Publications by authors named "Matthew C Pflipsen"
Military physicians serve as staff officers where both leading and following are important competencies. Navigating between the two roles is a necessary skill to avoid undermining one's boss and to support the mission. This case describes a deployed junior officer reconciling his role as the lead medical expert while supporting a Commander's decision, highlighting the challenges of followership in situations of disagreement.
View Article and Find Full Text PDFAnaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years.
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- This study focuses on identifying and quantifying the risk of occupational disability among U.S. Army service members based on specific risk factors like extreme body mass index, low physical fitness, and substance use (tobacco and opioids).
- It analyzed a large dataset of over 600,000 active-duty soldiers from 2011 to 2014, finding that 13.4% were medically unfit during the study period, with certain risk factors notably increasing the likelihood of medical nonreadiness.
- The findings suggest that addressing these high-risk factors, especially opioid use and body weight issues, could be crucial for early prevention strategies in military personnel.
Purpose: The purpose of this study is to define the prevalence of vitamin B(12) deficiency in a type 2 diabetic population within a primary care practice. Metformin use and advanced age are associated with vitamin B(12) deficiency and often present in type 2 diabetic patients, yet the prevalence of vitamin B(12) deficiency in the diabetic population is unknown.
Methods: We conducted a cross-sectional study of 203 outpatient type 2 diabetic patients at a large military primary care clinic.