Military medicine
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In Antarctica, human access and presence are complex and require detailed planning and preparation in advance. The personnel of National Antarctic Programs (NAPs, i.e., scientists and support personnel, including military, civilians, and mountaineers) stay in different isolation, confinement, and extreme (ICE) environments such as ships, research stations, and scientific summer camps. Antarctica imposes harsh conditions that influence physiological and psychological responses impacting health, mood, and physical and cognitive performances. ⋯ We evaluated and compared the individual's mood at the beginning and the end of the PAT week and observed group-specific mood changes depending on the sex, functions, and the facilities that participants accessed. Finally, we proposed that conducting training before staying in Antarctica, besides promoting conditions to better plan the voyage and knowledge of the region, can contribute to dealing with the possible mood swings during expeditions and even promote positive affect. Therefore, the psychophysiological effects of PAT are topics for further investigations.
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Joining the military and entering a career in medicine are both intensely personal decisions. Individually, becoming a physician or a naval officer requires people to join a profession, represented by the oaths of each group. ⋯ Those entering into the Medical Corps will combine these roles. To optimize finding a fulfilling career, students interested in joining the medical corps should identify mentors, which helps them create the career path they want and aids in their self-reflection to discover their motivations and expectations, finally "Semper Gumby." My own path fulfilled my desire to serve and passion for medicine but more importantly afforded me the opportunity to pursue fellowship, gain expertise in academic medicine, and construct a network of mentors, colleagues, and friends around the globe.
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The stress of residency has led to continued emphasis on developing resiliency in residents, but what does that mean? When the heartbreak of medicine tries to keep us from moving forward, sometimes all we can do is take a pause.
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Musculoskeletal injury (MSI) presents the greatest threat to military mission readiness. Atraumatic shoulder pain is a common military MSI that often results in persistent functional limitations. Shoulder orthopedic evaluation presents many diagnostic challenges, due in part to the possibility of a spinal source of symptoms. ⋯ This case series demonstrates that identification of shoulder pain of spinal source in the military population may be an important step in facilitating timely RTD. These cases also highlight the use of a standardized, systematic method to screen the cervical and thoracic spine that concurrently reveals the indicated treatment. Further research to determine the prevalence of shoulder pain of spinal source in the AD population and its impact on RTD rates has the potential to reduce the substantial burden of MSI in the military.
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Traumatic injuries were the most common reason for admission of pediatric patients to military hospitals during the recent wars in Iraq and Afghanistan. We compare survival and interventions between female and male pediatric casualties. ⋯ Among pediatric patients treated by U.S. medical personnel in Iraq and Afghanistan, females had a lower survival to hospital discharge despite similar severity of injury. Further studies are necessary to elucidate causes for this finding.