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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

From both a strategic military point of view and in terms of the potential for long-term psychiatric disability, the impact of battle fatigue is extremely significant. Using the basic management principles of Brevity, Immediacy, Centrality, Expectancy, Proximity, and Simplicity, all members of the health team can provide successful intervention, returning as many as 80% of battle fatigue casualties to combat. These intervention techniques can be mastered by members of all specialties, not just mental health providers. With its health education mission, professional nursing has the distinct opportunity to take a leading role in educating, not just the medics and corpsmen who will most likely be the first to encounter battle fatigue casualties, but the line community as well. It is the line commanders who can institute preventive measures to minimize the risk of battle fatigue as well as recognize early signs and initiate intervention. This paper examines the many aspects of battle fatigue from contributing factors to management principles to prevention to assist professional nurses in understanding and carrying out their role.
Mil Med 1992 Apr
PMID:Battle fatigue intervention: a vital role for nursing. 162 Mar 81

We have developed an ambulatory recorder capable of monitoring low back muscle tension, trunk motion, and ratings of pain and fatigue. It weighs 22 ounces, fits into a canteen belt, and records every second for 18 hours. Eleven subjects wore the recorder during all walking hours for between 3 and 5 days. Six subjects had chronic low back pain due to muscle tension, three experienced low back pain after labor, and two had no pain. Movement and muscle tension correlated highly when subjects were pain free but not when they were in pain. Muscle tension increased before pain was experienced.
Mil Med 1991 May
PMID:Development of an ambulatory recorder for evaluation of muscle tension-related low back pain and fatigue in soldiers' normal environments. 182 44

Battle fatigue, a temporary response to the stress of combat capable of reducing the fighting force by 10% to 50%, is an inevitable consequence of military conflict. Effective application of established preventive and management techniques by line and medical corps personnel can turn this "force reducer" into a "force multiplier," returning 80% or more of these seasoned troops to their original units within 72 hours. The proper management of battle fatigue is an essential readiness element in the medical support mission. The "Battle Fatigue Identification and Management" course prepares future military medical officers for this important contingency role.
Mil Med 1991 Jun
PMID:Battle fatigue identification and management for military medical students. 185 74

Hypothermia has altered the course of military history. Military casualties tend to occur in epidemics, associated with cold weather combat or maneuvers, trauma, immobilization, improper clothing, exhaustion, and underlying illness. Symptoms of hypothermia begin subtly with fatigue and loss of concentration, but progress to stupor, coma, and resemble rigor mortis. Treatment of mild hypothermia is with body heat and warm clothes and fluids. Moderate and severe cases require gentle evacuation and active core rewarming method(s). Inhalation of warm (40 degrees C, 104 degrees F) humidified oxygen is safe, effective, and can be begun in the field. Recognition of risk factors and active measures can lessen the menance of cold weather for military personnel.
Mil Med 1991 Mar
PMID:Hypothermia: threat to military operations. 190 77

Eighty-nine soldiers performed a maximal effort 20-km road march, carrying a total load of 46 kg. Compared to pre-march values, post-march marksmanship accuracy decreased 26% for number of target hits and 33% for distance from the centroid of the target. Maximal grenade throw distance decreased 9%, but there was no change in maximal vertical jump height. The Profile of Mood States questionnaire revealed an 82% increase in self-reported fatigue and 38% decrease in vigor. Significant decrements in some aspects of military performance occur when soldiers march rapidly with heavy loads over long distances.
Mil Med 1991 Apr
PMID:Soldier performance and mood states following a strenuous road march. 203 Aug 43

Thirty-nine patients with epithelial ovarian cancer admitted to the Division of Medical Oncology of the Medical School II of Naples were given 159 courses of alpha 2b interferon (30 Mil./sqm IU) intraperitoneally from October 1986 to November 1989. IFN was generally administered every three weeks, but six patients received the drug weekly at the same dose, for an additional period. In 15 patients IFN was added to standard systemic chemotherapy as first line treatment; the remaining patients, all pretreated (22 with minimal and 2 with no residual disease), received an intraperitoneal multidrug treatment combining IFN, cisplatin and mitoxantrone. Peritoneal access was achieved through a temporarily implanted 18 gauge catheter and the drug was instilled in a large fluid volume (2,000 ml) to ensure wide spread and uniform distribution. IFN was well tolerated: only one patient had to discontinue treatment because of severe fatigue. No major complication related to catheter implantation or function occurred. 3/15 untreated and 11/20 pretreated patients, evaluable for response, achieved a pathological complete response (pCR). In view of IFN's lack of significant toxicity and the safety and tolerability of a temporary small gauge catheter for peritoneal access, intraperitoneal chemotherapy including IFN should be useful in ovarian cancer patients with minimal or absent disease after first-line systemic treatment.
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PMID:Alpha 2b interferon (IFN) by intraperitoneal administration via temporary catheter in ovarian cancer. Preliminary data. 205 Jan 63

AFR 35-11, dated 10 April 1985, included standards for physical fitness performance tests with the option of a 1.5-mile run or a 3-mile walk. Since that time, ANG units have begun initial physical fitness testing of all personnel. This program brought with it new responsibilities for ANG medical units including the screening of individuals in whom health problems might indicate that they are at risk in taking the physical fitness test (PFT). The 111th TAC Clinic used a questionnaire, screened by physicians utilizing a predetermined grid of responses to designate individuals cleared for the run or walk test or as at risk. Of 823 individuals screened, 91 (11%) were designated at risk. These individuals are being further evaluated and 31 (29%) have been subsequently cleared to date. Physical testing of cleared individuals was accomplished, and both running and walking courses were carefully monitored by ambulance crews. Four casualties came to medical attention (blisters, severe fatigue, dizziness, and indigestion). The patient with severe fatigue was a patient on medical hold, S/P myocardial infarction, who had not been medically cleared to participate. The patient with light-headedness was found to have newly diagnosed hypertension. In view of the relatively small number of casualties incurred during this initial PFT, it is felt that the screening process employing a questionnaire evaluated by medical personnel is an appropriate method of minimizing risk.
Mil Med 1989 Sep
PMID:Report of an Air National Guard clinic's experience with screening at-risk individuals before initial physical fitness testing. 250 60

A 59-item questionnaire was administered to Army helicopter pilots from a variety of Army units to assess crew endurance issues. Analysis of 653 completed questionnaires indicated that respondents felt that the maintenance of aviator proficiency was more important than the fulfillment of only currency requirements in improving flight endurance. Approximately three-quarters of the respondents said that physical training was important to them personally, and 63% said that improved physical fitness reduces flight-related fatigue. With regard to the current crew endurance guide, only 1% of the respondents thought that the guide was exceptional and 65% said that they thought it should be rewritten. Adjustments were suggested for some of the recommended flight time limitations, to include liberalizing the factor associated with night-vision device flight. A majority of respondents indicated that data from either in-flight endurance evaluations or questionnaires administered to personnel in the field should be used to develop a new guide. Most respondents did not feel comfortable delegating responsibility for total crew endurance planning to unit commanders.
Mil Med 1995 Jan
PMID:A survey of selected aviators' perceptions regarding Army crew endurance guidelines. 774 28

Battle fatigue is a soldier's response to the overwhelming environmental and psychological stressors associated with combat. Management efforts that emphasize replenishment of physiologic needs, structured occupation, and support of the affected soldier's occupational roles have yielded high return-to-duty rates. Although such effective battle-fatigue management principles, or "principles of battlefield psychiatry," are well described, they have not been explained in terms of theoretical foundation. The model of human occupation, an occupational therapy treatment model, is presented as a theoretical framework to explain the success of current battle-fatigue management principles and to guide continued refinement of the process of restoring battle-fatigued soldiers to duty.
Mil Med 1996 Aug
PMID:The management of battle-fatigued soldiers: an occupational therapy model. 877 4

The prevalence of sleep apnea-hypopnea syndrome (SAHS) was investigated in a selected group of veterans of the Persian Gulf War at Brooke Army Medical Center. One hundred ninety-two self-referred patients participated in the full evaluation of the Comprehensive Clinical Evaluation Program (CCEP) for veterans of the Persian Gulf War. After completing an initial survey, an interview and examination were performed by staff internists. Forty-six participants with histories suggestive of a sleep disorder were referred for further evaluation. Those patients suspected of SAHS then completed a sleep disorders questionnaire and underwent standard nocturnal polysomnography (PSG). SAHS was defined as a respiratory disturbance index > or = 15 in a symptomatic patient. Fifteen of 46 patients undergoing PSG at this institution met criteria for SAHS. The majority of these patients had symptoms of fatigue and memory loss. Overall, 16 of the 192 patients (8.3%) in the CCEP of our institution were diagnosed with SAHS. SAHS may play a significant role in the symptom complex presented by many veterans of the Persian Gulf War.
Mil Med 1997 Apr
PMID:Sleep apnea-hypopnea syndrome in a sample of veterans of the Persian Gulf War. 911 May 48


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