, Shane L Koppenhaver, Norman W Gill, Scott W Shaffer

{"title":"Effects of technique-focused training in conjunction with physical readiness training on Army physical fitness test performance.","authors":"Mark D Thelen, Shane L Koppenhaver, Norman W Gill, Scott W Shaffer","doi":"","DOIUrl":"","url":null,"abstract":"The Army Physical Fitness Test (APFT) is a semiannual requirement. While conducting physical readiness training (PRT) is a requirement for all Soldiers, there is no requirement to train Soldiers on techniques that may help to optimize their performance on the APFT. A cohort of 34 officers that attended the Army Medical Department Basic Officer Leadership Course completed a technique-focused training program in conjunction with their required PRT program subsequent to failing one or more events on their initial APFT. The training consisted of a 30-minute video lesson and an individualized performance assessment completed by an Army physical therapist. Upon retest 10 days after the initial test, 27 (79.4%) participants passed the APFT with a mean improvement of 22.3 points on their overall APFT score. When evaluating change in performance by event based on failing the event initially, the observed improvement was an increase of over 9 push-ups, over 11 sit-ups, and nearly 2 minutes on the run event. The addition of a technique-focused training program to an existing PRT program can result in significant short-term improvement for those with substandard APFT performance.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 3-17","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35623956","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

Low rate of early disabling back pain following traumatic or posttraumatic major extremity amputation. 创伤性或创伤后大肢截肢后早期致残性背痛发生率低。

U.S. Army Medical Department journal Pub Date : 2017-10-01

James N Foster, Richard K Hurley, Chad A Krueger

引用次数: 0

A randomized controlled trial evaluating methylsulfonylmethane versus placebo to prevent knee pain in military initial entry trainees. 一项随机对照试验评估甲基磺酰甲烷与安慰剂预防军事初入受训人员膝关节疼痛。

U.S. Army Medical Department journal Pub Date : 2017-10-01

David J Tennent, Christina M Hylden, Benjamin K Kocher, James K Aden, Anthony E Johnson

{"title":"A randomized controlled trial evaluating methylsulfonylmethane versus placebo to prevent knee pain in military initial entry trainees.","authors":"David J Tennent, Christina M Hylden, Benjamin K Kocher, James K Aden, Anthony E Johnson","doi":"","DOIUrl":"","url":null,"abstract":"Background: Methylsulfonylmethane (MSM) is a naturally occurring sulfur containing substance that has been shown to have anti-inflammatory and antioxidative properties. Previous studies using MSM as an oral supplement to improve pain in those patients with knee osteoarthritis have shown superiority compared to placebo. However, these studies are not translatable to active individuals performing high impact activities and have not evaluated MSM as a preventative measure.Methods: A total of 180 subjects ranging in age from 18 to 40 years were enrolled. Subjects were randomized into 2 groups receiving either 3 grams OptiMSM methylsulfonylmethane (Bergstrom Nutrition, Vancouver, WA) or a placebo for 8 weeks. Outcomes measured were the Knee Osteoarthritis Outcome Score (KOOS) and the Profile of Moods States (POMS).Results: Three grams of MSM administered daily did not provide significant improvements in the 5 KOOS subscales or the 6 POMS subscales at 30 days or 60 days.Conslusion: Although 3 grams of MSM daily can be used safely, there does not appear to be a significant improvement in KOOS or POMS.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 3-17","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35229019","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

Cognitive behavioral therapy for insomnia treatment in a military deployed operational setting utilizing enlisted combat medics: a Quality and Process Improvement Project. 认知行为疗法对失眠的治疗在军事部署的操作设置利用征募的战斗医务人员:一个质量和过程改进项目。

U.S. Army Medical Department journal Pub Date : 2017-10-01

Rohul Amin, Brooke E Wirtz

{"title":"Cognitive behavioral therapy for insomnia treatment in a military deployed operational setting utilizing enlisted combat medics: a Quality and Process Improvement Project.","authors":"Rohul Amin, Brooke E Wirtz","doi":"","DOIUrl":"","url":null,"abstract":"Insomnia disorder is a prevalent condition especially among the American military, affecting up to 50% of service members. It is shown to affect military performance. Guidelines recommend the use of nonpharmacologic approaches as initial treatment of insomnia. Cognitive behavioral therapy informed insomnia treatment (CBT-I) has the greatest evidence, however it requires specialized training. While deployed in the Middle East in support of US military operations, we faced a resource challenge while caring for service members with insomnia. In order to meet the needs of the population, we created a checklist based CBT-I informed treatment to enable our health extenders, including combat medics and behavioral health specialists. Following institutional review board determination of this project as nonresearch, we implemented this as a Quality Improvement/Process Improvement Project (QI/PI). Here we describe the 4 phases of this QI/PI and our outcomes. This process can be easily reproduced in either the deployed or garrison setting with minimum efforts and resources, enabling delivery of high quality, evidence-and guidelines-based treatment while using combat medics and behavioral health specialists to their maximum potential.","PeriodicalId":88789,"journal":{"name":"U.S. Army Medical Department journal","volume":" 3-17","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35229020","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

Smoking and periodontal disease. 吸烟和牙周病。

U.S. Army Medical Department journal Pub Date : 2017-10-01

Thomas M Johnson

引用次数: 0

Evidence-based practice and single-case designs in psychotherapy. 心理治疗的循证实践和个案设计。

U.S. Army Medical Department journal Pub Date : 2017-10-01

James M Georgoulakis, Johanna G Zollman, Christopher L Pate, Amy J Hallett

引用次数: 0