Neuroterrorism Preparedness for the Neurohospitalist.

In this review article, we highlight several potential biologic and chemical agents of "neuroterrorism" of which neurohospitalists should be aware: anthrax, botulism toxin, brucella, plague, smallpox, organophosphates and nerve agents, cyanide, and carfentanil. Such agents may have direct neurologic effects, resulting in encephalopathy, paralysis, and/or respiratory failure. Neurohospitalists should be on the lookout for abnormal neurologic syndrome clustering, especially among patients presenting to the emergency department.

Clinical Utility of Routine Chest X-Rays During the Initial Stabilization of Trauma Patients.

Objectives: The Advanced Trauma Life Support (ATLS) course encourages the use of chest x-ray (CXR) to identify injuries that may change clinical management during the initial stage of trauma resuscitations. Several studies have failed to show benefit for the routine use of CXR without a clinical indication, however. We sought to validate these findings by determining the incidence of clinically significant findings discovered on a portable single-view CXR during the initial stabilization of trauma patients at a Level 1 trauma center.

Injury Surveillance and Reporting for Trainees with Bone Stress Injury: Current Practices and Recommendations.

Background: Musculoskeletal injuries, including lower extremity bone stress injuries (BSI) significantly impact initial entry training (IET) in the U.S. Army due to limited duty days, trainee attrition, early medical discharge, and related financial costs.

Risk Factors for Rhabdomyolysis in the U.S. Army.

Unlabelled: The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population.

Roles of the Military Dietitian in Combat Operations and Humanitarian Assistance-Professional Development and Utilization.

Military dietitians have long been valued members of the health care team, called on for their expertise as early as World War I. However, in the more recent conflicts over the past two decades, their role in health care delivery as a component of medical stability operations has been largely undefined. The purpose of this study was to explore the types of missions supported by U.

Effects of powdered Montmorency tart cherry supplementation on an acute bout of intense lower body strength exercise in resistance trained males.

Background: The purpose of this study was to examine whether short-term ingestion of a powdered tart cherry supplement prior to and following intense resistance-exercise attenuates muscle soreness and recovery strength loss, while reducing markers of muscle damage, inflammation, and oxidative stress.

Methods: Twenty-three healthy, resistance-trained men (20.9 ± 2.

Risk of dental disease non-battle injuries and severity of dental disease in deployed U.S. Army personnel.

Dental Disease and Non-Battle Injuries (D-DNBI) continue to be a problem among U.S. Army active duty (AD), U.

The incidence of dental disease nonbattle injuries in deployed U.S. Army personnel.

Background: In the past, the U.S. Army Reserve (USAR) and Army National Guard (ARNG) have exhibited lower levels of medical and dental readiness than active duty (AD) Soldiers when activated for deployment.

Lessons learned small unit postdeployment survey results and analysis.

The Army Medical Department Lessons Learned Division conducted a survey of small unit service members from July through September 2011 to obtain feedback on the challenges they faced during recent deployment operations. Personnel assigned to selected company-sized units, teams, and detachments that redeployed within the past 12 months were asked to complete an online survey of questions regarding their predeployment and operational experiences. The results revealed a number of variables such as respondents' service component, assigned unit, and geographic location that influenced views on the issues.

The Family Advocacy Staff Training Program.

The Family Advocacy Staff Training Course has continued to evolve to provide the highest quality, research-based training to meet the needs of Army family advocacy professionals. The Behavioral Science Division is committed to ensuring that those charged with providing Family advocacy support receive the best training available in prevention, education, and treatment for our Soldiers and their Families.

The pharmacological properties of anisodamine.

Anisodamine is a naturally occurring atropine derivative that has been isolated, synthesized and characterized by scientists in the People's Republic of China. Like atropine and scopolamine, anisodamine is a non-specific cholinergic antagonist exhibiting the usual spectrum of pharmacological effects of this drug class. It appears to be less potent and less toxic than atropine and displays less CNS toxicity than scopolamine.

The implications of TRICARE on medical readiness.

The objective of this study was to compare two alternative sources of replacement personnel for a medical treatment facility experiencing personnel loss due to a deployment. The two replacement strategies included the reserve component option and the TRICARE internal resource-sharing option. A hypothetical scenario was used as a mechanism for the analysis, and three key variables were considered: effectiveness, feasibility, and operational expense.

Test-retest reliability of the ulnar F-wave minimum latency versus ulnar distal motor latency in healthy adults.

Background And Purpose: The purposes of this study were to explore reliability of the ulnar F-wave minimum latency (Fmin) and the ulnar distal motor latency (DML) and to contrast those levels of reliability in order to reveal whether physiologic lability is the primary contributor to unwanted variability in Fmin measurements.

Subjects And Methods: Fmin and DML in the Abductor Digiti Minimi muscle were measured bilaterally by two raters in 50 healthy adults (n = 100 hands, 70 male, 30 female) with 3-14 days between testing sessions.

Results: Intrarater reliability (ICC 3,1) for the Fmin was 0.

Reliability of the Modified Ashworth Scale in the assessment of plantarflexor muscle spasticity in patients with traumatic brain injury.

Although the Modified Ashworth Scale (MAS) is commonly used to assess the severity of muscle spasticity for ankle plantarflexors, its reliability has only been established for elbow muscles. Interrater reliability, intrarater reliability and temporal (between-days) reliability were examined in this study. Also, interrater reliability for use of the scale with plantarflexors was compared with reported results from the measurement of elbow flexors.

Clinical social work practice in the U.S. Army: an update.

This article presents the results of a mail survey sent to active-duty and civilian social workers in the U.S. Army to investigate contemporary clinical social work practiced in the Army today.

Seasonal symptoms in the sub-Arctic.

To obtain information regarding the frequency and severity of seasonal symptoms in the sub-Arctic, 361 Seasonal Pattern Assessment Questionnaires (SPAQ) were collected from four separate populations, all either assigned to Fort Wainwright, in Interior Alaska, or receiving treatment there. The study included both civilian and military personnel, of both genders, over 16 years of age. The mean score on the SPAQ was in the low end of the range of sub-syndromal seasonal affective disorder.