A cataclysmic civil war produced hundreds of thousands of sick and wounded soldiers. The Knight Army Hospital was built in New Haven to provide for returning soldiers of Connecticut suffering from disease or injury. With a 1,000-bed capacity, it became a city within a city successfully providing comprehensive health care and a variety of other services. How this hospital came to be, how it was run, and by whom, is part of this story. The sacrifices made by the soldiers in the field were matched by the sacrifices made by doctors, nurses and other paramedical personnel. The weave of politics, economics, medical science and human frailty allowed that society to provide state-of-the-art health care for its citizens under the most difficult of circumstances.
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J Appl Physiol (1985)
January 2025
Academic Department of Military Medicine, Research & Clinical Innovation, Royal Centre for Defence Medicine, Birmingham, United Kingdom.
Reproductive endocrine function adapts to psychological, environmental, and energy-associated stressors. Multistressor environments upregulate hypothalamic-pituitary-adrenal (HPA) axis, causing suppression of the hypothalamic-pituitary-gonadal (HPG) axis, but it is not known if this pattern or its magnitude is sex biased. We compared HPG and HPA axis activity in 9 men and 34 women undergoing Army training.
View Article and Find Full Text PDFAm J Sports Med
July 2024
Division of Orthopedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Background: Early medical attention after concussion may minimize symptom duration and burden; however, many concussions are undiagnosed or have a delay in diagnosis after injury. Many concussion symptoms (eg, headache, dizziness) are not visible, meaning that early identification is often contingent on individuals reporting their injury to medical staff. A fundamental understanding of the types and levels of factors that explain when concussions are reported can help identify promising directions for intervention.
View Article and Find Full Text PDFNeurooncol Pract
August 2024
Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Background: We observed rapid tumor progression following COVID-19 infection among patients with glioblastoma and sought to systematically characterize their disease course in a retrospective case-control study.
Methods: Using an institutional database, we retrospectively identified a series of COVID-19-positive glioblastoma cases and matched them by age and sex 1:2 to glioblastoma controls who had a negative COVID-19 test during their disease course. Demographic and clinical data were analyzed.
JMIR Res Protoc
July 2024
Army Health and Performance Research, Army Headquarters, Andover, United Kingdom.
Background: Women of reproductive age experience cyclical variation in the female sex steroid hormones 17β-estradiol and progesterone during the menstrual cycle that is attenuated by some hormonal contraceptives. Estrogens perform a primary function in sexual development and reproduction but have nonreproductive effects on bone, muscle, and sinew tissues (ie, ligaments and tendons), which may influence injury risk and physical performance.
Objective: The purpose of the study is to understand the effect of the menstrual cycle and hormonal contraceptive use on bone and calcium metabolism, and musculoskeletal health and performance.
Eur Respir J
April 2024
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
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