Military medicine
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of 5-minute povidone-iodine scrub and 1-minute povidone-iodine scrub followed by alcohol foam.
The purpose of this study was to determine if a 1-minute scrub with povidone-iodine followed by alcohol foam is as effective as a 5-minute scrub with povidone-iodine in reducing skin bacterial counts. A 1-minute scrub with povidone-iodine followed by alcohol foam and a 5-minute scrub with povidone-iodine was done. In the first study, cultures were obtained after 1 hour, and in the second study, cultures were obtained after 2 hours. ⋯ The study involved two groups of 12 participants and a total of 37 patients over a period of 5 months. The results show that there was no significant difference between the number of colonies cultured for the 1-minute scrub compared with the 5-minute scrub for either the 1-hour or the 2-hour study. In fact, the total number of bacterial colonies was less after the 1-minute scrub with alcohol foam than after the standard 5-minute scrub in both the 1-hour group (10 vs. 18) and the 2-hour group (18 vs. 44).
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Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and could be described by a single second-degree polynomial regression equation. Nomograms were constructed showing this rate of improvement of pulmonary function over time at four levels of baseline pulmonary obstruction.
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This study examines the effects of three types of unwanted sexual experiences in the workplace on the psychological well-being of male and female U. S. ⋯ Unwanted sexual experiences were found to be significant predictors of psychological symptoms for male and female soldiers. Certain aspects of organizational climate and appraisal of sexual harassment were also significant predictors of psychological symptoms.
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Cold weather injury (CWI) reports covering 272 U. S. Army soldiers from September 1990 to May 1995 were reviewed. ⋯ Seventy-one percent of CWIs occurred when the wind-chill factor was at or below -20 degrees F (-29 degrees C). Male African-American soldiers appear to be significantly more susceptible to frostbite than male Caucasian soldiers, especially with regard to frostbite of the distal extremities (relative risk = 3.94; 95% confidence interval = 2.77-5.59). Other identified risk factors include inadequate clothing, wet clothing, dehydration, inactivity, fatigue, and previous CWIs.
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Clinical Trial Controlled Clinical Trial
Sevoflurane and the 885A field anesthesia machine: clinical report.
The Ohmeda 885A field anesthesia machine is equipped with a non-agent-specific, universal vaporizer that can be used with most volatile anesthetic agents. On a recent humanitarian medical mission to Honduras, the 885A was used to administer general anesthesia to 26 patients utilizing sevoflurane, a new inhalational anesthetic with a variety of clinical benefits, including less airway irritability, making it ideal for inhalation inductions. ⋯ Calculated anesthetic concentrations were compared with measured concentrations using linear regression analysis and found to have a Pearson product moment of 0.995. We find that the use of sevoflurane in the 885A is an excellent alternative to other inhalational anesthetic agents and may have applications for use during both military conflicts and peacetime missions in remote areas.