Military medicine
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Case Reports
Sprengel deformity presenting as a post-traumatic injury in an afghan boy: a case report.
Sprengel deformity is a rare congenital anomaly that involves the shoulder joint and scapula. We treated a young Afghan boy who was presented to the German Level II Provincial Reconstructive Team in Kunduz, Afghanistan, with the complaint of a shoulder deformity evolving after an accident that occurred several years before the presentation of the patient to clinic. Physicians maximized the available resources for the diagnostic workup by arranging for his computed tomography scan at the German Level III Hospital at Mazar-e-Sharif and then reviewing the study through teleradiology. The presence of a Coalition Surgical Team allowed the delivery of advanced surgical care by combining the specialized surgical skills of three upper extremity surgeons deployed to the area.
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Randomized Controlled Trial
Randomized controlled trial of accelerated resolution therapy (ART) for symptoms of combat-related post-traumatic stress disorder (PTSD).
Therapies for post-traumatic stress disorder (PTSD) endorsed by the Department of Defense and Veterans Administration are relatively lengthy, costly, and yield variable success. We evaluated Accelerated Resolution Therapy (ART) for the treatment of combat-related psychological trauma. ⋯ ART appears to be a safe and effective treatment for symptoms of combat-related PTSD, including refractory PTSD, and is delivered in significantly less time than therapies endorsed by the Department of Defense and Veterans Administration.
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The purpose of this study was to explore rates of secondary traumatic stress (STS) in a sample of 70 military primary and mental health care providers. The sample included working professionals within two military hospitals. Participants completed surveys containing a demographic questionnaire and the Secondary Traumatic Stress Scale. ⋯ The most frequently reported symptoms were feeling emotionally numb and trouble sleeping followed by the intrusive thoughts about clients. The least frequently reported symptom was feeling jumpy. Implications of study findings and recommendations for future research are outlined.