| Rehabilitation of Visual and Perceptual Dysfunction After Severe Traumatic Brain Injury |
26 Mar 2012 |
12 pages |
| Authors:
Eliezer Peli; Alexandra Bowers; Robert Goldstein; Gang Luo; Kevin Houston; Jeff Churchill; SCHEPENS EYE RESEARCH INST BOSTON MA
|
 | The overall aim is to conduct preliminary evaluations of new rehabilitation strategies and new functional assessment methods for homonymous hemianopia (HH) and spatial neglect (SN), disabling visual and cognitive perception conditions that commonly occur as a result of severe traumatic brain injury (TBI) and stroke. Both HH and SN prevent detection of objects on the affected side, resulting in unsafe walking and driving. Using realistic tasks in virtual environments representative ... |
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| The Impact of Prophylactic Fasciotomy Following Porcine (Sus scrofa) Hind Limb Ischemia/Reperfusion Injury |
23 Mar 2012 |
4 pages |
| Authors:
Thomas J Percival; Shimul Patel; Nickolay P Markov; Jerry R Spencer; Gabriel E Burkhardt; Todd E Rasmussen; AIR FORCE MEDICAL WING (59TH) WILFORD HALL MEDICAL CENTER LACKLAND AFB TX DEPT OF SURGERY
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| Prophylactic fasciotomy has been used as an adjunct to alleviate the compartment syndrome after an ischemia reperfusion injury. It has been purposed that prophylactically treating compartment syndrome will improve neuromuscular recovery of the limb therefore improving functional limb outcome. The purpose of this study is to quantify the neuromuscular recovery of prophylactic fasciotomy in a porcine model of hind limb ischemia. |
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| Keeping Faith with our War-Torn: Rebuilding Broken Spirits |
22 Mar 2012 |
32 pages |
| Authors:
Gregory R Martin; ARMY WAR COLL LIBRARY CARLISLE BARRACKS PA
|
| The Wars in Iraq and Afghanistan have taken a tremendous toll on the bodies of our wounded warriors over the last decade, and they have taken an even bigger toll on the spirits of our warriors. These broken spirits make it nearly impossible for service members to come home and transition to a successful life, in or out of uniform. Treatment for these broken spirits is complicated, varied, and often ... |
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| Nanoscale Probing of Electrical Signals in Biological Systems |
18 Mar 2012 |
37 pages |
| Authors:
Mark C Hersam; NORTHWESTERN UNIV EVANSTON IL
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| An improved molecular-level description of trans-membrane ion currents has the potential to impact many areas of military and civilian importance such as disease diagnosis, drug development/screening, and technologies that interface between living cells and microelectronic circuitry. Ultimately, these developments would imply improvements in health and quality of life for individuals that have suffered from injuries or wounds that have compromised senses such as sight and hearing. Furthermore, technologies involving the ... |
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| From Wounded Warrior To Civilian Employee: A Workplace Reference Guide For Managers And Supervisors |
12 Mar 2012 |
31 pages |
| Authors:
ASSISTANT SECRETARY OF THE NAVY (MANPOWER AND RESERVE AFFAIRS) WASHINGTON DC
|
| Medical advances have allowed combat wounded service members to obtain medical treatment faster and closer to the point of injury which has resulted in increased survival rates for our servicemen and women. This means more men and women are returning home, and some are returning with disabilities. Many are reintegrating to civilian life and seeking employment. Some are living with visible and invisible wounds due to the unconventional nature of ... |
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| Solar Energetic Electron Probes of Magnetic Cloud Field Line Lengths (Postprint) |
02 Mar 2012 |
16 pages |
| Authors:
S W Kahler; S Krucker; A Szabo; AIR FORCE RESEARCH LAB KIRTLAND AFB NM SPACE VEHICLES DIRECTORATE
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| Magnetic clouds (MCs) are large interplanetary coronal mass ejections of enhanced and low variance fields with rotations indicative of magnetic flux ropes originally connected to the Sun. The MC flux rope models require field lines with larger pitch angles and longer lengths with increasing distance from the MCaxis. While the models can provide good fits to the in situ solar wind observations, there have not been definitive observational tests of ... |
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| Autophagy-Mediated Defense Response of Mouse Mesenchymal Stromal Cells (MSCs) to Challenge with Escherichia coli |
Mar 2012 |
23 pages |
| Authors:
N V Gorbunov; B R Garrison; M Zhai; D P McDaniel; G D Ledney; T B Elliott; J G Kiang; UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD
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| Symbiotic microorganisms are spatially separated from their animal host, e.g., in the intestine and skin, in a manner enabling nutrient metabolism as well as evolutionary development of protective physiologic features in the host such as innate and adaptive immunity, immune tolerance, and function of tissue barriers . The major interface barrier between the microbiota and host tissue is constituted by epithelium reticuloendothelial tissue, and mucosa-associated lymphoid tissue (MALT) . Traumatic ... |
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| Characterization and Application of a Large Animal Model of Penetrating Ballistic Brain Injury (PBBI) |
Mar 2012 |
41 pages |
| Authors:
Charles E Wade; TEXAS UNIV HEALTH SCIENCE CENTER AT HOUSTON
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| The Purpose of the proposal titled Characterization and Application of a Large Animal Model of Penetrating Ballistic Brain Injury (PBBI) is to develop a large animal model with military relevance. Of military casualties with moderate to severe traumatic brain injuries (TBI) 15-18% are due to penetrating mechanisms. Almost all (97%) of prospective clinical trials of TBI exclude patients with PBBI and no prospective clinical trials specifically focus on PBBI. A ... |
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| The Effects of Combat Exposure on the Military Divorce Rate |
Mar 2012 |
101 pages |
| Authors:
Matthew B DeBaun; NAVAL POSTGRADUATE SCHOOL MONTEREY CA GRADUATE SCHOOL OF BUSINESS AND PUBLIC POLICY
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| This research investigates the effect that combat exposure has on the divorce rate for military personnel. The thesis uses demographic data from the Defense Manpower Data Center (DMDC) coupled with responses from the post-deployment health assessment (PDHA). The sample contains enlisted personnel from all four services who were married and deployed between 2001 and 2007. The probability of divorce after deployment was predicted using a probit model. Combat exposure is ... |
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| The Toxicity of Inhaled Sulphur Mustard |
Mar 2012 |
347 pages |
| Authors:
John Jenner; DEFENCE SCIENCE AND TECHNOLOGY LAB PORTON DOWN (UNITED KINGDOM) BIOMEDICAL SCIENCES DEPT
|
| The overall objectives of the study were to understand the mechanism of action of sulfur mustard (HD) on the lung, and ultimately design therapeutic interventions to preserve pulmonary function and life. Under the previous contract (HDTRA 1-07-C-0027) a small proof of principle study investigated the toxicity of inhaled HD. Injury development was monitored in an anesthetized large white pig for 6 hours post exposure and identified dose dependent changes in ... |
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| Anabolic Steroid Reversal of Denervation Atrophy |
Mar 2012 |
40 pages |
| Authors:
Jonathan E Isaacs; VIRGINIA COMMONWEALTH UNIV RICHMOND
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| Motor recovery following repair of major peripheral nerve injuries is often suboptimal and does not restore adequate functionality. The explanation for these poor results is multi-factorial but certainly denervation atrophy plays a significant role. Anabolic steroids, which have been shown to cause hypertrophy of muscle fibers, increase net protein synthesis, and increase satellite cell activity, may offer a novel therapeutic approach to improving muscle recovery following reinnervation of chronically denervated ... |
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| Afghanistan Casualties: Military Forces and Civilians |
29 Feb 2012 |
8 pages |
| Authors:
Susan G Chesser; LIBRARY OF CONGRESS WASHINGTON DC CONGRESSIONAL RESEARCH SERVICE
|
| This report collects statistics from a variety of sources on casualties sustained during Operation Enduring Freedom (OEF), which began on October 7, 2001, and is ongoing. OEF actions take place primarily in Afghanistan; however, OEF casualties also include American casualties in Pakistan, Uzbekistan, Guantanamo Bay (Cuba), Djibouti, Eritrea, Ethiopia, Jordan, Kenya, Kyrgyzstan, the Philippines, Seychelles, Sudan, Tajikistan, Turkey, and Yemen. Casualty data of U.S. military forces are compiled by the ... |
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| Vestibular Balance Deficits Following Head Injury: Recommendations Concerning Evaluation and Rehabilitation in the Military Setting |
27 Feb 2012 |
113 pages |
| Authors:
Ben D Lawson; Angus H Rupert; Shauna M Legan; ARMY AEROMEDICAL RESEARCH LAB FORT RUCKER AL
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| Vestibular pathology has been documented following barotrauma and/or head acceleration associated with exposure to explosions. The usual symptoms include dizziness and headache, with dizziness and associated imbalance contributing disproportionately to disability. Several agencies have noted the need for better vestibular evaluation and rehabilitation following exposure to improvised explosive devices (IEDs). The authors asked subject matter experts to assist in formulating recommendations for initial assessment and rehabilitation of balance problems following ... |
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| Peer Reviewed Cancer Research Program Fiscal Year 2012 Report to Congress |
21 Feb 2012 |
25 pages |
| Authors:
ARMY MEDICAL RESEARCH AND MATERIEL COMMAND FORT DETRICK MD
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| The U.S. Army Medical Research and Materiel Command (USAMRMC) is a major subordinate Command of the U.S. Army Medical Command. The USAMRMC manages biomedical research and development programs that are part of the Department of Defense (DoD). Congressional appropriations totaling over $6 billion for fiscal years 1992 to 2012 (FY92-FY12) assigned to the USAMRMC are managed by the office of the Congressionally Directed Medical Research Programs (CDMRP), a subordinate organization ... |
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| Noise Attenuation Loss Due to Wearing APEL Eye Protection with Ear-Muff Style Headset Systems |
14 Feb 2012 |
38 pages |
| Authors:
Efrem Reeves; Elmaree Gordon; Summer Nomura; ARMY AEROMEDICAL RESEARCH LAB FORT RUCKER AL
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| This report describes a baseline study to determine the level of acoustic leakage that can be expected when donning APEL eye protection while using earmuff type communication headsets. For the first phase of this study, three headsets, two helmets, nine pair of APEL eyewear, and four pair of non-APEL eyewear were tested using an ATF to determine the amount of attenuation loss due to eyewear. For the second phase of ... |
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| Risk Propensity and Health Risk Behaviors in U.S. Army Soldiers with and without Psychological Disturbances across the Deployment Cycle |
09 Feb 2012 |
30 pages |
| Authors:
Amanda M Kelley; Jeremy R Athy; Timothy H Cho; Brad Erickson; Melody King; Pedro Cruz; ARMY AEROMEDICAL RESEARCH LAB FORT RUCKER AL
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| Three potential factors driving changes in health risk behaviors after a combat deployment were examined in this study; posttraumatic stress disorder (PTSD), concussion and traumatic brain injury (TBI), and perceived invincibility. We studied members of a combat arms brigade one month prior to a deployment to Iraq and approximately one month after their return (N = 319). Participants anonymously completed surveys characterizing attitudes about risk, risk propensity, invincibility, engagement in ... |
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| Proceedings of the 2011 AFMS Medical Research Symposium. Volume 5. Operational Medicine (In-Garrison Care) Track |
Feb 2012 |
171 pages |
| Authors:
Cherri Shireman; Welford C Roberts; OFFICE OF THE SURGEON GENERAL (AIR FORCE) FALLS CHURCH VA
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| The U.S. Air Force Medical Service presented the sixth annual Air Force Medical Research Symposium coordinated by the Air Force Medical Support Agency's Research and Development Division (AFMSA/SGRS). The symposium was held 2-4 August 2011 at the Gaylord National Hotel & Convention Center, National Harbor, MD. The symposium featured two half-days of plenary sessions, one and a half days of scientific presentations, and a poster session. It was organized into ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 19, Number 2, February 2012 |
Feb 2012 |
29 pages |
| Authors:
Francis L O'Donnell; John F Brundage; Ellen R Wertheimer; Denise S Olive; Leslie L Clark; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
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| Suicide is a leading cause of deaths of U.S. service members. Medical care providers may play a role in suicide prevention. We summarized the outpatient experiences of service members prior to suicide or self-infl icted injury and compared them with service members without suicidal behavior. During 2001-2010, 45 percent of individuals who completed suicide and 75 percent of those who injured themselves had outpatient encounters within 30 days prior to ... |
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| Production Methods for a Mesenchymal Stem Cell Therapeutic as a Medical Defense Countermeasure |
Feb 2012 |
26 pages |
| Authors:
Timothy R Varney; Christopher M Bowens; Jr Eaton Erik B; III Lehman John G; ARMY MEDICAL RESEARCH INST OF CHEMICAL DEFENSE ABERDEEN PROVING GROUND MD
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| The application of cellular therapies to treat battlefield injuries offers a novel and promising approach to address longstanding challenges in the repair of tissue damage with regard to both structural and functional improvement. The results of currently published investigations describing mesenchymal stem cell (MSC) efficacy in a variety of injury models demonstrate the unique qualities of this reparative cell population to adapt to the requirements of the damaged tissue in ... |
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| Human Oculomotor Functions and Their Deficits in Traumatic Brain Injury |
Feb 2012 |
22 pages |
| Authors:
Christopher W Tyler; Lora T Likova; Gregory L Goodrich; SMITH-KETTLEWELL EYE RESEARCH INST SAN FRANCISCO CA
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| Diagnosis of oculomotor system deficits requires accurate knowledge of the binocular coordination dynamics, which have been studied only sparsely in humans. To provide such essential baseline data, Aim 1 will conduct the first large-scale study of a) the normal parameters of binocular coordination dynamics during saccades, vergence and accommodation, and b) the normal range of binocular coordination and vergence instabilities during reading. These parameters will be determined by fitting an ... |
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| Understanding Resilience in Wounded Warriors and Their Families |
Feb 2012 |
63 pages |
| Authors:
Janice M Brown; RESEARCH TRIANGLE INST (RTI) RESEARCH TRIANGLE PARK NC
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| The current project was undertaken to identify the impact of deployment injury on measures of family functioning (i.e., relationship adjustment, parental stress, and family chaos) as well as on measures of psychological symptoms of the service member (i.e., PTSD, depression, and alcohol use).Returning NG service members and their spouses rated family functioning as lower in the face of psychological difficulties experienced by the service member. Physical injury was positively related ... |
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| New Methods of Low-Field Magnetic Resonance Imaging for Application to Traumatic Brain Injury |
Feb 2012 |
24 pages |
| Authors:
Matthew Rosen; HARVARD COLL CAMBRIDGE MA
|
| We have been developing robust low-magnetic-field implementations of MRI (LFI) focused on brain imaging. In particular we have expanded our development of the LFI test bed to include two complimentary approaches: electromagnet and permanent magnet based test bed scanner systems. We are also developing injury-sensitive MRI based on converting the electron spin of free radicals associated with injury into nuclear polarization using the Overhauser effect and subsequently imaging that modified ... |
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| Mesenchymal Stem Cell Therapy for Nerve Regeneration and Immunomodulation after Composite Tissue Allotransplantation |
Feb 2012 |
16 pages |
| Authors:
W P Lee; JOHNS HOPKINS UNIV BALTIMORE MD
|
| Composite Tissue Allotransplantation (CTA) offers an alternative reconstructive strategy for complicated musculoskeletal injuries incurred during modern warfare where functional outcomes after multipe conventional reconstructions are suboptimal. Broader clinical application of CTA, however, continues to be hampered by requirement for long-term multi-drug immunosuppression to prevent graft rejection. Furthermore, unlike in solid organs, clinical success is dictated not only by graft acceptance, but also by functional outcome. Our study proposes a novel ... |
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| Nonlinear Dynamics Used to Classify Effects of Mild Traumatic Brain Injury |
11 Jan 2012 |
16 pages |
| Authors:
Keith D White; FLORIDA UNIV GAINESVILLE
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| Postural stability characteristics of individuals who had experienced mild traumatic brain injury were analyzed for non-linear dynamics. These participants had experienced concussions during sports activities. Their sways were measured while standing on a force-transducing platform. The data analyzed were pre-existing rather than collected de novo. Postural stability was measured over days of recovery using long (120 sec) time samples, with high temporal and spatial resolution of center of pressure (COP) ... |
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| Defense Health: Coordinating Authority Needed for Psychological Health and Traumatic Brain Injury Activities |
Jan 2012 |
59 pages |
| Authors:
GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC
|
| Post-traumatic stress disorder (PTSD), which falls into the broader field of psychological health (PH), and traumatic brain injury (TBI) are recognized as the signature wounds of the wars in Afghanistan and Iraq. In two reports issued in 2011 (GAO-11-219 and GAO-11-611), GAO cited numerous management weaknesses at the Defense Center of Excellence for PH and TBI (DCOE). For the present report, GAO reviewed (1) funding for DOD's PH and TBI ... |
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| Improving Joint Expeditionary Medical Planning Tools Based on a Patient Flow Approach |
Jan 2012 |
74 pages |
| Authors:
Edward W Chan; Heather Krull; Beth E Lachman; Tom Latourrette; Rachel Costello; Don Snyder; Mahyar A Amouzegar; Hans V Ritschard; D S Guermonprez; RAND PROJECT AIR FORCE SANTA MONICA CA
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| The current concept of operations (CONOPS) for expeditionary medical care emphasizes quickly moving patients to a series of successively more sophisticated medical facilities that provide the patients with the care necessary to ultimately treat their injuries or conditions. This process requires close coordination between the treatment facilities and the evacuation resources that link them. However, the processes and tools currently used in planning for expeditionary medical resources do not fully ... |
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| Nonfreezing Cold-Induced Injuries |
Jan 2012 |
11 pages |
| Authors:
Christopher H Imray; John W Castellani; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA THERMAL AND MOUNTAIN MEDICINE DIVISION
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| Nonfreezing cold-induced injury (NFCI) is a clinical syndrome that results from damage caused to tissues exposed to cold temperatures at or above the freezing point of water (0 deg to 15 deg C [32 deg to 59 deg F]). NFCI does not involve tissue freezing, which distinguishes it both clinically and pathologically from frostbite. The earliest descriptions of this syndrome had their origins in the military. Baron Dominique Jean Larrey, ... |
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| An Ultra-fast Fiber Optic Pressure Sensor for Blast Event Measurements |
Jan 2012 |
10 pages |
| Authors:
Nan Wu; Xiaotian Zou; Ye Tian; John Fitek; Michael Maffeo; Christopher Niezrecki; Julie Chen; Xingwei Wang; ARMY NATICK SOLDIER RESEARCH DEVELOPMENT AND ENGINEERING CENTER MA
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| Soldiers who are exposed to explosions are at risk of suffering traumatic brain injury (TBI). Since the causal relationship between a blast and TBI is poorly understood, it is critical to have sensors that can accurately quantify the blast dynamics and resulting wave propagation through a helmet and skull that are imparted onto and inside the brain. To help quantify the cause of TBI, it is important to record transient ... |
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| The Effect Of Hypotensive Resuscitation And Fluid Type On Mortality, Bleeding,Coagulation And Dysfunctional Inflammation In A Swine Grade V Liver Injury Model |
Jan 2012 |
89 pages |
| Authors:
Martin A Schreiber; OREGON UNIV HEALTH SCIENCES CENTER PORTLAND
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| To determine the efficacy of resuscitative fluids currently utilized in military and civilian settings on the physiologic response to uncontrolled hemorrhage. Scope: Swine were subjected to a couple of different models over the length of this multi-year trial. Animals either underwent just a Grade V liver injury or were subjected to the lethal triad of trauma which included hemorrhage, hypothermia and coagulopathy. Over the course of this trial animals were ... |
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| Potential for Cell-Transplant Therapy with Human Neuronal Precursors to Treat Neuropathic Pain in Models of PNS and CNS Injury: Comparison of hNT2.17 and hNT2.19 Cell Lines |
Jan 2012 |
33 pages |
| Authors:
Mary J Eaton; Yerko Berrocal; Stacey Q Wolfe; VETERANS ADMINISTRATION MEDICAL CENTER MIAMI FL
|
| Effective treatment of sensory neuropathies in peripheral neuropathies and spinal cord injury (SCI) is one of the most difficult problems in modern clinical practice. Cell therapy to release antinociceptive agents near the injured spinal cord is a logical next step in the development of treatment modalities. But few clinical trials, especially for chronic pain, have tested the potential of transplant of cells to treat chronic pain. Cell lines derived from ... |
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| New Advances in Molecular Therapy for Muscle Repair after Diseases and Injuries |
Jan 2012 |
244 pages |
| Authors:
Johnny Huard; Yong Li; Bruno Peault; Bridget Deasy; Xiao Xiao; Paula Clemens; Bing Wang; CHILDREN'S HOSPITAL OF PITTSBURGH PA
|
| Muscle injuries, especially pulls and strains, are among the most common and most frequently disabling injuries sustained by athletes and soldiers. Although injured muscles heal naturally, the regeneration is very slow and often yields incomplete functional recovery. In injured muscle, regeneration begins shortly after injury, but the healing process is rather inefficient and is hindered by fibrosis that is, scar tissue formation. More importantly, the scar tissue that often replaces ... |
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| Genomic Analysis of Complex Microbial Communities in Wounds |
Jan 2012 |
48 pages |
| Authors:
Lance B Price; TRANSLATIONAL GENOMICS RESEARCH INST PHOENIX AZ
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| The work that we conducted was aimed at moving wound research beyond the limitations of culture-based microbial analyses to enable comprehensive characterization of wound colonization and to fully evaluate its impact on healing. We successfully developed a novel, culture-independent approach for characterizing wound microbiota; we succeeded in applying statistical tools to begin characterizing the impact of antibiotic therapies and diabetes on wound microbiota; we used our novel strategies to define ... |
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| Healthcare Coverage and Disability Evaluation for Reserve Component Personnel: Research for the 11th Quadrennial Review of Military Compensation |
Jan 2012 |
86 pages |
| Authors:
Susan D Hosek; RAND NATIONAL DEFENSE RESEARCH INST SANTA MONICA CA
|
| The use of Reserve Component (RC) personnel has increased dramatically since September 11, 2001, and has remained high. Both Active Component (AC) and RC personnel serving on active duty for more than 30 days have comprehensive healthcare coverage, but other RC members are covered only for injuries or illness sustained in the line of duty. For other conditions, they must rely on their civilian healthcare coverage if they have such ... |
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| Compensating Wounded Warriors: An Analysis of Injury, Labor Market Earnings, and Disability Compensation Among Veterans of the Iraq and Afghanistan Wars |
Jan 2012 |
115 pages |
| Authors:
Paul Heaton; David S Loughran; Amalia R Miller; RAND NATIONAL DEFENSE RESEARCH INST SANTA MONICA CA
|
| Nearly a decade of operational combat in Iraq and Afghanistan has focused attention on meeting the needs of military service members, especially those injured in combat, following deployment. Two recent commissions the President s Commission on Care for America s Returning Wounded Warriors (2007) and the Veterans Disability Benefits Commission (2007) have recommended fundamental changes in how DoD and the VA evaluate, treat, compensate, and otherwise support injured service members ... |
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| Analysis of Financial Support to the Surviving Spouses and Children of Casualties in the Iraq and Afghanistan Wars |
Jan 2012 |
55 pages |
| Authors:
Amalia R Miller; Paul Heaton; David S Loughran; RAND NATIONAL DEFENSE RESEARCH INST SANTA MONICA CA
|
| Military operations lasting more than a decade in Iraq and Afghanistan have focused national interest on meeting the needs of military families, especially families of service members who were injured or killed in combat. The President directed the Secretary of Defense, as part of the 11th Quadrennial Review of Military Compensation (QRMC), to review compensation benefits available to wounded warriors, caregivers, and survivors of those fallen service members (Obama, 2009). ... |
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| Computational Failure Modeling of Lower Extremities |
Jan 2012 |
26 pages |
| Authors:
Reuben H Kraft; Megan L Lynch; III Vogel Edward W; ARMY RESEARCH LAB ABERDEEN PROVING GROUND MD WEAPONS AND MATERIALS RESEARCH DIRECTORATE
|
| Underbelly blasts to vehicles from improvised explosives cause severe injuries to the lower extremities, including bone fracture, ligament tear, and muscle rupture. While these injuries may seem well-defined through medical imaging, the process of injury and the effects of vehicle system design to protection are still unclear. In this report, efforts focused on developing a finite element model of the lower extremities undergoing high strain rate blast-induced deformation leading to ... |
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| Effects of Bright Light Therapy of Sleep, Cognition, Brain Function, and Neurochemistry in Mild Traumatic Brain Injury |
Jan 2012 |
128 pages |
| Authors:
William Killgore; MCLEAN HOSPITAL BELMONT MA
|
| Data collection is currently underway and preliminary findings from the first subjects to complete the study are encouraging. Overall, our preliminary data on cognition, emotion, subjective and objective sleep quality suggest that six weeks of morning Bright Blue Light therapy versus comparable Amber Light Placebo are supporting our initial hypotheses. Furthermore, initial comparisons using functional magnetic resonance imaging tasks also suggest that the Bright Blue Light condition was effective in ... |
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| Postconcussive Symptom Reporting Among US Combat Veterans With Mild Traumatic Brain Injury From Operation Iraqi Freedom |
Jan 2012 |
11 pages |
| Authors:
Andrew J MacGregor; Amber L Dougherty; Janet J Tang; Michael R Galarneau; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| Objective: To examine the association between postconcussive symptoms and mild traumatic brain injury (MTBI) among combat veterans while adjusting for posttraumatic stress disorder (PTSD) and depression. Patients: Military personnel with provider-diagnosed MTBI (n = 334) or non-head injury (n = 658) were identified from the Expeditionary Medical Encounter Database. Main Outcome Measures: Post-Deployment Health Assessments and Reassessments were used to examine postconcussive symptoms and self-rated health. Results: Personnel with MTBI ... |
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| Reprioritization of Research for Combat Casualty Care |
Jan 2012 |
5 pages |
| Authors:
James R Ficke; William T Obremskey; Robert J Gaines; Paul F Pasquina; Michael J Bosse; Christiaan N Mamczak; Robert V O'Toole; Kristin R Archer; Christopher T Born; Mark E Fleming; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Since the beginning of the conflicts in Iraq and Afghanistan more than a decade ago, much has been learned with regard to combat casualty care. Although progress has been significant, knowledge gaps still exist. The seventh Extremity War Injuries symposium held in January 2012, reviewed the current state of knowledge and defined knowledge gaps in acute care, reconstructive care, and rehabilitative care in order to provide policymakers information on the ... |
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| Extremity War Injuries: Current Management and Research Priorities |
Jan 2012 |
4 pages |
| Authors:
Michael J Bosse; James R Ficke; Romney C Andersen; SAN ANTONIO MILITARY MEDICAL CENTER FORT SAM HOUSTON TX
|
| The United States Armed Forces have been engaged in combat operations for more than 10 years. Not enough can be said about nor enough gratitude expressed to our troops for their commitment and sacrifice during this period. This supplement to the Journal of the American Academy of Orthopaedic Surgeons is dedicated to the men and women of the United States Armed Services and to their families and friends who support ... |
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| Posttraumatic Osteoarthritis Caused by Battlefield Injuries: The Primary Source of Disability in Warriors |
Jan 2012 |
7 pages |
| Authors:
Jessica C Rivera; Joseph C Wenke; Joseph A Buckwalter; James R Ficke; Anthony E Johnson; SAN ANTONIO MILITARY MEDICAL CENTER FORT SAM HOUSTON TX
|
| The Army Physical Evaluation Board results for wounded warriors from a previously described cohort were reviewed to identify permanently disabling conditions and whether the conditions were preexisting or caused by battlefield injury. Arthritis was the most common unfitting condition in this cohort, with 94.4% of cases attributed to combat injury and only 5.6% attributed to preexisting conditions or documented in the health records prior to battle injury. The most common ... |
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| The Role of Pain Management in Recovery Following Trauma and Orthopaedic Surgery |
Jan 2012 |
5 pages |
| Authors:
III Buckenmaier Chester C; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| War often serves as a catalyst for medical innovation and progressive change. The current conflicts are no exception particularly in the area of pain management of wounded warriors. Morphine administration has served as the primary method of battlefield pain management since the American Civil War. Although traditional opioid-based pain management is effective, it has significant side effects that can complicate recovery and rehabilitation following injury. These side effects (eg, sedation ... |
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| Special Topics |
Jan 2012 |
6 pages |
| Authors:
Romney C Andersen; Scott B Shawen; Jr Kragh John F; Christopher T LeBrun; James R Ficke; Michael J Bosse; Andrew N Pollak; Vincent D Pellegrini; Robert E Blease; Eric L Pagenkopf; WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA MD
|
| Concerning the past decade of war, three special topics were examined at the Extremity War Injuries VII Symposium. These topics included the implementation of tourniquets and their effect on decreasing mortality and the possibility of transitioning the lessons gained to the civilian sector. In addition, the training of surgeons for war as well as residents in a wartime environment was reviewed. |
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| The United States Army Medical Department Journal. July-September 2012 |
Jan 2012 |
101 pages |
| Authors:
ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
|
| This issue was sponsored by COL Mustapha Debboun, the senior medical and veterinary entomologist at the AMEDDC&S and Chairman of the AMEDD Journal Editorial Review Board. For the seventh consecutive year he has organized and assembled an outstanding collection of articles featuring topics related to public health, preventive medicine, and force health protection. Time and again throughout military history, the success or failure of battles, campaigns, and even wars has ... |
|
| Non-Lethal Weapons (NLW) Reference Book |
Jan 2012 |
31 pages |
| Authors:
MARINE CORPS QUANTICO VA JOINT NON-LETHAL WEAPONS DIRECTORATE
|
| Non-Lethal Weapons (NLW) are defined as Weapons, devices and munitions that are explicitly designed and primarily employed to incapacitate targeted personnel or materiel immediately, while minimizing fatalities, permanent injury to personnel, and undesired damage to property in the targeted area or environment. NLW are intended to have reversible effects on personnel or materiel. |
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| Health and Economic Outcomes in the Alumni of the Wounded Warrior Project |
Jan 2012 |
91 pages |
| Authors:
Heather Krull; Matthew T Haugseth; RAND CORP SANTA MONICA CA CENTER FOR MILITARY HEALTH POLICY RESEARCH
|
| Since 2002, the not-for-profit Wounded Warrior Project (WWP) has sought to offer support for and raise public awareness of those injured during service on or after September 11, 2001. To this end, WWP gives members, or alumni, access to programs that nurture mind and body as well as facilitate economic well-being. Central to WWP's success are its assessment efforts. In 2009, RAND researchers helped WWP design a web-based survey that ... |
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| Injuries Sustained in Noncombat Motor Vehicle Accidents During Operation Iraqi Freedom |
Jan 2012 |
7 pages |
| Authors:
Andrew J MacGregor; Jonathan A Mayo; Amber L Dougherty; Paul J Girard; Michael R Galarneau; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| Objective: To examine injuries sustained in noncombat motor vehicle accidents (MVAs) during Operation Iraqi Freedom by injury nature, site, and severity. Methods: 348 military personnel injured in noncombat MVAs were identified from clinical records completed near the point of injury. Results: On average, personnel suffered two injuries per incident. The most frequent mechanism of injury was non-collision due to loss of control. Overall, 16% were injured in a collision incident ... |
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| Labor Force Reentry: Issues for Injured Service Members and Veterans |
Jan 2012 |
19 pages |
| Authors:
Karen C Osilla; Kristin R Van Busum; RAND NATIONAL DEFENSE RESEARCH INST SANTA MONICA CA
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| Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have been referred to as the wars of disabilities. Since the initiation of OEF and OIF in 2001 and 2003, respectively, more than two million forces have been deployed to Iraq and Afghanistan, and many service members have returned with multiple physical injuries, including amputations, burns, and traumatic brain injury (TBI). Wounded service members with multiple injuries typically require specialized care ... |
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| The Association Between Vital Signs and Major Hemorrhagic Injury is Significantly Improved After Controlling for Sources of Measurement Variability |
Jan 2012 |
12 pages |
| Authors:
Andrew T Reisner; Liangyou Chen; Jaques Reifman; ARMY MEDICAL RESEARCH AND MATERIEL COMMAND FORT DETRICK MD TELEMEDICINE AND ADVANCED TECH RESEARCH CENTER
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| Purpose: Measurement error and transient variability affect vital signs. These issues are inconsistently considered in published reports and clinical practice. We investigated the association between major hemorrhagic injury and vital signs, successively applying analytic techniques that excluded unreliable measurements, reduced transient variation, and then controlled for ambiguity in individual vital signs through multivariate analysis. Methods: Vital sign data from 671 adult prehospital trauma patients were analyzed retrospectively. Computer algorithms were ... |
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| American Recovery and Reinvestment Act -- Improvements Needed in Implementing the Homeowners Assistance Program |
21 Dec 2011 |
53 pages |
| Authors:
Patricia A Marsh; DEPARTMENT OF DEFENSE ALEXANDRIA VA OFFICE OF THE INSPECTOR GENERAL
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| We determined whether the U.S. Army Corps of Engineers (USACE) processed Homeowners Assistance Program (HAP) applications and payments in accordance with the interim rule published in the Federal Register and implementing guidance. The American Recovery and Reinvestment Act of 2009 allocated $555 million to expand HAP, and the National Defense Authorization Act of 2010 authorized an additional $300 million. USACE district personnel generally made accurate payments to eligible applicants in ... |
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WOUNDS AND INJURIES
