Updates in Psychopharmacology for PTSD and Related Conditions: Focus on the Active Duty Service Member

Author(s):  
Elspeth Cameron Ritchie ◽  
Christopher S. Nelson
Keyword(s):  
2014 ◽  
pp. 133-134
Author(s):  
David L Brody

The best collateral source may be another service member with whom the patient has served in addition to a family member. Evaluate explicitly post-traumatic stress disorder (PTSD), chronic pain, sleep disorders, balance, and hearing loss, as these are common in military personnel with concussion, especially blast-related injuries. Maintain confidentiality. If the patient has been using drugs and/or alcohol, it may be wise to refer them for rehabilitation discretely, since active duty military personnel do not have the same privacy protections that civilians have, and this can jeopardize their future careers. Return-to-duty decision-making is best done in collaboration with military physicians and occupational therapists. Refer to community resources specifically dedicated to wounded warriors.


2019 ◽  
Vol 69 (12) ◽  
pp. 2205-2207 ◽  
Author(s):  
David A Lindholm ◽  
Raymond D Fisher ◽  
Jay R Montgomery ◽  
Whitni Davidson ◽  
Patricia A Yu ◽  
...  

Abstract Smallpox vaccine is contraindicated in immunosuppression due to increased risk for adverse reactions (eg, progressive vaccinia). We describe the first-ever use of tecovirimat as a preemptive vaccinia virus treatment strategy during induction chemotherapy in an active duty service member who presented with acute leukemia and inadvertent autoinoculation after smallpox vaccination.


2017 ◽  
Vol 182 (3) ◽  
pp. e1858-e1860 ◽  
Author(s):  
Michael S. Scully ◽  
Dylan E. Wessman ◽  
James M. McKee ◽  
Gregory M. Francisco ◽  
Keshav R. Nayak ◽  
...  

2019 ◽  
Vol 11 (2) ◽  
pp. 244-246
Author(s):  
John Duggan ◽  
William Parker ◽  
Junewai L. Reoma ◽  
Samuel Richey ◽  
Charles Huddleston

Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, we present an otherwise healthy active duty service member who was found to have anomalous right coronary artery arising from the pulmonary artery as an incidental discovery during a workup for possible pulmonary embolus. We describe a preoperative workup which showed dilation of the coronaries and evidence of ischemia. Operative technique for restoration of a two-vessel coronary system is described. Postoperative imaging demonstrated reduction in the coronary dilation and resolution of ischemia.


2019 ◽  
pp. 194-196
Author(s):  
David L. Brody

Consider treating acute blast-related concussion patients with N-acetyl cysteine (NAC) when starting within 72 hours after injury. For more chronic issues, in addition to family members, the best collateral source may be another service member with whom the patient has served. Evaluate carefully for post-traumatic stress disorder (PTSD), chronic pain, sleep disorders, balance, and hearing loss given that these are especially common in military personnel with concussion. Maintain confidentiality; if the patient has been using drugs and/or alcohol, it may be wise to refer them for rehabilitation discretely, because active duty military personnel do not have the same privacy protections that civilians have, and this can jeopardize their future careers. Return-to-duty decision-making is best done in collaboration with military physicians and occupational therapists. Refer to community resources specifically dedicated to wounded warriors.


2020 ◽  
Vol 46 (3) ◽  
pp. 351-375 ◽  
Author(s):  
Eric D. Button ◽  
Anne B. Diallo

Despite the expansion of absentee voting protections as recently as 2016, Service member spouses have not enjoyed the same level of voting protections as Service members. Active duty military spouses, uniquely positioned between military service and civilian life, are arguably as important to the election process as their Service member counterparts. Thus, we examine the voting behaviors of this underserved and seldom studied subpopulation. Matsusaka’s information theory–based economic model of voter turnout provides our framework for identifying determinants that shape the voting interest and participation of active duty military spouses. We analyze the Federal Voting Assistance Program’s 2010 Post-Election Voting Survey of Active Duty Military Spouses utilizing logistic regression models. We found that voting interest and participation were increased among respondents who planned to vote, received more election information, voted within the previous 6 years, and who were older; however, voting interest and participation were not diminished by absentee status.


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