Inflated Clinical Evaluations: a Comparison of Faculty-Selected and Mathematically Calculated Overall Evaluations Based on Behaviorally Anchored Assessment Data.

Objective: This retrospective study compared faculty-selected evaluation scores with those mathematically calculated from behaviorally anchored assessments.

Methods: Data from 1036 psychiatry clerkship clinical evaluations (2012-2015) was reviewed. These clinical evaluations required faculty to assess clinical performance using 14 behaviorally anchored questions followed by a faculty-selected overall evaluation.

Occult Pneumomediastinum in the Deployed Setting: Evaluation and Management.

Pneumomediastinum can occur after both blunt and penetrating trauma. The greatest concern involving this finding in a trauma patient is an aerodigestive tract injury. Prompt evaluation, identification, and management of these injuries are extremely important.

Findings From the Department of Veterans Affairs Qarmat Ali Medical Surveillance Program.

Objective: To review the Veterans Affairs (VA) medical surveillance program for Veterans with potential hexavalent chromium (CrVI) exposure that occurred during 2003.

Methods: Retrospective review of medical records of the 124 Veterans that participated in standardized, in-person clinical evaluations for possible CrVI exposure during the incident in question. The evaluations were reviewed to define population level effects.

Radiofrequency Ablation Turbinoplasty versus Microdebrider-Assisted Turbinoplasty: A Systematic Review and Meta-analysis.

Objective: To critically review published literature for treatment-related outcomes for bilateral inferior turbinate reduction (IFTR) via either microdebrider-assisted turbinoplasty (MAT) or radiofrequency turbinoplasty. The primary outcomes were relief of nasal obstruction according to visual analog scale and nasal airflow, volume, and resistance measures based on acoustic rhinomanometry.

Data Sources: MEDLINE, EMBASE, The Cochrane Catalog, and CINAHL.

Diagnosis and Management of Foodborne Illness.

The Centers for Disease Control and Prevention estimates that each year, one in six Americans will experience a foodborne illness. The most common causes in the United States are viruses, such as norovirus; bacteria, such as Salmonella, Escherichia coli, Campylobacter, and Listeria; and parasites, such as Toxoplasma gondii and Giardia. Resources are available to educate consumers on food recalls and proper handling, storage, and cooking of foods.

The effect of tonsillectomy alone in adult obstructive sleep apnea.

Objective: The purpose of this study was to determine the effect of tonsillectomy as a single procedure in the treatment of adult obstructive sleep apnea (OSA).

Study Design: Prospective multi-institutional study evaluating adults with tonsillar hypertrophy scheduled to undergo tonsillectomy as an isolated surgery.

Setting: Tertiary care medical centers within the US Department of Defense.

Maxillomandibular advancement and tracheostomy for morbidly obese obstructive sleep apnea: a systematic review and meta-analysis.

Objective: The objective of this study is to systematically review polysomnography data and sleepiness in morbidly obese (body mass index [BMI] ≥40 kg/m(2)) patients with obstructive sleep apnea (OSA) treated with either a maxillomandibular advancement (MMA) or a tracheostomy and to evaluate the outcomes.

Data Sources: MEDLINE, Scopus, Web of Science, and the Cochrane Library.

Review Methods: A search was performed from inception through April 8, 2014, in each database.

A review of 105 consecutive uniport endoscopic plantar fascial release procedures for the treatment of chronic plantar fasciitis.

Plantar fasciitis is a common cause of heel pain in the U.S. Army soldier, resulting in a significant loss of man hours.

Weight change, lifestyle, and dietary behavior in the US military's Warrior in Transition Units.

Objective: To identify lifestyle factors that may contribute to weight changes experienced by Warfighters assigned to Warrior in Transition Units (WTU).

Design: Multicenter, cross-sectional, descriptive study at 4 military installations (Fort Hood, TX; Fort Bliss, TX; Fort Sam Houston, TX; and Fort Gordon, GA). Participants completed a self-reported questionnaire regarding environmental, social, and dietary lifestyle behaviors.

Detainee optometry at Camp Cropper, Iraq, 2009-2010.

This article details the first in-depth analysis of an Optometry Service working with a large Middle Eastern detainee population composed entirely of Iraqi males. The mission of the Camp Cropper Optometry Service was to provide eye care services to the detainee population consistent with the standards of optometric care that would be provided to any U.S.

Systematic review of complications of tonsillotomy versus tonsillectomy.

Objective: Intracapsular tonsillotomy continues to gain acceptance as an alternative to traditional tonsillectomy. Despite large clinical studies, there is a lack of consensus as to which technique offers lower complication rates. This study seeks to analyze the available data and surmise the complication rates of partial tonsillectomy as compared with traditional tonsillectomy.

Reaching a better management model for military medicine.

Despite the attempt by some to condemn it because of the unfortunate experience of some service members at Walter Reed Army Medical Center, military medicine has long provided healthcare coverage to legions of soldiers during both war and peace. Since 1884, the U.S.

U.S. military enlisted accession mental health screening: history and current practice.

Through the stimulus of war and concerns about neuropsychiatric disability, the U.S. military developed methods to rapidly screen the mental health of World War I and II draftees.

The accuracy of cephalometric tracing superimposition.

Purpose: The purpose of this study was to compare the accuracy of 4 methods for cephalometric tracing superimposition. They are the FH@Porion method, S-N@Sella method, least-squared averaged 5 landmarks (LS-5) method, and manual geometric method.

Materials And Methods: Eight lateral cephalometric radiographs were used.

Cutaneous leishmaniasis in soldiers returning from deployment to Iraq.

Cutaneous leishmaniasis is becoming a frequently encountered problem in soldiers returning from deployments to areas in Southwest Asia. Two cases of cutaneous leishmaniasis diagnosed at a military treatment facility in soldiers returning from Iraq are presented. Diagnostic considerations and procedures are reviewed as are the histopathologic findings and treatment options.

A U.S. Army Forward Surgical Team's experience in Operation Iraqi Freedom.

Background: The Forward Army Surgical Team (FST) was designed to provide surgical capability far forward on the battlefield to stabilize and resuscitate those soldiers with life and limb threatening injuries. Operation Iraqi Freedom represents the largest military operation in which the FST concept of health care delivery has been employed. The purpose of our review is to describe the experience of the 555FST during the assault phase of Operation Iraqi Freedom.

Anthrax.

Anthrax is an ancient disease associated with the plagues in biblical Egypt and modern bioterrorism. Three clinical syndromes result from exposure to anthrax spores: cutaneous,inhalational, and gastrointestinal. Cutaneous anthrax is the most common naturally occurring syndrome; inhalational anthrax is most likely to result from airborne release of spores.

Pharmacist-managed hypertension therapy conversion.

The cost of treating hypertension represents a substantial percentage of total pharmacy expenditures at medical centers and by managed care organizations in the United States. The present study evaluated improvements in blood pressure control and cost savings achieved by switching 543 hypertensive patients from nifedipine gastrointestinal therapeutic system (GITS) to amlodipine and concurrently instituting an educational program directed at prescribers, nursing and pharmacy staff, and patients and family members. Before the switch, 543 patients were being treated with nifedipine GITS: 259 with 30 mg/d, 209 with 60 mg/d, and 75 with 90 mg/d.

Implementation of a drug therapy monitoring clinic in a primary-care setting.

The development and implementation of a drug therapy monitoring clinic in the primary-care clinics of a military hospital are described. To improve patient care and decrease costs associated with treating chronic diseases, in August 1995 the pharmacy department established a drug therapy monitoring clinic. The clinic was responsible for initiating and monitoring treatment plans for patients with chronic diseases, implementing clinical guidelines, providing educational programs, collecting and analyzing outcome data, and handling requests for medication extensions.

Is interruption in residency training associated with a change in in-training examination scores?

Background: Many military physicians interrupt their training to serve in the position of general medical officer (GMO) after completing their first year of postgraduate medical education. This study compares American Board of Family Practice In-training Examination (ITE) scores of military family practice residents who received continuous training (CFP residents) with those who did GMO tours (GMO residents).

Methods: Historical cohorts of CFP and GMO residents from Army and Navy family practice residencies were compared.

Rehabilitation of ten soldiers with exertional rhabdomyolysis.

This case study describes the rehabilitation of 10 active duty U.S. soldiers with exertional rhabdomyolysis.

Pharmaceutical services in an Army field hospital in Haiti during Operation Uphold Democracy.

The pharmaceutical services provided by an Army field hospital in Haiti during Operation Uphold Democracy are described. In January 1995, 155 soldiers of the 47th Field Hospital from Ft. Sill, Oklahoma, were deployed to Haiti to provide medical care for 2400 U.

Glenoid dysplasia.

Athletic trainers evaluate many athletes with acute and chronic shoulder problems such as rotator cuff pathology, impingement syndromes, and inflammatory conditions. They also need to be aware of more obscure reasons for shoulder pain and dysfunction. The purpose of this paper is to describe a rare congenital abnormality called glenoid dysplasia, which can be responsible for a variety of shoulder complaints in athletes.