Radial Head Arthroplasty in the Active Duty Military Service Member With Minimum 2-Year Follow-Up

2017 ◽  
Vol 42 (8) ◽  
pp. 660.e1-660.e7 ◽  
Author(s):  
John C. Dunn ◽  
Nicholas A. Kusnezov ◽  
Logan R. Koehler ◽  
Emmanuel D. Eisenstein ◽  
Kelly G. Kilcoyne ◽  
...  
Keyword(s):  
Radial Head ◽  
Military Service ◽  
Active Duty ◽  
Service Member ◽  
Radial Head Arthroplasty ◽  
Active Duty Military ◽  
Military Service Member

Voting Behavior of Active Duty Military Spouses: Trends in Interest and Participation

2020 ◽  
Vol 46 (3) ◽  
pp. 351-375 ◽  
Author(s):  
Eric D. Button ◽  
Anne B. Diallo
Keyword(s):  
Voter Turnout ◽  
Military Service ◽  
Voting Behavior ◽  
Active Duty ◽  
Service Member ◽  
Military Spouses ◽  
Civilian Life ◽  
Logistic Regression Models ◽  
Active Duty Military ◽  
Election Process

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.

Military service member and veteran reintegration: A critical review and adapted ecological model.

2017 ◽  
Vol 87 (2) ◽  
pp. 114-128 ◽  
Author(s):  
Christine A. Elnitsky ◽  
Cara L. Blevins ◽  
Michael P. Fisher ◽  
Kathryn Magruder
Keyword(s):  
Critical Review ◽  
Military Service ◽  
Ecological Model ◽  
Service Member ◽  
Military Service Member

scholarly journals Myocardial Bridging, the Hidden Risk Factor for Ischemia

2021 ◽  
Author(s):  
Vincenzo C Happach ◽  
Gerald T Delk ◽  
Latha Ganti
Keyword(s):  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Risk Factor ◽  
Military Service ◽  
Ventricular Hypertrophy ◽  
Left Ventricular ◽  
Service Member ◽  
Myocardial Bridging ◽  
Coronary Syndrome ◽  
Military Service Member

ABSTRACT Myocardial bridging is an uncommon cause of a quite common emergency department complaint for chest pain and is often associated with left ventricular hypertrophy. We present a case of an otherwise healthy middle-aged U.S. military service member who presented with acute coronary syndrome which was ultimately determined to be the result of myocardial bridging.

Special Topics in Military Personnel

2014 ◽  
pp. 133-134
Author(s):  
David L Brody
Keyword(s):  
Military Personnel ◽  
Occupational Therapists ◽  
Active Duty ◽  
Service Member ◽  
Community Resources ◽  
Post Traumatic Stress ◽  
Active Duty Military ◽  
Post Traumatic ◽  
Return To Duty ◽  
Military Physicians

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.

scholarly journals Retrospective cohort study on radial head arthroplasty comparing long-term outcomes between valgus type injury and fracture dislocation

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Alvin Chao-Yu Chen ◽  
Chun-Jui Weng ◽  
Chih-Hao Chiu ◽  
Shih-Sheng Chang ◽  
Chun-Ying Cheng ◽  
...  
Keyword(s):  
Radial Head ◽  
Fracture Dislocation ◽  
Long Term Outcomes ◽  
Periprosthetic Osteolysis ◽  
Radial Head Fractures ◽  
Radial Head Arthroplasty ◽  
Injury Group ◽  
Motion Range

Abstract Background Radial head arthroplasty (RHA) has been commonly adopted for irreparable radial head fractures while little information is addressed on valgus type injury. The purpose of this study is to report long-term outcomes and radiographic analysis in RHA for valgus type injury with comparison to fracture dislocation injury. Methods A retrospective cohort study was conducted in patients receiving unilateral RHA with loose-fit, modular metal prosthesis for irreparable radial head fractures between 2004 and 2012. Totally, 33 patients with a mean follow up of 9 years (range, 7 to 15 years) were enrolled and divided into two groups including 14 valgus injuries and 19 fracture-dislocations. Demographics of the patients, injury details, clinical and radiographic outcomes, and correlation analysis were investigated and compared between two groups. Results In patient demographics, significant difference was noted in sex distribution (p = 0.001), lateral collateral ligament involvement (p = 0.000) and time from injury to RHA (p = 0.031) between two groups. No patient underwent subsequent removal or revision of prosthesis. Good to excellent results according to Mayo Elbow Performance Score (MEPS) was achieved in 13 and 14 patients in group A and B respectively. Final motion range and Disabilities of the Arm, Shoulder, and Hand score was significantly better in valgus injury group. Radiographic analysis demonstrated fewer patients in valgus injury group presented periprosthetic osteolysis with weak to moderate negative correlation between radiolucency score and MEPS. Conclusions With an average of 9 years follow-up, RHA using loose-fit, modular metal prosthesis achieves encouraging outcomes for both valgus injury and fracture dislocation. In valgus type injury, better motion range, lower disability score and lower incidence of periprosthetic osteolysis is noted while correlation analysis of radiolucency score suggests extended, long-term investigation.

scholarly journals Secondary and Tertiary Transmission of Vaccinia Virus from US Military Service Member

2011 ◽  
Vol 17 (4) ◽  
pp. 718-721 ◽  
Author(s):  
Gregory E. Young ◽  
Christina M. Hidalgo ◽  
Ann Sullivan-Frohm ◽  
Cynthia Schulte ◽  
Stephen Davis ◽  
...  
Keyword(s):  
Vaccinia Virus ◽  
Military Service ◽  
Service Member ◽  
Us Military ◽  
Military Service Member

scholarly journals PERIACETABULAR OSTEOTOMY IN ACTIVE DUTY U.S. MILITARY PERSONNEL: A SINGLE CENTER’S EXPERIENCE WITH A MINIMUM OF TWO YEARS FOLLOW-UP

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0014
Author(s):  
Andrew S. Murtha ◽  
Matthew R. Schmitz
Keyword(s):  
United States ◽  
Military Service ◽  
Periacetabular Osteotomy ◽  
The United States ◽  
Active Duty ◽  
Service Members ◽  
Military Service Members ◽  
Active Service ◽  
The Impact

Background: The primary focus of periacetabular osteotomy (PAO) literature has been survivorship until hip arthroplasty. This endpoint overlooks its impact on young, active patients. Hypothesis/Purpose: This study sought to assess the impact of the PAO on the careers of active duty members of the United States Armed Forces. Methods: A retrospective review identified 38 patients who underwent PAO performed by a single surgeon at an academic, military medical center from January 2014 through April 2017. Twenty-one of the patients were active duty United States military service members (16 female, 5 male) and had a minimum 28 months of post-operative follow-up at the time of review. Preoperative and postoperative duty restrictions were noted and referrals to the U.S Army and U.S. Air Force Medical Evaluation Boards (MEB) were queried. Results: The average age at surgery was 25.6 years (range, 19-40y). Preoperatively, sixteen patients (94.1%) were on duty restrictions, one had been referred to the MEB, and records were not available on three patients who separated from the military prior to review. Average follow-up was 3.4 years (range, 2.3 – 5.4y). Among the patients without a preoperative MEB referral, 85.0% remained on active duty (n = 12) or completed their military service commitment (n=5). Of the fourteen patients with temporary duty restrictions preoperatively, 35.7% (n=5) were relieved of their restrictions and returned to full duty and 50% (n=7) were retained on active service with permanent duty restrictions. Such permanent duty restrictions typically consisted of modifications to the aerobic component of the semiannual military fitness testing. Six patients (28.6%) were referred to the MEB including one who was referred prior to PAO. Of these patients, two were deemed fit to retain on active service with permanent duty restrictions, two were medically separated for non-hip conditions, and two were medically separated for a hip condition. The average Veteran Affairs (VA) disability score related to hip pathology in patients referred to MEB was 16% (range 0-40%). Conclusion: This is the first study to look at the PAO in active duty military service members. In patients with symptomatic acetabular dysplasia, PAO may provide an opportunity to relieve preoperative duty restrictions and allow for continued military service. Further study with the inclusion of patient reported outcomes are necessary assess the impact of the procedure in this active patient population.

scholarly journals ‘Master My Demons’: art therapy montage paintings by active-duty military service members with traumatic brain injury and post-traumatic stress

2018 ◽  
Vol 45 (4) ◽  
pp. 353-360 ◽  
Author(s):  
Marygrace Berberian ◽  
Melissa S Walker ◽  
Girija Kaimal
Keyword(s):  
Traumatic Brain Injury ◽  
Art Therapy ◽  
Traumatic Stress ◽  
Military Service ◽  
Active Duty ◽  
Service Members ◽  
Post Traumatic Stress ◽  
Active Duty Military ◽  
Military Service Members ◽  
Post Traumatic

This study involved a thematic analysis of montage paintings and of related clinical records of 240 active-duty military service members collected during their art therapy treatment for traumatic brain injury and underlying psychological health concerns, including post-traumatic stress, at the National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, Maryland, USA. Congruent with other research findings, the qualitative analyses of this study suggest that the group art therapy experiences fostered improvement in interpersonal relatedness, hopefulness and gratification for the service members in treatment, aiding in externalisation, progressive exposure and construction of a trauma narrative imperative for recovery. The mixed media nature of the montage painting supported the expression of a range of postcombat symptoms. Results from this study highlighted the complexity of military culture, necessitating a broader scope of analyses for how art therapy helps service members express and communicate their challenges to care providers, peers and family as well as regulate emotion in the short and long term.

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