| Historical Snapshot: Dr. Mary E. Walker, Civil War Surgeon, Medal of Honor Recipient |
Jul 2012 |
3 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
 | Since the Revolutionary War, when General George Washington recognized the need to hire nurses to care for wounded soldiers, women have served in multiple roles to meet the healthcare needs of American service members in wartime. The role of women today is substantial, comprising about 40 percent of officers and nearly one third of enlisted service members in the healthcare field. However, as the biography of Dr. Mary Walker attests, ... |
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| Resubmission of Gap Analysis Workshop for Training for Reintegration of Surgical Skills |
Oct 2011 |
32 pages |
| Authors:
Paul A Wetter; SOCIETY OF LAPAROENDOSCOPIC SURGEONS MIAMI FL
|
| Unable to provideThe Society of Laparoendoscopic Surgeons organized the Gap Analysis Workshop for Training for Reintegration of minimally invasive Surgical Skills in order to discuss gaps and develop a curriculum for military and civilian personnel who are away from their peacetime specialty. The workshop assembled key personnel who convened to survey current strategies, discuss the major factors influencing skill decay, and brainstorm solutions for improving skill retention, and resources for ... |
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| Three Dimensional Projection Environment for Molecular Design and Surgical Simulation |
Aug 2011 |
92 pages |
| Authors:
Eric Wickstrom; THOMAS JEFFERSON UNIV PHILADELPHIA PA
|
| We hypothesized in Aim 1 that docking of three-dimensional (3D) projections of potential target binding agents with 3D projections of macromolecular disease targets visualized on a computer with touch and feel feedback will enable identification of optimal agent designs, and culling of suboptimal agent designs, prior to synthesis. We found that direct measurements of cellular uptake of two different EGF fragments, EGF20-31 and EGF32-48, agreed with the computer predictions of ... |
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| Research to Develop Biomedical Applications of Free Electron Laser Technology |
31 MAR 2011 |
48 pages |
| Authors:
Rox Anderson; Michael Hamblin; Tayyaba Hasan; Irene Kochevar; Charles Lin; MASSACHUSETTS GENERAL HOSPITAL BOSTON WELLMAN LABS OF PHOTOMEDICINE
|
| The overall goal is to solve substantial military medical problems by creating technologies that are useful to diagnose and care for soldiers, and by elucidating the mechanisms of organ trauma and diseases that particularly affect soldiers. To achieve this broad goal, we have undertaken projects focused on novel treatments of infectious diseases and physical trauma relevant to military personnel, technological improvements for trauma care, and new approaches to triage. Infectious ... |
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| Visual Enhancement of Laparoscopic Partial Nephrectomy With 3-Charge Coupled Device Camera: Assessing Intraoperative Tissue Perfusion and Vascular Anatomy by Visible Hemoglobin Spectral Response |
Oct 2010 |
8 pages |
| Authors:
Nicole J Crane; Suzanne M Gillern; Kambiz Tajkarimi; Ira W Levin; Peter A Pinto; Eric A Elster; NAVAL MEDICAL RESEARCH CENTER SILVER SPRING MD
|
| We report the novel use of 3-charge coupled device camera tochnology to infer tissue oxygenation. The technique can aid surgeons to reliably differentiate vascular structures and noninvasively assess laparoscopic intraoperative changes in renal tissue perfusion during and after warm ischemia. |
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| High-Energy Trauma and Damage Control in the Lower Limb |
Jan 2010 |
7 pages |
| Authors:
Charles J Fox; Peter Kreishman; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC DEPT OF SURGERY
|
| Management of traumatic lower-limb vascular injury can offer special challenges even to experienced surgeons. Recent U.S. conflicts have advanced the practice of vascular trauma surgery on the battlefield and offer important lessons learned for management of similar injury in urban trauma centers. Damage control techniques for complex injuries when associated with hemodynamic instability may provide an opportunity to save both life and limb. This article provides an overview of damage ... |
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| Aerospace Medicine -Specialists- Relevant and Ready to Army Space Operations |
Jan 2010 |
5 pages |
| Authors:
John P Albano; ARMY SPACE AND MISSILE DEFENSE COMMAND/ARMY FORCES STRATEGIC COMMAND PETERSON AFB CO
|
| Recently, the Army Space Cadre Mobile Training Team from U.S. Army Space and Missile Defense Command/Army Forces Strategic Command s Future Warfare Center Directorate of Combat Development (FWC DCD) traveled to Pensacola, Fla., to train Army and Navy residents in aerospace medicine the fundamentals of Army Space Operations. The FWC DCD Trainers conducted the 40-hour Army Space Cadre Basic Course. The intent was not to give an orientation to Space ... |
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| Case Study: Review of Operating Room Utilization at Mayo Clinic Arizona (MCA) |
May-2008 |
72 pages |
| Authors:
Michael R Emerson; MAYO CLINIC ARIZONA PHOENIX AZ
|
| The purposes of this case study was to determine if the operating suites at Mayo Clinic Arizona have been utilized efficiently in the past and identify if there is additional capacity within the current number of the operating rooms. The operating suite consists of 18 operating rooms that support 11 surgical services, 57 surgeons, and a tertiary care practice. The variables examined were: OR capacity, utilized OR capacity, allocated block-time ... |
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| Combat Trauma -- Placing Surgeons to Save the Most Lives |
06 NOV 2007 |
32 pages |
| Authors:
Daniel J. Zinder; NAVAL WAR COLL NEWPORT RI JOINT MILITARY OPERATIONS DEPT
|
| Small mobile surgical teams attached to maneuver units save lives in the initial stages of major combat operations. But in the later phases of an operation, consolidating surgical capability will save more lives with fewer resources. This is because surgical care can be initiated sooner, the variety of specialists can be increased, and fewer complications are likely. The problem is that tactical commanders resist moving surgeons away from their areas ... |
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| The Use of Cognitive Task Analysis and Simulators for After Action Review of Medical Events in Iraq |
MAR 2007 |
41 pages |
| Authors:
Richard E. Clark; UNIVERSITY OF SOUTHERN CALIFORNIA LOS ANGELES
|
| Prior attempts to use standard "self report" or interview protocols to extract After Action Review (AAR) descriptions of emergency event decision making and problem solving strategies generated by participants are problematical. Cognitive psychological studies suggest that the resulting information often contains significant errors and omissions (Glaser et al., 1985; Besnard, 2000). These errors are not often recognized by participants who solved important problems in emergency situations and wish to give ... |
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| Steps Towards Determining the Right Number of Dental Recruits the Navy Should Access to Meet the Projected Targets for Navy Dental Corps Officers |
MAR 2007 |
69 pages |
| Authors:
Jr Gilliard Richard; NAVAL POSTGRADUATE SCHOOL MONTEREY CA GRADUATE SCHOOL OF BUSINESS AND PUBLIC POLICY
|
| This thesis took steps towards determining the right number of dentists the Navy should recruit to meet projected targets. Dental Corps data were provided from the Dental Corps Manpower office covering fiscal years 1984 through 2005. The accession sources for Dental Corps officers were a concern at the onset of this study. One goal of the research was to determine whether or not certain behaviors were associated with particular accession ... |
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| The Use of Cognitive Task Analysis and Simulators for After Action Review of Medical Events in Iraq |
DEC 2006 |
24 pages |
| Authors:
Richard E. Clark; UNIVERSITY OF SOUTHERN CALIFORNIA REDONDO BEACH BEHAVIORAL TECHNOLOGY LABS
|
| Prior attempts to use standard "self report" or interview protocols to extract After Action Review (AAR) descriptions of emergency event decision making and problem solving strategies generated by participants are problematical. Cognitive psychological studies suggest that the resulting information often contains significant errors and omissions (Glaser et al., 1985; Besnard, 2000). These errors are not often recognized by participants who solved important problems in emergency situations and wish to give ... |
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| Trauma System Development in a Theater of War: Experiences From Operation Iraqi Freedom and Operation Enduring Freedom |
SEP 2006 |
9 pages |
| Authors:
Brian J. Eastride; Donald Jenkins; Stephen Flaherty; Henry Schiller; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Medical lessons learned from Vietnam and previous military conflicts led to the development of civilian trauma systems in the United States. Operation Iraqi Freedom represents the first protracted, large-scale, armed conflict since the advent of civilian trauma systems in which to evaluate a similar paradigm on the battlefield. Collaborative efforts between the joint military forces of the United States initiated development of a theater trauma system in May 2004. Formal ... |
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| Feasibility Study and Demonstration Project for Joint Military/Civilian Trauma Institute with a Burn Center |
JUN 2006 |
39 pages |
| Authors:
Ronald M. Stewart; TEXAS UNIV HEALTH SCIENCE CENTER AT SAN ANTONIO
|
| The purpose of this grant was to demonstrate the feasibility of a Trauma Institute and Burn Center with missions in patient care, research, and education. The following goals were met during this time period: a burn surgeon/director was recruited to improve the sustainability of the Brooke Army Medical Center (BAMC) Burn Center; Trauma Institute of San Antonio, Texas (TRISAT) members have studied how combining resources will generate greater financial sustainability; ... |
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| Validating a Methodology for Establishing a Criteria and Proficiency Levels in Surgical Skills Simulators |
APR 2006 |
49 pages |
| Authors:
LeRoy Heinrichs; Brian Lukoff; Patricia Youngblood; Parvati Dev; Richard Shavelson; STANFORD HILLS CONSULTING MENLO PARK CA
|
| OBJECTIVE: The new paradigm in surgical education for basic skills training is using computer-based (manikin, augmented or virtual reality) simulators with embedded criteria to be achieved by students before performing surgery on patients. To establish training criteria, we have assessed the performance of 18 experienced laparoscopic surgeons basic technical surgical skills of recorded electronically in 26 basic skills modules selected in five commercially available, computer-based simulators. METHODS/PROCEDURES: Quantitative data produced ... |
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| Trauma Pod/Operating Room of the Future |
FEB 2006 |
113 pages |
| Authors:
Delbert Tesar; Chetan Kapoor; Chalongarh Pholsiri; Edwin Jung; Greg Giem; Jonathan Knoll; TEXAS UNIV AT AUSTIN
|
| The University of Texas at Austin (UTA) has played a central role in the trauma pod project and has been responsible for the following: (1) systems engineering and design from a robotics perspective, (2) a high-fidelity 3D simulator, (3) motion planning software for the scrub nurse systems, and (4) the supervisory control system (SCS). In systems engineering and design, UTA specified a hierarchical control architecture for the trauma pod and ... |
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| Eyewitness to War, Volume 1. The US Army in Operation AL FAJR: An Oral History |
2006 |
328 pages |
| Authors:
Kendall D. Gott; John McCool; Matt M. Matthews; Colette Kiszka; Jennifer Vedder; Jennifer Lindsey; Christopher K. Ives; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS COMBAT STUDIES INST
|
| "Eyewitness to War. The U.S. Army in Operation AL FAJR: An Oral History" is a unique publication for the Combat Studies Institute (CSI). It is their first publication to make exclusive use of oral history. The study is a derivative of the CSI Operational Leadership Experiences (OLE) project, a program that collects and archives first-person experiences from the Global War on Terrorism. It also can be considered a companion to ... |
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| The Use of Cognitive Task Analysis and Simulators for the After Action Review of Medical Events in Iraq |
SEP 2005 |
17 pages |
| Authors:
Richard E. Clark; UNIVERSITY OF SOUTHERN CALIFORNIA LOS ANGELES
|
| Prior attempts to use standard interview protocols to extract After Action Review (AAR) descriptions of emergency event decision making and problem solving strategies generated by participants are problematical. Cognitive psychological studies suggest that the resulting information often contains significant errors and omissions (Glaser et al., 1985; Besnard, 2000). These errors are often not recognized by participants who have solved important problems in emergency situations because the knowledge they are describing ... |
|
| Feasibility Study and Demonstration Project for a Joint Military/Civilian Trauma Institute with a Burn Center |
24 AUG 2005 |
25 pages |
| Authors:
Ronald M. Stewart; TEXAS UNIV HEALTH SCIENCE CENTER AT SANANTONIO
|
| The purpose of the Trauma Institute of San Antonio, Texas (TRISAT) grant was to study and demonstrate the feasibility of a Trauma Institute and Burn Center with three primary missions: patient care, research, and education. Several goals of the grant have been met: TRISAT members have studied how combining resources will generate greater financial sustainability; a national trauma consultant reviewed the financial/economic status of each program and presented recommendations; an ... |
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| Medical Materiel Readiness Metrics |
23 JUN 2005 |
|
| Authors:
Richard Cocrane; LOGISTICS MANAGEMENT INST MCLEAN VA
|
 | Meeting the Class VIII requirement: Addressing COCOM Surgeons' confidence: * 2000 - Joint Warfighting Capabilities Assessment - "Most items needed to support the Department of Defense's (DoD) wartime needs could be obtained in sufficient quantities from the department's established suppliers, or Prime Vendors (PV)." * 2002 - Combat Support Agency Review Team - "Exclusive reliance upon medical prime vendor suppliers increases the risks of not meeting surge requirements for a ... |
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| Designing a Professional Services Billing Process for Brooke Army Medical Center's Trauma Surgeons |
02 MAY 2005 |
98 pages |
| Authors:
Lonnie S. Hosea; UNIVERSITY HEALTH SYSTEM SAN ANTONIO TX
|
| The U.S. Congress has obligated Brooke Army Medical Center (BAMC), Fort Sam, Houston, Texas, to seek the potentially significant reimbursement from health insurance providers for the care delivered to the large number of civilian trauma patients it serves. This study proposed that an achievable, seamless, efficient, and effective design could be identified to reimburse BAMC for the professional services of its trauma surgeons. The study also proposed that no legal ... |
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| Non-Invasive Methods for Determining Lesion Depth from Vesicant Exposure |
17 NOV 2004 |
25 pages |
| Authors:
Jr. Braue E. H.; J. S. Graham; B. F. Doxzon; K. A. Hanssen; H. L. Lumpkin; R. S. Stevenson; R. R. Deckert; S. J. Dalal; Larry W. Mitcheltree; ARMY MEDICAL RESEARCH INST OF CHEMICAL DEFENSE ABERDEEN PROVING GROUND MD
|
| Before sulfur mustard injuries can be effectively treated, assessment of lesion depth must occur. Accurate depth assessment is important, because it dictates how aggressive treatment needs to be to minimize or prevent cosmetic and functional deficits. Depth of injury is typically assessed by physical examination. Diagnosing very superficial and very deep lesions is relatively easy for the experienced burn surgeon. Lesions of intermediate depth, however, are often problematic in determining ... |
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| Harnessing Technology for Evidence-Based Education and Training in Minimally Invasive Surgery |
OCT 2004 |
39 pages |
| Authors:
C. D. Smith; EMORY UNIV ATLANTA GA
|
| Training specific surgical skills on simulators has been proven to bring a better-prepared student to a human operating room, and when the simulator-trained student performs a portion of a procedure fewer errors are made when compared to a learner who has not been trained on a simulator. This current study seeks to further this work by first developing a curriculum for training an entire procedure, laparoscopic cholecystectomy, using simulation technologies ... |
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| Novel Non-Intrusive Trans-Dermal Remote Wireless Micro-Fluidic Monitoring System Applied to Continuous Glucose and Lactate Assays for Casualty Care and Combat Readiness Assessment |
01 SEP 2004 |
19 pages |
| Authors:
John F. Currie; Michael M. Bodo; Frederick J. Pearce; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD DEPT OF RESUSCITATIVE MEDICINE
|
| We present results on both the bio-medical engineering development of a non-intrusive, wireless, microfluidic physiological monitoring and remote transmission field system, and its performance measuring continuous glucose and lactate concentrations in the interstitial fluid of rats subjected both to glucose-stress tests, and to hemorrhagic shock. These directly address the two symposium topics of Monitoring of physiological parameters and measurement of vital signs in the field and of Medical surveillance in ... |
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| Effects of New Technology on the Operating Room Team |
JUN 2004 |
5 pages |
| Authors:
Caroline G. Cao; Holly Taylor; TUFTS UNIV MEDFORD MA DEPT OF MECHANICAL ENGINEERING
|
| A study was conducted to examine the changes in performance and communication pattern within the operating room team as a result of the introduction of a new technology: a remote master-slave surgical robot. A detailed analysis of the information flow during a cholecystectomy procedure with and without the robot revealed large disparities in terms of the amount and type of information required by the surgeon to perform the surgical procedure. ... |
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| Awareness of Occupational Health Risks of Nitrous oxide and Formaldehyde Used in a Hospital's Operating Room |
14 MAY 2003 |
|
| Authors:
Marina Kempinen; ESTONIAN OCCUPATIONAL HEALTH CENTRE TALLINN (ESTONIA) DEPT OF OCCUPATIONAL MEDICINE
|
| The objectives of this study were to assess awareness of the possible occupational chemical hazards in the surgical department of hospitals in Estonia, to identify the risk of adverse health effects to hospital workers caused by exposure to chemical agents as well as to assess the need for recommendations to minimize the health risks of workers. The study was conducted in Tallinn Mustamae Hospital and focused on the exposure of ... |
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| Year 2000 Operational Contingency Planning for Health Care in the European Theater |
26 NOV 1999 |
39 pages |
| Authors:
INSPECTOR GENERAL DEPT OF DEFENSE ARLINGTON VA
|
| This is one in a series of reports being issued by the Inspector General, DoD, in accordance with an informal partnership with the Chief Information Officer, DoD, to monitor DoD efforts to address the year 2000 computing challenge. For a listing of audit projects addressing the issue, see the year 2000 web pages on the IGnet at http : //www. ignet. gov. The Executive Steering ... |
|
| How to Increase Appropriate Use of Breast-Conserving Therapy - Greater Access to Radiation Oncology Services or Physician Education |
OCT 1999 |
14 pages |
| Authors:
Laura M. Baldwin; UNIV OF WASHINGTON SEATTLE
|
| Breast conserving therapy with radiation (BCT) is underutilized in the treatment of stage I and II breast cancer. This project examines the degree to which distance to radiation therapy and the training and practice style of surgeons contribute to this underuse of BCT in elderly women, especially those living in rural areas. A comprehensive database linking information from the Seattle-Puget Sound Surveillance, Epidemiology, and End ... |
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| The Influence of Surgeon's Characteristics on Treatment Recommendations for Older Women with Early Stage Breast Cancer |
MAY 1999 |
43 pages |
| Authors:
Zhao Wu; TEXAS UNIV MEDICAL BRANCH AT GALVESTON
|
| The purpose of this study was to investigate how surgeons' demographic characteristics, practice setting, educational background, knowledge, and beliefs about breast cancer therapy influence their propensity to recommend breast-conserving treatment (BCT) or modified radical mastectomy for older women with early-stage breast cancer. The study aimed to interview 60 surgeons from southeast Texas. |
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| Integrated Medical Environments and the Virtual Reality Patient |
SEP 1997 |
12 pages |
| Authors:
Bettina A. Babbitt; Jack Stubbs; H. B. Sorensen; Herbert H. Bell; Peter M. Crane; ARMSTRONG LAB BROOKS AFB TX HUMAN RESOURCES DIRECTORATE
|
| Northrop Grumman an and Ethicon Endo-Surgery, along with Armstrong Laboratory's Aircrew Training Research Division, are developing prototype training systems to assist surgeons in triage assessment and in procedures for battlefield casualty management. The goal is to develop an integrated training system built around three major components: (1) a Biomedical Instructional Systems Decision Support System (BISD DSS) to characterize training tasks and set instructional objectives and performance standards; (2) a simulation ... |
|
| First, Do No Harm: Expertise and Metacognition in Laparoscopic Surgery |
17 APR 97 |
283 pages |
| Authors:
Cynthia O. Dominquez; AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
|
| Minimally invasive surgery is a double-edged sword presenting both advantages and dangers to a patient. On the one hand, damage to healthy tissue is reduced and recovery periods are shorter. On the other hand, the surgeon is handicapped by degraded perceptual information so that the probability of certain types of errors is increased (e.g., cutting or damaging the common bile duct during laparoscopic cholecystectomy). In challenging cases surgeons continually assess ... |
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| Jointness and Putting Prevention Into Practice: The Role of the Assistant Secretary of Defense for Health Affairs |
01 APR 97 |
39 pages |
| Authors:
James R. Greenwood; ARMY WAR COLL CARLISLE BARRACKS PA
|
| The Assistant Secretary of Defense for Health Affairs (ASD(HA)) and the three Uniform Service Surgeons General (Army, Navy, Air Force) endorsed the U. S. Public Health Service Put Prevention Into Practice (PPIP) Campaign in 1994. Working from different templates, each service is implementing various efforts to promote the PPIP initiative. This paper examines how the ASD(HA) has facilitated the implementation of PPIP, and has articulated the goal and process of ... |
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| Propofol and Fentanyl Compared to Midazolam and Fentanyl During Third Molar Surgery |
96 |
54 pages |
| Authors:
Larry P. Parworth; AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
|
| Fifty-seven patients undergoing removal of third molars with intravenous sedation between November 1994 and December 1995 randomly received either propofol and fentanyl (P + F) or rnidazolam and fentanyl (M + F). Twenty- four received P + F and thirty-three received M + F. Pre-operatively, patient demographics, Corah anxiety scores and physiologic parameters were obtained. Ml patients were titrated to the same endpoint for sedation. Intra-operative physiologic parameters, cooperation, alertness ... |
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| Research Protocol for the Evaluation of Medical Waiver Requirements for the Use of Lisinopril in USAF Aircrew |
NOV 95 |
48 pages |
| Authors:
R. B. Howe; Robert Johnson; ARMSTRONG LAB BROOKS AFB TX AEROSPACE MEDICINE DIRECTORATE
|
| This is the first annual report on the Lisinopril Study Group recruited under the Research Protocol for the Use of Lisinopril in USAF Aircrew. Our objective was to measure progress toward the goals of determining the degree to which aviators on lisinopril require individual centralized evaluation and the degree to which clinical criteria can be identified for the establishment of medical waiver evaluations by local Right Surgeons. Our analysis consisted ... |
|
| Military Readiness and Patient Care in USAREUR Medical Forces: Summary Report on Prospective MEPRS Benchmarking Study |
23 JUL 95 |
39 pages |
| Authors:
Paul T. Bartone; Thomas W. Britt; Amy B. Adler; Evelyn H. Golembe; WALTER REED ARMY INST OF RESEARCH WASHINGTON DC
|
| At the request of the U.S. Army, Europe Chief Surgeon's Office, a prospective "benchmark" study was undertaken by the U.S. Army Medical Research Unit-Europe to determine, on average, how uniformed medical personnel in USAREUR are spreading their work time across two critical (and sometimes competing) functional priorities: (1) patient care, and (2) readiness training. The information that follows is the briefing package presented to the USAREUR Chief Surgeon on 23 ... |
|
| Medical Surveillance Monthly Report (MSMR). Volume , Number 4, July 1995 |
Jul-1995 |
17 pages |
| Authors:
Bruce H Jones; Sharon L Ludwig; Mark V Rubertone; John F Brundage; Vincent P Fonseca; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| During June 1995, the senior medical officer for one of the United Nations (UN) battalions in Haiti called the Force Surgeon's office to report a fourfold increase in the rate of diarrhea over the previous two weeks. The Force Surgeon formed a five person preventive medicine (PM) team consisting of an infectious disease officer, a preventive medicine officer, an environmental science officer, and two preventive medicine technicians. The PM team's ... |
|
| Personal Hygiene Body Wipe |
NOV 94 |
71 pages |
| Authors:
Edmund M. Powers; Mark J. Buller; ARMY NATICK RESEARCH DEVELOPMENT AND ENGINEERING CENTER MA
|
| Military doctrine requires a soldier to take a shower at least once every seven days to maintain certain health standards. The objective of the PHBW is to provide the soldier with a temporary means of maintaining personal hygiene and sanitation when water/showers are not available. The PHBW will improve personal hygiene, morale and quality of life of the soldier in the field when water is not available. Statistically designed technical ... |
|
| The Applicability of Commercial Glare Test Devices in the Aeromedical Certification of Pilot Applicants |
AUG 94 |
|
| Authors:
Van B. Nakagawara; Ronald W. Montgomery; Kathryn J. Wood; FEDERAL AVIATION ADMINISTRATION WASHINGTON DC OFFICE OF AVIATION MEDICINE
|
| In his FY-92/93 Annual Program Guidance and Current Policy Statement, the Federal Air Surgeon requested continued investigation of new testing modalities, such as glare vision testing, as to their relevance to medical certification. Glare sensitivity is a normal age-related physiological change depriving the human visual system of vital information. An instrument that can effectively detect and measure visual performance loss from glare in a clinical environment would be a valuable ... |
|
| Regulation of Growth Zone and Resting Zone Chondrocytes by Bone Morphogenetic Protein-2 |
JUN 94 |
84 pages |
| Authors:
Douglas M. Erickson; AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
|
| Prosthodontics is defined as the science of and art of providing suitable substitutes for the coronal portions of teeth, or for lost or missing teeth and their associated parts (Stedman Pocket Medical Dictionary. Williams and Wilkins, Baltimore MD 1987, p. 615.). Prosthetic treatment success, however, depend on the placement of these replacement teeth on a solid bony foundation. Commonly, that bony foundation has been ravaged by disease and age making ... |
|
| Strategies for Healthy Coping with Operational Stress & Reunion Tips |
94 |
11 pages |
| Authors:
Paul T. Bartone; WALTER REED ARMY INST OF RESEARCH WASHINGTON DC
|
| This short brochure was written for USAREUR soldiers who deployed to Rwanda as part of 'Operation Support Hope.' The pamphlet was distributed to the redeploying soldiers upon their return home to Germany and their families. The brochure has five sections which suggest strategies for healthy coping with operational stress following a humanitarian mission. The goal was to make the soldier's return go more smoothly as well as to help the ... |
|
| Design and Implementation of a Database Management System for a Navy Medical Administrative Unit |
23 SEP 93 |
169 pages |
| Authors:
Kevin A. Bianchi; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| The Navy Medical Administrative Unit (NMAU) for the Monterey Peninsula has a challenging mission which encompasses many administrative tasks. Medical readiness and occupational health requirements are tracked for all Navy and Marine Corps personnel in the region. In order to fulfill their mission satisfactorily, it was necessary for NMAU to get an automated database management system. The Flight Surgeon at the Naval Postgraduate School works very closely with NMAU. The ... |
|
| Department of Defense Champus Beneficiary Utilization, Fiscal Year 1992 |
01 SEP 93 |
68 pages |
| Authors:
Scott A. Optenberg; Catherine R. Stein; ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX
|
| This report presents a summary analysis of CHAMPUS beneficiary utilization for the Department of Defense, excluding Europe. The study period is Fiscal Year 1992. The report was prepared at the request of the Managed Care Division, Directorate of Programs & Resources, Office of the Surgeon General, U. S. Air Force. The utilization data is summarized and presented in three sections: (A) CHAMPUS total beneficiary utilization, (B) CHAMPUS beneficiary utilization for ... |
|
| A Study to Determine the Feasibility of Establishing a Neonatal Step- Down Unit at Eisenhower Army Medical Center Fort Gordon, Georgia |
JUN 93 |
64 pages |
| Authors:
Stephen Wilkinson; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
|
| This study determined the feasibility of establishing a neonatal step-down unit (neonatal feed and grow unit/level II nursery) at Eisenhower Army Medical Center to recapture Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) monies currently paid to the Medical College of Georgia, Augusta, Georgia. The author conducted a literature review using resources at the Academy of Health Sciences (AHS), U.S. Army, Fort Gordon, and civilian institutions; interviewed subject ... |
|
| Work/Rest Schedules and Performance of F/A-18 Aviators during Fleet Exercise 1992 |
APR 1993 |
29 pages |
| Authors:
S. A. Shappell; D. F. Neri; NAVAL AEROSPACE MEDICAL RESEARCH LAB PENSACOLA FL
|
| As a continuation of our previous work during Operation Desert Shield/Storm, we examined the effect a fleet exercise has on the work/rest patterns, fatigue, and cognitive performance of F/A-18 aviators. For 10 days during Fleet Exercise 1992, 25 pilots from VFA-81 and VFA-83 completed daily work/rest logs while performing their usual tasks. Subjective measure of fatigue, quality of rest, and sleep need were also collected. A subset of these F/A-18 ... |
|
| The Use of Simulation to Evaluate Strategic Aeromedical Evacuation Policy and Planning |
MAR 1993 |
214 pages |
| Authors:
Charles W. Wolfe Jr; AIR FORCE INST OF TECH WRIGHT-PATTERSONAFB OH SCHOOL OF ENGINEERING
|
| Strategic aeromedical evacuation (AE) of casualties from the theater of operations to the CONUS during wartime is a complex operation that involves the integration of medical personnel and policies with airlift concepts and capabilities. Military analysts within the Air Mobility Command Analysis Group (AMC/XPY) have traditionally used deterministic linear programming techniques to estimate the number of aircraft the United States Air Force (USAF) requires for given contingency scenarios. However, this ... |
|
| An Analytical Model for the Treatment and Evacuation of Casualties in a Low-Intensity Conflict |
MAR 93 |
71 pages |
| Authors:
Tracy L. Howard; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
| This thesis studies the treatment and evacuation of casualties in a Low-Intensity Conflict. The study addresses the effects of the evacuation policy at the medical battalion level, or echelon. The evacuation policy assigns a threshold number of days to guide surgeons in deciding which casualties should be treated and which should be evacuated. The main tradeoff in choosing this policy involves either treating and returning casualties to duty, or evacuating ... |
|
| U. S. Army Biomedical Research and Development Laboratory, Annual Progress Report FY92 |
01 JAN 93 |
|
| Authors:
Joel T. Hiatt; ARMY BIOMEDICAL RESEARCH AND DEVELOPMENT LAB FORT DETRICK MD
|
| The Annual Progress Report, Fiscal Year 1992, summarizes the research performed by the U.S. Army Biomedical Research and Development Laboratory in projects authorized by the U.S. Army Surgeon General and the Commander, U.S. Army Medical Research and Development Command. This research was supported by RDTE funds from the U.S. Army Medical Research and Development Command, and as reimbursables from the U.S. Army Corps of Engineers, and from several additional sources.... ... |
|
| Night Vision Manual for the Flight Surgeon |
AUG 92 |
122 pages |
| Authors:
Robert E. Miller Ii; Thomas J. Tredici; ARMSTRONG LAB BROOKS AFB TX
|
| This manual is an updated and extensively revised successor to the 1985 edition of the Night Vision Manual for the Flight Surgeon (USAFSAM-SR-85-3) . It is a definitive reference that provides current guidance for flight surgeons who can use it as a source document in providing night vision briefings, conducting NVG training sessions, discussing aeromedical limitations, and applying appropriate medical standards. This document can also be used by the flight ... |
|
| Implementation of DOP Replacement with Selected Materials in Mask and Filter Testing Penetrometer Machines |
JUN 92 |
188 pages |
| Authors:
Hugh R. Carlon; Mark A. Guelta; CHEMICAL RESEARCH DEVELOPMENT AND ENGINEERING CENTER ABERDEEN PROVING GROUND MD
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| In April 1986, the U.S. Army's Office of the Surgeon General (OTSG) took the position that dioctyl phthalate (DOP) is a suspected carcinogen. The U. S. Army had used DOP for many decades for nondestructive serviceability testing of respirator canisters and protective filters and in a variety of aerosol penetration studies including mask leakage and face fit. The present program to find a safe material was initiated in September 1987, ... |
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| A Study of Marketing Strategies for the Enhanced Utilization of Partnership Cardiovascular Services at USAF Medical Center Wright-Patterson |
JUN 92 |
56 pages |
| Authors:
Frank W. Palmisano; ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
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| This graduate management project has attempted to initiate the design of a marketing strategy that will increase utilization of civilian partnership cardiovascular surgical services at a large Air Force medical center. This study was an expansion of a previous U.S. Army-Baylor University graduate management project performed at USAF Medical Center Wright-Patterson (WPMC). The previous study hypothesized that ...additional cardio-thoracic ... workload may be available in the local catchment area (Lewis, ... |
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