Military medicine
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To evaluate in war casualties with acute penetrating head injury whether the summed War Head Injury Score (WHIS) is a better predictor of mortality than either the Glasgow Coma Scale (GCS) score or the Injury Severity Score (ISS) alone and to establish its specific applicability. ⋯ With regard to civilians, war casualties with acute penetrating head injury more often have multiple injuries. WHIS represents a new scoring system that incorporates both GCS score and ISS.
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Comparative Study
The fitness training unit in U.S. Army basic combat training: physical fitness, training outcomes, and injuries.
This study involved a retrospective examination of physical fitness, training outcomes, and injury rates among personnel in the Fitness Training Unit (FTU). Personnel were assigned to the FTU based on low performance on push-ups, sit-ups, and/or a 1-mile run (N = 44 men, 95 women) and received an augmented physical fitness program before basic combat training (BCT). They were compared with 712 men and 379 women who took the same test but were not assigned to the FTU and went directly to BCT. ⋯ FTU women and non-FTU women had similar graduation success (60% vs. 68%, respectively; p = 0.14) and time-loss injury rates (1.3 vs. 1.4 people injured/100 person-days, respectively; p = 0.90). FTU men were less likely to graduate than non-FTU men (55% vs. 82%; p < 0.01) and more likely to suffer a time-loss injury (1.2 vs. 0.7 people injured/100 person-days; p < 0.01). Efforts should be directed toward providing a sufficient training stimulus to improve the aerobic fitness level of men (as well as women) in the FTU.
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Earlier studies by our unit documented frequent disability in world leaders resulting from stroke but did not quantify the incidence of cerebrovascular accidents. We sought to identify the frequency and impact of strokes in world leaders. ⋯ Strokes in world leaders may be slightly less common than expected based on studies of Western populations of similar age, but they are often devastating to a political career. Nonetheless, loss of political power is not inevitable.
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To analyze predictive factors for developing complications or lethal outcome in war abdominal trauma. ⋯ These models may be used as important prognostic factors in war abdominal injuries.
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Effect of fibrin bandage fibrinogen concentration on blood loss after grade V liver injury in swine.
To determine the effect of fibrinogen concentration of dry fibrin bandages on blood loss after grade V liver injury. ⋯ Fibrinogen concentration was inversely related to blood loss after grade V liver injury. The 15-mg formulation was the only one that significantly reduced blood loss.