scholarly journals Military Pain Medicine: Sustaining the Fighting Force

2021 ◽  
Author(s):  
Scott Hughey ◽  
Christopher Spevak ◽  
Eric Stedje-Larsen
Keyword(s):  
Military Service ◽  
Force Structure ◽  
Healthcare Workforce ◽  
Structure Changes ◽  
Military Service Members ◽  
Military Healthcare ◽  
The Usa ◽  
The Military ◽  
Pain Care ◽  
Opioid Policy

ABSTRACT Active duty military service members (ADSMs) suffer disproportionately from chronic pain. In the USA, military pain physicians serve an important role in the treatment of pain conditions in addition to the maintenance of the fighting force. Expanding roles for pain physicians, including novel therapies, consulting roles for opioid policy, and usefulness in a deployed setting create enormous value for military pain physicians. Ongoing force structure changes, including proposed reduction in the U.S. Military’s healthcare workforce may significantly impact pain care and the health of the fighting forces. Military pain physicians support a variety of different roles in the military healthcare system. Ultimately, maintaining a robust faculty of pain physicians allows for both preservation of the fighting forces and a ready medical force.

scholarly journals Assessing the Burden of Chlamydia and Gonorrhea for Deployed and Active Duty Personnel Assigned Outside the USA

2019 ◽  
Vol 184 (Supplement_1) ◽  
pp. 21-27 ◽  
Author(s):  
Kristen R Rossi ◽  
Gosia Nowak
Keyword(s):  
Military Service ◽  
Active Duty ◽  
Transmitted Infection ◽  
Military Health ◽  
Sexually Transmitted ◽  
Screening Programs ◽  
Military Service Members ◽  
The Usa ◽  
Active Duty Personnel ◽  
The Military

Abstract Sexually transmitted infections (STIs) have posed a threat to military service members throughout history, but limited evidence describes current sexually transmitted infection burden for personnel in-theater and stationed abroad. This study assessed chlamydia and gonorrhea rates by unit of country assignment and evaluated the demographic profile of affected personnel during deployment. Chlamydia and gonorrhea cases among active duty personnel were identified from laboratory results and ambulatory encounter records in the Military Health System from fiscal years October 2006 through September 2015; these were linked to personnel and deployment records to ascertain demographic characteristics, unit of country assignment, and if the case was captured during a period of deployment. Case rates were higher for chlamydia (1,321.7 per 100,000) than gonorrhea (222.7 per 100,000). Approximately 2% of both chlamydia and gonorrhea cases were identified during deployment, with significant differences by service, sex, and age. Elevated rates were identified in several countries of unit assignment outside the USA, warranting further assessment to better understand implications of screening programs or increased morbidity. Pertinent limitations for this study potentially underestimate STI cases during deployment, due to incomplete capture of records from shipboard and in-theater facilities.

Infertility and the Military Male

2019 ◽  
Vol 37 (01) ◽  
pp. 005-011
Author(s):  
Amanda B. Reed-Maldonado ◽  
Kristin C. Madden
Keyword(s):  
Male Infertility ◽  
Military Service ◽  
Clinical Investigation ◽  
Male Factor Infertility ◽  
Military Population ◽  
Male Factor ◽  
Scientific Publications ◽  
Military Service Members ◽  
Infertile Couples ◽  
The Military

AbstractMale infertility is a condition that affects approximately 50% of infertile couples and about 30% of those couples have only male factor infertility identified. There has been speculation that male military service members may have an even greater lifetime prevalence of infertility as compared to the general population, but very few scientific publications focus on male factor infertility in the military population specifically. This review will discuss many of the unique considerations regarding male infertility in the military and highlight future opportunities for research. The military/federal health system has the potential to serve as a leader in both the delivery of health care for male factor infertility and in the clinical investigation into the etiologies of and treatments for male factor infertility.

scholarly journals Air Force Medical Personnel: Perspectives Across Deployment

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1632-e1639
Author(s):  
Brian A Moore ◽  
Willie J Hale ◽  
Jason L Judkins ◽  
Cynthia L Lancaster ◽  
Monty T Baker ◽  
...  
Keyword(s):  
Air Force ◽  
Military Service ◽  
Medical Personnel ◽  
Service Members ◽  
Medical Provider ◽  
Team Members ◽  
Military Service Members ◽  
Group Interviews ◽  
The Military ◽  
Research Psychologist

Abstract Introduction Contingency operations during the past 18 years have exposed millions of U.S. military service members to numerous combat and operational stressors. Despite this, a relative dearth of literature has focused on the experiences of deployed military medical personnel. As such, the present study aimed to address this gap in the literature by conducting individual and small group interviews with Air Force medical personnel who had recently returned from a deployment to Iraq. Interviews targeted self-reported factors related to psychological risk and resiliency across the deployment cycle, while also seeking recommendations for future military medical personnel preparing for medical deployments. Materials and Methods Inductive thematic analyses were conducted on transcripts from 12 individual and structured group interviews conducted with recently deployed U.S. Air Force medical personnel (N = 28). An interview script consisting of 18 prompts was carefully developed based on the experiences of study personnel. Two team members (n = 1 research psychologist; n = 1 military medical provider) coded exemplars from interview transcripts. A third team member (research psychologist) reviewed coded exemplars for consistency and retained themes when saturation was reached. Results In total we report on 6 primary themes. Participants reported feeling prepared to conduct their mission while deployed but often felt unprepared for the positions they assumed and the traumas they commonly experienced. Most participants reported deployment to be a rewarding experience, citing leader engagement, and social support as key protective factors against deployment-related stressors. Finally, following deployment, participants largely reported positive experiences reintegrating with their families but struggled to reintegrate into their workplace. Conclusion Findings from the present study indicate that the military is largely doing a good job preparing Air Force medical providers to deploy. Results of the present study indicate that military medical personnel would benefit from: (1) increased predictability surrounding deployment timelines, (2) improved cross-cultural training, (3) advanced training for atypical injuries in unconventional patient populations, and (4) improvements in postdeployment workplace reintegration. The present research has the potential to positively impact the overall quality of life for deploying military service members and their families; while simultaneously highlighting the successes and shortfalls in the deployment process for U.S. military medical personnel.

When OK is Not OK: Public Concern About White Nationalism in the U.S. Military

2020 ◽  
pp. 0095327X2091839
Author(s):  
Robert Ralston ◽  
Matthew Motta ◽  
Jennifer Spindel
Keyword(s):  
Military Service ◽  
Service Members ◽  
Representative Survey ◽  
Public Concern ◽  
Military Service Members ◽  
Within Subjects ◽  
White Nationalism ◽  
The Military ◽  
The U.S

Are Americans aware and concerned about White nationalism in the U.S. Military? Our large and demographically representative survey suggests that while most Americans suspect at least some presence of White nationalism in the military, many do not view it as a serious problem; particularly self-identified conservatives and respondents who hold highly favorable views toward military service members. However, in a between-/within-subjects experiment embedded in our survey, we show that providing information about the issue of White nationalism in the U.S. Military increases the public’s overall concern about White nationalism in the U.S. Military.

The Military ACL

2018 ◽  
Vol 32 (02) ◽  
pp. 118-122
Author(s):  
Matthew Posner ◽  
David Tennent
Keyword(s):  
Anterior Cruciate Ligament ◽  
Military Service ◽  
Cruciate Ligament ◽  
Physically Active ◽  
Acl Injuries ◽  
Military Service Members ◽  
Anterior Cruciate ◽  
Injured Knee ◽  
The Military ◽  
The U.S

AbstractAnterior cruciate ligament (ACL) injuries in the U.S. Military Service members have a 10-fold higher incidence than that of the general population due to the physically demanding aspects of military duties. Although some controversy exists on the specific techniques or reconstruction, these injuries are uniformly reconstructed due to the requirements of their occupation and the effect of these injuries on their future careers. As such, understanding the care of the military Service member's ACL may help optimize the care of the physically active injured knee.

scholarly journals Day of Injury Cognitive Performance on the Military Acute Concussion Evaluation (MACE) by U.S. Military Service Members in OEF/OIF

2014 ◽  
Vol 179 (9) ◽  
pp. 990-997 ◽  
Author(s):  
Michael McCrea ◽  
Kevin Guskiewicz ◽  
Selina Doncevic ◽  
Katherine Helmick ◽  
Jan Kennedy ◽  
...  
Keyword(s):  
Cognitive Performance ◽  
Military Service ◽  
Service Members ◽  
Military Service Members ◽  
The Military

Answering the call to address chronic pain in military service members and veterans: Progress in improving pain care and restoring health

2016 ◽  
Vol 64 (5) ◽  
pp. 459-484 ◽  
Author(s):  
Bruce A. Schoneboom ◽  
Susan M. Perry ◽  
William Keith Barnhill ◽  
Nicholas A. Giordano ◽  
Kelly L. Wiltse Nicely ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Military Service ◽  
Service Members ◽  
Military Service Members ◽  
Pain Care

scholarly journals The Impact of Having a Child With Special Healthcare Needs on Length of Military Service

2021 ◽  
Author(s):  
Elizabeth M Perkins ◽  
Ian Sorensen ◽  
Apryl Susi ◽  
Elizabeth Hisle-Gorman
Keyword(s):  
Military Service ◽  
Chronic Conditions ◽  
Linear Regression Analysis ◽  
Service Member ◽  
Military Health ◽  
Healthcare Needs ◽  
Healthcare Coverage ◽  
Military Healthcare ◽  
The Military ◽  
The Impact

ABSTRACT Introduction In 2010, the National Survey of Children with Special Healthcare Needs revealed that parents of children with special healthcare needs (CSHCN) report employment decisions are influenced by healthcare coverage needs. The U.S. military healthcare system arguably offers service member parents of CSHCN with the most comprehensive, inexpensive, long-term healthcare in the country—potentially increasing their incentive to remain in the military. This study explored the effect of having a CSHCN on the length of parental military service. Materials and Methods A retrospective cohort was formed using the Military Health System database from 2008 to 2018. Included children were <10 years in 2010 and received ≥1 year of military healthcare between 2008 and 2010. The Pediatric Medical Complexity Algorithm categorized children as having special healthcare needs via ICD 9/10 codes as having complex chronic (C-CD), non-complex chronic (NC-CD), or no chronic disease (CD). Families were classified by the child with the most complex healthcare need. Duration of military healthcare eligibility measured parental length of service (LOS). ANOVA and linear regression analysis compared LOS by category. Logistic regression determined odds of parental LOS lasting the full 8-year study length. Adjusted analyses controlled for child age and sex, and military parent sex, rank, and marital status. Results Over 1.45 million children in 915,584 families were categorized as per the algorithm. Of individual children included, 292,050 (20.1%) were CSHCN including those with complex chronic and non-complex chronic conditions. After grouping by family, 80,909 (8.8%) families had a child/children with C-CD (mean LOS 6.39 years), 170,787 (18.7%) families had a child/children with NC-CD (mean LOS 6.41 years), and 663,888 (72.5%) families had children with no CD (mean LOS 5.7 years). In adjusted analysis, parents of children with C-CD and NC-CD served 0.4 [0.37-0.42] and 0.33 [0.31-0.34] years longer than parents of children with no CD; odds of parents serving for the full study period were increased 33% (1.33 [1.31-1.36]) in families of children with C-CD and 27% (1.27 [1.26-1.29]) in families of children with NC-CD. Conclusions Findings indicate that military parents of CSHCN serve longer military careers than parents of children with no chronic conditions. Continued provision of free, high-quality healthcare coverage for dependent children may be important for service member retention. Retaining trained and experienced service members is key to ensuring a ready and lethal U.S. military.

Transition and Reintegration of Military Personnel to Law Enforcement Careers

2017 ◽  
pp. 158-175 ◽  
Author(s):  
Stephen F. Curran ◽  
Elizabeth O. Holt ◽  
Joseph H. Afanador
Keyword(s):  
Law Enforcement ◽  
Police Officers ◽  
Military Service ◽  
National Guard ◽  
Service Members ◽  
Job Functions ◽  
Military Service Members ◽  
Rapid Transition ◽  
Essential Job Functions ◽  
The Military

Over two million United States military service members have served in the theaters of Iraq and Afghanistan since 2001. Many of these military service members are seeking employment in law enforcement upon discharge from active duty. The skills acquired from military service are complementary to many of the essential job functions of a law enforcement officer, thus a natural fit. In addition, military reserve police officers have seen activations for deployment to combat regions. These National Guard and Reserve service members make a rapid transition from military fatigues to a police uniform upon their return from deployment. After outlining the scope of the military deployment cycle, reintegration programs and preemployment assessment challenges are described in this chapter. The comprehensive description will provide psychologists working with law enforcement and related public safety agencies the necessary tools for both assessing and supporting the success of those reintegrating to their law enforcement careers.

Finding and Creating Opportunity: Nurses Married to Members of the Military

2017 ◽  
Vol 23 (3) ◽  
pp. 172-175
Author(s):  
Brenda Elliott
Keyword(s):  
Military Service ◽  
Service Members ◽  
Personal Perspective ◽  
Military Spouse ◽  
Practice Nurses ◽  
Military Service Members ◽  
The Military

Nursing is a profession that affords many avenues in which to practice. Nurses who are married to military service members have unique challenges as they progress through their careers. A military spouse shares a personal perspective of challenges and insight on how to overcome and persevere that may be relevant to others within the greater nursing community.

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