Dr. Sydney Burwell, Dean of Harvard Medical School 1956

My students are dismayed when I say to them "Half of what you are taught as medical students will in 10 years have been shown to be wrong.
And the trouble is, none of your teachers know which half."



Thursday, October 31, 2013

Military/Veterans

Toward rational use of benzodiazepines in posttraumatic stress disorder (PDF)
Comment on:
Declining benzodiazepine use in veterans with posttraumatic stress disorder. [J Clin Psychiatry. 2012]

Benzodiazepines, posttraumatic stress disorder, and veterans: good news and why we're not done yet. [J Clin Psychiatry. 2012]

Olanzapine on trial. [Am J Psychiatry. 1998] Steenen SA, van Westrhenen R, Olff M. J Clin Psychiatry. 2013 Aug;74(8):852. No abstract available. PMID: 24021506

Houston we have a problem: Microgravity accelerates biological aging
As nations strive to put humans farther into space for longer periods of time, the real loser in this new space race could be the astronauts themselves. That's because experiments conducted on the International Space Station involving cells that line the inner surfaces of blood vessels (endothelial cells) show that microgravity accelerates cardiovascular disease and the biological aging of these cells. These findings are presented in a new research report published in November 2013 issue of The FASEB Journal. Eurekalert!

Two part series on the Homecoming of a Combat Pysician
Major Marc Dauphin was a super-confident, can-do medico fixing shattered bodies and trying to save lives as he ploughed through relentless shifts at one of the busiest military hospitals in the world – the Role Three, at Kandahar Air Base, Afghanistan. Coming Home, Pt.2 Combat Doctor

Mothers going to war: The role of nurse practitioners in the care of military mothers and families during deployment
Military families present unique challenges for NPs. Mother deployments offer opportunities for intervention and anticipatory guidance across the trajectory of the separation. Military women's emotional and physical health must be supported before, during, and following deployment. Agazio J, Hillier SL, Throop M, Goodman P, Padden D, Greiner S, Turner A. J Am Assoc Nurse Pract. 2013 May;25(5):253-62. Epub 2012 Dec 3. PMID: 24170567

Development of pre-deployment primary healthcare training for Combat Medical Technicians
By delivering a training package acceptable to the majority of medics, we have increased the confidence and capability of CMTs in delivering PHC within the context of their protocols and prepared them for their first month of deployment. It suggests that PHC delivery can be improved by such a package and consideration should be given to formalising this into a military training qualification. Parsons IT, Rawden MP, Wheatley RJ. J R Army Med Corps. 2013 Oct 28. [Epub ahead of print] PMID: 24167228

Treating generalized anxiety disorder using complementary and alternative medicine
The findings in this pilot study suggest multimodal interventions focusing on self-care behaviors may be feasible for patients seeking therapies that are adjunct or alternative to conventional treatments. The study also suggested that this type of patient will participate in multitherapy options, and it offers support for expanding the conceptualization of and treatment for GAD by integrating CAM into existing cognitive-behavioral models. McPherson F, McGraw L. Altern Ther Health Med. 2013 Sep-Oct;19(5):45-50. PMID: 23981404

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