Armed Forces General Practice is in an unprecedented time of challenge with the demands of contiguous worldwide operations in austere environments, reorganisation of defence, budgetary constraints and manpower shortfalls. We propose a model of this crucial area of military medical care as a key academic and practical reference point, which will help retain, and perhaps even enable, the development of this clinical speciality over the next decade. It provides a formalised definition and a basis for education, training and research in Military General Practice; it also has the advantage of highlighting the all-encompassing nature of military primary care when compared to the nearest equivalent model--that of civilian General Practice. Mears KP, Morgan-Jones DJ, Richardson JC, Simpson R, Walls C. J R Army Med Corps. 2012 Sep;158(3):156-61. Review. PMID: 23472559
Pathogen-specific Risk of Reactive Arthritis from Bacterial Causes of Foodborne Illness
Reactive arthritis (ReA) is a sequelae of common bacterial infections of acute gastroenteritis. We assessed incidence of ReA following Campylobacter, Salmonella, Shigella, or Yersinia infection utilizing a US Department of Defense medical database. Porter CK, Choi D, Riddle MS. J Rheumatol. 2013 Apr 1. [Epub ahead of print] PMID: 23547220
LSUHSC research identifies co-factors critical to PTSD development
Research led by Ya-Ping Tang, MD, PhD, Associate Professor of Cell Biology and Anatomy at LSU Health Sciences Center New Orleans, has found that the action of a specific gene occurring during exposure to adolescent trauma is critical for the development of adult-onset Post-Traumatic Stress Disorder (PTSD.) The findings are published in PNAS Online Early Edition the week of April 1-5, 2013.
"This is the first study to show that a timely manipulation of a certain neurotransmitter system in the brain during the stage of trauma exposure is potentially an effective strategy to prevent the pathogenesis of PTSD," notes Dr. Tang. Eurekalert!
Lifestyle coaching's effect on 6-month follow-up in recently homeless substance dependent veterans: a randomized study
Therapeutic interventions which focus on increasing healthy behaviors chosen by the consumer can be an important component of sustained recovery from substance dependence. LePage JP, Garcia-Rea EA. Psychiatr Rehabil J. 2012 Sep;35(5):396-402. PMID: 23116382
A randomized comparison of online- and telephone-based care management with internet training alone in adult patients with poorly controlled type 2 diabetes
Online, telephone-based care management, and Web training for diabetes patients with elevated A1c were each associated with a substantial improvement in A1c over a 1-year period. Internet access and training alone may be as effective as care management in patients with poorly controlled diabetes. McMahon GT, Fonda SJ, Gomes HE, Alexis G, Conlin PR. Diabetes Technol Ther. 2012 Nov;14(11):1060-7. Epub 2012 Sep 6. PMID: 22953754
Meta-Analytic Review of P3 Components in Posttraumatic Stress Disorder and Their Clinical Utility
In conclusion, differences in P3 amplitude and latency between patients with PTSD and control patients confirm the results of Karl et al and extend our understanding of P3 as a neural correlate of working memory. These results further provide guidance on the potential design of future clinical trials supporting the development of P3 components as a PTSD diagnostic aid. Johnson JD, Allana TN, Medlin MD, Harris EW, Karl A. Clin EEG Neurosci. 2013 Mar 31. [Epub ahead of print] PMID: 23545246
Returning Home from Iraq and Afghanistan: Assessment of Readjustment Needs of Veterans, Service Members, and Their Families
In response to the return of large numbers of veterans from Iraq and Afghanistan with physical-health and mental-health problems and to the growing readjustment needs of active duty service members, veterans, and their family members, Congress included Section 1661 of the National Defense Authorization Act for fiscal year 2008. That section required the secretary of defense, in consultation with the secretary of veterans affairs, to enter into an agreement with the National Academies for a study of the physical-health, mental-health, and other readjustment needs of members and former members of the armed forces who were deployed in OIF or OEF, their families, and their communities as a result of such deployment. The study was assigned to the Institute of Medicine (IOM). NAP
No comments:
Post a Comment