Military medicine
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Current Topics in Military Tropical Medicine is a Continuing Medical Education series, which updates military medical personnel on questions related to clinical practice while deployed. This issue is Part II of a two-part series on the approach to decision to test, testing and management of latent tuberculosis infection. A representative case is explored in both parts to highlight how to approach service members and their units with regard to latent tuberculosis infection screening and intervention.
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Review Historical Article
Review: the influence of armed conflict on the development of critical care medicine.
This manuscript reviews the historic underpinnings of critical care medicine (CCM) during armed conflict, the means and techniques healthcare providers in the military have used to practice CCM in austere environments, and the ongoing developments in the practice of CCM by military health care clinicians. These developments influence contemporary civilian trauma practice and practice in intensive care units and vice versa. A symbiosis between civilian and military intensivists and traumatologists involves much crosstalk and sharing of experiences and best practices that has influenced and improved care in combat zones and in civilian emergency departments, operating rooms, and intensive care units.
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The purpose of this study was to review incidence of stress fractures in military and athlete populations and identify factors explaining causes and differences in the incidence among genders. ⋯ Factors possibly explaining why females are more susceptible to stress fractures include bone anatomy, lower aerobic capacity, smaller muscle, and poor diet. However, both female recruits and athletes with normal weight and bone health are less likely to develop stress fractures, showing that gender is less important than the overall physical shape/condition.
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The purpose of this study was to review incidence of stress fractures in military and athlete populations and identify factors explaining causes and differences in the incidence among genders. ⋯ Factors possibly explaining why females are more susceptible to stress fractures include bone anatomy, lower aerobic capacity, smaller muscle, and poor diet. However, both female recruits and athletes with normal weight and bone health are less likely to develop stress fractures, showing that gender is less important than the overall physical shape/condition.
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Explosions can cause devastating injuries by various wounding mechanisms. Injuries due to the primary pressure wave are rarely life threatening and those that are lethal are uncommon. ⋯ There is much overlap in treatment of these wounds, and a detailed description is beyond the scope of this review. A brief summary of the initial surgical and nonsurgical management of blast injury that is useful for civilian and military clinicians is provided.