Since the advent of the all-volunteer force, the U.S. Air Force has struggled with how best to attract and retain physicians and dentists. Both populations have declined in recent years. Multiyear Special Pay (MSP) is intended to keep physicians and dentists in the Air Force after their initial service obligations have expired. MSP has been successful in that eligible dentists, in particular, have often accepted it. Although most eligible physicians have heretofore refused MSP, physicians in...
Topics: DTIC Archive, RAND PROJECT AIR FORCE ARLINGTON VA, *PERSONNEL MANAGEMENT, MILITARY MEDICINE,...
Blanchfield Army Community Hospital is looking to optimize their Operating Room through efficient utilization, as mandated from the Surgeon General of the Army, by enacting one or more different courses of action: change the in room time, schedule a swing shift, resource share with other facilities, or maintain business as usual. Projected outcomes include improving the utilization rate, numbers of surgeries, and the access to care. The first three courses of action show improvement with these...
Topics: DTIC Archive, BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL KY, *SURGERY, *UTILIZATION,...
This conference grant supported the Parkinson's Action Network (PAN)'s 15thth Annual Research and Education Forum for Parkinson's patients, their families/caretakers and advocates held March 15 to 17, 2009 at the L'Enfant Plaza Hotel, Washington, DC. This forum brought together some of the foremost doctors and scientists working on Parkinson's research to share their work with patients and leaders in the Parkinson's community. PAN's Research and Education Forum serves as a premier educational...
Topics: DTIC Archive, PARKINSON'S ACTION NETWORK (PAN) WASHINGTON DC, *PARKINSONS DISEASE, *SYMPOSIA,...
The Shaw-UNC Undergraduate Program in Prostate Cancer Research and Training (SUUPPRT) is a collaborative project between the University of North Carolina at Chapel Hill (UNC-CH), and Shaw University, the oldest Historically Black College/University in the South. SUUPPRT provides research and academic training to prepare young men and women of color to become tomorrow's prostate cancer researchers and public health professionals. The second year of the SUUPPRT Program has been highly successful....
Topics: DTIC Archive, NORTH CAROLINA UNIV AT CHAPEL HILL, *MEDICAL RESEARCH, *PROSTATE CANCER, TRAINING,...
This predoctoral training grant, supported by the Department of Defense Breast Cancer Research Program (BCRP) of the Office of the Congressionally Directed Medical Research Programs (CDMRP), aims to study the possible role of membrane transporters in pleitropic drug resistance, using a combination of molecular biological, biochemical, and biophysical methods. The third year of funding was spent in further characterization of the Plasmodium falciparum Chloroquine Transporter (PfCRT), a member of...
Topics: DTIC Archive, GEORGETOWN UNIV WASHINGTON DC, *CELLS(BIOLOGY), *MASS SPECTROMETRY,...
The goal of this project was to better understand the psychosocial and cultural factors affecting prostate cancer screening among African American (AA) and White men. It was a community-based participatory research project, which involved participation of local community members through a community steering committee. The first phase of the project was a focus group study, and then the focus group results were used to develop a questionnaire instrument. We conducted the Nashville Men's...
Topics: DTIC Archive, TENNESSEE STATE UNIV NASHVILLE, *PROSTATE CANCER, BARRIERS, INSTRUMENTATION, MALES,...
The U.S. Army Wounded Warrior Program (AW2) is the official Army program that serves severely wounded, injured, and ill Soldiers and their Families, wherever they are located, for as long as it takes. AW2 supports the most severely wounded Soldiers from the Global War on Terrorism who have, or are expected to receive, an Army disability rating of 30 percent or greater in one or more specific categories or a combined rating of 50 percent or greater for conditions that are the result of combat or...
Topics: DTIC Archive, WARRIOR TRANSITION COMMAND CRYSTAL CITY VA, *COMBAT FORCES, *WOUNDS AND INJURIES,...
The military services are responsible to recruit, train, equip and sustain their forces. For decades the Department of Defense (DOD) has received pressure to consolidate medical departments and therefore, DOD reciprocates that challenge to the uniformed services to create a single medical command. The Army, Navy and Air Force have always justified separate medical branches, by staunchly stating that war-time requirements demand unique medical skill sets for Soldiers, Seamen and Airmen. However,...
Topics: DTIC Archive, ARMY WAR COLL STRATEGIC STUDIES INST CARLISLE BARRACKS PA, *MILITARY FORCES(UNITED...
In April 2008, NATO subject matter experts met in Munich, Germany to discuss an approach to modeling human response and casualty estimation for incorporation into NATO Allied Medical Publication 8, NATO Planning Guide for the Estimation of CBRN Casualties. The purpose of this two-day conference was to review the proposed human response model for estimating casualties resulting from exposure to chemical agents- sarin (GB), VX, and chemical mustard (HD)-focusing in particular on severity...
Topics: DTIC Archive, INSTITUTE FOR DEFENSE ANALYSES ALEXANDRIA VA, *CASUALTIES, *CHEMICAL AGENTS, *MUSTARD...
The Army Medical Department Journal is published by the Surgeon General by the U.S. Army Medical Department Center and School, Ft. Sam Houston, TX. It provides clinical and non-clinical professional information designed to keep U.S. Army Medical Department personnel informed of health care, research, and combat and doctrine development information. The main theme for this issue was Leadership in the Army Medical Department. Also are included are articles on ultrasonography for advanced regional...
Topics: DTIC Archive, ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX, *MEDICAL SERVICES, *MILITARY...
The Air and Space Power Journal, Air Force Recurring Publication 10-1, published quarterly, is the professional journal of the United States Air Force. It is designed to serve as an open forum for the presentation and stimulation of innovative thinking on military doctrine, strategy, force structure, readiness, and other matters of national defense.
Topics: DTIC Archive, AIR UNIV MAXWELL AFB AL AIRPOWER JOURNAL, *SPACE WARFARE, *AIR FORCE OPERATIONS,...
This Military Working Dog (MWD) was shot in the chest during combat operations in Iraq. Military Working Dogs are critical to the safety and well-being of deployed troops in combat operations and, as such, they are triaged and treated in our combat hospitals just like any other soldier; their speciation is not a factor in their triage status. This case familiarizes military physicians with the basic canine anatomy, positioning, and radiological technique they should be aware of before...
Topics: DTIC Archive, UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD DEPT OF RADIOLOGY, *PAIN,...
This case report is designed to familiarize military physicians with findings common in tuberous sclerosis patients with epilepsy. Tuberous sclerosis is an inherited multi-system disorder that typically causes benign hamartomas to develop in vital organs. When this occurs in the brain, the hamartomas may lead to neurological disorders such as epilepsy. TS has an incidence of approximately 1 in 6000 live births. Although diagnosis of tuberous sclerosis is often made clinically, radiographic...
Topics: DTIC Archive, UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD DEPT OF RADIOLOGY,...
In decades past, the Battalion Surgeon was the embodiment of forward medical care. As the first medically educated resource to lay hands on wounded warriors, the presence of the Battalion Surgeon has been constant through many iterations of medical change. Today, the Battalion Surgeon remains positioned at the presumed gateway of the complex system of medical care delivered to the American Soldier. Based on the Battalion Surgeon's forward position in the field, one might suspect that...
Topics: DTIC Archive, ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS, *FORWARD AREAS, *COMBAT...
Dr. David Satcher, Surgeon General of the United States, declared in 1999 that suicide is a serious public health threat, launching a national effort to develop strategies to prevent suicide and the suffering it causes. The Army followed his direction and in December 1999, the Chief of Staff of the Army directed a review of the Army Suicide Prevention Program (ASPP). In 2000, the Army G-1, the Behavioral Health Proponent at the Army Office of the Surgeon General (OTSG), and the Office of Chief...
Topics: DTIC Archive, ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE ABERDEEN PROVING GROUND MD,...
The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) were followed for up to 2.5 years for the development of PFPS. Physicians and certified athletic trainers documented the cases of PFPS. PFPS was defined as retropatellar pain during at least two of the following activities: ascending/descending...
Topics: DTIC Archive, UNIVERSITY OF NORTH FLORIDA JACKSONVILLE DEPT OF ATHLETIC TRAINING AND PHYSICAL...
Army physicians are voting with their feet and leaving the Army in staggering numbers upon completion of their active duty service obligations. Chief among the reasons given for leaving are combat deployments, the current electronic medical record known as AHLTA, and inadequate pay. The Army's answer over the last year has been to increase special pays for physicians as an incentive for staying. However, the ultimate answer must be multi-faceted and comprehensively balanced. Although the...
Topics: DTIC Archive, ARMY WAR COLL CARLISLE BARRACKS PA, *PHYSICIANS, *MILITARY SEPARATION, *ARMY,...
This business case examines the likely costs and benefits of establishing a mobile primary care clinic to provide care to geographically underserved veterans in South Texas. The recommendation is to purchase a mobile health unit with no ancillary services with a clinical staffing of one physician's assistant (PA) and one nurse practitioner (NP). A total of four options were evaluated: (1) no ancillary with physician/registered nurse (RN) staffing, (2) no ancillary with PA/NP staffing, (3)...
Topics: DTIC Archive, SOUTH TEXAS VETERANS AFFAIRS HEALTH CARE SYSTEM SAN ANTONIO TX, *CASE STUDIES,...
This pilot study compares the clinical outcomes, economic impacts, and patient and caregiver ratings of Quality of Life and satisfaction of a Remote Technology (RT) intervention to Home Health Aide (HHA) intervention or Usual Care (UC). 28 high-risk patients with ESRD were randomized into 3 groups for intervention: RT, HHA, or UC. The pre-intervention surveys of Quality of life, satisfaction, and health utilities were conducted. Measurements of healthcare resource utilization including ER...
Topics: DTIC Archive, SAINT FRANCIS HEALTHCARE FOUNDATION HONOLULU HI, *ECONOMIC IMPACT, *HEALTH, *ILLNESS,...
The demand for physician manpower is a function of the demand on the entire health care system, which varies as a function of user demographic characteristics. These characteristics differ among countries and may exhibit large imbalances within a country. Demographic imbalances can be found throughout Brazilian society and consequently are present in the Brazilian Air Force (FAB), whose health care system follows a user-driven demand for physicians. Actions resting on assumptions about future...
Topics: DTIC Archive, NAVAL POSTGRADUATE SCHOOL MONTEREY CA, *REQUIREMENTS, *BRAZIL, *PHYSICIANS,...
The Army Medical Department Journal is published quarterly for the Surgeon General by the US Army Medical Department Center and School, Fort Sam Houston, TX. It includes clinical and non-clinical professional information designed to keep US Army Medical Department personnel informed of health care, research, and combat and doctrine development information.
Topics: DTIC Archive, ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX, *MILITARY MEDICINE,...
The purpose of these guidelines is to examine existing data regarding the diagnosis and treatment of NSTIs and to provide an evidence-based and reasoned approach to the care of patients with NSTI. Users These guidelines target both physicians involved in the initial diagnosis and management of NSTI and specialists involved in the definitive treatment including debridement and coverage procedures of patients with NSTI. Clinical Problem NSTIs are rare but potentially fatal infections involving...
Topics: DTIC Archive, ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX, *BURNS(INJURIES), *INFECTIOUS...
The objective of this study was to determine if baseline functional health status, as measured by SF-36 (veterans), predicts new onset symptoms or diagnosis of post-traumatic stress disorder among deployed US military personnel with combat exposure. Participants were combat deployed members who completed baseline (2001-3) and follow-up (2004-6) questionnaires. Self reported and electronic data used to examine the relation between functional health and posttraumatic stress disorder. Main outcome...
Topics: DTIC Archive, NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA DEPARTMENT OF DEFENSE CENTER FOR DEPLOYMENT...
