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Query: UMLS:C0424790 (rigors)
 822 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During 4 weeks of military nordic ski training with 638 men, 45 skiing injuries occurred with 359 days lost from training (5.63 injuries per 1,000 skier days). Knee injuries represented 38% of total injuries, with 58% of these being medial collateral ligament sprains. Knee injuries represented a greater fraction of total injuries in the novice skier cohort than in the experienced skier cohort. All injured subjects except one responded favorably to conservative therapy available at the training facility. Despite the special rigors of military nordic skiing, the incidence and anatomic distribution of injuries is similar to that reported with civilian skiing.
Mil Med 1990 Jul
PMID:Skiing injuries during initial military nordic ski training of a U.S. Marine Corps Battalion Landing Team. 212 65

Low-temperature thermoplastic and plaster splints are frequently used in the treatment of tendon and ligament injuries of the fingers. Splints made from these materials are problematic in that they degrade with exposure to the chemicals and physical stresses found in the field environment. Chromium-based alloys, commonly used in dental appliances, have been found suitable for use in the fabrication of finger splints. Splints made from these materials are lightweight, durable, relatively inexpensive, and can withstand the rigors of the field environment. Durable splints can enhance clinical outcome and decrease soldier "down time" from repeated sick call visits for splint repair.
Mil Med 1995 Aug
PMID:From mouth to hand: applying dental technology to hand rehabilitation. 852 71

The goal of our study was to determine the epidemiological and clinical features of imported malaria seen at our military hospital in Hawaii. We reviewed the records of malaria cases seen from January 1, 1979, to December 31, 1995, and compared our results with published reviews from civilian hospitals in North America. Seventy-nine patients were diagnosed with malaria by blood smears. All acquired malaria abroad, mostly in southeast Asia. Sixty-seven percent of cases were vivax malaria, 22% were falciparum malaria, and 11% were caused by undetermined species. Common symptoms were fever (100%), alternate day fever (41%), rigors (91%), headache (59%), nausea (41%), fatigue (39%), dark urine (32%), and vomiting (31%). Ninety-one percent had fever during hospitalization, but 39% were afebrile on admission. Splenomegaly was detected in 49% of cases. The white blood cell count was normal in 65%, low in 31%, and elevated in 4% of cases. Other laboratory findings were anemia (58%), thrombocytopenia (74%), and mild hyperbilirubinemia (64%). Military physicians initially considered the diagnosis of malaria in only 54% of patients. The epidemiological features of our patients differ from those described in the civilian hospitals. Most of our patients were nonimmune, U.S.-born, military personnel infected in southeast Asia, whereas patients described in reviews from U.S. civilian hospitals were usually foreign-born civilians who were infected in Africa or India. The clinical features of malaria, and the problems of initial misdiagnosis in our patients, were similar to those reported from civilian hospitals. Military physicians, like their civilian colleagues, need more training and experience in malaria.
Mil Med 1998 Feb
PMID:A review of 79 patients with malaria seen at a military hospital in Hawaii from 1979 to 1995. 950 98

The military patient population, the demanding environment in which medical services are provided, and the rigors of the operational environment create a unique challenge for service members as well as military health care providers. Within the military medical system, the subspecialty of clinical health psychology may provide patient care and consultation interventions necessary to meet the demands of the unique Army medical and military communities. As funding and other resources decrease, military health psychologists can provide high-quality care to difficult-to-manage patients while increasing outcome efficacy and decreasing costs to the hospital. This paper provides a definition of clinical health psychology and a description of its unique interventions and applications and how these unique skills augment medical services. Moreover, we offer a conceptual model for an innovative health psychology program that will assist other military treatment facilities in designing programs to increase outcome efficacy and concurrently reduce costs and utilization of services.
Mil Med 1999 Jun
PMID:A conceptual overview of a proactive health psychology service: the Tripler Health Psychology Model. 1037 6

The foundations of our current system for profiling military psychiatric patients were laid during World War II, well before the development of the first version of the Diagnostic and Statistical Manual of Mental Disorders. The general principles and terminology remain in use today through Air Force Instruction 48-123, Medical Examination and Standards. The terminology used is clearly outdated, making it difficult to use and risking misuse, deploying the wrong person or denying deployment to an appropriate person. Our objective is to review the current standards for making psychiatric profiles in the U.S. Air Force and propose a practical interpretation of the current Air Force Instruction. Considerable research remains to be done to improve our profile system, especially in light of the development of effective treatments for many psychiatric illnesses. Although prognostic data are available for some illnesses, little research has been done on military populations and essentially none of it considers the rigors of military deployment. Diagnosis, prognosis, duty environments, and demands of duties all must be considered in making profile decisions. Reductionistic approaches more simple than this will serve neither the commander nor the airman.
Mil Med 2001 Feb
PMID:Psychiatric profiles in the U.S. Air Force: a clinical interpretation of Air Force Instruction 48-123. 1127 6

We report the case of a 17-year-old boy who was precluded from entering basic military training because of the presence of a giant hairy melanocytic nevus that covered his back. He subsequently underwent total excision of the lesion followed by application of a dermal regeneration matrix, Integra, and split-thickness skin grafting. Ten months following the procedure, his wounds had healed and the reconstructed skin was considered durable enough to withstand the rigors of military training. He has since been allowed to reapply for recruit training. This case illustrates the utility of a dermal regeneration template in the military patient, where both strong biomechanical properties as well as skin coverage are required to help meet the demands of military training.
Mil Med 2008 Jan
PMID:The use of a dermal regeneration template following excision of a giant melanocytic nevus in a potential Army recruit. 1825 41

Many U.S. Marines have experienced routine combat deployments during Operation Iraqi Freedom, which present numerous occupational hazards that may result in low back pain (LBP). The objective of this retrospective cohort study was to identify new-onset LBP among Marines following initial deployment to Operation Iraqi Freedom. Active duty Marines deployed to Iraq or Kuwait between 2005 and 2008 were identified from deployment records and linked to medical databases (n = 36,680). The outcome of interest was an International Classification of Diseases, 9th Revision, Clinical Modification code indicating LBP (724.2) within 1 year postdeployment. Multivariate logistic regression examined the effect of occupation on LBP. Overall, 4.1% (n = 1,517) of Marines were diagnosed with LBP. After adjusting for covariates, the service/supply (odds ratio 1.33, 95% confidence interval, 1.12-1.59) and electrical/mechanical/craftsworker occupations (odds ratio 1.31, 95% confidence interval, 1.12-1.53) had higher odds of LBP when compared to the administrative/other referent group. Within these groups, the highest LBP prevalence was in the construction (8.6%) and law enforcement (6.2%) subgroups. Although infantry occupations purposefully engage the enemy and often face sustained physical rigors of combat, LBP was most prevalent in noninfantry occupations. Future studies should include detailed exposure histories to elucidate occupation-specific etiologies of LBP in order to guide prevention efforts.
Mil Med 2012 Jul
PMID:Occupational correlates of low back pain among U.S. Marines following combat deployment. 2280 93

An investigation was conducted to test and certify medicinal maggots to facilitate rapid healing of traumatic and chronic wound infections in Wounded warriors being transported onboard military aircraft. Our specific aims included (1) to test the ability of medical grade larvae to withstand the rigors of U.S. Army aeromedical certification, including tolerance to change in pressure, temperature, and humidity inside ground-based chambers; (2) to evaluate the efficacy of the medical grade larvae during a high-vibration rotary-wing medical transport flight; and (3) to gain U.S. Army aeromedical certification and U.S. Air Force safe-to-fly approval and begin the steps needed to deploy/implement the use of medicinal maggots in patient care regimes for medical airlift standard operating procedures. This report outlines the ground-based and initial air-based tests performed during the study. Maggot mortality was very low during all tests, with a mortality rate of less than 1%. Maggot growth rates in wound arenas were mixed but generally depended on temperature. Overall, the results of these tests suggest that medicinal maggots can withstand the rigors of aeromedical evacuation flights in simulated flight environments and rotary- or fixed-wing aircraft.
Mil Med 2015 May
PMID:Airworthiness testing of medical maggots. 2593 16