Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Data were collected on 750 patients over a 6-month period at a Troop Medical Clinic in the US in an effort to identify gynecological problems of soldiers and to gain insight into the most effective ways to handle the needs of female soldiers. All female soldiers belonging to the Nurse Practitioner Gynecological Satellite Clinic at Ft. Campbell, Kentucky, who had a gynecological need were seen by the nurse practitioner. Previously, most had been referred to the gynecological clinic in the hospital. The data included age, current contraception, chief complaint, and diagnosis. 72% of the patients in garrison and in the field were under age 25; 47% of all clients used no contraception. All women using no contraceptive measures were queried as to their reasons for non-use. Very few were sexually active; very few were actively seeking pregnancy. Most gave vague reasons for their non-use of contraception. Routine pelvic examinations accounted for 34% of the gynecological visits to the Troop Medical Clinic (TMC). A diagnosis of no pathology was obtained in 43% of the TMC visits and 5% of the field visits. The leading gynecological pathology was vaginitis (including sexually transmitted diseases), which was diagnosed in 30% of the TMC visits and 36% of the field visits. Urinary tract infection was another frequent diagnosis, especially in the field. Oral contraceptive (OC) side effects, functional pain, and pregnancy were other common diagnoses. Diagnoses requiring further workup by a physician represented only 9% of the TMC visits and 19% of the field visits. Physician referrals included suspected diagnoses such as pelvic inflammatory disease, ectopic pregnancy, and ovarian cysts -- all problems that are not within the realm of nurse practitioner management. The data suggest that most gynecological conditions are manageable in the TMC or in the field given that the few necessary gynecological supplies and pharmaceuticals are made available and the health care provider is familiar with gynecological management.
Mil Med 1987 Feb
PMID:Chief complaints, contraceptive use and diagnoses of female soldiers in ambulatory GYN clinic. 310 20

Aggressive pursuit of high-quality health care had guided the Health Service of the United States Army to establish a labor analgesia program within its hospitals. A dedicated Labor Epidural Service can be quite expensive, especially from the manpower standpoint. Therefore, the Anesthesia Service at Reynolds Army Community Hospital, Fort Sill, Oklahoma, implemented a program of intrathecal narcotic injection as an alternative to costly labor epidural analgesia. After reviewing a patient fact sheet, 150 laboring patients volunteered for labor intrathecal analgesia (LIA). Once active labor began, the patient received intrathecal morphine (0.25 mg) and fentanyl (25 micrograms). The pain level before and after the LIA was evaluated by the visual analog schedule method. At 2 weeks follow-up the intrathecal narcotic-assisted labor was subjectively reported by the patients. Ninety-four percent of the patients agreed that the LIA worked well and that they would do it again. LIA was found to be a well-accepted, cost-saving, very effective approach to labor analgesia.
Mil Med 1995 May
PMID:Comfortable labor with intrathecal narcotics. 765 7

The patient who presents to the physician with a history of facial pain can be a diagnostic challenge. The etiology can be elusive, and this problem is compounded by the subjective nature and the often multi-factorial causes of facial pain. The differential diagnoses to be considered include both local and systemic disorders such as neuropathy, myofascial pain, dentoalveolar pathoses, and psychological disturbances, among others. This paper presents the case of a patient with a history of left auricular pain that was managed for over 12 years with drug therapy with only limited success. A thorough head and neck evaluation revealed probable myofascial pain with a poorly occluding set of complete dentures as a potential etiology. Fabrication of a new set of dentures and modification of the patient's denture-wearing habits has produced an almost complete remission of the pain. This case demonstrates the importance of a dental consultation to rule out a possible oral-musculoskeletal and/or dental etiology in the management of the patient with facial pain.
Mil Med 1995 Jul
PMID:Orofacial pain resulting from ill-fitting dentures. 765 47

Plant thorn granuloma is a little-reported sequela to the pricking injury caused by a thorn. The retained organic material stimulates an inflammatory foreign body reaction that is localized to the skin. This can be a significant aggravation to the patient, causing pain, swelling, and an unsightly nodule. Simple excision as an outpatient can be curative.
Mil Med 1995 Jan
PMID:Plant thorn granuloma. 774 33

During a 6-month Amphibious Task Force deployment to the Mediterranean Sea, five sailors and Marines were admitted to the ship's ward with severe upper extremity pain, elevated serum muscle enzymes, and a urinalysis dip positive for blood in the absence of microscopic hematuria-a finding highly suggestive of myoglobinuria. Each patient had begun a vigorous upper-extremity work-out program in the ship's weight room 1 to 3 days prior to development of symptoms. All responded well to vigorous intravenous hydration, mannitol diuresis, alkalinization of the urine, and skeletal muscle rest. No patient developed acute tubular necrosis. With increasing emphasis on physical fitness and body building, this condition is likely to become more frequent. The most important preventive measure is gradual conditioning. Awareness of this entity and early aggressive management are necessary to avoid the potentially severe complication of renal failure.
Mil Med 1994 Jul
PMID:Exercise-induced upper extremity rhabdomyolysis and myoglobinuria in shipboard military personnel. 781 16

This study describes the injuries, complications, functional limitations, and rehabilitative needs of amputees managed at Walter Reed Army Medical Center during the Persian Gulf conflict (1991). Fourteen amputees were treated sustaining 21 amputations with 18 lower-limb and 3 upper-limb amputations. In six casualties there were multiple amputations. Battle injuries were the cause in 79%. Nerve injuries occurred in 79%, phantom pain in 64%, and functional limitations (ambulation and activities of daily living [ADLs]) were present in all casualties. Contractures were noted in 86%. Skin traction for open wounds was lacking in all but one case. With comprehensive rehabilitation, all casualties achieved independent ambulation, and 93% were independent in all ADLs at discharge, with one below-knee amputee successfully returning to duty. These findings highlight the need for education of military health care providers in skin traction techniques, and provision of multidisciplinary rehabilitative care for these casualties.
Mil Med 1994 Oct
PMID:Persian Gulf War amputees: injuries and rehabilitative needs. 787 Mar 19

A study was undertaken to document the incidence of overuse injuries sustained during basic military training. The injuries in military recruits (N = 1,261) undergoing basic training were documented prospectively over a 9-week period. Injury incidence was expressed as percentage of all recruits injured, weekly incidence (injuries/1,000 recruits/week), and injuries/1,000 training hours. The incidence of six common specific overuse injuries was also recorded. The overall incidence of injuries over the 9-week period was 31.9% (acute, 13.6%; overuse, 86.4%), or 1.8/1,000 training hours. The highest incidence of injuries was recorded in weeks 1 to 3 and week 9 of training, which were weeks characterized by marching ( > 77% of the training time). The highest incidence (injuries/1,000 training hours) of specific overuse injuries were tibial bone stress reaction (0.33), patellofemoral pain (0.22), and the iliotibial band friction syndrome (0.08). The incidence of stress fractures over the 9-week period was 1.2% (0.07/1,000 training hours). Injuries to the knee, lower leg, and ankle accounted for more than 80% of all injuries. A total of 3.6% of training days were lost during this period, mainly due to bone stress injuries. In order to reduce injuries during basic military training, attention must be directed towards (1) modifying the type of training and (2) prevention of bone stress injuries.
Mil Med 1994 Jun
PMID:The incidence of overuse injuries in military recruits during basic military training. 798 96

Non-thyroidal illness is classically associated with a low total triiodothyronine (T3) level. Episodes of severe recurrent dental pain unassociated with fever or systemic infection in a patient was marked 2 to 3 weeks later by low T3 levels (56 ng/ml). Other thyroid and metabolic tests were normal. T3 levels returned to normal on resolution of pain. Recurrence of a transient, mild episode of pain was not associated with a low T3 2 weeks after its onset. We suggest that T3 levels may be markers for severe pain and suffering or disturbances responsible for pain and suffering in patients receiving analgesics.
Mil Med 1994 Jun
PMID:Changes in triiodothyronine mark severe pain syndrome: a case report. 798 8

A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey), or an elastic wrap. Each intervention lasted 2 weeks followed by 3 weeks of rehabilitation. Subjects who were allowed early mobilization returned to work and running significantly sooner than those placed in plaster casts (p = 0.029). Swelling (p = 0.009) and pain (p < 0.001) decreased while range of motion increased (p = 0.027) in the early mobilization groups. Between the mobilization groups, those in the elastic wrap performed as well as those in the air-stirrup.
Mil Med 1994 Jan
PMID:Early ankle mobilization, Part I: The immediate effect on acute, lateral ankle sprains (a randomized clinical trial). 816 60

Acutely sprained ankles represent a frequent and common injury among active duty troops in training, and are a significant source of morbidity with respect to days lost to training. Swelling in the form of periarticular edema limits motion, causes pain, prevents wearing of normal foot gear, and slows the healing process. Reduction of edema was attempted in acutely sprained ankles by the use of pulsed electromagnetic energy (Diapulse). In a randomized, prospective, double blind study of 50 grade I and II (no gross instability) sprained ankles, a statistically significant (p < 0.01) decrease in edema was noted following one treatment with Diapulse. The application of this modality in acutely sprained ankles could result in significant decreases in time lost to military training.
Mil Med 1993 Feb
PMID:Pulsed, non-thermal, high-frequency electromagnetic energy (DIAPULSE) in the treatment of grade I and grade II ankle sprains. 844 90


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>