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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 28-year-old submarine officer was involved in a dysbaric exposure at 155 feet for 21 hours. Subsequent to rescue, he developed a painful osteonecrosis involving over two-thirds of the femoral shaft and distal metaphysis. Pain is totally atypical for a bony injury of this distribution but because of failure to improve after 12 months, he underwent a series of three operations: (1) core biopsy, (2) intramedullary reaming and intramedullary rod fixation of the femur, and (3) bone grafting to a metaphyseal defect in the distal femur. Serial MRI scans were used to follow the progression of his osteonecrosis. This case report documents the first reported dysbaric diaphyseal osteonecrosis requiring surgery and intramedullary fixation to obtain a satisfactory clinical result.
Mil Med 1993 May
PMID:Dysbaric osteonecrosis of the femoral diametaphysis. 850 3

Humanitarian missions command a dominant share of military operations in the current world situation. It is imperative that the lessons learned from such missions include the personal and personnel costs of such missions if those individuals who will participate in such operations are to be prepared for the uncertainties and the emotional pain entailed in these missions. Sharing a personal experience of participation in one such mission--Operation Babylift--can provide an avenue for learning about the costs of such missions and indicating ways in which individuals can prepare themselves before actually participating in such missions.
Mil Med 1995 Nov
PMID:Reflections on a humanitarian mission 20 years later: Operation Babylift. 853 97

We present a case of osteoid osteoma of the humerus diagnosed after it presented clinically as impingement syndrome. Clinical and magnetic resonance imaging data supported impingement, but standard non-surgical treatment did not provide complete pain relief. Subacromial injection resolved the anterior shoulder pain and unmasked medial arm and axillary pain. Humerus X-rays revealed a lytic diaphyseal lesion, and en-bloc resection of the humeral mass diagnosed an osteoid osteoma. This case is unusual in that only 1% of osteoid osteomas present in the humeral shaft. The clinical features and presentation of impingement and osteoid osteoma are discussed.
Mil Med 1996 Jul
PMID:Unusual presentation of an osteoid osteoma. 875 22

When deployed away from base, men and women aboard seagoing vessels have restricted access to dental care. Situations may arise in which untreated disease, acute infections, failing restorations, or trauma result in pain or discomfort. Military dental health care delivery systems seek to minimize episodes of dental pain through routine screening by recall and delivery of treatment. A 12-month survey of all unscheduled attendances aboard British warships was conducted to establish the frequency and nature of cases, particularly with respect to recall status. One thousand three hundred forty-one reports were received from 66 ships and shore-based clinics, equivalent to approximately 52 occurrences per 1,000 personnel per year. The nature of the causes was widely varied. Significant relationships were apparent for recall status (treatment required) and the reported causes of dental caries (odds ratio [OR] 4.16, 95% confidence interval [CI] 1.34-13.8), periapical abscess (OR 3.19, CI 1.06-10.03), and failed restorations (OR 4.22, CI 1.31-15.01). In terms of mean time elapsed since last dental visit, those cases in the Fit/Fleet Ready group went 154 days, whereas those in the Treatment Required dental recall group went a mean of only 95 days.
Mil Med 1996 May
PMID:Dental recall status and unscheduled dental attendances in British warships. 885 57

In July 1995, Operation Prompt Return was mounted to set up a facility on Wake Island in the mid-Pacific to process 158 illegal emigrants and return them to China. The deployed medical team screened and examined the travelers and the ship's crew. Initial major problems consisted of skin rashes, dental diseases, and signs of physical abuse. Subsequently, urogenital complaints, musculoskeletal pain, and newer cases of scabies were evaluated and treated. Problems relating to planning and provision of medical care to migrants were discussed and solutions were suggested.
Mil Med 1996 Oct
PMID:Medical care of illegal migrants intercepted on the high sea (Operation Prompt Return). 891 24

The functional strength, flexibility, and ranges of motion of the lower extremities, as well as hormonal balance, estimated by urinary excretion of adrenaline and noradrenaline and serum determinations of testosterone and cortisol, were studied with six physically active army officers participating in a 4-day march totaling 185 km. Catecholamine excretion rates showed cumulatively increased sympathoadrenal stress, and the effects on serum testosterone and cortisol concentrations were minor. Also, leg measurements showed no signs of edema, decreases in flexibility, or decreases in functional strength. Most pain (75%) experienced by the subjects was located in the feet and caused by abrasions and blisters. Only a small portion of perceived pains (25%) was associated with muscle soreness. Serum creatine kinase activity was slightly (ca. 400-650%) increased during the marching days. Thus, soldiers who are in good physical condition and are accustomed to marching are able to walk four marathons on successive days, while carrying 10-kg backpacks, without any major adverse effects on the musculature of their lower extremities.
Mil Med 1997 Feb
PMID:The effects of a 4-day march on the lower extremities and hormonal balance. 903 31

A prospective single survey was conducted among Security Forces personnel at the Mobile Hospital, Ministry of Interior, Makkah Al-Mukarramah, Saudi Arabia. One hundred three patients presented to the orthopedic clinic with painful heel. A control group of patients from the other clinics without painful heel was also screened. The average age was 38.81 years and 38.1 years in the patient and the control group, respectively. The mean Quetelet index of body mass in the patient group was 30.36 kg/m2 and in the control group it was 26.71 kg/m2. There was a statistically significant difference of p < 0.05 between the two groups for Quetelet index of body mass. The right side was affected in 37 patients, the left side was involved in 45 patients, and 21 patients had pain bilaterally. Seventy-one patients had spur on the calcaneum. The prevalence of painful heel attributable to plantar fasciitis/calcaneum spur was 1.18%. This study suggests that obesity is a cause and initiator of heel pain and plantar fasciitis/calcaneal spur and that improper footwear aggravates the condition.
Mil Med 1998 Jan
PMID:Plantar fasciitis/calcaneal spur among security forces personnel. 946 74

Research suggests that individuals commonly describe persistent symptoms or syndromes after a war. After the Persian Gulf War, the Department of Veterans Affairs and the Department of Defense initiated registries and expedited health care for those with Gulf War-related health concerns. At Walter Reed Army Medical Center, the Gulf War Health Center was created in mid-1994 to contribute a continuum of care for those with Gulf War-related health problems. The purpose of this report is to describe the Gulf War Health Center's Specialized Care Program, a 3-week intensive outpatient multidisciplinary treatment program for people with persistent, disabling Gulf War-related symptoms. The program uses an evidence-based model of multidisciplinary care employed at chronic pain centers internationally and shown to yield stable improvements in pain, mood, health care use, and return to work rates. A patient is described to illustrate how the program works. Finally, a Deployment Medicine Treatment Center is proposed, a multidisciplinary treatment center like the Specialized Care Program that would offer care to those with persistent, disabling symptoms after all future deployments.
Mil Med 1998 Apr
PMID:Multidisciplinary treatment of persistent symptoms after Gulf War service. 957 62

Acute necrotizing ulcerative gingivitis-periodontitis (ANUG/NUP) is a relatively uncommon periodontal disease characterized by gingival necrosis and ulceration, pain, and bleeding. The purpose of this paper is to provide a review of current knowledge on ANUG/NUP. Current literature on the epidemiology, pathogenesis, immunology, predisposing factors, and treatment of ANUG/NUP is reviewed.
Mil Med 1998 May
PMID:Acute necrotizing ulcerative gingivitis-periodontitis: a literature review. 959 52

Occupational upper-extremity disorders have been associated with prolonged pain and work disability. Using the U.S. Army Physical Disability Agency database, the present case-control studies (n = 434 and n = 342) investigated the contribution of demographic, physical, occupational psychosocial, and individual psychosocial factors to work disability in soldiers with upper-extremity disorders. Age (odds ratio [OR] = 1.11), rank (private E-2: OR = 3.79; private first class: OR = 4.39; specialist or corporal: OR = 2.17), ethnic group (white: OR = 1.54), and occupational stress ("often": OR = 2.46) were found to predict disability. The results highlight the importance of occupational stress as a predictor of disability and the potential utility of addressing this factor in the development of empirically based disability prevention strategies. This investigation also emphasizes the need for research that delineates the biobehavioral mechanisms linking occupational stress to prolonged symptoms and subsequent work disability.
Mil Med 1998 Aug
PMID:Occupational upper-extremity-related disability: demographic, physical, and psychosocial factors. 971 20


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