Abstract
Working in a war zone presents specific challenges for healthcare professionals. One nurse shares her experiences.
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PMID: 21563534
PDF is available here.
Abstract
A country's developmental progress and overall changes in socio-economic structure are reflected in the outcome of secular trend studies on physical growth of children. The aim of this study was to compare anthropometric and biochemical indices of adolescent boys and girls born during and after the I...
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PMID: 21194258
PDF is available here.
Abstract
We present the case of a 16-year-old Iraqi female with a single gunshot wound to the pelvis with extensive rectal injury who survived despite the odds. Using "damage control" techniques, this patient survived despite a reported 30% mortality associated with such wounds. During the course of her stay...
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PMID: 21121508
PDF is available here.
Abstract
Since June 4, 2004, asthma diagnosed and symptomatic after the age of 12 years has been an exclusion criterion for military enlistment unless exempted via medical waiver. The Department of Defense determined that 13% of U.S. Army Medic visits in Iraq are for new-onset acute respiratory illness; case...
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PMID: 20929596
PDF is available here.
Abstract
We review the development of civilian out-of-hospital and hospital-based emergency medical care in Iraq, focusing on the non-Kurdish regions. Emergency medicine in the country has made encouraging steps during the last several years, including the establishment of national emergency medicine policy,...
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PMID: 20096954
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Abstract
Over a period of eight years (1980-1988), Iraqi army fired 533 ballistic missiles at Iranian territories. From those, 414 missiles (77.7%) landed on Iranian cities. The impacts of these missiles caused the deaths of 2,312 civilians and injured 11,625 others. Three types of ballistic missiles were us...
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PMID: 20356443
PDF is available here.
Abstract
Findings indicate that parental combat deployment has a cumulative effect on children that remains even after the deployed parent returns home, and that is predicted by psychological distress of both the AD and AHC parent. Such data may be informative for screening, prevention, and intervention stra...
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PMID: 20410724
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Abstract
We compare an algorithm we developed to identify OIF/OEF veterans using the Austin Information Technology Center administrative data with the VHA Support Service Center OIF/OEF Roster and veterans' self-report of military service. We drew data from two different institutional review board-approved f...
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PMID: 21110254
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Abstract
Iraq has lost many of its doctors as a result of the conflict, and the majority of those displaced in Jordan have no plans to return. The human capital losses associated with the large-scale displacement of Iraqi doctors are substantial and have left a critical void in human capital that will likely...
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PMID: 20349702
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Abstract
Civilian humanitarian assistance organizations and military forces are working in a similar direction in many humanitarian operations around the world. However, tensions exist over the role of the military in such operations. The purpose of this article is to review cultural perspect...
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PMID: 21319556
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Abstract
We analyze these effects, treatment of intoxication, and long-term sequelae, drawing on our experience and a review of the literature....
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PMID: 20109388
PDF is available here.
Abstract
We conducted this study to determine the types and frequency of skin problems among war related bilateral lower limb amputees. Three hundred and thirty five cases were examined for dermatologic problems in about 20 years (20 +/- 3.89) after bilateral lower extremity amputation. The subjects were inj...
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PMID: 20128507
PDF is available here.
Abstract
These results provide preliminary evidence that multiple deployments to Iraq may be a risk factor for PTSD. However, these cross-sectional data require replication in a longitudinal study.
Copyright 2009 Physicians Postgraduate Press, Inc....
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PMID: 19689917
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Abstract
We shift to standard advanced-trauma life-support protocols. We describe two cases we encountered at our combined medical clinic in Western Baghdad--one involving a 4-year old Iraqi child with an ammunition round lodged in her neck and one involving a 38-year-old female U.S. soldier with a round lod...
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PMID: 19750465
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Abstract
One patient in the series died of multiple organ system failure because of intra-abdominal injuries. Average follow-up on the remaining patients was 7.03 weeks (1 to 14 weeks). In the patient with 1-week follow-up, the skin graft had 100% take. All other wounds were healed at the latest follow-up wi...
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PMID: 19743740
PDF is available here.
Abstract
Significant mental health symptoms are reported in troops deployed to Iraq and Afghanistan (OEF/OIF). Symptomatic troops are more likely to be discharged and become eligible for Department of Veterans Affairs (DVA) care. Prevalence and predictors of mental health symptoms were assessed in 339 OEF/OI...
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PMID: 19743729
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Abstract
We describe identified injuries, effectiveness of treatment, and triage categories for combat casualties at echelon 1 from April 1 to June 30, 2005 from western Iraq. A total of 133 casualties were evaluated including 12 who were killed in action and 7 who died of wounds. A medic or corpsman treated...
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PMID: 19743731
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Abstract
We highlight challenges in answering these questions, and review neurochemical and behavioral evidence that supports a causal relationship between TBI and SUD. In this review, we conclude that little is known regarding the directionality of TBI increasing drug abuse, and that collaborative research...
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PMID: 19203230
PDF is available here.
Abstract
The purpose of this study was to describe Operation Iraqi/Enduring Freedom and Operation Desert Storm/Shield deployment experiences from the perspectives of 39 Army Medical Department personnel using a qualitative method in 2004. Thematic content analysis revealed themes from data collected during t...
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PMID: 19585778
PDF is available here.
Abstract
U.S. combat casualties from Iraq and Afghanistan continue to develop infections with multidrug-resistant (MDR) bacteria. This study assesses the infection control database and clinical microbiology antibiograms at a single site from 2005 to 2007, a period when all Operation Iraqi Freedom (OIF)/Opera...
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PMID: 19585772
PDF is available here.
Abstract
This study establishes baseline rates of pre-war behavioral healthcare utilization among military service members, and the relationship of mental health care use and attrition from service. The research indicates that in the military population the burden of mental illness in outpatient clinics is s...
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PMID: 19057830
PDF is available here.
Abstract
at long-term follow-up, most military transtibial amputees experienced phantom sensation or some type of stump pain. More than half had persistent psychiatric problems, but only about half of these patients were receiving psychological treatment. Although this case series reports the status of these...
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PMID: 19585771
PDF is available here.
Abstract
Traumatic brain injury has been described as the 'signature wound' of the current conflicts in Iraq and Afghanistan. While this term is highly debatable and probably unhelpful, clinicians need to know about this condition to provide the best management....
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PMID: 19404818
PDF is available here.
Abstract
In-hospital combat trauma-related deaths at a modern Combat support hospital differ significantly from their civilian counterparts, and present multiple OI of care and potential salvage. Delays in prehospital and in-hospital hemorrhage control are the primary contributors to potential preventability...
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PMID: 19359971
PDF is available here.
Abstract
These results suggest that NG veterans of current military operations may require similar services as active duty veterans. Given that NG troops are less integrated into the military structure, specific outreach efforts may be needed to help NG veterans to receive such services....
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PMID: 18785032
PDF is available here.
Abstract
Our results highlight the importance of providing adequate mental health care resources for those returning from hostile deployments and raise concerns about combat effectiveness of long deployments....
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PMID: 19354082
PDF is available here.
Abstract
Limited research exists on the relationship between physical injury and PTSD within military populations. The present study assessed postinjury rates of PTSD and other psychological correlates among battle and non-battle injuries. A total of 1,968 men (831 battle injuries and 1,137 nonbattle injurie...
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PMID: 19354083
PDF is available here.
Abstract
Based on our experience and the feedback from our patients, no complications were noted in this small population of elective hernia repairs. Further prospective trials with long term follow-up are needed to confirm these initial findings....
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PMID: 19354095
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Abstract
At least a total of 564 Iranian prisoners of war died due to the various reasons in Iraqi detention camps that show a mortality rate of 1.4% (564/40,000). The mean captivity-to-death interval was 440 (from one to 3582) days and the registered prisoners had more duration of captivity than the unregis...
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PMID: 19249883
PDF is available here.
Abstract
This study was performed to assess the safety of performing intramedullary (IM) nailing in an established echelon III theater hospital. Twenty-two patients (23 fractures) sustained subtrochanteric or diaphyseal femur fractures and presented to the Air Force theater hospital (AFTH) at Balad Air Base,...
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PMID: 19317191
PDF is available here.
Abstract
Disasters come in all shapes and forms, and in varying magnitudes and intensities. Nevertheless, they offer many of the same lessons for critical care practitioners and responders. Among these, the most important is that well thought out risk assessment and focused planning are vital. Such assessmen...
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PMID: 19268794
PDF is available here.
Abstract
We recommend that the use of hypothermic medicine should be re-evaluated for its indication in TBI due to the capabilities of a new extremely rapid cooling device....
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PMID: 19739473
PDF is available here.
Abstract
We detected independent and combined associations among SAP, irrigation, and significantly decreased wound infection rates. Effects of SAP and irrigation may be synergistic. Copious irrigation with potable water or sterile isotonic solution should be performed at the earliest practical juncture afte...
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PMID: 19731163
PDF is available here.
Abstract
Tourniquet use when shock was absent was strongly associated with saved lives, and prehospital use was also strongly associated with lifesaving. No limbs were lost due to tourniquet use. Education and fielding of prehospital tourniquets in the military environment should continue....
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PMID: 19106667
PDF is available here.
Abstract
War violates every human right of children. In recent years, the lives of Iraqi children and the livelihoods of their families have become precarious. Conflict has split the communities where they live and taken the lives of hundreds of their friends and family members. The literature focuses on the...
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PMID: 19655640
PDF is available here.
Abstract
Of all participants, 94% were found to have symptoms of anxiety, 100% had symptoms of depression, and 77% had symptoms of PTSD. The participants had experienced or witnessed an average of 8.5 traumatic events before their arrival in Denmark. There was no significant association between the number of...
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PMID: 19491487
PDF is available here.
Abstract
Review of War surgery in Afghanistan and Iraq: a series of cases, 2003-2007, ed. by Shawn Christian Nessen, Dave Edmond Lounsbury, and Stephen P. Hetz; Generation kill, written and produced by David Simon and Ed Burns, based on the book by Evan Wright; Baghdad ER, a film directed by John Alpert and...
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PMID: 19058428
PDF is available here.
Abstract
The Deployment Risk and Resilience Inventory (DRRI) is a suite of scales that can be used to assess deployment-related factors implicated in the health and well-being of military veterans. Although initial evidence for the reliability and validity of DRRI scales based on Gulf War veteran samples is...
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PMID: 18436857
PDF is available here.
Abstract
Hazardous alcohol use is prevalent among OEF/OIF veterans seeking VA health care. There is a need for increased vigilance and action to identify and counsel at-risk veterans in this population.
Copyright 2008 Physicians Postgraduate Press, Inc....
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PMID: 19012816
PDF is available here.
Abstract
We examined the prevalence of PTS symptoms and poor social functioning in Halabja, Iraqi Kurdistan, 18 years after a chemical attack on civilians in that town. We systematically sampled 291 persons representative of the population of Halabja from the city emergency department and 4 outpatient clinic...
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PMID: 18852622
PDF is available here.
Abstract
An outbreak of nonspecific febrile illnesses occurred among U.S. Army troops in September 2007 at a remote, newly established, rural-situated patrol base, south of Baghdad, Iraq. Soldiers displayed an acute flu-like syndrome with symptoms of fever, headache, malaise, and myalgia. A total of 14 cases...
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PMID: 19160611
PDF is available here.
Abstract
From March to May 2003, the USNS Comfort was deployed to the Persian Gulf in support of combat operations for Operation Iraqi Freedom. The onboard orthopedic service treated 58 U.S. casualties during that period. Eighty-seven percent of the injuries were to the appendicular skeleton. Twenty-four per...
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PMID: 19160621
PDF is available here.
Abstract
Arab immigrant women are vulnerable to post-traumatic stress disorder (PTSD) because of gender, higher probability of being exposed to war-related violence, traditional cultural values, and immigration stressors. A valid and reliable screen is needed to assess PTSD incidence in this population. This...
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PMID: 18718671
PDF is available here.
Abstract
A review of culture results from non-US casualties in Iraq revealed gram-negative bacteria were the most commonly isolated pathogens. Cultures of respiratory fluid yielded positive results earlier than cultures of wound or blood samples and potentially serve as an earlier marker of future infections...
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PMID: 18754736
PDF is available here.