Patient Preference Predictors and Paternalism in Military Medicine

Hearing research is important not only for clinical, professional and military medicine, but also for toxicology, gerontology and genetics. Ultrastructure of the cochlea attracts much attention of electron microscopists, (1―3) but the research lags far behind that of the other parts of the organnism. On the basis of careful microdissection, technical improvment and accurate observation, we have got some new findings which have not been reported in the literature.We collected four cochleas from human corpses. Temporal bones dissected 1 h after death and cochleas perfused with fixatives 4 h after death were good enough in terms of preservation of fine structures. SEM:The apical surface of OHCs (Outer hair cells) and DTs (Deiters cells) is narrower than that of IPs (Inner pillar cells). The mosaic configuration of the reticular membrane is not typical. The stereocilia of IHCs (Inner hair cells) are not uniform and some kinocilia could be seen on the OHCs in adults. The epithelial surface of RM (Reissner’s membrane) is not smooth and no mesh could be seen on the mesothelial surface of RM. TEM.

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A multicentre, randomized, cross-over trial to investigate patient preference between two different presentations of alprostadil: the Viridal DuoR cartridge system and CaverjectR in patients with erectile dysfunction

Sexual Dysfunction ◽

10.1046/j.1460-2679.1998.00026.x ◽

1998 ◽

Vol 1 (3) ◽

pp. 137-141

Author(s):

Gingell ◽

Chapple ◽

Coburn ◽

Eardley ◽

Evans ◽

...

Keyword(s):

Erectile Dysfunction ◽

Patient Preference

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The Application of Simulation Technology for Training in Military Medicine

PsycEXTRA Dataset ◽

10.1037/e578902012-187 ◽

2011 ◽

Author(s):

Valerie Rice ◽

Petra Alfred ◽

Raymond Bateman ◽

Gary Boykin ◽

Jacki Morie ◽

...

Keyword(s):

Military Medicine ◽

Simulation Technology

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Leading change in Canadian military medicine: determinants of success, 1685–2016

Journal of Military Veteran and Family Health ◽

10.3138/jmvfh.3659 ◽

2016 ◽

Vol 2 (1) ◽

pp. 87-90 ◽

Cited By ~ 2

Author(s):

Robert Engen ◽

Allan English

Keyword(s):

Military Medicine ◽

Leading Change ◽

Canadian Military

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Patient Preference for Mouthpiece Ventilation

Case Medical Research ◽

10.31525/ct1-nct03867721 ◽

2019 ◽

Author(s):

Keyword(s):

Patient Preference

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Digital Diabetes Management: A Literature Review of Smart Insulin Pens

Journal of Diabetes Science and Technology ◽

10.1177/1932296820983863 ◽

2021 ◽

pp. 193229682098386 ◽

Cited By ~ 1

Author(s):

Lutz Heinemann ◽

Oliver Schnell ◽

Bernhard Gehr ◽

Nanette C. Schloot ◽

Sven W. Görgens ◽

...

Keyword(s):

Patient Preference ◽

Diabetes Management ◽

Electronic Device ◽

Digital Health ◽

Memory Function ◽

Near Field ◽

Self Management ◽

Published Data ◽

Technical Accuracy ◽

Insulin Pens

Digital health management is increasingly pivotal in the care of patients with diabetes. The aim of this review was to evaluate the clinical benefits of using smart insulin pens with connectivity for diabetes management. The search was performed using PubMed and PubMed Central on May 15, 2019, to identify publications investigating the use of insulin pens. Studies evaluating insulin pens with connectivity via Bluetooth/Near Field Communication, with an associated electronic device enabling connectivity, or with a memory function were included in the review. Nine studies were identified in the search. Overall, these studies lacked data on smart insulin pens with a connectivity function, with eight of the available studies investigating only pens with a memory function. The studies focused primarily on assessing patient preference, usability, and technical accuracy. The number of studies assessing clinical outcomes was small ( n = 3). However, the majority of studies ( n = 8) reported that patients preferred smart insulin pens because they increased confidence with regard to diabetes self-management. These results suggest a lack of published data regarding smart insulin pens with connectivity for the management of diabetes. However, the available published data on usability and patient preference suggest that the use of smart insulin pens holds promise for improving and simplifying diabetes self-management.

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Characteristics and Outcomes Among Hospitalized COVID-19-Positive Patients in a Nonurban Environment

Military Medicine ◽

10.1093/milmed/usab044 ◽

2021 ◽

Author(s):

Robert P Lennon ◽

Theodore J Demetriou ◽

M Fahad Khalid ◽

Lauren Jodi Van Scoy ◽

Erin L Miller ◽

...

Keyword(s):

New York ◽

Medical Center ◽

Academic Medical Center ◽

Military Medicine ◽

Case Series ◽

Outcome Data ◽

Urban Environments ◽

Urban Setting ◽

Published Data ◽

Retrospective Case

ABSTRACT Introduction Virtually all hospitalized coronavirus disease-2019 (COVID-19) outcome data come from urban environments. The extent to which these findings are generalizable to other settings is unknown. Coronavirus disease-2019 data from large, urban settings may be particularly difficult to apply in military medicine, where practice environments are often semi-urban, rural, or austere. The purpose of this study is compare presenting characteristics and outcomes of U.S. patients with COVID-19 in a nonurban setting to similar patients in an urban setting. Materials and Methods This is a retrospective case series of adults with laboratory-confirmed COVID-19 infection who were admitted to Hershey Medical Center (HMC), a 548-bed tertiary academic medical center in central Pennsylvania serving semi-urban and rural populations, from March 23, 2020, to April 20, 2020 (the first month of COVID-19 admissions at HMC). Patients and outcomes of this cohort were compared to published data on a cohort of similar patients from the New York City (NYC) area. Results The cohorts had similar age, gender, comorbidities, need for intensive care or mechanical ventilation, and most vital sign and laboratory studies. The NYC’s cohort had shorter hospital stays (4.1 versus 7.2 days, P < .001) but more African American patients (23% versus 12%, P = .02) and higher prevalence of abnormal alanine (>60U/L; 39.0% versus 5.9%, P < .001) and aspartate (>40U/L; 58.4% versus 42.4%, P = .012) aminotransferase, oxygen saturation <90% (20.4% versus 7.2%, P = .004), and mortality (21% versus 1.4%, P < .001). Conclusions Hospitalists in nonurban environments would be prudent to use caution when considering the generalizability of results from dissimilar regions. Further investigation is needed to explore the possibility of reproducible causative systemic elements that may help improve COVID-19-related outcomes. Broader reports of these relationships across many settings will offer military medical planners greater ability to consider outcomes most relevant to their unique settings when considering COVID-19 planning.

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