scholarly journals Fertility Preservation Before Deployment: Oocyte and Sperm Freezing in Members of the Active Duty Military

2019 ◽  
Vol 37 (05/06) ◽  
pp. 232-238
Author(s):  
Anne E. Martini ◽  
Joseph O. Doyle
Keyword(s):  
Fertility Preservation ◽  
Military Service ◽  
Safety Data ◽  
Active Duty ◽  
Military Family ◽  
For Profit ◽  
Active Duty Military ◽  
Military Community ◽  
Government Initiative ◽  
The Military

AbstractActive duty military service and deployment has the potential to compromise fertility through combat-related genitourinary injury, gonadotoxic exposures, and physical separation from a partner. Despite a growing interest among the military community as well as promising efficacy and safety data, fertility preservation remains an uncovered benefit for active duty soldiers. In 2016, the Pentagon proposed a program that would cover oocyte and sperm cryopreservation for any member of the active duty military desiring its use. Regrettably, that funding was not secured and predeployment fertility preservation remains an out-of-pocket expense. Today, advocacy groups, non-for-profit organizations, and physicians remain vigilant in their attempts to drive another government initiative through Congress. While activism continues, it is important to stress the value of fertility preservation counseling in soldiers' predeployment preparation and military family planning.

scholarly journals Examining Chronic Stress in Spouses of Active Duty Military Members

2014 ◽  
Author(s):  
Cristina Joseph
Keyword(s):  
Social Support ◽  
Chronic Stress ◽  
Multiple Stressors ◽  
Active Duty ◽  
Military Spouses ◽  
Military Family ◽  
Active Duty Military ◽  
Military Members ◽  
The Military ◽  
Military Lifestyle

<p>Even in the absence of wartime stressors, the military lifestyle is characterized by frequent challenges that affect not only the military member, but also his or her spouse and children. Due to frequent relocations and deployments, military spouses are often relied upon to become the primary child-rearers, make occupational sacrifices, deal with financial concerns independently, organize relocations, and cope with lack of social support. These multiple responsibilities can create a myriad of stressors, which over time lend themselves to the formation of chronic stress. The purpose of this exploratory study is to determine if spouses of active duty military members display chronic stress according to the Trier Inventory for the Assessment of Chronic Stress (TICS-LE). Seventy-one female military spouses responded to the TICS-LE online. Mean scores for all the factors on the TICS-LE ranged between 1.03 and 2.05, which was lower than expected given the plethora of stressors associated with the military lifestyle. Findings suggested that chronic stress levels experienced by military spouses may be mitigated by high quality social support systems, the demographic factors of the military spouse and whether the military family has developed resilience after years of being embedded in the military lifestyle. This major paper project underscores the need for advanced practice nurses to be aware of the multiple stressors that military spouses face, unique cultural phenomena present in military life, and its possible implications on the psychological and physical functioning of military spouses.</p>

scholarly journals Traumatic Facial Tattoo Injuries From Gunpowder and Ammunition: A Case Series

2020 ◽  
Vol 13 (2) ◽  
pp. 133-137
Author(s):  
Andrew C. Jenzer ◽  
Bradley P. Storrs ◽  
Zachary Daniels ◽  
Jeremy J. Hanlon
Keyword(s):  
Military Service ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Active Duty ◽  
Service Members ◽  
Active Duty Military ◽  
Military Installation ◽  
Military Service Members ◽  
The Face ◽  
The Military

Background and Overview: Gunpowder inclusion injuries are rare occurrences in the civilian sector but are more frequently encountered in the military setting. The authors report a case series of 3 active duty military service members treated by an Army hospital’s Oral & Maxillofacial Surgery service for the removal of embedded gunpowder particles so as to avoid traumatic tattooing. Case Description: Three otherwise healthy active duty military service members were treated for gunpowder inclusion injuries incurred while conducting live fire training exercises at a state-side military installation between 2018 and 2019. All 3 males presented with injuries of the same etiology: Their weapons malfunctioned, and while visually inspecting the action, a round exploded close to the face. This peppered the face with gunpowder particles that were both superficially and deeply embedded. Treatment focused on individual removal using fine forceps. The patients were followed up and healed quickly without any complications, specifically without traumatic tattooing from the gunpowder injuries. Conclusion and Practical Implications: Gunpowder inclusion injuries should be addressed quickly to remove the particles before epidermal healing occurs, thus avoiding the complication of traumatic tattooing. This surgical team recommends meticulous fine forceps removal as the treatment of choice for larger particles.

scholarly journals Sexsomnia in Active Duty Military: A Series of Four Cases

2021 ◽  
Author(s):  
Juan D Fernandez ◽  
Rodolfo Soca
Keyword(s):  
Sexual Behaviors ◽  
Military Service ◽  
Case Series ◽  
Rare Condition ◽  
Active Duty ◽  
Service Members ◽  
Active Duty Military ◽  
Increased Risk ◽  
Challenging Environment ◽  
The Military

ABSTRACT Sexsomnia is a type of non-rapid eye movement (NREM) parasomnia in which sexual behaviors arise during sleep; these behaviors are varied and can include masturbation, orgasms with or without self-stimulation, sexual vocalizations and talking, and sexual fondling and/or intercourse with the bed partner. The military creates a challenging environment, with sleep deprivation, shift work, and increased psychosocial stress that may predispose service members to an increased risk for all NREM parasomnias, including sexsomnia. Given that sexsomnia is sometimes invoked in sexual assault military lawsuits, it may behoove the military community to understand how this condition usually manifests so that its medicolegal implications can be addressed more clearly. Here, we present the largest case series of sexsomnia to date in active duty military service members, which adds to the limited literature on such cases in the military and to the broader but still growing literature on this rare disorder. We compare and contrast these cases with the available literature to highlight their similarities and differences in addition to commenting on the relevance of these cases in forensic investigations. As none of these cases were involved in legal issues, they could provide useful information about this rare condition in individuals who are less likely to be affected by the biases that are inherent to litigation.

Military Service, Race, and the Transition to Marriage and Cohabitation

2009 ◽  
Vol 30 (10) ◽  
pp. 1433-1454 ◽  
Author(s):  
Jay Teachman
Keyword(s):  
Longitudinal Study ◽  
Black Men ◽  
Military Service ◽  
Active Duty ◽  
National Longitudinal Study ◽  
Active Duty Military ◽  
Using Data ◽  
The Military ◽  
The Relationship ◽  
Transition To Marriage

Using data from the 1979 National Longitudinal Study of Youth, the author investigates the relationship between military service and the transition to the first intimate union. The author argues that active-duty military service promotes marriage over cohabitation. The results are consistent with this argument, showing that active-duty members of the military are much more likely to choose marriage over cohabitation compared to reserve-duty service members, veterans, and comparable civilians. These results are particularly strong for Black men, indicating a possible relationship between working in a largely race-neutral environment and the choice of first intimate union.

Health and Service-related Impact of Sexual and Stalking Victimization During United States Military Service on LGBT Service Members

2020 ◽  
pp. 088626052097031
Author(s):  
Cary Leonard Klemmer ◽  
Ashley C. Schuyler ◽  
Mary Rose Mamey ◽  
Sheree M. Schrager ◽  
Carl Andrew Castro ◽  
...  
Keyword(s):  
United States ◽  
Military Service ◽  
The United States ◽  
Active Duty ◽  
Service Members ◽  
United States Military ◽  
Service Outcomes ◽  
Study Participants ◽  
The Military ◽  
Stalking Victimization

Prior research among military personnel has indicated that sexual harassment, stalking, and sexual assault during military service are related to negative health sequelae. However, research specific to LGBT U.S. service members is limited. The current study aimed to explore the health, service utilization, and service-related impact of stalking and sexual victimization experiences in a sample of active-duty LGBT U.S. service members ( N = 248). Respondent-driven sampling was used to recruit study participants. U.S. service members were eligible to participate if they were 18 years or older and active-duty members of the U.S. Army, U.S. Navy, U.S. Marine Corps, or U.S. Air Force. This study included a sizeable portion of transgender service members ( N = 58, 23.4%). Sociodemographic characteristics, characteristics of military service, health, and sexual and stalking victimization in the military were assessed. Regression was used to examine relationships between health and service outcomes and sexual and stalking victimization during military service. Final adjusted models showed that experiencing multiple forms of victimization in the military increased the odds of visiting a mental health clinician and having elevated somatic symptoms, posttraumatic stress disorder symptomatology, anxiety, and suicidality. Sexual and stalking victimization during U.S. military service was statistically significantly related to the mental and physical health of LGBT U.S. service members. Interventions to reduce victimization experiences and support LGBT U.S. service members who experience these types of violence are indicated. Research that examines the role of LGBT individuals’ experiences and organizational and peer factors, including social support, leadership characteristics, and institutional policies in the United States military is needed.

Ethical Issues in the Treatment of Suicidal Military Personnel and Veterans

2017 ◽  
pp. 121-130
Author(s):  
W. Brad Johnson ◽  
Gerald P. Koocher
Keyword(s):  
Risk Assessment ◽  
Suicidal Ideation ◽  
Military Personnel ◽  
Suicide Risk ◽  
Ethical Issues ◽  
Military Veterans ◽  
Active Duty ◽  
Suicide Risk Assessment ◽  
Active Duty Military ◽  
The Military

This chapter reviews the key ethical issues involved in treating active duty military personnel and military veterans who present with suicidal ideation. The primary issue is striving to help while minimizing harm. Central ethical issues involve competence in suicide risk assessment and intervention, confidentiality, and multiple role situations. All of these play out differently from civilian situations because of contextual demands associated with military settings and rules governing patients and providers in the military context. Critical strategies for addressing these issues include using appropriate consent processes and understanding how best to respect the needs of the patient within the constraints of the military context.

scholarly journals The Health and Readiness of Service Members: ACEs to PACEs

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 348-354 ◽  
Author(s):  
Angela Lamson ◽  
Natalie Richardson ◽  
Erin Cobb
Keyword(s):  
Adverse Childhood Experiences ◽  
Military Service ◽  
Active Duty ◽  
Early Career ◽  
Service Members ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Active Duty Personnel ◽  
The Military

ABSTRACT Introduction Over the past three decades, a growing research base has emerged around the role of adverse childhood experiences (ACEs) in the biological, psychological, social, and relational health and development of children and adults. More recently, the role of ACEs has been researched with military service members. The purpose of this article was to provide a brief description of ACEs and an overview of the key tenets of the theory of toxic stress as well as a snapshot of ACEs and protective and compensatory experiences (PACEs) research with active duty personnel. Methods Ninety-seven active duty personnel completed the study including questions pertaining to demographics, adverse childhood experiences, adult adverse experiences, and PACEs survey. Results Significant findings pertaining to ACEs and PACEs were found by service member’s sex and rank, with higher ACE scores for men and enlisted service members. Conclusions The contrast by rank and sex in relation to ACEs punctuates the need for attention to ACEs and protective factors among early career service members in order to promote sustainable careers in the military.

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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