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[PMID]:29231645
[Au] Autor:Evensen S
[Ti] Título:Militærhospitalet som ble rikshospital..
[So] Source:Tidsskr Nor Laegeforen;137(23-24), 2017 12 12.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:nor
[Mh] Termos MeSH primário: Hospitais Militares/história
Hospitais Universitários/história
[Mh] Termos MeSH secundário: História do Século XIX
Arquitetura Hospitalar/história
Seres Humanos
Noruega
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0567


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[PMID]:29178650
[Au] Autor:De Castro MJ; Turner CE
[Ad] Endereço:United States Air Force Medical Genetics Center, 81st Medical Group, Keesler AFB, Mississippi, 39534.
[Ti] Título:Military genomics: a perspective on the successes and challenges of genomic medicine in the Armed Services.
[So] Source:Mol Genet Genomic Med;5(6):617-620, 2017 11.
[Is] ISSN:2324-9269
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We describe the impact genomics has on the health and readiness of the military service member, highlight several examples of the current and future plans for genomic medicine within the military, discuss challenges to implementation and provide recommendations to address some of those challenges.
[Mh] Termos MeSH primário: Genômica
Medicina Militar
[Mh] Termos MeSH secundário: Proteína BRCA1/genética
Proteína BRCA2/genética
Assistência à Saúde
Hospitais Militares
Seres Humanos
Militares
Atrofia Muscular Espinal/diagnóstico
Atrofia Muscular Espinal/genética
Medicina de Precisão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (BRCA1 Protein); 0 (BRCA2 Protein)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1002/mgg3.335


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[PMID]:28904684
[Au] Autor:Meziane M; Elkoundi A; Ahtil R; Guazaz M; Mustapha B; Haimeur C
[Ad] Endereço:Department of Anesthesiology and Intensive Care, Military Hospital Med V of Rabat, Faculty of Medicine and Pharmacy of Rabat, University Souissi-Med V, Rabat, Morocco.
[Ti] Título:Anaesthetic management for awake craniotomy in brain glioma resection: initial experience in Military Hospital Mohamed V of Rabat.
[So] Source:Pan Afr Med J;27:156, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:The awake brain surgery is an innovative approach in the treatment of tumors in the functional areas of the brain. There are various anesthetic techniques for awake craniotomy (AC), including asleep-awake-asleep technique, monitored anesthesia care, and the recent introduced awake-awake-awake method. We describe our first experience with anesthetic management for awake craniotomy, which was a combination of these techniques with scalp nerve block, and propofol/rémifentanil target controlled infusion. A 28-year-oldmale underwent an awake craniotomy for brain glioma resection. The scalp nerve block was performed and a low sedative state was maintained until removal of bone flap. During brain glioma resection, the patient awake state was maintained without any complications. Once, the tumorectomy was completed, the level of anesthesia was deepened and a laryngeal mask airway was inserted. A well psychological preparation, a reasonable choice of anesthetic techniques and agents, and continuous team communication were some of the key challenges for successful outcome in our patient.
[Mh] Termos MeSH primário: Anestésicos/administração & dosagem
Neoplasias Encefálicas/cirurgia
Craniotomia/métodos
Glioma/cirurgia
[Mh] Termos MeSH secundário: Adulto
Neoplasias Encefálicas/patologia
Glioma/patologia
Hospitais Militares
Seres Humanos
Máscaras Laríngeas
Masculino
Marrocos
Bloqueio Nervoso/métodos
Piperidinas/administração & dosagem
Vigília
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics); 0 (Piperidines); P10582JYYK (remifentanil)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.156.10249


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[PMID]:28819535
[Au] Autor:Ahmed N; Shigidi M; Al Agib AN; Abdelrahman H; Taha E
[Ad] Endereço:Sudan Medical Specialization Board, Ministry of Health, Khartoum, Sudan.
[Ti] Título:Clinical features and antinuclear antibodies profile among adults with systemic lupus erythematosus and lupus nephritis: a cross-sectional study.
[So] Source:Pan Afr Med J;27:114, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Limited data is available regarding the clinical manifestations and pattern of Systemic Lupus Erythematosus (SLE) in Sudan. This study aimed to determine the clinical manifestations and Antinuclear Antibodies (ANA) profile among Sudanese adults with SLE and lupus nephritis (LN). METHODS: A descriptive study was conducted in Omdurman Military Hospital, Sudan. It included all adults with SLE and on regular follow-up during the study period (December 2012 to May 2013). These were investigated regarding their demographic details, clinical features, and immunological profile (ANA, anti-double stranded DNA, and ANA profile 3 levels). Patients with LN had their pattern of renal involvement described; furthermore, associations between the various SLE reactive antibodies and the histological diagnosis of lupus were studied. RESULTS: Sixty-two Sudanese adults with SLE were included, their mean age was 31 ± 10.9 year. Females made 93.5% of patients. A clear predominance of those of Arab ancestry was seen, with most patients being from the Ja'alin and Shaigiya ethnic groups accounting for 29% and 12.9%, respectively. Arthritis was the dominant clinical manifestation seen in 85.5%, whereas renal involvement was seen in 66.1% of patients. Lupus nephritis class III was the dominant histological lesion, seen in 39% of patients. On correlating the ANA profile to the histopathological diagnosis of LN, anti-Nucleosomes and anti-AMA-M2 autoantibodies were found to be significantly associated with LN class IV and class VI, respectively (P values < 0.05). CONCLUSION: Further epidemiological studies regarding SLE and its ANA profile remain essential as they might help predicting the clinical patterns of the disease and its prognosis.
[Mh] Termos MeSH primário: Anticorpos Antinucleares/imunologia
Artrite/epidemiologia
Lúpus Eritematoso Sistêmico/epidemiologia
Nefrite Lúpica/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Artrite/etiologia
Autoanticorpos
Estudos Transversais
Feminino
Seguimentos
Hospitais Militares
Seres Humanos
Lúpus Eritematoso Sistêmico/imunologia
Lúpus Eritematoso Sistêmico/fisiopatologia
Nefrite Lúpica/imunologia
Nefrite Lúpica/fisiopatologia
Masculino
Meia-Idade
Prognóstico
Sudão/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Antinuclear); 0 (Autoantibodies)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.114.5981


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[PMID]:28819482
[Au] Autor:Karrouri R
[Ad] Endereço:Service de Psychiatrie, Hôpital Militaire Moulay Ismail, Meknès 50000, Maroc.
[Ti] Título:[Non-consummation of marriage and vaginismus: about three clinical cases].
[Ti] Título:Mariage non consommé et vaginisme: à propos de trois cas Clinique..
[So] Source:Pan Afr Med J;27:60, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Vaginismus is a relationship issue. It is a cause of non-consummation of marriage, infertility and alteration in sexual relationship quality. We present three case reports from our daily clinical practice in order to highlight the possible causes of vaginismus, its clinical and relational characteristics and its cultural particularities. Patients were treated in the Department of Psychiatry at the Military Hospital Moulay Ismail, Meknes, over an observation period of two years.
[Mh] Termos MeSH primário: Casamento
Comportamento Sexual/psicologia
Disfunções Sexuais Fisiológicas/etiologia
Vaginismo/etiologia
[Mh] Termos MeSH secundário: Feminino
Hospitais Militares
Seres Humanos
Marrocos
Disfunções Sexuais Fisiológicas/terapia
Vaginismo/terapia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.60.6694


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[PMID]:28730985
[Au] Autor:Coombs HG
[Ad] Endereço:From the Royal Military College of Canada, Kingston, Ont.
[Ti] Título:A uniquely Canadian military moment: Sam Hughes and the No. 7 General Hospital, 1915-1916.
[So] Source:Can J Surg;60(4):224-227, 2017 Aug.
[Is] ISSN:1488-2310
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:SUMMARY: Universities across Canada actively supported the call to arms in 1914, and Queen's University in Kingston, Ontario, was no different. Though a myriad of units composed of Queen's faculty and students were created, the university perceived the military hospital raised by the school's medical faculty to be among its most vital contributions to the First World War. This commentary describes the engagement of the No. 7 General Hospital with the Minister of Militia, Sam Hughes, which has become an almost unknown footnote to its illustrious story. This commentary has an Appendix, available at canjsurg.ca.
[Mh] Termos MeSH primário: Governo Federal
Hospitais Militares/história
I Guerra Mundial
[Mh] Termos MeSH secundário: Canadá
História do Século XIX
História do Século XX
Seres Humanos
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Hughes S
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170722
[St] Status:MEDLINE


  7 / 4321 MEDLINE  
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[PMID]:28690751
[Au] Autor:Alami A; Kriet M; Reda K; Laktaoui A; Oubaaz A
[Ad] Endereço:Service d'Ophtalmologie, 3 Hôpital Militaire de Laâyoune, Maroc.
[Ti] Título:[Ocular Behçet].
[Ti] Título:Behçet oculaire..
[So] Source:Pan Afr Med J;26:237, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Our study aimed to determine the clinical, therapeutic and prognostic features of ocular involvement in patients with Behçet's disease treated in our Department of ophthalmology. We conducted a retrospective data collection from medical records of 20 patients treated at the military hospital in Laayoune. All patients underwent complete ophthalmological examination and fluorescein angiography if necessary. OCT exam was performed in two patients. Ten patients had anterior uveitis, complicated in one case by ocular hypertonia; two patients had intermediate uveitis; eight patients had posterior segment involvement complicated in one case by intravitreal hemorrhage. Behcet's Disease (BD) is an systemic idiopathic inflammatory disease currently classified within primary non-necrotizing vasculitis. Ocular involvement is common and severe in Behçet's disease, with the potential to compromise the visual prognosis. Behcet's disease is common in Morocco. It can compromise patient's visual prognosis making the collaboration between ophthalmologists and internists particularly important.
[Mh] Termos MeSH primário: Síndrome de Behçet/complicações
Oftalmopatias/etiologia
Angiofluoresceinografia/métodos
Uveíte Anterior/etiologia
[Mh] Termos MeSH secundário: Adulto
Síndrome de Behçet/diagnóstico
Síndrome de Behçet/fisiopatologia
Oftalmopatias/diagnóstico
Oftalmopatias/fisiopatologia
Feminino
Hospitais Militares
Seres Humanos
Masculino
Marrocos
Prognóstico
Estudos Retrospectivos
Índice de Gravidade de Doença
Uveíte Anterior/diagnóstico
Uveíte Anterior/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.237.1175


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[PMID]:28481839
[Au] Autor:Cannon JW; Johnson MA; Caskey RC; Borgman MA; Neff LP
[Ad] Endereço:From the Division of Traumatology, Surgical Critical Care & Emergency Surgery (J.W.C.) and the Department of Surgery (R.C.C.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; David Grant Medical Center (J.W.C.), Travis Air Force Base, Fairfield, California; Uniformed Services (J.W.C., M.A.B.), University of the Health Sciences, Bethesda, Maryland; Department of Emergency Medicine (M.A.J.), University of California, Davis, California; Department of Pediatrics (M.A.B.), San Antonio Military Medical Center, Fort Sam Houston, San Antonio, Texas; and Department of Pediatric Surgery (L.P.N.), Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia.
[Ti] Título:High ratio plasma resuscitation does not improve survival in pediatric trauma patients.
[So] Source:J Trauma Acute Care Surg;83(2):211-217, 2017 Aug.
[Is] ISSN:2163-0763
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Damage control resuscitation including balanced resuscitation with high ratios of plasma (PLAS) and platelets (PLT) to packed red blood cells (PRBC) improves survival in adult patients. We sought to evaluate the effect of a high ratio PLAS to PRBC resuscitation strategy in massively transfused pediatric patients with combat injuries. METHODS: The Department of Defense Trauma Registry was queried from 2001 to 2013 for pediatric trauma patients (<18 years). Burns, drowning, isolated head trauma, and older teens were excluded. Those who received massive transfusion (≥40 mL/kg total blood products in 24 hours) and early deaths who received any blood products were then evaluated. Primary outcomes were mortality at 24 hours and in-hospital. Secondary outcomes included blood product utilization over 24 hours, ventilator-free days, intensive care unit-free days, and hospital length of stay. RESULTS: The Department of Defense Trauma Registry yielded 4,980 combat-injured pediatric trauma patients, of whom 364 met inclusion criteria. Analysis of PLAS/PRBC ratios across the entire spectrum of possible ratios in these patients demonstrated no clear inflection point for mortality. Using a division between low (LO) and high (HI) ratios of PLAS/PRBC 1:2, there was no difference in all-cause mortality at 24 hours (LO, 9.2% vs. HI, 8.0%; p = 0.75) and hospital discharge (LO, 21.5% vs. HI, 17.1%; p = 0.39). HI ratio patients received less PRBC but more PLAS and PLT and more total blood products. Those in the HI ratio group also had longer hospital length of stay. Regression analysis demonstrated no associated mortality benefit with a HI ratio (hazards ratio, 2.04; 95% confidence interval, 0.48-8.73; p = 0.34). CONCLUSION: In combat-injured children undergoing a massive transfusion, a high ratio of PLAS/PRBC was not associated with improved survival. Further prospective studies should be performed to determine the optimal resuscitation strategy in critically injured pediatric patients. LEVEL OF EVIDENCE: Therapeutic study, level III.
[Mh] Termos MeSH primário: Campanha Afegã de 2001-
Transfusão de Eritrócitos/métodos
Hemorragia/terapia
Guerra do Iraque 2003-2011
Plasma
Transfusão de Plaquetas/métodos
Ressuscitação/métodos
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Causas de Morte
Criança
Pré-Escolar
Serviços Médicos de Emergência/métodos
Feminino
Mortalidade Hospitalar
Hospitais Militares
Seres Humanos
Masculino
Modelos de Riscos Proporcionais
Sistema de Registros
Ferimentos e Lesões/mortalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1097/TA.0000000000001549


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[PMID]:28426558
[Au] Autor:Turner CA; Stockinger ZT; Gurney JM
[Ad] Endereço:From the Joint Trauma System (C.A.T., Z.T.S., J.M.G.), Joint Base San Antonio, Fort Sam Houston, TX.
[Ti] Título:Combat surgical workload in Operation Iraqi Freedom and Operation Enduring Freedom: The definitive analysis.
[So] Source:J Trauma Acute Care Surg;83(1):77-83, 2017 Jul.
[Is] ISSN:2163-0763
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Relatively few publications exist on surgical workload in the deployed military setting. This study analyzes US military combat surgical workload in Iraq and Afghanistan to gain a more thorough understanding of surgical training gaps and personnel requirements. METHODS: A retrospective analysis of the Department of Defense Trauma Registry was performed for all Role 2 (R2) and Role 3 (R3) military treatment facilities from January 2001 to May 2016. International Classification of Diseases, Ninth Revision, Clinical Modification procedure codes were grouped into 18 categories based on functional surgical skill sets. The 189,167 surgical procedures identified were stratified by role of care, month, and year. Percentiles were calculated for the number of procedures for each skill set. A literature search was performed for publications documenting combat surgical workload during the same period. RESULTS: A total of 23,548 surgical procedures were performed at R2 facilities, while 165,619 surgical procedures were performed at R3 facilities. The most common surgical procedures performed overall were soft tissue (37.5%), orthopedic (13.84%), abdominal (13.01%), and vascular (6.53%). The least common surgical procedures performed overall were cardiac (0.23%), peripheral nervous system (0.53%), and spine (0.34%).Mean surgical workload at any point in time clearly underrepresented those units in highly kinetic areas, at times by an order of magnitude or more. The published literature always demonstrated workloads well in excess of the 50th percentile for the relevant time period. CONCLUSIONS: The published literature on combat surgical workload represents the high end of the spectrum of deployed surgical experience. These trends in surgical workload provide vital information that can be used to determine the manpower needs of future conflicts in ever-changing operational tempo environments. Our findings provide surgical types and surgical workload requirements that will be useful in surgical training and placement of medical assets in future conflicts. LEVEL OF EVIDENCE: Epidemiologic study, level III; Care management, level III.
[Mh] Termos MeSH primário: Carga de Trabalho
Ferimentos e Lesões/cirurgia
[Mh] Termos MeSH secundário: Adulto
Campanha Afegã de 2001-
Competência Clínica
Hospitais Militares
Seres Humanos
Guerra do Iraque 2003-2011
Medicina Militar
Sistema de Registros
Estudos Retrospectivos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.1097/TA.0000000000001496


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[PMID]:28407769
[Au] Autor:Kimsey L; Olaiya S; Smith C; Hoburg A; Lipsitz SR; Koehlmoos T; Nguyen LL; Weissman JS
[Ad] Endereço:Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA. lkimsey@georgiasouthern.edu.
[Ti] Título:Geographic variation within the military health system.
[So] Source:BMC Health Serv Res;17(1):271, 2017 Apr 13.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study seeks to quantify variation in healthcare utilization and per capita costs using system-defined geographic regions based on enrollee residence within the Military Health System (MHS). METHODS: Data for fiscal years 2007 - 2010 were obtained from the Military Health System under a data sharing agreement with the Defense Health Agency (DHA). DHA manages all aspects of the Department of Defense Military Health System, including TRICARE. Adjusted rates were calculated for per capita costs and for two procedures with high interest to the MHS- back surgery and Cesarean sections for TRICARE Prime and Plus enrollees. Coefficients of variation (CoV) and interquartile ranges (IQR) were calculated and analyzed using residence catchment area as the geographic unit. Catchment areas anchored by a Military Treatment Facility (MTF) were compared to catchment areas not anchored by a MTF. RESULTS: Variation, as measured by CoV, was 0.37 for back surgery and 0.13 for C-sections in FY 2010- comparable to rates documented in other healthcare systems. The 2010 CoV (and average cost) for per capita costs was 0.26 ($3,479.51). Procedure rates were generally lower and CoVs higher in regions anchored by a MTF compared with regions not anchored by a MTF, based on both system-wide comparisons and comparisons of neighboring areas. CONCLUSIONS: In spite of its centrally managed system and relatively healthy beneficiaries with very robust health benefits, the MHS is not immune to unexplained variation in utilization and cost of healthcare.
[Mh] Termos MeSH primário: Planos de Assistência de Saúde para Empregados/estatística & dados numéricos
Medicina Militar
Saúde dos Veteranos
[Mh] Termos MeSH secundário: Área Programática (Saúde)
Feminino
Órgãos Governamentais
Hospitais Militares
Seres Humanos
Militares
Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2216-1



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