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Sample records for army medical service

  1. Service Block Time Allocation in the US Army Medical Command.

    PubMed

    Welder, Matthew D; Warhurst, Keith A; Anderson, Wesley J L; Salazar, Frank D; Kertes, Steven S; Baxter, Andrew C; Stoddard, Douglas R

    2016-11-01

    Service block time allocation is a critical requirement for the optimization of patient throughput and access to care in the Surgical Services Service Line of the US Army Medical Command. The procedure complexity, volume, and diversity across 25 facilities create significant variation in service block time. This variation requires the involvement of both the informatics and leadership teams for block time allocation to be effective. This article describes our use of the Army's Surgery Scheduling System, which includes service block time as an embedded function, to develop a standardized process that helps ensure service block time is optimized. We also present guidelines for block time allocation and offer case studies that demonstrate the application of these guidelines. Copyright © 2016 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  2. Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management Oversight

    DTIC Science & Technology

    2014-08-13

    collection. This is the first in a series of reports concerning medical service accounts ( MSAs ). This report provides the results of our review...performed at U.S. Army Brooke Army Medical Center (BAMC). We reviewed the 25 highest dollar delinquent MSAs valued at $11.0 million. Finding BAMC...Uniform Business Office (UBO) management did not effectively manage delinquent MSAs . As of May 29, 2013, BAMC UBO management had 15,106 outstanding

  3. Army Medical Imaging System - ARMIS

    DTIC Science & Technology

    1992-08-08

    The Army Medical Imaging System (ARMIS) would use optical data cards, discs and small computers to perform the required functions of image...a filmless medical imaging system based on stimulable x-ray phosphors and optical data cards. Advantages of the system would be elimination of film

  4. Experience and Consequences on the Deployments of the Medical Services of the German Army in Foreign Countries - Surgical Aspects

    DTIC Science & Technology

    2004-09-01

    RTO-MP-HFM-109 41 - 1 Experience and Consequences on the Deployments of the Medical Services of the German Army in Foreign Countries...army medical services lead to new experiences concerning personal, training, preparation, support, equipment and standardisation. The consequences...are not only important for the surgical work but also for anaesthesiology , intensive care, internal medicine and neurology and psychiatry. The

  5. Computer Simulation of an Anesthesia Service at a U.S. Army Medical Treatment Facility

    DTIC Science & Technology

    1999-08-01

    Anesthesia Simulation Study 1 Running head : ANESTHESIA SIMULATION Computer Simulation of an Anesthesia Service at a U.S. Army Medical Treatment...bettering marketing efforts). There are several articles that address staffing from the perspective of what type of provider is the most cost

  6. Establishment of a Separate Psychology Service at Walter Reed Army Medical Center

    DTIC Science & Technology

    1989-07-01

    UNITED STATES ARMY HEALTH CARE STUDIES ___ I, AND & CLINICAL INVESTIGATION ACTIVITY ESTABLISHMENT OF A SEPARATE PSYCIIOLOGY SERVICE AT WALTER REED...AMY MEDICAL CENTER A. DAVID MANGESDOIFF, Ph.D., M.P.H. S9_oo DTI( y 9LECT July 1989 AUG 1 G 19 ,, i -" "L )’* -i UNITED STATES ARMY HEALTH SERVICES...OFFICE SYMBOL 7 a NAME OF MONITORING ORGANIZATION US ArmTy Health Care Studies & (If applicable) Clinical lvestigation Activit HSHN-T HQDA 6c

  7. Establishment of a Separate Optometry Service at Tripler Army Medical Center

    DTIC Science & Technology

    1989-07-01

    Optometry; Ophthalmology; Staff satisfaction ; Patient satisfactton 19. ABSTRACT (Continue on reverse if necessary and identify by block number). - At...Tripler Army Medical Center (TAM), a separate Optcaetry Service ues established in May, 1988. An implementation plan was developed as well as an...measures of ccmplaints, staff satisfaction , patient satisfaction , access, and external/internal quality review of the Optanetry Service were examined. ’The

  8. A Study of the Emergency Medical Service System at Womack Army Hospital, Fort Bragg, North Carolina.

    DTIC Science & Technology

    1978-04-01

    UNAIF!ED A" i mlii~ - 5l,, S2 2 ŕ,3 25 ~If.II4 16 A STUDY OF THE EMERGENCY MEDICAL SERVICE SYSTEM AT WOMACK ARMY HOSPITAL FORT BRAGG , NORTH CAROLINA...Administration By Major Michael Averbuch, MSC Fort Bragg , North Carolina April, 1978 7- • A H 2& IUOWY-vCLASSlPCATON AUT4WpT1 3. O6?UION I AVALAITY 00 now...and ZIP Cock) FT Sam Houston, TX 78234-6100 Ga. NAME OF FUNDING/ SPONSORING Sb OFFICE SYMBOL 9 PROCUREMENT INSTRUMENT IDENTIFICATION NUMBER

  9. Army Medical Robotics Research

    DTIC Science & Technology

    2007-01-01

    Army Medical Robotics Research Gary Gilbert, Ph.D., U.S. Army TATRC, Ph: (301) 619-4043, Fax: (301) 619-2518 gilbert@tatrc.org, www.tatrc.org...politically sensitive low intensity combat in urban terrain. Research progress has been made in the areas of robotics ; artificial intelligence...institutions have demonstrated intelligent robots that execute functions ranging from performing mechanical repairs to playing soccer. The military has

  10. Delinquent Medical Service Accounts at William Beaumont Army Medical Center Need Additional Management Oversight

    DTIC Science & Technology

    2014-09-16

    collection. This is the second in a series of reports concerning delinquent medical service accounts ( MSAs ). This report provides the results of our...review performed at WBAMC. We reviewed the 25 highest-dollar delinquent MSAs valued at $525,209. Finding WBAMC Uniform Business Office (UBO...management did not effectively manage delinquent MSAs . As of May 29, 2013, 1,688 of WBAMC MSAs , valued at $857,003, were more than 180 days delinquent

  11. Medical Services: Composition, Mission, and Functions of the Army Medical Department

    DTIC Science & Technology

    2007-11-02

    Optometry Section. An officer is selected and certified by TSG and the Chief of the MSC to be Chief of each Section; each officer concurrently is designated...engineering. d. Optometry Section. 2–15. Duties of MSC officers. a. Officers of the branch perform a wide variety of administra- tive, technical...PSC), WASH DC 20310. For po- sitions that are on medical TDA within the continental United States (CONUS), Alaska, Hawaii, Panama , 7th Medical Command

  12. The Walter Reed Army Medical Center outpatient infusion service: lessons for managing health care change at the local level.

    PubMed

    Oliver, D K; Swanson, S J; Yuan, C L; Welch, P G

    1999-10-01

    The Military Health Services System is undergoing tremendous changes paralleling those seen in the civilian health care system. Many of the same problems and frustrations are being encountered in the military as it builds TRICARE, one of the largest managed care systems in the country. This paper describes how a team of multidisciplinary subspecialty providers established an Infusion Service for Walter Reed Army Medical Center to fulfill customer needs brought about by system changes in the medical center. Policy and operations were directed toward addressing patient and provider frustrations. Organ transplantation ward length of stay shortened significantly in association with the establishment of this Infusion Service. Peritoneal Dialysis Clinic staff productivity improved. Organizational factors and values affecting patient outcomes and health system reform are discussed. Lessons learned from this project are identified and presented as suggestions that can be used in planning and executing changes throughout the Military Health Services System.

  13. Army Public Service Advertising.

    DTIC Science & Technology

    1982-12-01

    34 Marketing and Media Decisions, January 1982, p. 63. 6U.S., General Accounting Office, " Advertising for Military Recruiting," p. 10. 7Dean L. Yarwood...talent and necessary training, they said. 4 8 An article in Marketing and Media Decisions 4 9 offered a brief synopsis of military recruitment advertising ...support, public relations, marketing research, and analysis. The N. W. Ayer field representative’s Army counterpart is the Advertising and Sales

  14. Proceedings of the Current Trends in Army Medical Service Psychology Held at Denver, Colorado on 9-13 December 1974.

    DTIC Science & Technology

    1974-12-01

    Ft M ~eade, Maryland PROCEEDINGS EDIOR * 0 Major Frank H. Rath Jr., MSC ChLef Psychology Service & Director of Training Programs William Beaumnt Army...need. 20 0 i 0. . .. I i| I . . m . . . . • - " - 0 Table 1. Overall Testin; Plan Ditrbuo Product No. Days Distribution EpeienccTI Day 1 Experience Final...can M . Maintain contact with civilian psychology, in state associations, LA schools, conferences, etc. III. HERE ARE SOME THINGS YOU SHOULD NOT DO A

  15. A Study of Alternate Approaches to Utilization Review of Laboratory Services within an Army Medical Center

    DTIC Science & Technology

    1983-06-06

    not known 5. Outplacement 6. Administrative discharge delay 7. Other (EKG, EEG, etc.) OTHER 1. Patient/family pressure 2. Teaching 3. Research 23...return as ordered or next weekday a. Routine lab tests and X-ray: same 4. Outplacement : delay, if any, is count- day if ordered in a.m. or next ed from...medical complica- tion) interferes 5. Outplacement : delay, if any, is counted from the day after disposi- tion request is noted except where unusual

  16. An Ambulatory Surgery Service Feasibility Study at Madigan Army Medical Center, Tacoma, Washington

    DTIC Science & Technology

    1978-08-01

    of the demand model on ,.,C operations involved ev .i,.ution of the alternative operational ambultory surgery service models possible at :.*,:C. Based...arrive, have surgery and be discharged on the same day. The type of pro- cedures included in this concept involves the use of general anesthesia in...live oirths). 4’. 0.3 times the dai:, average number of clinic visits. 𔃿. 0.14 times the average daily number of dental procedures. The significant

  17. Annual Progress Report (FY-79) Clinical Investigation Service. Walter Reed Army Medical Center

    DTIC Science & Technology

    1979-09-30

    Maligant from Benign Thyroid Nodules: Assess- ment of New Diagnostic Techniques . (FY-75 T) 1334 The Regulation of Extrathyroidal Conversion of Thyroxine (T4...Following Various Cataract Extrac- 346 tion Techniques . (FY-79 0) Orthopedic Service 2400 Effect of Acute Anterior Cructate Ligament Reconstruction in 347...2516 The Effect of Amplification on Limited High-Frequency Hearing 350 Loss. (FY-77 P0) 2517 Evaluation of a Specialized Technique for Training

  18. Personnel Service Support (PSS) in Army Models

    DTIC Science & Technology

    1989-10-20

    UNCLASSIFIED N ACN 73765 PERSONNEL SERVICE SUPPORT (PSS) IN ARMY MODELS FINAL REPORT DEPARTMENT OF THE ARMY HEADQUARTERS UNITED STATES ARMY TRAINING...Analysis 4-7 A-6 10 Theater Strategic Operational (TSO) Depths B-3 11 Constructing Interval Scales from Ordinal Data E-4 vii GLOSSARY OF ACRONYMS ACN Army...Control Number AI Artificial Intelligence AIDS Acquired Immune Deficiency Syndrome ALB Airland Battle AMSAA Army Materiel Systems Analysis Agency ANSI

  19. A Study to Develop an Assessment Tool and Evaluate the Social Work Service Quality Assurance Plan at Walter Reed Army Medical Center, Brooke Army Medical Center, and Fitzsimons Army Medical Center

    DTIC Science & Technology

    1987-07-01

    activities. These QA standards - 1 - require that social work services have a system for the on- going monitoring and evaluation of the quality and...change from the previous requirements was that social work services are required to have a system for the on-going monitoring and evaluation of the quality...ensure that improvements in care and performance are sustained; and 7) is coordinated and information is derived from the monitoring and evaluation of

  20. Transforming the Army Service Component Command to a Theater Army

    DTIC Science & Technology

    2013-03-01

    student academic research paper are those of the author and do not reflect the official policy or position of the Department of the Army, Department...Association of Colleges and Schools, 3624 Market Street, Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an institutional...2013 2. REPORT TYPE STRATEGY RESEARCH PROJECT .33 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE Transforming the Army Service

  1. Proceedings: Army Medical Department Service Psychology Symposium Held at El Paso, Texas on 13-17 November 1978

    DTIC Science & Technology

    1978-11-01

    Assessing the Psychological Component in Low Back Pain with the MMPI P003 754 Hypnosis in Army Aviation: A Case Study P003 755 Psychiatric Symptoms...in Low Back Pain with the MMPI - Frank H. Rath, Jr. and Thomas Scully . o ...... ° . 77 Hypnosis in Amy Aviation: A Case Study - William R. Gentry...and New Directions Dr. Ray Gentry Weight Control Program (Thursday) Hypnosis in Army Aviation (Friday) Dr. Gary Greenfiel• Desertion in the Volunteer

  2. US Army Order of Battle 1919-1941. Volume 4. The Services: Quartermaster, Medical, Military Police, Signal Corps, Chemical Warfare, and Miscellaneous Organizations, 1919-41

    DTIC Science & Technology

    2010-01-01

    2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE U. S. Army Order Of Battle 1919-1941, Volume 4. The Services...1175 Volume 3. The Services: Air Service, Engineers , and... Engineer Organizations Chapter 34. Engineer Major Commands

  3. Army Medical Department Lessons Learned Program marks 25th anniversary.

    PubMed

    Cannon, David W; McCollum, Jeffery

    2011-11-01

    The year 2010 marked the 25th anniversary of the Center for Army Lessons Learned (CALL) as well as the Army Medical Department (AMEDD) Center and School's Lessons Learned Division. In the aftermath of Operation Urgent Fury in 1983, the Army recognized the need to create an organization whose sole purpose was to collect, review, and analyze lessons learned and created the CALL in 1985 at Fort Leavenworth, Kansas. The AMEDD followed suit and established the Medical Information System/AMEDD Lessons Learned office under the Directorate of Evaluation and Standardization to research and compile lessons learned as the AMEDD's point of contact for the CALL program. Over these past 25 years the AMEDD Center and School Lessons Learned program evolved and underwent organizational realignments, but the overall mission continues to promote changes either directly or indirectly in the AMEDD's Doctrine, Organizations, Training, Leader Development, Materiel, Personnel and Facilities domains and capabilities to provide combat health service support on the battlefield.

  4. U.S. Army Medical Research Institute of Infectious Diseases

    MedlinePlus

    ... you for your interest in the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID). The dedicated members ... site provides an introduction to the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) and contains official ...

  5. Medically Documented Suicide Ideation Among U.S. Army Soldiers.

    PubMed

    Ursano, Robert J; Kessler, Ronald C; Stein, Murray B; Naifeh, James A; Nock, Matthew K; Aliaga, Pablo A; Fullerton, Carol S; Wynn, Gary H; Ng, Tsz Hin Hinz; Dinh, Hieu M; Sampson, Nancy A; Kao, Tzu-Cheg; Schoenbaum, Michael; McCarroll, James E; Cox, Kenneth L; Heeringa, Steven G

    2016-11-29

    We used administrative data to examine predictors of medically documented suicide ideation (SI) among Regular Army soldiers from 2006 through 2009 (N = 10,466 ideators, 124,959 control person-months). Enlisted ideators (97.8% of all cases) were more likely than controls to be female, younger, older when entering service, less educated, never or previously deployed, and have a recent mental health diagnosis. Officer ideators were more likely than controls to be female, younger, younger when entering service, never married, and have a recent mental health diagnosis. Risk among enlisted soldiers peaked in the second month of service and declined steadily, whereas risk among officers remained relatively stable over time. Risk of SI is highest among enlisted soldiers early in Army service, females, and those with a recent mental health diagnosis.

  6. Handbook on Volunteers in Army Community Service.

    ERIC Educational Resources Information Center

    Department of the Army, Washington, DC.

    This handbook has been prepared for the purpose of offering guidance and assistance in the development and administration of a volunteer program within Army Community Service. It contains eight chapters. Chapter 1 is the Introduction. Chapter 2, Volunteers Are Partners and Team Members, considers the importance of attitudes, agreement on volunteer…

  7. Daniel John Cunningham (1850-1909): anatomist and textbook author, whose sons achieved distinction in the Army, Navy and Indian Medical Service.

    PubMed

    Kaufman, Matthew H

    2008-02-01

    Daniel John Cunningham was a son of the manse. His father John (1819-93) was the parish priest at Crieff, Perthshire from 1845 and was to remain there for 41 years. In 1886 he was appointed Principal of St Mary's College of the University of St Andrews and Moderator of the Church of Scotland. Daniel was educated at Crieff Academy before he progressed to the University of Edinburgh. He graduated MB CM with First-class Honours in 1874 and then proceeded MD in 1876 when he was awarded a Gold Medal for his thesis. He acted as Demonstrator to Professor Turner (1832-1916) in Edinburgh for eight years until 1882 and was then appointed to the Chair of Anatomy at the Royal College of Surgeons of Ireland, in Dublin. After only one year there, he transferred to Trinity College, Dublin, where he occupied a similar position for 20 years. In 1903, on the appointment of Sir William Turner to the post of Principal and Vice-Chancellor of the University of Edinburgh, Daniel was invited to succeed him as Professor of Anatomy in Edinburgh. Daniel held this post until his premature death in 1909. He had three sons and two daughters. Each of his three sons achieved distinction in different fields - one in the Army, another in the Navy and the third in the Indian Medical Service. One of Daniel's daughters married Dr Edwin Bramwell (1873-1952), who was later to occupy the Moncrieff Arnott Chair of Clinical Medicine in the University of Edinburgh.

  8. Collaborative practice model: Madigan Army Medical Center.

    PubMed

    Nielsen, Peter E; Munroe, Michelle; Foglia, Lisa; Piecek, Roxanne I; Backman, Mary Paul; Cypher, Rebecca; Smith, Denise C

    2012-09-01

    In 2007, Madigan Army Medical Center implemented a new maternity care delivery model, integrating obstetricians and certified nurse-midwives (CNMs) in a collaborative practice. The change was driven by multiple factors, including patient preference, changes in the resident workweek, and low provider satisfaction. This article describes the elements of successful collaboration, including the structure, effective teamwork principles, role of the CNM in resident education, and preliminary data on mode of delivery, the number of CNM-supervised resident births, and procedures, such as episiotomy and epidural use.

  9. Medical Services: Nutrition Standards and Education

    DTIC Science & Technology

    2001-06-15

    prevention . 3–2. Nutrition education personnel a. Registered dietitians (RDs) and other qualified personnel develop nutrition education curriculum for...Army Regulation 40–25 BUMEDINST 10110.6 AFI 44-141 Medical Services Nutrition Standards and Education Headquarters Departments of the Army, Navy, and...YYYY) 15-06-2001 2. REPORT TYPE 3. DATES COVERED (FROM - TO) xx-xx-2001 to xx-xx-2001 4. TITLE AND SUBTITLE Nutrition Standards and Education

  10. US Army Medical Department Journal, April-June 2005

    DTIC Science & Technology

    2005-06-01

    793. AUTHOR: 12. Bailit M, Dyer MB. Beyond bankable dollars: Establishing a business tMedical Corps, U.S. Army. Lieutenant Colonel Rice is an...Available at http://www.emwf.org/usr _ d o / Care Administration and is assigned to Headquarters, U.S. Army Medical Bailitbeyond bankable

  11. Civilian primary care prescribing psychologist in an army medical center.

    PubMed

    Shearer, David S

    2012-12-01

    The present article discusses the integration of a civilian prescribing psychologist into a primary care clinic at Madigan Army Medical Center. A description of the role of the prescribing psychologist in this setting is provided. The author asserts that integrating prescribing psychology into primary care can improve patient access to skilled behavioral health services including psychotherapeutic and psychopharmacologic treatment. Potential benefits to the primary care providers (PCPs) working in primary care clinics are discussed. The importance of collaboration between the prescribing psychologist and PCP is emphasized. Initial feedback indicates that integration of a prescribing psychologist into primary care has been well received in this setting.

  12. Emergency Medical Services

    MedlinePlus

    ... need help right away, you should use emergency medical services. These services use specially trained people and ... emergencies, you need help where you are. Emergency medical technicians, or EMTs, do specific rescue jobs. They ...

  13. Medical Services: Preventive Dentistry

    DTIC Science & Technology

    2007-11-02

    hygienist b. DENTAC— dental activity c. DFO— dental fitness officer d. DODDS—Department of Defense Dependent Schools e. HSC—U.S. Army Health Services Command f...community health dental hygienist (CHDH) in implementing these programs. (3) Coordinate with the preventive medicine activity and post or installation...aspects of preven- tive dentistry and dental public health programs. j. The community health dental hygienist , where assigned, will assist the DFO as

  14. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), looking east. - Fitzsimons General Hospital, Tennis Courts, Northeast Corner of East McCloskey Avenue & North Hickey Street, Aurora, Adams County, CO

  15. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Artesian Well, East McCloskey Avenue, East of Building No. 231, Aurora, Adams County, CO

  16. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover) - Fitzsimons General Hospital, Quartermaster Store House, Northwest Corner of East I Avenue & North Twelfth Street, Aurora, Adams County, CO

  17. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). - Fitzsimons General Hospital, Greenhouse, West Pennington Avenue, East of Building No. 139, Aurora, Adams County, CO

  18. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Semi-Infirmary Turbercular Ward, Northwest Corner of Charlie Kelly Boulevard & South Hickey Street, Aurora, Adams County, CO

  19. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing southwest corner of building 732. - Fitzsimons General Hospital, Storehouses, Northwest Corner of East Harlow Avenue & North Thirteenth Street, Aurora, Adams County, CO

  20. Photocopy of print from the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of print from the Fitzsimons Army Medical Center Real Property Book (green cloth cover). - Fitzsimons General Hospital, Tool House, West Pennington Avenue, North of Building No. 140, Aurora, Adams County, CO

  1. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). - Fitzsimons General Hospital, Post Exchange Garage, Northwest Corner of West Pennington Avenue & North Eighth Street, Aurora, Adams County, CO

  2. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Storehouse, East Harlow Avenue, immediately South of Building 201, Aurora, Adams County, CO

  3. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Ambulent Tubercular Ward, Southeast Corner of East Bushnell Avenue & South Hickey Street, Aurora, Adams County, CO

  4. Photocopy of photograph from the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover). - Fitzsimons General Hospital, Semi-Infirmary Tubercular Ward, Southeast Corner of East Harlow Avenue & South Page Street, Aurora, Adams County, CO

  5. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south and east sides. - Fitzsimons General Hospital, Ice Plant, Southwest Corner of East I Avenue & North Thirteenth Street, Aurora, Adams County, CO

  6. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides. - Fitzsimons General Hospital, Pharmacy & Prophylactic Station, Northwest Corner of West McAfee Avenue & South Eighth Street, Aurora, Adams County, CO

  7. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), showing west side. - Fitzsimons General Hospital, Fire Equipment House, North Page Street, North of Building No. 228, Aurora, Adams County, CO

  8. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), west and north sides of the southern wing. - Fitzsimons General Hospital, Laundry, Southeast corner of East Harlow Avenue & South Twelfth Street, Aurora, Adams County, CO

  9. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Post Exchange Garage, North Eighth Street, North of Building No. 143, Aurora, Adams County, CO

  10. Photocopy of photograph from the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover), showing east side. - Fitzsimons General Hospital, Transformer House, North Page Street, immediately North of Building No. 216, Aurora, Adams County, CO

  11. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), south sides. - Fitzsimons General Hospital, Officer Recreation Building, West Harlow Avenue, immediately East of Building 118, Aurora, Adams County, CO

  12. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides. - Fitzsimons General Hospital, Workshop Building, East Harlow Avenue, immediately East of Building No. 529, Aurora, Adams County, CO

  13. Photocopy of photograph from the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover), showing east side and north sides. - Fitzsimons General Hospital, Transformer House, North Page Street, immediately North of Building No. 217, Aurora, Adams County, CO

  14. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south side. - Fitzsimons General Hospital, Tubercular Ward, Southwest Corner of East Bushnell Avenue & South Page Street, Aurora, Adams County, CO

  15. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Nurses Quarters No. 3, Northwest Corner of West Harlow Avenue & North Seventh Street, Aurora, Adams County, CO

  16. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), showing south and west sides. - Fitzsimons General Hospital, Salvage Building, Northeast Corner of East I Avenue & North Page Street, Aurora, Adams County, CO

  17. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Storage Sheds, Northeast Corner of West Pennington Avenue & North Eighth Street, Aurora, Adams County, CO

  18. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and north sides. - Fitzsimons General Hospital, Wagon Shed with Office, Southeast Corner of East J Avenue & North Tenth Street, Aurora, Adams County, CO

  19. Photocopy of photograph from the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph from the Fitzsimons Army Medical Center real property book (green cloth cover), probably southwest side. - Fitzsimons General Hospital, Operating Pavilion, West McAfee Avenue, East of Building No. 507, Aurora, Adams County, CO

  20. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south side. - Fitzsimons General Hospital, Infirmary, Northwest Corner of East Bushnell Avenue & South Page Street, Aurora, Adams County, CO

  1. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), north side. - Fitzsimons General Hospital, Administration Building, Southeast Corner of West McAfee Avenue & South Eighth Street, Aurora, Adams County, CO

  2. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), probably south and west sides. - Fitzsimons General Hospital, Nurses' Quarters, Southeast Corner of West McAfee Avenue & South Hickey Street, Aurora, Adams County, CO

  3. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), probably south and west sides. - Fitzsimons General Hospital, Utilities Storeroom, West Pennington Avenue, East of Building No. 145, Aurora, Adams County, CO

  4. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover) south and east sides. - Fitzsimons General Hospital, Nurses' Garage, East of Building No. 121, Aurora, Adams County, CO

  5. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), south side. - Fitzsimons General Hospital, Office Building, Northwest Corner of West McCloskey Avenue & North Tenth Street, Aurora, Adams County, CO

  6. Photocopy of print in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of print in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), probably south side. - Fitzsimons General Hospital, Female Dormitory, Southeast Corner of West McCloskey Avenue & North Seventh Street, Aurora, Adams County, CO

  7. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover), probably south side. - Fitzsimons General Hospital, Officers' Garage, West Pennington Avenue, West of Building 129, Aurora, Adams County, CO

  8. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south side. - Fitzsimons General Hospital, Laboratory Annex, Northwest Corner of East McCloskey Avenue & North Twelfth Street, Aurora, Adams County, CO

  9. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south and west sides. - Fitzsimons General Hospital, Power House, Northwest Corner of East Harlow Avenue & North Page Street, Aurora, Adams County, CO

  10. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth clover), west side. - Fitzsimons General Hospital, Motor Transport Dispatcher's Office, Northeast Corner of East Harlow Avenue & North Tenth Street, Aurora, Adams County, CO

  11. Photocopy of photograph from Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph from Fitzsimons Army Medical Center real property book (green cloth cover), south and west sides. - Fitzsimons General Hospital, Gymnasium, Northeast Corner of East Harlow Avenue & North Page Street, Aurora, Adams County, CO

  12. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover), east side. - Fitzsimons General Hospital, Shops Building, Northwest Corner of West Pennington Avenue, & North Tenth Street, Aurora, Adams County, CO

  13. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south and east sides. - Fitzsimons General Hospital, Nurses' Quarters, Southwest Corner of West Harlow Avenue, & South Eighth Street, Aurora, Adams County, CO

  14. Rear Area Security In The Field Army Service Area.

    DTIC Science & Technology

    1965-05-19

    his ma.jor subordinate Commanders, the arm support brigade commander. Rear are? ecurity doctrine requires the area coriander to coordin- ate unit...field army service area. Response The army support brigade coriander conducts phase I rear area security operations within the limits of current

  15. Medical Services Assistant Curriculum.

    ERIC Educational Resources Information Center

    Leeman, Phyllis A.

    Designed to develop 12th-grade multiple competencies courses, this curriculum prepares the student to assist a physician, dentist, or other health professional with the management of a medical office and to perform basic health services procedures. Course descriptions are provided for the two courses in the curriculum: medical services assistant…

  16. Medical Services Assistant Curriculum.

    ERIC Educational Resources Information Center

    Leeman, Phyllis A.

    Designed to develop 12th-grade multiple competencies courses, this curriculum prepares the student to assist a physician, dentist, or other health professional with the management of a medical office and to perform basic health services procedures. Course descriptions are provided for the two courses in the curriculum: medical services assistant…

  17. [Medical research in the US Armed Forces (Report 3). The US Army].

    PubMed

    Agapitov, A A; Aleĭnikov, S I; Bolekhan, V I; Ivchenko, I V; Krassiĭ, A B; Nagibovich, O A; Petrov, S V; Rezvantsev, M V; Soldatov, E A; Shalakhin, R A; Sheppli, E V

    2012-12-01

    The US Army. The present article is the third part of the review dedicated to organization and management of medical research in the US Armed Forces. The first and the second parts have been published in the previous issuses of the journal. Specifically this article is dedicated to organization and management of medical research in the US Army. It is shown that in the US Army the medical and biological research is conducted and coordinated by the special US Army Medical Research and Materiel Command. The following units are successively presented: US Army Institute of Surgical Research, US Army Medical Research Institute of Chemical Defense, US Army Medical Research Institute of Infectious Diseases, US Army Research Institute of Environmental Medicine, Walter Reed Army Institute of Research, US Army Aeromedical Research Laboratory, Armed Forces Institute of Regenerative Medicine. The particular research programs conducting in the above mentioned institutions are presented.

  18. The United States Army Medical Department Journal, January - March 2009

    DTIC Science & Technology

    2009-03-01

    Professor, Uniformed Services University of the Health Sciences, Bethesda, MD By Order of the Secretary of the Army: Official: JOYCE E. MORROW...bold, almost flawlessly planned and executed operation. Unfortunately, lost in most depictions of this operation is the fact that it almost assuredly...and civil support are areas of new , heightened focus. We are currently on track in the Total Army Analysis for approval of four new veterinary

  19. 32 CFR 536.12 - Commanding General, U.S. Army Medical Command.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 3 2014-07-01 2014-07-01 false Commanding General, U.S. Army Medical Command.... Army Medical Command. (a) After consulting with the Commander USARCS on the selection of medical claims attorneys, the Commander of the U.S. Army MEDCOM, the European Medical Command, or other regional...

  20. 32 CFR 536.12 - Commanding General, U.S. Army Medical Command.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 3 2012-07-01 2009-07-01 true Commanding General, U.S. Army Medical Command.... Army Medical Command. (a) After consulting with the Commander USARCS on the selection of medical claims attorneys, the Commander of the U.S. Army MEDCOM, the European Medical Command, or other regional...

  1. Water Purification Unit Development for Field Army Medical Facilities.

    DTIC Science & Technology

    1978-04-01

    7 AD—A 063 2311 LIFE SYSTEMS INC CLEVELAND OHIO F.’G 6/6 WATER PURIFICATION UNIT DEVELOPMENT FOR FIELD ARMY MEDICAL FACI—ETC (U) APR 78 M K LEE. P Y...C~6963 / 9. PERFOR MING ORGA NIZAT ION NAME AND ADDRESS tO. PROGRAM ELEMENT . PROJECT . TASK AREA & WORK UNIT SEA S Life Systems, Inc. 62720A C 1 4 4...Contract DAMD17—76—C—6063 by LIFE SYSTEM S , INC. Cleveland , OH 441 22 for U. S. Army Medical Research and Development Command Ft. Detrick, Frederick

  2. Medical Evaluation Board for Mental Health Condition: U.S. Army Officer Medical Evaluation Board Data by Branch and Component.

    PubMed

    Thomas, William A; Doane, Eric L; Gallavan, Robert H; Tavares, Spencer; Jones, Mark C

    2017-09-01

    A retrospective review of Medical Evaluation Board (MEB) data to determine the effect of career field or Army component on the relative risk for mental health (MH) related MEBs among Army Officers, may identify specific populations for enhanced screening before accession, or groups that may require targeted preventive resources during their careers. 4 years' of data available on Army Officers from the Department of the Army's Electronic Disability Evaluation System database, contained specific information on the officers' physical profiles, career fields, and service component. This information was compared with a dataset provided by the Defense Manpower Data Center (DMDC), reporting documented force strength by career field and service component for the corresponding years, allowing for calculation and comparison of MEB and MH-MEB rates between Army components and between career fields. Significant differences in MEB and MH-MEB rates were found between Army components, but database gaps make this assessment uncertain. When comparing MEB and MH-MEB rates between career fields (regardless of service component), 9 career fields had statistically significant higher risk rates of MEB and/or MH-MEB, whereas 13 career fields showed significantly lower rates of MEB and/or MH-MEB. Frequency of Army Officer MEBs and/or MH-MEBs were variable and career field dependent; the underlying causes of these variations warrant further research. The use of the Electronic Disability Evaluation System database for the Integrated Disability Evaluation System process is a rich source of data for in-depth analysis, but the program itself and the procedures for its use need to be improved to obtain more complete information. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

  3. Medical students' unique experience of army leadership training: a qualitative study.

    PubMed

    Earis, John; Garner, J; Haddock, D; Jenkins, J; Jha, V

    2017-02-13

    To assess the interactive experience of first year medical students attending the leadership and management course hosted by a British Army Reserve Field Hospital developed in partnership with Liverpool University. 244 students submitted a 1000-word structured reflective learning assignment about their reaction to, learning from and any behaviour and attitude changes as a result of, the training. The assignments were thematically analysed to identify how aspects of the training had impacted upon the students' understanding of leadership and teamwork. Their comments relating to the army were analysed to gain insight into their views and experience of the training. Students were surprised at how enjoyable and useful they found the course. Initially they expressed scepticism about what they could learn in an army-based environment. However, the training, particularly command and planning tasks, helped them appreciate and understand the different skills individuals can bring to a team environment, and the importance of everyone contributing. While some students were challenged by aspects of the course, with support and encouragement from team-mates and the army personnel, they learned they could achieve more together. Teaching leadership and management skills to medical students is a challenge which can be effectively addressed by adapting and developing army training resources. Students overcame initial scepticism about participating, and learned a lot about themselves and each other. In addition, the army developed a better understanding of the doctors of the future. The expertise of the army in delivering this training was crucial to its success as the medical school could not have provided this experience unsupported. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  4. Photocopy of post card from Fitzsimons Army Medical Center Public ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of post card from Fitzsimons Army Medical Center Public Affairs Office, building 120. Photograph by Rocky Mountain photo. CO was no copyrighted and is , therefore, in the public domain. - Fitzsimons General Hospital, Memorial Tablet, West McAfee, South of Building No. 524, Aurora, Adams County, CO

  5. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south and north sides. - Fitzsimons General Hospital, Physiotherapy & Electrocardiograph Department Building, North of Building No. 516, East of corridor connecting Building No. 511 to Building No. 515, Aurora, Adams County, CO

  6. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph of south side before perpendicular wing added. - Fitzsimons General Hospital, Carpenter Shop Building, Southwest Corner of West I Avenue, & North Tenth Street, Aurora, Adams County, CO

  7. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), north and east sides of the east/west wing. - Fitzsimons General Hospital, General Mess & Kitchen, Southwest Corner of East McAfee Avenue & South Twelfth Street, Aurora, Adams County, CO

  8. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph taken before Sept. 29, 1934 when the revised Real Property form on building 257 was completed. - Fitzsimons General Hospital, Building 257, North side of East O'Neill Avenue, between Tenth & Twelfth Streets, Aurora, Adams County, CO

  9. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), south and west sides of buildings no. 719, now the north wing of building no. 508. - Fitzsimons General Hospital, Nurses' Mess & Kitchen, Nurses' Recreation, West McAfee Avenue, North of Building 507, Aurora, Adams County, CO

  10. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), south side. - Fitzsimons General Hospital, Red Cross Building, South Eighth Street Bounded by West McAfee Avenue on South & West Harlow Avenue on North, Aurora, Adams County, CO

  11. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property book (green cloth cover), showing east and most of south sides. - Fitzsimons General Hospital, Assembly Hall School, Northeast Corner of West McCloskey Avenue & North Tenth Street, Aurora, Adams County, CO

  12. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), probably west and north sides. - Fitzsimons General Hospital, Officer Patient's Mess & Kitchen, Northeast Corner of West McAfee Avenue & South Hickey Street, Aurora, Adams County, CO

  13. Photocopy of photograph in the Fitzsimons Army Medical Center Real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph taken before Sept. 29, 1934 when the revised Real Property form on building 256 was completed. - Fitzsimons General Hospital, Building 256, North side of East O'Niell Avenue, between Tenth & Twelfth Streets, Aurora, Adams County, CO

  14. Photocopy of photograph in Fitzsimons Army Medical Center Real Property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center Real Property Book (green cloth cover). Photograph taken before Sept 29, 1934 when the revised Real Property form on building 255 was completed. - Fitzsimons General Hopital, Building 255, North side of East O'Niell Avenue, between Tenth & Twelfth Streets, Aurora, Adams County, CO

  15. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing part of east side and most of north side. - Fitzsimons General Hospital, Quartermaster's Storehouse, Southwest Corner of East I Avenue & North Twelfth Street, Aurora, Adams County, CO

  16. Photocopy of photograph in the Fitzsimons Army Medical Center real ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides of building no. 715, now the south wing of building no. 508. - Fitzsimons General Hospital, Nurses' Mess & Kitchen, Nurses' Recreation, West McAfee Avenue, North of Building 507, Aurora, Adams County, CO

  17. Tumor Registry Follow-Up at Army Medical Centers.

    DTIC Science & Technology

    1983-06-03

    GROUP SUB-GROUP Hospitals ; healthcare; medical information systems; tumor registry7 c 1 ,’ 19. ABSTRACT (Continue on reverse if necessary and... hospitals , the Army Medical Department has supported the accreditation of its tumor registries by the American College of Surgeons. While accreditati is...TELEPHONE (Include Area Code) 22c OFFICE SYMBOL Lawrence M. Leahy, MAJ, MS (512) 221-6345/2324 HSHA-IHC DD Form 1473, JUN 86 Previous editions are

  18. The US Army Medical Department Email Teleconsultation Program.

    PubMed

    Lappan, Charles M

    2016-01-01

    The US Army Surgeon General authorized the formation of an email based teleconsultation program in 2004 to support deployed healthcare providers in Iraq and Afghanistan. The program, which began its 12th year of operation in April 2015, was originally viewed as a temporary solution until a robust system was fielded. Although future of the program as a going concern has not been determined, there is the possibility it could be incorprated into the critical care consultation program managed at an Army Medical Center.

  19. Emergency Medical Service

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Lewis Research Center helped design the complex EMS Communication System, originating from space operated telemetry, including the telemetry link between ambulances and hospitals for advanced life support services. In emergency medical use telemetry links ambulances and hospitals for advanced life support services and allows transmission of physiological data -- an electrocardiogram from an ambulance to a hospital emergency room where a physician reads the telemetered message and prescribes emergency procedures to ambulance attendants.

  20. A Study to Determine the Most Cost Effective Method for Delivery of a Selected Inpatient Medical Service to Champus Eligible Beneficiaries in the Silas B. Hays Army Community Hospital Catchment Area

    DTIC Science & Technology

    1988-12-01

    Procedures 526 141 151 CMIS 0ECA Dollar Value 39 91 02 49 Occupational Therapy DHBA Weighted Proced 7,431 3,892 9,289 11.614 Physical Therapy DHDA Visit 41...for delivery of the selected service within the Silas B. Hays Army Community Hospital physical plant was limited to those for which sufficient space...Specifics concerning the operation of the service such as physical location of its delivery, the hours of operation, and the price are also

  1. US Army Medical Research and Development Report.

    DTIC Science & Technology

    1979-10-01

    y SUWRY J4. KID O SUMMARY S. RSUMMARN SC DIV NTN b PCFI AA LVLO 78 10 01 HTERMIIIATIMU 1ATS[ NoLw=o ;0. NO./CO0OESo PROGRAM ELEMENT PROJECT MUMMER...L DATE PREY 5uWR -- KID OF 7-M 1.SUMAY CRTI SeCURITY . teGRADING. [I DISVN INGTIIV U MPCFIC DATA- l.LE L Of SUN 71001 H.TERMINATION U I’ U NA NL ACEE...CIlf we No S A tvtoe~~..ANNA D PORN AQ RY GUS EDITIONS OF THIS FORM AR& OBSCOLETE. 00 FORMS 14S9A. I NOV 05DD,"Aft 149 AN R.S1S-0. I MAAR 6S IVOR ARMY

  2. Technology complementing military behavioral health efforts at tripler army medical center.

    PubMed

    Stetz, Melba C; Folen, Raymond A; Yamanuha, Bronson K

    2011-06-01

    The purpose of this article is to provide a short narrative on the ways that behavioral health professionals and their patients are currently benefitting from the use of technology. Examples stem from applications of technology to patients/research participants at the Tripler Army Medical Center. The paper also discusses how current use of this technology has made it possible to serve individuals in their own cultural environment, providing a cost-effective means of providing mental health services.

  3. The Temporal Relationship Between Intrafamilial Violence, Deployment, and Serious Mental Illness in US Army Service Members

    DTIC Science & Technology

    2016-03-18

    Title:The Temporal Relationship Between Intrafamilial Violence , Deployment, and Serious Mental Illness in US Army Service Members PI: Rubin, David...Intrafamilial Violence , Deployment, and Serious Mental Illness in US Army Service Members PRINCIPAL INVESTIGATOR: David Rubin, MD, MSCE...Temporal Relationship Between Intrafamilial Violence , Deployment, and Serious Mental Illness in US Army Service Members 5a. CONTRACT NUMBER W81XWH-11

  4. Mental health services in Army primary care: the need for a collaborative health care agenda.

    PubMed

    Engel, C C; Kroenke, K; Katon, W J

    1994-03-01

    Epidemiologic studies have shown that more than half of mentally ill patients in the United States receive their psychiatric care exclusively in primary care settings. This fraction may be even higher in the military due to concern over possible occupational repercussions resulting from use of specialty psychiatric care and specialist shortages. Collaboration between generalists and mental health care specialists could potentially improve mental health care delivery and reduce psychiatric disability for a large segment of the Army population who have a psychiatric disorder but may not seek specialty care. Collaborative efforts can reinforce military generalists' essential gate-keeping function, thereby decreasing unnecessary medical utilization and health care costs. The authors review the problems associated with mental health care delivery in primary care and provide examples of collaborative models previously studied or currently being explored. A four-part Army Primary Care-Mental Health Services Agenda is proposed, consisting of: (1) coordinated research including primary care-mental health services research and community-based epidemiologic studies; (2) formation of a primary care-mental health services advisory committee for aiding with policy and program development; (3) graduate and continuing medical education in primary care-mental health services emphasizing interdisciplinary collaborative skills; and (4) clinical implementation of feasible collaborative interdisciplinary mental health care models adapted to the range of unique Army primary care settings. The main goal of the Army Primary Care-Mental Health Services Agenda is to improve access to Army mental health care in the most efficacious and cost-effective way and to help minimize the organizational impact of disability related to psychosocial distress.

  5. Photocopy of photograph from Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph from Fitzsimons Army Medical Center real property book (green cloth cover), showing building 225's west and a north sides. This photograph is included because it shows how the west side of building 221 looked before the corridor between buildings 220 and 221 was added and because building 225 was built to the same plan as building 221. - Fitzsimons General Hospital, Hospital Corps Barracks, East Harlow Street, East of Building No. 220, Aurora, Adams County, CO

  6. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), apparently showing west side of building 732. In 1921, buildings 732 and 733 were combined and it is assumed that this photograph, which was taken after 1921, shows the section added to make buildings 732 and 733 once continuous building. - Fitzsimons General Hospital, Storehouses, Northwest Corner of East Harlow Avenue & North Thirteenth Street, Aurora, Adams County, CO

  7. Army Medical Department Support to Stability Operations

    DTIC Science & Technology

    2007-02-28

    eliminate bubonic plague , vaccinate against smallpox, and institute measures for a safe water supply.21 Lieutenant General Arthur MacArthur, military...the war.36 Though the many medical assistance programs were plagued with unending challenges, and the overall outcome of the war has yet to be

  8. Physician Retention in the Army Medical Department

    DTIC Science & Technology

    2009-03-16

    Fifteen years ago, these jobs were filled by General Medical Officers ( GMO ) -- graduates of internships who spent some time “muddying their boots” in the...field while waiting a year or two for the residency position of their choice. Today, the GMO is an endangered species. In an effort to provide the best

  9. The United States Army Medical Department Journal. July - September 2011

    DTIC Science & Technology

    2011-09-01

    precision of measures used to assess their fitness level, lumbo- INTRODUCTION Musculoskeletal injuries are a primary source of disability in the US...lower extremity injuries. Service members were also excluded if they were unable to participate in unit physical training due to other musculoskeletal ...natural history and risk factors of musculoskeletal conditions resulting in disability among US Army personnel. Work. 2002;18(2):99-113. 3. Emery CA

  10. United States Army Medical Materiel Development Activity

    DTIC Science & Technology

    1989-03-10

    environment, biting insects), or acquired by deliberate exposure to aerosols . Product Managers exploit domestic and foreign medical technology to remedy...Japanese encephalitis; hemorrhagic fevers and other diseases spread by aerosol (and rapid methods to identify the cause of illness); schistosomiasis...Center is contrasting for the first production run. 19 /, I • I 0 Rift Valley Fever Vaccine was prepared by growing the virus in cultured monkey kidney

  11. Posttraumatic stress disorder and mortality among U.S. Army veterans 30 years after military service.

    PubMed

    Boscarino, Joseph A

    2006-04-01

    Research suggests that posttraumatic stress disorder (PTSD) may be associated with later medical morbidity. To assess this, we examined all-cause and cause-specific mortality among a national random sample of U.S. Army veterans with and without PTSD after military service. We used Cox proportional hazards regressions to examine the causes of death among 15,288 male U.S. Army veterans 16 years after completion of a telephone survey, approximately 30 years after their military service. These men were included in a national random sample of veterans from the Vietnam War Era. Our analyses adjusted for race, Army volunteer status, Army entry age, Army discharge status, Army illicit drug abuse, intelligence, age, and, additionally -- for cancer mortality -- pack-years of cigarette smoking. Our findings indicated that adjusted postwar mortality for all-cause, cardiovascular, cancer, and external causes of death (including motor vehicle accidents, accidental poisonings, suicides, homicides, injuries of undetermined intent) was associated with PTSD among Vietnam Theater veterans (N = 7,924), with hazards ratios (HRs) of 2.2 (p < 0.001), 1.7 (p = 0.034), 1.9 (p = 0.018), and 2.3 (p = 0.001), respectively. For Vietnam Era veterans with no Vietnam service (N = 7,364), PTSD was associated with all-cause mortality (HR = 2.0, p = 0.001). PTSD-positive era veterans also appeared to have an increase in external-cause mortality as well (HR = 2.2, p = 0.073). Our study suggests that Vietnam veterans with PTSD may be at increased risk of death from multiple causes. The reasons for this increased mortality are unclear but may be related to biological, psychological, or behavioral factors associated with PTSD and warrant further investigation.

  12. Economic Factors in Reserve Attrition: Prior Service Individuals in the Army National Guard and Army Reserve

    DTIC Science & Technology

    1989-03-01

    United States. Arms’ Reserve-Pay allowances, etc. 7. Veterans-United States. 1. Kirby, Sheila Nataraj. 1946 - . 11 United States. Office of the...this hypothesis. Asch (1986) found that Navy veterans in skill classes that were eligible to receive bonuses for affiliating with the Naval Reserve did...Probability of attrition, Army Reserve, by prior years of service BIBLIOGRAPHY Asch , Beth J., A Technique for Estimating the Effect of Pay on Selected

  13. Emergency Medical Services Program Guide.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Vocational Education.

    This program guide contains the standard emergency medical services curriculum for technical institutes in Georgia. The curriculum encompasses the minimum competencies required for entry-level workers in the emergency medical services field, and includes job skills in six emergency medical services divisions outlined in the national curriculum:…

  14. Emergency medical services

    NASA Technical Reports Server (NTRS)

    Billica, Roger; Chandler, Michael

    1994-01-01

    When NASA was established in 1958, it was known that space flight would require efforts beyond those of NASA to ensure the health and safety of our astronauts. On 10 Aug. 1958, a Secretary of Defense memorandum was signed that assigned the first Department of Defense (DOD) Manager to provide support to NASA for Project Mercury. This established a chain of command through the Joint Chiefs of Staff to the Secretary of Defense. The current charter is dated 19 Mar. 1986 and assigns the DOD Manager responsibilities to the Commander and Chief, US Space Command. The DOD Managers charter has many support areas and among them are recovery of astronauts and medical support. Today these efforts support the Space Shuttle and Space Station Programs. Briefly, the program works with each organization tasking the other through a requirements document. Level of care, communications, and recovery requirements are established; NASA and the DOD provide the capability to meet them. NASA is also responsible for the specialized training and equipment needed to meet these requirements. A Shuttle launch a KSC requires an Emergency Medical Services (EMS) coordinator on console to facilitate communications, ensure proper coverage, and coordinate with area hospitals. A contingent of NASA medical personnel are assembled to provide triage and medical support capabilities. The DOD provides medical evacuation (MEDEVAC) helicopters with surgeons and pararescue specialists (PJ's) or emergency medical technicians (EMT's). Each helicopter is equipped with at least one doctor and one PJ/EMT per astronaut crew member. Transoceanic abort landing (TAL) sites and end of mission (EOM) sites have similar structures, with TAL sites utilizing fixed wingg aircraft for MEDEVAC. The DOD also supports contingency planning for the support and return of crew members from the Space Station Freedom. Much of this support has been directed at the recovery of crew members following the landing of an Assured Crew Return

  15. U.S. Army Reserve (Medical) soldier prescription challenges during Operation Iraqi Freedom.

    PubMed

    Savitala, Murty; Dydek, George J

    2004-12-01

    The continuous requirement to mobilize and deploy reserve soldiers presents numerous challenges for the Army Medical Department. One of the challenges in the preparation for deployment of reserve soldiers is the assessment of chronic prescription medication requirements and the eventual filling of these requirements during deployment. The assigned unit pharmacy officer can provide a value-added service through the identification and coordination of the pharmaceutical needs of an activated deploying unit. A unit pharmacy officer conducted a prescription medication use analysis on an activated Army Reserve Medical Unit before deployment in support of Operation Iraqi Freedom. The study population consisted of 181 soldiers identified through a volunteer survey administered by the assigned pharmacy officer. The prescription medication requirements for the unit were identified in a predeployment status and an evaluation was conducted to determine the ability to sustain the medication requirements once the unit was to be deployed. Gaps in the availability of prescription medication requirements in a predeployed status were identified indicating potential deficiencies in the capability to replenish prescription medication requirements during deployment.

  16. Suicide attempts in U.S. Army combat arms, special forces and combat medics.

    PubMed

    Ursano, Robert J; Kessler, Ronald C; Naifeh, James A; Mash, Holly Herberman; Fullerton, Carol S; Ng, Tsz Hin Hinz; Aliaga, Pablo A; Wynn, Gary H; Dinh, Hieu M; McCarroll, James E; Sampson, Nancy A; Kao, Tzu-Cheg; Schoenbaum, Michael; Heeringa, Steven G; Stein, Murray B

    2017-05-25

    The U.S. Army suicide attempt rate increased sharply during the wars in Iraq and Afghanistan. Risk may vary according to occupation, which significantly influences the stressors that soldiers experience. Using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), we identified person-month records for all active duty Regular Army enlisted soldiers who had a medically documented suicide attempt from 2004 through 2009 (n = 9650) and an equal-probability sample of control person-months (n = 153,528). Logistic regression analyses examined the association of combat occupation (combat arms [CA], special forces [SF], combat medic [CM]) with suicide attempt, adjusting for socio-demographics, service-related characteristics, and prior mental health diagnosis. In adjusted models, the odds of attempting suicide were higher in CA (OR = 1.2 [95% CI: 1.1-1.2]) and CM (OR = 1.4 [95% CI: 1.3-1.5]), but lower in SF (OR = 0.3 [95% CI: 0.2-0.5]) compared to all other occupations. CA and CM had higher odds of suicide attempt than other occupations if never deployed (ORs = 1.1-1.5) or previously deployed (ORs = 1.2-1.3), but not when currently deployed. Occupation was associated with suicide attempt in the first ten years of service, but not beyond. In the first year of service, primarily a time of training, CM had higher odds of suicide attempt than both CA (OR = 1.4 [95% CI: 1.2-1.6]) and other occupations (OR = 1.5 [95% CI: 1.3-1.7]). Discrete-time hazard functions revealed that these occupations had distinct patterns of monthly risk during the first year of service. Military occupation can inform the understanding suicide attempt risk among soldiers.

  17. 32 CFR 536.12 - Commanding General, U.S. Army Medical Command.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Commanding General, U.S. Army Medical Command. 536.12 Section 536.12 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES The Army Claims System § 536.12 Commanding General,...

  18. Implementation of a Quality Assurance Program in a United States Army Medical Treatment Facility

    DTIC Science & Technology

    1981-10-30

    The Medical Care Evaluation Committee would review all QA studies dealing with direct patient care concerns and make recommendations to the Executive...34 Quality Review Bulletin 5: 4-5, 1979. (2) United States Army, "Quality Assurance ( Medical Care Evaluation )" Army Regulation 40-400, change 1, Chapter...Trust, 1976. Government Publications 1. United States Army, "Quality Asurance ( Medical Care Evaluation ), Amy PReulation 40-400, change 1, chapter 10, June

  19. [Operational medical reserve within the French Mililitary Health Service].

    PubMed

    Vergez-Larrouget, Claude; Roberton, Delphine; Schneider, Cindy; Reggad, Farid; Charrot, François; Cueff, Serge

    2014-09-01

    The operational reserve is an essential component of the army health service thanks to the trained and experienced healthcare professionals. From a civilian background or with prior active duty, their technical and military skills enable them to provide medical support for all types of missions, both within France and abroad.

  20. U.S. Army Medical Department Journal (October-December 2006)

    DTIC Science & Technology

    2006-12-01

    headaches, migraines, concussions, seizures , syncope, epilepsy , nonsurgical neck or back pain, chronic pain syndromes, and vague neuropsychiatric...Medical Information Program 65 During Operation Iraqi Freedom IV MAJ Mark L. Higdon, MC, USA Report Documentation Page Form ApprovedOMB No. 0704-0188...US Army Medical Research and Materiel Command, Fort Detrick, Maryland. 20 Army Medical Department Journal INTRODUCTION Operation Iraqi Freedom has

  1. Army Information Technology Enterprise Solutions-2 Services Contract

    DTIC Science & Technology

    2007-08-09

    satisfy worldwide development, deployment, operation, maintenance, and sustainment requirements for the Army. This contract is intended to provide IT...a single contract or a multiple award contract to satisfy two or more requirements of a department, agency, or activity for supplies or services...requirements in the preparation of the ITES-2S contract. ITES-2S is a $20 billion multiple-award contract that will satisfy multiple requirements

  2. A Study to Develop a Decision Support Model for the Assessment of Needs and Prioritization of Recruitment/Selection Activities Under the Military- Civilian Health Services Partnership Program at Bayne-Jones Army Community Hospital

    DTIC Science & Technology

    1989-07-01

    physicians within military medical treatment facilities. The model is designed to aid the commander and his supporting staff in the objective...OF THE ARMY US ARMY MEDICAL DEPARTMENT ACTIVITY FORT POLK. LOUISIANA 71459-6000 REPLY TO ATTENTION OF: HSXV-CSD 27 September 1989 MEMORANDUM THRU COL...Relevant Factors . . . . . . . . . . 39 Conduct a Comparative Analysis of Competing Medical Service Needs . . . . . . . . . . . . . . 39 Prioritize

  3. Photocopy of photograph in Fitzsimons Army Medical Center real property ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover). In that book, this photograph appears for building 706 was renumbered 353 and subsequently 202. The building in the photograph resembles building 204 more than it does building 202, but all Fitzsimons Real Property records indicate that the building in the photograph, showing west side, is early photograph of building 202. - Fitzsimons General Hospital, Motor Transport Garage, Northwest Corner of East Harlow Avenue, & North Twelfth Street, Aurora, Adams County, CO

  4. Tele-orthopaedics: United States Army European Regional Medical Command.

    PubMed

    Morgan, Jeffrey; Walker, Shaka; Melaas, David; Crane, Maria; Bacahui, Jacob; Boedeker, Ben H

    2012-01-01

    Telemedicine is the provision of medical care over long distances by way of videoconferencing and other communication technologies. Staff at Vilseck U.S. Army Clinic set up a 3-month pilot real-time tele-orthopaedic clinic to determine if it was feasible to extend Orthopaedic specialty care over long distances. A full time physician assistant was located at the patient site and an orthopaedic surgeon was located at the Landstuhl or Heidelberg site. Patients were initially evaluated by the PA. Complex consults were reviewed by the PA and Orthopaedic surgeon via telephone or VTC. Patients meeting possible indications for surgery were then scheduled for a VTC consult with a surgeon.

  5. Education and experience of Army flight medics in Iraq and Afghanistan.

    PubMed

    Bier, Scott; Hermstad, Erik; Trollman, Christopher; Holt, Melinda

    2012-10-01

    Adequate training levels and an appropriate amount of continuing education for Army flight medics (AFM) is a highly contested topic. We sought to obtain a cross-section of the education, experience, and time spent by flight medics on patient care before and in between deployments. We also sought the opinions of AFM regarding training, transport staffing, and medical oversight. This was a prospective survey study administered electronically via SurveyMonkey.com to AFM deployed or recently deployed. This study was conducted under a protocol reviewed and approved by the U.S. Army Medical Research and Materiel Command Institutional Review Board, and in accordance with the approved protocol. Of the 53 AFM that participated, 57% stated they spend less than 10 h/mo on patient care and 28% reported getting no exposure to patients at all when not deployed. A majority (85%) felt that training to the paramedic level was optimal for their mission. Regarding time between deployments, 77% disagreed that they spent enough time on patient care and 96% agreed they would benefit from medical rotations. Almost half agreed they had been in situations while deployed they felt unprepared for medically. Results from this study seem to indicate AFM feel their training and patient contact is too limited prior to and in between deployments. These findings support a need for the reassessment of initial and ongoing training standards for AFM in order to best take care of our sick and wounded service members.

  6. An Occupational Health Nursing Computer Application in Medical Care: An Army Approach

    PubMed Central

    McKenna, Mary K.

    1983-01-01

    Occupational health nursing has become an increasingly important specialty in the field of nursing during this century. In the broadest concept, occupational health is concerned with all factors which influence the health of people at work. Nurses, as well as other health care professionals, are attempting to apply the evolving technology of the computer to direct client care applications in the workplace. One such relevant use of the computer has been that of targeted disease surveillance in an occupational health setting. This paper will address the process utilized by community health nurses to assess, plan, implement and evaluate a computerized disease surveillance program in an occupational health setting. The program was a joint effort between the United States Army Medical Department Activity, Fort Irwin, California and the Epidemiology Consultant Service of the Division of Preventive Medicine, the Walter Reed Army Institute of Research, Washington, DC. (WRAIR).

  7. Medical Services: Veterinary Health Services

    DTIC Science & Technology

    1994-08-16

    Incorporates guidance to prepare required medical records for military working dogs (para 6-5). o Prescribes the following three revised forms: DD...Form 1741 (Military Working Dog Immunization Record), (paras 5-3c and 6-5a(1)(f)); DD Form 2341 (Report of Animal Bite--Potential Rabies Exposure...Working Dog Master Problem List), (paras 5-1a(11) and 6-5a(1)(d)); DD Form 2620 (Request for and Report of Laboratory Examination for Rabies), (para

  8. Medical Service Plans in Academic Medical Centers

    ERIC Educational Resources Information Center

    Siegel, Bernard

    1978-01-01

    The control of clinical practice and the disposition of income from this practice have complicated the governance of medical schools for many years. The problem has been magnified recently by a decrease in income from other sources, reduction in the number of service patients, expansion of private services, and federal legislation. Implications…

  9. Factors Affecting Medical Service Quality

    PubMed Central

    MOSADEGHRAD, Ali Mohammad

    2014-01-01

    Abstract Background A better understanding of factors influencing quality of medical service can pinpoint better strategies for quality assurance in medical services. This study aimed to identify factors affecting the quality of medical services provided by Iranian physicians. Methods Exploratory in-depth individual interviews were conducted with sixty-four physicians working in various medical institutions in Iran. Results Individual, organizational and environmental factors enhance or inhibit the quality of medical services. Quality of medical services depends on the personal factors of the physician and patient, and factors pertaining to the healthcare setting and the broader environment. Conclusion Differences in internal and external factors such as availability of resources, patient cooperation and collaboration among providers affect the quality of medical services and patient outcomes. Supportive leadership, proper planning, education and training and effective management of resources and processes improve the quality of medical services. This article contributes to healthcare theory and practice by developing a conceptual framework for understanding factors that influence medical services quality. PMID:26060745

  10. Assessing the effectiveness of the British Army's mental health service.

    PubMed

    Finnegan, Alan; Finnegan, Sarah

    The Ministry of Defence's commitment to modernizing and improving mental health (MH) care for Armed Forces personnel has resulted in considerable changes to frontline services. The last remaining United Kingdom (UK) military psychiatric hospital closed on 1 April 2004 with the move to a clear, integrated care pathway between primary healthcare, military departments of community mental health (DCMHs) and secondary healthcare. The Army's eight UK DCMHs provide a patient-centred, occupational MH service grounded in the military MH philosophy of local, easily accessible, effective treatment (O'Brien, 1998). These MH services have been exposed to significant media interest and this article will attempt to quantify the correct state of affairs through patient, customer and staff satisfaction surveys. Clinical groups in the customer survey recorded a satisfaction rate of 87%, the staff survey 72% and the patient survey 94%. The Army has excellent access to specialist MH support and a common theme emerging in these surveys is the perception that the MH teams provide a high quality of service. The three surveys provide valuable direction to improve patient care and highlight strengths such as 97% of patients receiving appointments compatible with their duties.

  11. Enhancing Military-Civilian Medical Synergies: The Role of Army Medical Practice in Civilian Facilities

    DTIC Science & Technology

    2016-01-01

    132206p.pdf ———, Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS), Washington, D.C., Department of...including regional medical commands and military treatment facilities, and, more broadly, to health leaders throughout the U.S. Department of Defense...U.S. Army and conducted within the RAND Arroyo Center’s Personnel, Training, and Health Program. RAND Arroyo Center, part of the RAND Corporation

  12. Medic for the millennium: the U.S. Army 91W health care specialist.

    PubMed

    De Lorenzo, R A

    2001-08-01

    The new millennium challenges the Army Medical Department to provide good care in a variety of circumstances from peacetime to operations other than war to combat. To provide care in this broad variety of missions, the Army Medical Department needs flexible providers. The new 91W health care specialist enlisted medic is designed to meet this need. By coupling skills in emergency care, evacuation, medical force protection, and primary care with certification in emergency medical technology, the 91W initiative will fill the needs of the Army now and into the new millennium.

  13. Child Development Services: Army Regulation 608-10 (Effective 15 October 1983).

    ERIC Educational Resources Information Center

    Department of the Army, Washington, DC.

    As of October 15, 1983, Army Regulation 608-10 has prescribed policies, procedures, and standards for establishing and operating Child Development Services (CDS), formerly Child Support Services, at Army installations. The regulation applies to all activities, contractors, individuals, and private organizations providing child care services for…

  14. 32 CFR 516.14 - Service of process on DA or Secretary of Army.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Service of process on DA or Secretary of Army. 516.14 Section 516.14 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Service of Process § 516.14 Service of process on...

  15. United States Army Medical Department Journal, January-March 2010

    DTIC Science & Technology

    2010-03-01

    Physical Disability Evaluation System medications; submit to medical or surgical treatment or therapy ; or observe prescribed restrictions on diet...by 2x(monthly base pay)x(years of active duty service). For RC Soldiers, active federal service is computed by dividing the total number of active...deter physicians and dentists from participating in peer review. Based upon these premises, Congress enacted the Health Care Quality Improvement Act of

  16. Emerging roles of the US Army Veterinary Service.

    PubMed

    Vroegindewey, Gary

    2007-01-01

    When leaving office, Tommy Thompson, the former Secretary of the Department of Health and Human Services, indicated that the 2 things that concerned him most were avian influenza and the safety of the United States food supply: "I, for the life of me, I do not know why the terrorists have not, you know, attacked our food supply, because it is so easy to do." These are DoD and national concerns and are a direct focus of the US Army Veterinary Service as part of its emerging roles and responsibilities. While continuing its core missions of food safety, animal medicine, and research and development in support of the DoD, the US Army Veterinary Service must be able to meet its responsibilities in the new emerging arenas. In order to meet these requirements, additional resources in the form of authorizations, training, equipment, and funding will be required. In addition, innovative partnerships and collaboration within the AMEDD, DoD, and interagency partners will be critical.

  17. Mission and Installation Contracting Command Services Acquisition: Empirical Analysis of Army Service Contract Management Practices

    DTIC Science & Technology

    2011-06-01

    the efficiency and effectiveness of service contracts. In this study, data was collected from two Army contracting offices. This study serves as a pilot... service type affects contract characteristics and management practices. The study also demonstrates that there is a relationship between capacity and...management practices. These findings show that the performance of service contracts can be improved through enhanced contract management process capabilities.

  18. [Medical support of the 65th Army during the East Prussian offensive operation performed by the 2nd Belorussian Front].

    PubMed

    Shelepov, A M; Leonik, S I; Lemeshkin, R N

    2015-02-01

    Prussian offensive operation performed by the 2nd Belorussian Front. An activity of the medical An activity of the medical service of the 65th Army during the East Prussian offensive operation performed by the 2nd Belorussian Front is a typical example of the medical support of troops during the final stages of World War II. Forms and methods of medical support management, which were developed during the war, haven't lost their importance in modern conditions. These methods include the establishment of specialized surgical and therapeutic field hospital, establishment of medical institutions in the Army, which worked on the evacuation directions and reserve of mobile hospitals and transport, timely extension of the first echelons of the hospital base front to change institutions hospital deployed the army base. A research of experience in organizing medical support of the offensive operations performed during the last year of World War II provides the material for the development of the theory of modern medical support operations and ability to provide on this basis, the continuity of the hospitals, the continuity of qualified and specialized medical care, improve the performance of diagnostic and treatment work.

  19. [The army of the East and health services].

    PubMed

    Guivarc'h, Marcel

    2007-01-01

    A medical disaster due to the failure of a plan intended to free Belfort by an army of 90 000 men, formed by Bourbaki in Nevers, joined in Besancon by 40 000 men from Lyon and from Dijon. Envisaged in three days, the regrouping lasts three weeks. A gigantic railway blocking, by an icy cold, leaves in the trains of the soldiers without food, of the horses without irons nor fodder. A third of manpower is from the start inapt for the fights. The utter exhaustion of the men don't make possible to exploit the success of Villersexel's battle (January 9), nor to cross Lizaine. The medical army officers joined those of the civil ambulances formed in South-east, and that of Pamard. The care given with delay on the covered with snow ground, in precarious shelters or encumbered hospitals, is summary. Cold, gelures, walk feet, infection, associated variola, are the cause of a high mortality: 8 500 died, and much of casualties. Ordered by Bourbaki, the dramatic routed to Switzerland by Pontarlier and the Cluse collar, under the Prussian shells will add 15 000 killed. The Swiss ones collect sick and wounded in 200 ambulances along the border, and on 87 000 men to be disarmed in 9 000 hospitalize. Pamard will remain until March 18 at the Pontarlier' hospital.

  20. Unwarranted Variation in the Medical Management of Injured Civilian Workers in the U.S. Army Medical Command

    DTIC Science & Technology

    2005-04-01

    civilian federal employees, structure and process variables were obtainedfrom an annual status reportsubmitted from each-Army medical treatment facility...from an annual status report submitted by each Army medical treatment facility. Using hierarchical multiple linear regression, these variables were...tested as potential predictors of the average total cost per case of an injured civilian employee in each medical treatment facility. Three variables

  1. The Army's Search for Tomorrow--Why Not a Domestic Service Corps.

    ERIC Educational Resources Information Center

    Putnam, Carl M.

    The document reviews the basic question whether the Army could administer a modern day version of the Civilian conservation Corps (Domestic Service Corps) without reducing its contribution to the national defense effort. The Domestic Service Corps (DSC) would combine unemployed youth and Army managerial talent to resolve the urban and…

  2. WASTE MINIMIZATION OPPORTUNITY ASSESSMENT: OPTICAL FABRICATION LABORATORY - FITZSIMMONS ARMY MEDICAL CENTER

    EPA Science Inventory

    Under the Waste Reduction Evaluations at Federal Sites (WREAFS) program, RREL has taken the initiative to merge the experience and resources of the EPA with other Federal agencies. At the Fitzsimmons Army Medical Center (FAMC) in Aurora, Colorado, the Army and the EPA cooperated ...

  3. WASTE MINIMIZATION OPPORTUNITY ASSESSMENT: OPTICAL FABRICATION LABORATORY - FITZSIMMONS ARMY MEDICAL CENTER

    EPA Science Inventory

    Under the Waste Reduction Evaluations at Federal Sites (WREAFS) program, RREL has taken the initiative to merge the experience and resources of the EPA with other Federal agencies. At the Fitzsimmons Army Medical Center (FAMC) in Aurora, Colorado, the Army and the EPA cooperated ...

  4. Medical Statistics for the Army for the Year 1972.

    DTIC Science & Technology

    MILITARY MEDICINE, MILITARY PERSONNEL, STATISTICAL DATA, DISEASES, ILLNESS, FRANCE, TABLES(DATA), TRANSLATIONS, PATIENTS, INFECTIOUS DISEASES, ARMY, DEATH, MORTALITY RATE, TRAUMA, PARASITIC DISEASES , ACCIDENTS, MENTAL DISORDERS.

  5. Medical Services: The Disputed Related Service.

    ERIC Educational Resources Information Center

    Bartlett, Larry

    2000-01-01

    This article analyzes the 1999 Supreme Court decision, Cedar Rapids Community School District v. Garret F., which affirmed the school district's responsibility to provide medical services to a student with disabilities. It traces the legal history of the issue, examines lines of case law underlying the decision, and discusses the likely…

  6. [Organisation of scientific and research work of Navy medical service].

    PubMed

    Gavrilov, V V; Myznikov, I L; Kuz'minov, O V; Shmelev, S V; Oparin, M Iu

    2013-03-01

    The main issues of organization of scientific and research work of medical service in the North Fleet are considered in the present article. Analysis of some paragraphs of documents, regulating this work at army level is given. The authors give an example of successful experience of such work in the North Fleet, table some suggestions which allow to improve the administration of scientific and research work in the navy and also on the district scale.

  7. Medical Services: Patient Administration

    DTIC Science & Technology

    2007-11-02

    21, page 16 Section VII Beneficiaries of Other Federal Agencies, page 17 General • 3–22, page 17 Beneficiaries of the Department of Veterans Affairs... female members who require maternity care establish beneficiary status with a copy of their DD Form 214 (Certificate of Release or Discharge from Active...for medical care associated with LD injuries or illnesses will be processed using the same procedures. f. The authority for all Department of Veterans

  8. Trends in medical equipment service.

    PubMed

    1997-06-01

    Driven by the recent emphasis on cost containment in the healthcare industry as a whole, hospitals, manufacturers, and service providers have been spurred to try to find ways to reduce their costs and increase their revenues. As a result of the measures taken to achieve these goals, the medical equipment service industry has been experiencing a period of rapid change. In this environment, traditional alternatives for servicing medical equipment are being challenged, and new alternatives are being developed. The changes occurring in this industry are of vital interest to clinical engineers and technicians because it is those changes that will determine the future role of these professionals in the hospital. While such technology experts will not become obsolete-the reliance on medical technology to provide optimal healthcare will certainly continue in the United States and throughout the rest of the developed world-the roles of these experts could very likely change. As hospitals focus more narrowly on their core functions, noncore functions such as servicing and managing technology will come under scrutiny as possible candidates for outsourcing to reduce the hospital's administrative responsibilities and cut its cost burden. In this article, we review the recent past of the medical equipment service industry and describe some current trends that will play a role in shaping the future of this industry. We also discuss how the changes currently taking place will likely affect the viability of in-house clinical engineering departments. In our discussion, we spotlight service issues related to radiology equipment because (1) this equipment dominates service expenditures and (2) the servicing of these devices has spawned some of the changes causing hospitals to reexamine how all their medical equipment is being serviced and managed.

  9. U.S. Army Medical Research Institute of Infectious Diseases Annual Report, Fiscal Year 1986

    DTIC Science & Technology

    1986-10-01

    PURCHASE ORDERS IN EFFECT UNITED STATES ARMY MEDICAL RESEARCH INSTITUTE OF INFECTIOUS DISEASES FY 86 CONTRACT NUMBER TITLE, INVESTIGATOR, INSTITUTION...ia Rsac Insitt ofIfetou isae ~A", ANNUAL REPORT Fiscal Year 1986 OTIC IELECTE DEC27.0U United States Army Medical Research Institute of Infectious... human use, it was less effective , demonstrating that the carrier, vaccinia virus, plays an important role in the expression of the foreign gene inserts

  10. [Ophthalmic reasons in unfitness for military service in medical evidence of the Area Military Medical Commission in Lodz].

    PubMed

    Nowak, Michał S; Goś, Roman; Smigielski, Janusz

    2008-01-01

    To assess ocular causes for rejection from the military service. A retrospective review of medical examinations for entry to the military service from The Area Military Medical Commission in Lodz. Ophthalmic examinations were performed according to meet eligibility criteria. We used statistic analysis to review the results. Statistic analysis revealed that during period 1993-2004 ocular diseases were causes of 4.68% rejections from the army. The major ocular causes were high refractive errors. 1. Ocular diseases are important causes for rejection from the army (4.68% in total). 2. Major ocular causes for rejection are: high refractive errors, glaucoma and chronic diseases of the choroid, retina and optic nerve.

  11. An Evolving Customer Service Plan at Keller Army Community Hospital: Doing More with Less and Doing it More Nicely

    DTIC Science & Technology

    1999-04-01

    customer needs . The Department of Defense is now offering a comprehensive medical program called TRICARE. The Surgeon General of the Army recently stated that "TRICARE is the future" and "If we expect to survive as an MHS, we had best get on board." Knowledge of customer service/patient satisfaction offers insight into the MHS-patient relationship and other essential components associated with health care

  12. Army flight medic performance of paramedic level procedures: indicated vs. performed.

    PubMed

    Bier, Scott A; Hermstad, Erik; Trollman, Christopher; Holt, Melinda

    2013-05-01

    There is great disparity in the education, experience, and staffing requirements for civilian and Army aeromedical transports (AMT). This study sought to determine if medical skills beyond the standard training for Army flight medics were indicated and being performed on Army AMT missions. As a secondary measure, the percentage of indicated interventions performed by basic Emergency Medical Technician (EMT-B) and paramedic (EMT-P) flight medics were compared. This was a retrospective review of Army AMT charts including patients transported by an EMT-B-staffed unit in Iraq and an EMT-P-staffed unit in Afghanistan from July 2008 to June 2009. Charts were reviewed independently by two Emergency Medicine board-certified Army flight surgeons. Of 984 interventions found to be indicated on the 406 charts that met inclusion criteria, 36% were rated as EMT-P level. Seventeen percent were indicated but not performed. EMT-Bs failed to perform indicated procedures 35% of the time vs. 3% in the EMT-P group (p < 0.001). For paramedic-level procedures, EMT-Bs failed to make 76% of appropriate interventions, compared to <1% in the EMT-P group (p < 0.001). There seems to be a substantial number of procedures beyond the scope of standard Army flight medic training being required for Army AMT missions. It seems that when advance interventions are indicated, those trained to the EMT-P level perform them significantly more often than those trained to Army standard. Based on the findings of this study, the authors suggest the Army consider adopting the standards required for civilian AMT. Published by Elsevier Inc.

  13. The 1991 Department of the Army Service Response Force exercise: Procedural Guide SRFX-91

    SciTech Connect

    Madore, M.A.; Thomson, R.S.; Haffenden, R.A.; Baldwin, T.E.; Meleski, S.A.

    1991-09-01

    This procedural guide was written to assist the US Army in planning for a chemical emergency exercise at Tooele Army Depot in Utah. The roles of various members of the emergency response community are described for various accident scenarios, and the relationships between the various responders are identified. For the June 1991 exercise at Tooele, the emergency response community includes the command structure at Tooele Army Depot; the US Army Service Response Force and other Department of Defense agencies; emergency response personnel from Tooele, Salt Lake, and Utah counties and municipal governments; the Utah Comprehensive Emergency Management Agency and other state agencies; and various federal agencies.

  14. Improving Readiness and Reducing Costs: An Analysis of Factors That Influence Site Selection for Army Outpatient Surgical Services.

    PubMed

    Little, Katherine E; Martinez, Katie M; Forman, Jessica L; Richter, Jason P; Wade, Michael L

    The variable costs of providing surgical procedures for military beneficiaries are greater when care is rendered in the civilian purchased care network than when provided at a direct care military treatment facility (MTF). To reduce healthcare-related costs, retaining surgical services is a priority at MTFs across the U.S. Army Medical Command. This study is the first to identify factors significantly associated with outpatient surgical service site selection in the military health system (MHS). We analyzed 1,000,305 patient encounters in fiscal year 2014, of which 970,367 were direct care encounters and 29,938 were purchased care encounters. We used multiple binomial logistic regression to assess and compare the odds of site selection at a purchased care facility and an MTF. We found that an increase in provider administrative time (OR = 1.024, p < .001) and an increase in case complexity (OR = 1.334, p < .001) were associated with increased odds that an outpatient surgical service was provided in a purchased care setting. The increased odds that highly complex cases were seen in purchased care has the potential to affect the medical readiness of military providers and the efficacy of graduate medical education programs. Healthcare administrators can use the results of this study to develop and implement MTF level policies to enhance outpatient surgical service practices in the Army medical system. These efforts may reduce costs and increase military provider medical readiness.

  15. [Medical Service of the Lithuanian Armed Forces].

    PubMed

    Golota, A S; Ivanov, V V; Krassii, A B; Mironov, V G; Soldatov, E A; Shalakhin A A

    2016-01-01

    The article is a brief description of the current state of Lithuanian Armed Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Lithuania, its Armed Forces, and their, medical service is presented. Then the medical service particular features are described, with more detail, namely, the organization of the inpatient and outpatient treatment, medical supply, scientific research, combat medicine, medical staff education and training, medical service personnel income.

  16. Technology complementing military psychology programs and services in the Pacific Regional Medical Command.

    PubMed

    Stetz, Melba C; Folen, Raymond A; Van Horn, Sandra; Ruseborn, Daniel; Samuel, Kevin M

    2013-08-01

    The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Regional Medical Command. Due to Tripler's large area of responsibility, many behavioral health professionals are starting to employ more technology during their sessions. As explained in this article, virtual reality and telepsychology efforts are proving to benefit military service members and their families in the Pacific Rim.

  17. Emergency Medical Services Program Standards.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Vocational Education.

    This guide contains 45 program standards for the emergency medical services program conducted in technical institutes in Georgia. The standards are divided into 12 categories: foundations (philosophy, purpose, goals, program objectives, availability, evaluation); admissions (admission requirements, provisional admission requirements, recruitment,…

  18. U.S. Army Medical Bioengineering Research and Development Laboratory Annual Progress Report FY 1985. Volume 1

    DTIC Science & Technology

    1985-10-01

    Commanding V 2 PUR POSE The United States Army Medical Bioengineering Research and Development Laboratory (USAMBRDL) serves the needs of the soldier ir...Occupational Health concerns related to Chemical Substances from Army Industrial and Field Operations. MISSION The United States Army Medical Bioengineering...assessments and environmental health effects . It also develops or modifies, tests, and evaluates field medical, dental and water treatment equipment

  19. U.S. Army Health Services Command Inspector General Organizational Climate Survey

    DTIC Science & Technology

    1991-08-01

    SERVICES COMMAND INSPECTOR GENERAL ORGANIZATIONAL CLIMATE SURVEY A. David Mangelsdorff, Ph.D., M.P.H. U.S. Army Health Care Studies and Clinical... Climate Survey 5 ANNEX HSC Inspector General Organizational Climate Survey 6 U.S. ARMY HEALTH SERVICES COMMAND INSPECTOR GENERAL ORGANIZATIONAL CLIMATE SURVEY...10 Category Military 22 65 8 4 1 Civilian 1 11 5 4 13 Table 2 Mean Values of HQ HSC IG Organizational Climate Survey Rated Items Mil Civ Mil Civ Mil

  20. The founding of Walter Reed General Hospital and the beginning of modern institutional army medical care in the United States.

    PubMed

    Adler, Jessica L

    2014-10-01

    When Walter Reed United States Army General Hospital opened its doors in 1909, the Spanish-American War had been over for a decade, World War I was in the unforeseeable future, and army hospital admission rates were steadily decreasing. The story of the founding of Walter Reed, which remained one of the flagship military health institutions in the United States until its 2011 closure, is a story about the complexities of the turn of the twentieth century. Broad historical factors-heightened imperial ambitions, a drive to modernize the army and its medical services, and a growing acceptance of hospitals as ideal places for treatment-explain why the institution was so urgently fought for and ultimately won funding at the particular moment it did. The justifications put forth for the establishment of Walter Reed indicate that the provision of publicly funded medical care for soldiers has been predicated not only on a sense of humanitarian commitment to those who serve, but on principles of military efficiency, thrift, pragmatism, and international competition. On a more general level, the story of Walter Reed's founding demonstrates a Progressive Era shift in health services for U.S. soldiers-from temporary, makeshift hospitals to permanent institutions with expansive goals.

  1. Pathology and Laboratory Medicine Support for the American Expeditionary Forces by the US Army Medical Corps During World War I.

    PubMed

    Wright, James R; Baskin, Leland B

    2015-09-01

    Historical research on pathology and laboratory medicine services in World War I has been limited. In the Spanish American War, these efforts were primarily focused on tropical diseases. World War I problems that could be addressed by pathology and laboratory medicine were strikingly different because of the new field of clinical pathology. Geographic differences, changing war tactics, and trench warfare created new issues. To describe the scope of pathology and laboratory medicine services in World War I and the value these services brought to the war effort. Available primary and secondary sources related to American Expeditionary Forces' laboratory services were analyzed and contrasted with the British and German approaches. The United States entered the war in April 1917. Colonel Joseph Siler, MD, a career medical officer, was the director, and Colonel Louis B. Wilson, MD, head of pathology at the Mayo Clinic, was appointed assistant director of the US Army Medical Corps Division of Laboratories and Infectious Disease, based in Dijon, France. During the next year, they organized 300 efficient laboratories to support the American Expeditionary Forces. Autopsies were performed to better understand treatment of battlefield injuries, effects of chemical warfare agents, and the influenza pandemic; autopsies also generated teaching specimens for the US Army Medical Museum. Bacteriology services focused on communicable diseases. Laboratory testing for social diseases was very aggressive. Significant advances in blood transfusion techniques, which allowed brief blood storage, occurred during the war but were not primarily overseen by laboratory services. Both Siler and Wilson received Distinguished Service Medals. Wilson's vision for military pathology services helped transform American civilian laboratory services in the 1920s.

  2. Consumer Perception of Inpatient Medical Services

    PubMed Central

    Takase, Kozo

    2016-01-01

    Although it is currently popular to reflect consumers’ perspectives to medical service management, insufficient attempts have been made to understand detailed perception of the consumer side of medical services to promote medical services’ evaluation from the consumer viewpoint. The aim of this study was to descriptively reveal how consumers perceive medical services that they receive, focusing on inpatient medical services. We conducted semi-structured interviews with 10 adults who experienced hospitalization of five or more days. Constant comparative analysis was performed on the obtained descriptive data. We identified 1) medical procedures, 2) explanations from medical professionals, 3) behavior of medical service providers, 4) somatic sensations, and 5) self-perceived physical conditions as target factors that medical service consumers perceived during hospitalization. The response to the perceived target factors, “compared with the expectation that the consumer had before the hospitalization,” suggests that it is an important medical service consumer reaction to check if the service met their expectations for perceived factors. The response to the medical services perception targets suggested that medical service consumers are involved in medical services and interested in various perception targets. The expectations that medical service consumers have prior to hospitalization can largely influence inpatient medical services evaluation. PMID:27832165

  3. Work Unit Determination for Staffing Requirements in Occupational Therapy within Army Medical Facilities

    DTIC Science & Technology

    1979-05-01

    As an indicator of manpower productivity in Occupational Therapy clinics at Army MTFs, the clinic visit has been used. However, in recent years...medical records, chart audits, peer review, and the need for additional records and reports have all impacted on the occupational therapist’s time. Thus...Medical Treatment Facility); Manpower utilization; Health care, Occupational therapy clinic manpower staffing.

  4. [The historical experience of therapeutic service in the Army and Navy during the Great Patriotic War].

    PubMed

    Ovchinnikov, Yu V

    2015-05-01

    The author presents the experience of therapeutic services of the army and navy during the Great Patriotic War (1941-1945) and its importance for the present. This experience became a-general methodological framework-for the development of principles for the organization of work of military physicians in a modern warfare and the application of new weapons. The history of development, aims and objectives of the new section of Military Medicine--the Military Field Therapy as a unified system of organization and delivery of health care to servicemen based on the principles of a unified military field medical doctrine. A problem of organization of new health facilities (hospitals, hospital databases), their acquisition of trained personnel, especially the structure of internal medicine in the war years, the treatment and the early rehabilitation of wounded and sick, between the military and civilian medical institutions-is highlighted. There is an information that 90.6%, or more than 6.5 million soldiers and officers who were treated in hospitals with various diseases, were returned to duty. The experience of the medical service in World War II and the actual demand and is now planning for a package of measures aimed at further improvement of the health status of military-personnel.

  5. Pharmaceutical services in an Army field hospital in Haiti during Operation Uphold Democracy.

    PubMed

    Frank, K J

    1996-07-15

    The pharmaceutical services provided by an Army field hospital in Haiti during Operation Uphold Democracy are described. In January 1995, 155 soldiers of the 47th Field Hospital from Ft. Sill, Oklahoma, were deployed to Haiti to provide medical care for 2400 U.S. troops and 7000 multinational troops and police officers. The pharmacy staff (one pharmacist and two technicians) provided patient counseling, drug information, staff consultation, and clinical support to the intensive and intermediate care wards and emergency medical tent of the field hospital. Other responsibilities were providing nonprescription drugs to outpatients, interpreting and evaluating drug orders, participating in drug selection, and ordering supplies. A 30- to 60-day drug supply was maintained. The formulary was designed by the pharmacist and an internist and was based on the mission requirements and conditions in Haiti. Of the 10 oral medications most commonly dispensed to outpatients, 6 were antibacterials and 1 was an antimalarial. An average of two patients were admitted to the hospital daily. Some 240 inpatients were recorded in the pharmacy computer during the hospital's six-month deployment, and more than 5000 were treated in the emergency tent. The pharmacy service of the 47th Field Hospital met the challenge of supporting U.S. and multinational troops in Haiti during Operation Uphold Democracy.

  6. Medical Services: Medical, Dental, and Veterinary Care

    DTIC Science & Technology

    2002-01-28

    for Research and Engineering. (5) Appoint the holder of the DA establishment and product licenses as specified in the Memorandum of Agreement ( MOA ...according to FDA requirements. (8) Provide guidance and approval of locally negotiated MOAs with civilian blood collection agencies on DA installations...A sample template for such an MOA is available on request from the Army Blood Program Office.) (9) Oversee, perform, and maintain data for the U.S

  7. Nuclear Medical Science Officers: Army Health Physicists Serving and Defending Their Country Around the Globe

    NASA Astrophysics Data System (ADS)

    Melanson, Mark; Bosley, William; Santiago, Jodi; Hamilton, Daniel

    2010-02-01

    Tracing their distinguished history back to the Manhattan Project that developed the world's first atomic bomb, the Nuclear Medical Science Officers are the Army's experts on radiation and its health effects. Serving around the globe, these commissioned Army officers serve as military health physicists that ensure the protection of Soldiers and those they defend against all sources of radiation, military and civilian. This poster will highlight the various roles and responsibilities that Nuclear Medical Science Officers fill in defense of the Nation. Areas where these officers serve include medical health physics, deployment health physics, homeland defense, emergency response, radiation dosimetry, radiation research and training, along with support to the Army's corporate radiation safety program and international collaborations. The poster will also share some of the unique military sources of radiation such as depleted uranium, which is used as an anti-armor munition and in armor plating because of its unique metallurgic properties. )

  8. [The head of battlefronts medical service during the Great Patriotic War].

    PubMed

    Gribovskaia, G A

    2014-05-01

    The article is dedicated to unrenowned moments of life of the outstanding organizer of the system of military healthcare general-lieutenant of medical service Arsenii Yakovlevich Barabanov (1901-1952). His outstanding organizing skills and deep knowledge in the field of military medicine revealed during the Second World War, when he was the head of medical service of 31st Army of the Western Front and 34th Army of North-Western Front and since 1942 he has helmed medical service of Donskoy, Central, 1st Belorussian Fronts. His experience in organization of collecting of PW, system medical treatment for PW acquired during the battle of Stalingrad and afterwards was used and improved during further offensive operations, especially during the final stage of the Second World War and also in organization of medical aid for prisoners of war from the Soviet Union and allied states freed from Nazi extermination camps.

  9. Index to Army Times, 1993

    DTIC Science & Technology

    1994-02-01

    10. DEPMEDS ff& DEPLOYABLE MEDICAL SYSTEM (DEPMEDS) S DESERT TORTOISE --NATIONAL TRAINING CENTER (NTC), FORT IRM.N, CA Tortoise vs. tank: No contest...Times; Sep. 13, 1993; 54(7): p. 8. Rangers in Somalia: Anatomy of a firefight (After-Action Review). Army Times; Nov. 15, 1993; 54(16): p. 14...TELEPHONE SERVICE International toLl-free numbers mushroom. Army Times; Oct. 11, 1993; 54(11): p. 18. TORTOISE SEE DESERT TORTOISE TOTAL ARMY

  10. [Medical Service of the Norwegian Armed Forces].

    PubMed

    Golota, A S; Krassiĭ, A B; Morovikova, T V; Soldatov, E A

    2014-09-01

    The article is a brief description of the current state of the Norwegian Armed Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Norway, the Norwegian Armed Forces, and their medical service is presented: Then some particular features are described with more detail, namely, the organization of the inpatient and outpatient treatment, medical supply, scientific research, combat medicine, medical staff education and training, medical service personnel income.

  11. Radiology in World War II (Medical Department, United States Army)

    DTIC Science & Technology

    1966-01-01

    of opinion as the war progressed. They included: 102 RADIOLOGY FJiuG-z 33.-Moderately advanced pulmon - ary tuberculosis detected in routine roent...therapy of cancer , like its surgical management, had become so complex that, unless the disease was treated with skill far above the average, therapeutic...efforts directed toward it could be wasted. To control cancer with X-rays produced by the equipment available to Army hospitals, except the equipment

  12. The United States Army Medical Department Journal, April - June 2008

    DTIC Science & Technology

    2008-06-01

    SFC Roye L. Patton, USA; HMCS William Adams, USN Malaria Risk Assessment for the Republic of Korea 46 Based on Models of Mosquito Distribution... model of conventional warfare between armies into operations against shadowy, low-tech, loosely organized insurgencies. MAJ Derek Licina has...coauthors present a new approach they developed to model the distribution of malaria vectors, using the US military installations on the Korean peninsula

  13. Designated Medical Directors for Emergency Medical Services: Recruitment and Roles

    ERIC Educational Resources Information Center

    Slifkin, Rebecca T.; Freeman, Victoria A.; Patterson, P. Daniel

    2009-01-01

    Context: Emergency medical services (EMS) agencies rely on medical oversight to support Emergency Medical Technicians (EMTs) in the provision of prehospital care. Most states require EMS agencies to have a designated medical director (DMD), who typically is responsible for the many activities of medical oversight. Purpose: To assess rural-urban…

  14. Designated Medical Directors for Emergency Medical Services: Recruitment and Roles

    ERIC Educational Resources Information Center

    Slifkin, Rebecca T.; Freeman, Victoria A.; Patterson, P. Daniel

    2009-01-01

    Context: Emergency medical services (EMS) agencies rely on medical oversight to support Emergency Medical Technicians (EMTs) in the provision of prehospital care. Most states require EMS agencies to have a designated medical director (DMD), who typically is responsible for the many activities of medical oversight. Purpose: To assess rural-urban…

  15. Military inpatient residential treatment of substance abuse disorders: the Eisenhower Army Medical Center experience.

    PubMed

    Mooney, Scott R; Horton, Philip A; Trakowski, John H; Lenard, Janet H; Barron, Mark R; Nave, Peggy V; Gautreaux, Melissa S; Lott, Heather D

    2014-06-01

    Opened in 2009, the Dwight D. Eisenhower Army Medical Center Inpatient Residential Treatment Facility (RTF) is the largest and most well-established inpatient substance use disorder treatment facility in the Department of Defense. The RTF is a 28-day inpatient treatment program that employs evidence-based practices and is based on Alcoholics/Narcotics Anonymous principles that are incorporated with a hybrid of military daily structure regime including early morning physical training. Family involvement is encouraged. The RTF is staffed by a multidisciplinary team specializing in addictions and admits Active/Activated Service Members (SMs) from all Service branches, typically those who have failed other military/civilian substance use disorder programs. Eighty-seven percent of SMs referred to the program successfully commenced, with continuous sobriety observed in over half of SMs 6 months later, and 1 year relapse rates comparable to other alcohol treatment programs. Limitations of our program evaluation efforts, lessons learned, and recommendations for the way ahead are shared. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  16. A Non-Traditional Methodology for Determining the Cost of Graduate Medical Education within the Army Medical Department.

    DTIC Science & Technology

    1994-08-01

    OBGYN intern/resident are $215,425 and $182,775 respectively The development of this methodology has enabled the Army Medical Department to determine...the cost for orthopedics and OBGYN residency programs with minimal expenditure of resources Additionally, results obtained through the application

  17. Managing the Services Supply Chain in the Department of Defense: Empirical Study of the Current Management Practices in the Army

    DTIC Science & Technology

    2009-09-21

    Managing the Services Supply Chain in the Department of Defense: Empirical Study of the Current Management Practices in the Army 21 September...Managing the Services Supply Chain in the Department of Defense: Empirical Study of the Current Management Practices in the Army 5a. CONTRACT NUMBER 5b...Service Supply Chain , Services Acquisition, Service Lifecycle, Contract Management, Project Management, Program Management = = ^Åèìáëáíáçå=oÉëÉ~êÅÜ

  18. Emergency Medical Service (EMS): Rotorcraft Technology Workshop

    NASA Technical Reports Server (NTRS)

    Bauchspies, J. S.; Adams, R. J.

    1981-01-01

    A lead organization on the national level should be designated to establish concepts, locations, and the number of shock trauma air medical services. Medical specialists desire a vehicle which incorporates advances in medical technology trends in health care. Key technology needs for the emergency medical services helicopter of the future include the riding quality of fixed wing aircraft (reduced noise and vibration), no tail rotor, small rotor, small rotor diameter, improved visibility, crashworthy vehicle, IFR capability, more affordability high reliability, fuel efficient, and specialized cabins to hold medical/diagnostic and communications equipment. Approaches to a national emergency medical service are discussed.

  19. Emergency Medical Services: Initial Survey Report.

    ERIC Educational Resources Information Center

    Huff, Hugh; Caltagirone, Norma

    This report presents the findings of an initial survey that was designed to systematically determine the educational needs of citizens with regards to the emergency medical services system in their county. Specifically, the survey sampled the knowledge of respondents concerning: (1) what medical service is; (2) what services are available; (3) how…

  20. U.S. Army MEDEVAC in the new millennium: a medical perspective.

    PubMed

    Gerhardt, R T; McGhee, J S; Cloonan, C; Pfaff, J A; De Lorenzo, R A

    2001-07-01

    The U.S. Army Aeromedical Evacuation community (MEDEVAC) possesses a long-standing tradition of excellence in the care and transportation of combat casualties. Recent developments in civilian air medical transport and quantitative review of MEDEVAC operations have identified potential areas for improvement, concentrating on enhanced flight medic standards, training, sustainment and medical oversight of the air ambulance system. These proposed changes are discussed in detail, from the perspective of current emergency medicine and aviation medicine standards of practice. If instituted, these changes would facilitate the emergence of a true air medical transport capability comparable with the civilian community standard.

  1. Kansas Regional Medical Program Library Services *

    PubMed Central

    Schaffer, Desi Bravo

    1970-01-01

    The Kansas Regional Medical Program Office for Library Services was developed to link the medical library resources and to make them available to health-related personnel throughout Kansas. Library offices have been established at the Central Kansas Medical Center, Great Bend, Stormont Medical Library, Topeka, and at the Wichita State University, Wichita. The main office, located at the Clendening Medical Library, University of Kansas Medical Center, Kansas City, provides medical library services to those three offices, the other medical libraries in Kansas, and to the health professionals in the state who do not have medical library resources available. Reference requests are accepted via a twenty-four-hour telephone service from medical librarians and from individual health professionals. PMID:5424510

  2. Unauthorized drug use in the US Army based on medical review officer evaluations.

    PubMed

    Platteborze, Peter L; Kippenberger, Donald J; Martin, Thomas M

    2014-01-01

    This article examines the US Army's Medical Review Officer (MRO) drug positive urinalysis evaluations from 2009 through 2012. We retrospectively analyzed nearly 70,000 MRO results by year, drug and Army component. Of the MRO reviewable positive results, the Army's unauthorized drug positive rate was 22.21%. The component rates were 20.81, 24.17 and 26.09% for the Active Duty, Reserve and National Guard, respectively. By drug, the average unauthorized rates over these 4 years were 13.78% for oxycodone, 24.62% oxymorphone, 18.56% d-amphetamine, 98.04% d-methamphetamine, 21.97% codeine, 45.21% morphine and 100% steroids. In 2012 testing began for hydrocodone and hydromorphone and their unauthorized rates were 12.32 and 15.04%, respectively. The Army's unauthorized drug positive rate peaked in 2012 when it increased over 44% from the previous year. The 2012 rates in decreasing order were steroids > D-methamphetamine > morphine > oxymorphone > oxycodone > codeine > D-amphetamine > hydromorphone > hydrocodone. This comprehensive analysis showed that the majority of the Army's MRO reviews were associated with the use of authorized prescriptions; however, there appears to be significant abuse of oxycodone and D-amphetamine. Published by Oxford University Press 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  3. Theater Army Medical Management Information System: A MANPRINT evaluation

    DTIC Science & Technology

    1989-06-01

    Management Information System (TAMMIS) and the division level version of the system, TAMMIS-D. TAMMIS/ TAMMIS-D are automated, on-line, interactive, microcomputer systems designed to manage combat medical information but capable of performing peacetime functions as well. The systems were developed to meet the needs of medical commanders by providing timely, accurate, and relevant information on the status of patients, medical units, and medical supplies on the battlefield. The IOT&E was conducted at Fort Lewis, WA in tents erected between two-story barracks

  4. Medical Services: Standards of Medical Fitness

    DTIC Science & Technology

    2002-03-28

    Pap smear (795) graded LGSIL or higher severity, or any smear in which the descriptive terms carcinoma-in-situ, invasive cancer , condyloma acuminatum... cancer who have not received any surgical or medical cancer therapy for 5 years and are free of cancer ; i n d i v i d u a l s w i t h a h i s t o r y o f W...has been removed. (See also APL, Cancer in Aircrew.) 4–28. Sexually transmitted diseases The causes of medical unfitness for flying duty Classes 1/1A/2

  5. [Health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the Russian Army].

    PubMed

    Koteev, P K; Kireev, S G; Golovinova, V Iu

    2013-08-01

    Results of health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the Russian Army are submitted as following. The emercom of russia firemen's average annual rate of primary morbidity is 459,1, that of labor losses' days 8430,8, of disability 0,9, and mortality cases 0,7. The russian army contract servicemen's average annual rate of primary morbidity during the covered period comes to 410,3, that of discharges 7,4, and mortality cases 1,3. The results of comparative analysis show that the rate of contract servicemen's primary morbidity is lower than that of emercom of Russia firemen below 10.6% (p < 0.001), whereas their discharge level is higher above 87% (p < 0.001). In the course of comparison of the emercom of Russia Federal fire service employees' and the Russian Army contract servicemen's primary morbidity structure it was revealed that the indexes of the diseases of respiratory system, traumas and poisoning are higher among the first ones. On the contrary, their indexes were lower in the sphere of circulatory system, skin and hypodermic cellulose diseases. The indexes of circulatory system diseases in the disability (discharge level) structure of the emercom of Russia Federal fire service employees were higher than those of other diseases. It is expedient to use the results of this research in forming of priority assignments and conducting of a complex of curative and prophylactic measures organized by the medical service of the emercom of Russia.

  6. Critical care medicine at Walter Reed Army Medical Center in support of the global war on terrorism.

    PubMed

    Colombo, Christopher J; Mount, Cristin A; Popa, Christian A

    2008-07-01

    The military medical experience during wartime is unique and distinct from civilian medical practice. Historically, the military has produced innovations resulting in both civilian and military medical care advances, and our current conflict is no different. In this article, we provide a description of the medical and surgical intensive care units at Walter Reed, their history, and approach to new issues encountered in the care of Operation Iraqi Freedom and Operation Enduring Freedom soldiers. Additionally, descriptive statistics regarding the number of Operation Iraqi Freedom and Operation Enduring Freedom soldiers admitted to the critical care service, basic demographics, general category of injury, and discussion of intensive care unit issues unique to this patient population, such as Acinetobacter and traumatic brain injury, are presented. We intend to provide a general description of our Operation Iraqi Freedom/Operation Enduring Freedom trauma population cared for by the critical care service at Walter Reed Army Medical Center, as well as a discussion of our approach to caring for some of their unique issues, to detail experiences that could translate into improvements for civilian trauma centers.

  7. A Study to Determine a Methodology for Establishing a Center of Excellence Program at Fitzsimons Army Medical Center.

    DTIC Science & Technology

    1992-01-10

    69 D. SPECIAL REQUIREMENTS FOR GRADUATE MEDICAL EDUCATION PROGRAM IN CARDIOLOGY ............................ 74 E...FITZSIMONS ARMY MEDICAL CENTER GRADUATE MEDICAL EDUCATION PROGRAM IN CARDIOLOGY ................... 76 1 A Study to Determine a Methodology for...prioritized according to average government cost for 27 different diagnostic medical specialties to include adverse reaction, allergy, cardiology

  8. The Impact of Managed Care on Internal Medicine Graduate Medical Education at Brooke Army Medical Center

    DTIC Science & Technology

    2000-06-01

    managed care among residents and staff physicians (Simon, Pan , Sullivan, Clark-Chiarelli, Connelly, Peters, Singer, Inui, and Block, 1999). In fact...have Internal Medicine GME 11 shown that managed care has decreased time for research and teaching (Simon, Pan , Sullivan, Clark-Chiarelli, Connely...Residents on Operational Medicine, Managed Care, Graduate Medical Education, and Continued Military Service. Military Medicine, 163(6), 392. Simon, S. R., Pan

  9. Medical Services: Armed Forces Medical Examiner System

    DTIC Science & Technology

    2007-11-02

    Armed Forces Medical Examiner system Procedural Guide. 3–4. Forensic dental identification The Forensic Dentistry Section of the Department of Oral...Pathology at AFIP and special consultants in forensic dentistry to the surgeons general of the Armed Forces will serve as the principal advisers to the...a. Courses and programs. (1) Forensic dentistry /odontology. (2) Aerospace pathology. (3) Basic forensic pathology. (4) Advanced forensic pathology

  10. Medical reconnaissance for the Defence Medical Services Dhaulagiri Expedition 2016.

    PubMed

    Winchester, J; Coombs, B

    2015-01-01

    The formation of a clear and well-informed medical plan is critical to the safe planning and execution of any expedition in remote locations. We performed a reconnaissance of medical facilities in Nepal in March 2015 prior to a large Defence Medical Services (DMS) expedition to the Dhaulagiri area in 2016. Visiting relevant medical facilities in person provides invaluable information and experience of what healthcare services may be relied upon in managing an expedition casualty, in scenarios ranging from minor illness to major trauma. We describe the principles, practice and level of detail required for performing such a medical reconnaissance and illustrate this with examples of our findings from Nepal.

  11. Medical Risk in the Future Force Unit of Employment. Results of the Army Medical Department Transformation Workshop V

    DTIC Science & Technology

    2006-01-01

    or ICU Required at UE? Post -Op Time Start/End Time Ready for Evac to UE Prognosis and Comments RTD KIA care evac Urgent Priority Routine Immediate...Care),” in Russ Zajtchuk and Christopher M. Grande, eds., Textbook of Military Medicine , Washington, D.C.: Office of the Surgeon General, 1995. Johnson...United States. Army Medical Dept—Congresses. 3. Military Medicine —organization & administration—United States—Congresses. 4. Delivery of Health Care

  12. Energy Rating of Food Service Equipment Used in Army Dining Facilities

    DTIC Science & Technology

    1979-11-01

    c <• raw PREif:t : \\ :; Is 1 >*_-_a til B3 TECHNICAL REPORT I NATICK/TR-81/006 O >- ENERGY RATING OF FOOD SERVICE EQUIPMENT USED IN...Entered) T. nv!Qiiy-flÜMBe.R f J REPORT DOCUMENTATION PAGE NATICK]|TR-8O/OO6 4. TITLE (and Subtitle) ENERGY RATING OF FOOD SERVICE EQUIPMENT... Food Systems Equipment Div., Food Engineering Lab US Army Natick Research & Development Command Natick, Massachusetts 01760 14. MONITORING

  13. US Army Medical Department Journal, January - March 2008. Warriors in Transition; Healing with Dignity and Determination

    DTIC Science & Technology

    2008-03-01

    became evident that there profiles in their electronic medical records. was room for implementation of new processes and programs in order to decrease...Sciences, Bethesda, MD Quality Assurance Don Aldridge By Order of the Secretary of the Army: Editor Official: JanetAquino JOYCE E. MORROW GEORGE W. CASEY...the ability to quickly and efficiently organize, mobilize, and attack a problem in times of crisis . That strength became a major factor in addressing

  14. U.S. Army Medical Department Journal, October-December 2005

    DTIC Science & Technology

    2005-12-01

    CMB. multiple direct combat situations than any previous American conflict. Both male and female Soldiers, previously regarded as strictly medical...complete Germany, on Wiesbaden Army Airfield (WAAF). Though association of friends, loved ones, children , and spouses. The I have just recently assumed...battalion is in partnership again the proud recipient of the LTG Ellis D. Parker Aviation with the Wiesbaden American Middle School in Unit Award

  15. U.S. Army Medical Materiel Development Activity 1990 Annual Report

    DTIC Science & Technology

    1990-01-31

    hazards , and the ability to provide care to the combat casualty. OBJECTIVES Army readiness is predicated upon the timely and successful execution of...Force to Budget, Fort Detrick, MD, February 1990 Hathaway, Cecil C. Fire Hazards of Oxygen Handling Systems, Philadelphia, PA, May 1990 Hathaway, Cecil C...60.00 Ribavirin, Therapeutic 61.00 Antiparasitic, Malaria ( Enpiroline ) 62.00 Antibiotic, Drug, Microencapsulated 63.00 Medical Aerosolized Nerve Agent

  16. To Determine the Method of Scheduling Surgery to Optimize Utilization of Surgical Resources at Landstuhl Army Regional Medical Center

    DTIC Science & Technology

    1984-05-01

    DETERMINE THE METHOD VF SCHEDULING SURGERY TO OPTIMIZE UTILIZATION OF SURGICAL RESOURCES AT LANDSTUHL ARMY REGIONAL MEDICAL CENTER 12. PERSONAL AUTHOR...GROUP Health Care, Surgery Scheduling 19, ABSTRACT (Continue on reverse if necessary and identify by block number) This study was conducted to determine...the optimum method of scheduling surgery to make maximum use of the surgical facilities at Landstuhl Army Regional Medical Center. Current scheduling

  17. Strategic management of Public Hospitals' medical services.

    PubMed

    Hao, Aimin; Yi, Tao; Li, Xia; Wei, Lei; Huang, Pei; Xu, Xinzhou; Yi, Lihua

    2016-01-01

    Purpose: The quality of medical services provided by competing public hospitals is the primary consideration of the public in determining the selection of a specific hospital for treatment. The main objective of strategic planning is to improve the quality of public hospital medical services. This paper provides an introduction to the history, significance, principles and practices of public hospital medical service strategy, as well as advancing the opinion that public hospital service strategy must not merely aim to produce but actually result in the highest possible level of quality, convenience, efficiency and patient satisfaction.

  18. A Study to Determine the Best Method of Delivering Nutrition Education Services at Darnall Army Community Hospital

    DTIC Science & Technology

    1988-08-01

    University Graduate Program in Darnall, Army Comm. Hospital N/A Health Care Administration 6c. ADDRESS (City, State, and ZIP Code) 7b. ADDRESS (City...Services .................... 52 III. CONCLUSION AND RECOMMENDATIONS ......................... 54 APPENDIX A. NUTRITION CARE DIVISION ORGANIZATION...53 ii I. INTRODUCTION Conditions Which Prompted The Study The mission of the Army hospital Nutrition Care Division (NCD) is "to provide

  19. Compendium of U.S. Army Visual Medical Fitness Standards

    DTIC Science & Technology

    1987-08-01

    characteristics based on an individual’s medical history or on a demonstrated history of satisfactory job performance. 2. Stereopsis (depth perception) and...adequate correction of vision such as keratoconus , corneal scars, or irregular astigmatism. Note there are no color vision requirements included in...No history Red lens: No diplopia or suppression Notes: 1. According to AR 40-8, "Temporary Flying Restrictions Due to Exogenous Factors," aircrew

  20. The United States Army Medical Department Journal. October - December 2012

    DTIC Science & Technology

    2012-12-01

    Medical Department Center & School Health is a state of complete physical, mental and social well-being and not merely the absence of disease or...Participants completed a self-reported questionnaire regarding environmental, social , and dietary lifestyle behaviors. Study participants were...deleterious effect on those unac- customed or without social and community networks to address new risk factors. Negative changes in dietary habits

  1. Army Medical Support for Peace Operations and Humanitarian Assistance,

    DTIC Science & Technology

    1996-01-01

    mechanical means (including photocopying, recording, or information storage and retrieval) without permission in writing from RAND. Published 1996 by...extensive postinjury physiotherapy and follow-up orthopedic care; (g) radiol- ogy capability;44 (h) one two-tent section (four bunks) for psychiatric... mechanical translation device during this operation. In summary, throughout the course of UNPROFOR, sizing of the medical support was never much of a

  2. Fee-Based Versus Fixed Income Reimbursement: A Comparative Analysis of Staff Physicians and Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Partnership Physicians at Blanchfield Army Community Hospital, Fort Campbell, Kentucky.

    DTIC Science & Technology

    1992-07-01

    1- .058, n - 796, ns - not significant. Service Date Doctor Appendix A Account No._ Comparative Analysis PATIENT INFORMATION - PLEASE COMPLETE...124) 9. 462 Acute Pharyngitis (n-118) 10. 616.1 Vaginitis and Vulvovaginitis (n-117) 11. 692.9 Contact Dermatitis and other Eczema , Unspecified Cause...Origin (n-192) 8. 692.9 Contact Dermatitis and other Eczema , Unspecified Cause (n=188) 9. 472 Chronic Pharyngitis and Nasopharyngitis (n-149) 10. 372.3

  3. Quality of Care Indicators in the AMEDD (Army Medical Department)

    DTIC Science & Technology

    1983-09-01

    Evaluation, Indicators 6 7rACT (Ceate - re,,vee sfr ,f d ideif y bio\\onb,) Ihis study looked at the feasibility of thev(MEDD)constructing a list of...affect the final list chosen. 7. The list of indicators should not be limited to " failures " or "errors" in medical practice. 6.p, 8. The list of...PATIENTS TRANSFUSED . TH WEIGHT RECORDED 100 1 PIN RNU3 1ED WITH ELECTROLYTE DETERMINATION 00 1 1 WITH INDICATION FOR TRANSFLS ON 100 I 2 2 WiTH ANEMIA EX

  4. Medical encounter characteristics of HIV seroconverters in the US Army and Air Force, 2000–2004.

    PubMed

    Hakre, Shilpa; Brett-Major, David M; Singer, Darrell E; O'Connell, Robert J; Sateren, Warren B; Sanchez, Jose L; Agan, Brian K; Michael, Nelson L; Scott, Paul T

    2011-04-01

    Active duty US Army and Air Force military personnel undergo mandatory biennial HIV antibody screening. We compared pre- and post-HIV seroconversion health status by conducting a case-control study, which evaluated all medical encounters and sociodemographic factors among incident HIV seroconverters and HIV-negative controls from June 2000 through February 2004. A total of 274 HIV seroconverters and 6205 HIV-negative personnel were included. In multivariate analysis restricted to male personnel (cases = 261, controls = 5801), single marital status (adjusted odds ratio [AOR] = 14.37), clinical indicators or symptoms within four years of HIV diagnosis (AOR = 6.22), black race (AOR = 5.88), nonindicator clinical syndromes within 2 years of HIV diagnosis (AOR = 3.31), any mental disorder within 4 years of HIV diagnosis (AOR = 3.04), increasing service-connected time (AOR = 1.69), and older age (AOR = 1.12) were associated with HIV diagnosis among males. A prior history of a sexually transmitted infection (STI) was associated with post-HIV seroconversion STI (OR(M-H) = 4.10). Similarly, a prior history of mental disorder was associated with post-HIV seroconversion mental disorder (OR(M-H) = 4.98). Forty-seven (18%) male cases were hospitalized at least once after HIV diagnosis; infectious diseases, and mental disorders made up 53% of initial admissions. HIV seroconversion was associated with increased health care-seeking behavior, STIs, and mental disorders, some of which may be amenable to screening. The higher STI rate after HIV diagnosis may partially be a consequence of monitoring, but secondary transmission of STI and possibly HIV require further definition and subsequent tailored preventive interventions.

  5. Medical reference databases used by Army primary care physicians in field environments.

    PubMed

    Harris, M D; Johnson, B; Patience, T; Miser, F

    1998-11-01

    A cross-sectional survey of U.S. Army primary care physicians was done to answer two questions: (1) which medical reference materials are Army primary care physicians currently using when deployed to a field environment? and (2) what would they like to have for medical reference in a field environment? Of 740 surveys delivered to their intended recipients, 445 (60%) were returned. Currently, 96% of primary care physicians use books, 37% use journals, and 11% use computer software in their medical reference database. Of those now using books, 72% were satisfied with them, compared with 61% of those using journals and 45% of those using software. The most common book used was the Merck Manual. The most important characteristics desired in a field medical database were broad coverage, ease of use, and light weight. The majority of respondents believe that a good medial reference database is important but that current medical databases limit the quality of the medicine they practice in the field.

  6. Gender differences in combat medic mental health services utilization, barriers, and stigma.

    PubMed

    Elnitsky, Christine A; Chapman, Paula L; Thurman, Ryan M; Pitts, Barbara L; Figley, Charles; Unwin, Brian

    2013-07-01

    Military health care providers experience considerable stressors related to their exposure to death and traumatic injuries in others. This study used survey data from 799 active duty U.S. Army Combat Medics deployed to Operation Iraqi Freedom/Operation Enduring Freedom. Military experiences, combat exposures, and mental health care seeking of active duty Combat Medics were explored and compared across both genders. Barriers to care were also assessed. Male and female Combat Medics reported surprisingly similar experiences, exposures, and health issues. Overall, results indicate no striking differences in barriers for females compared to their male counterparts, suggesting the barriers to utilization of mental health services may be consistent across gender. Although medics endorsed barriers and stigma related to mental health counseling services, they still sought these health services. Female and male medics who endorsed barriers were more likely to report seeking services than those who did not endorse barriers. This study provides an initial description of utilization of mental health counseling services for U.S. Army Combat Medics, the majority of whom were involved in combat operations in Afghanistan or Iraq. Our findings indicate that comprehensive assessment of the military experiences and combat exposures is needed to appreciate their potential influence on military health care providers. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

  7. Teamwork in emergency medical services.

    PubMed

    Williams, K A; Rose, W D; Simon, R

    1999-01-01

    Emergency medical care is delivered by highly trained and motivated individuals working in groups. In some cases, these groups function as teams, but their teamwork has been poorly studied and rarely is the result of focused training. Medical outcome traditionally is described using patient parameters and often is related to the economics of care delivery. Errors in medical care typically are blamed on individuals and occasionally on system problems. Teams and teamwork, although a major part of the medical delivery system, usually are not included in training, outcome measures, or rigorous quality improvement efforts. This article outlines issues involved in the analysis of medical errors as they relate to measures of individual and team performance and introduces concepts related to emergency care teamwork and team training. Through analogy with aviation analysis of errors and corrective training medical care similarly is being analyzed and error-reduction efforts studied and implemented. The potential benefit of teamwork training for EMS personnel, including air medical crews, is discussed.

  8. Freedom Isn’t Free: A Study of Compulsory Military Service in the United States Army

    DTIC Science & Technology

    2006-01-01

    service that requires high school graduates to serve one year between high school and college. It is effective in Europe, where teens work in a variety...authorized to enlist high school dropouts who do not have a General Educational Development (GED) credential. This new recruiting plan is called “Army...Drew. 2006. A breaking point for military? Philadelphia Enquirer. (26 January 2006). Chenelly, Joseph R. 2005. Open door for high school dropouts

  9. Services Supply Chain in the Department of Defense: Drivers of Acquisition Management Practices in the Army

    DTIC Science & Technology

    2012-02-13

    Services Supply Chain in the Department of Defense: Drivers of Acquisition Management Practices in the Army 13 February 2012 by Dr. Aruna ...mlpqdo^ar^qb=p`elli= About the Authors Dr. Aruna Apte is an Assistant Professor in the Operations and Logistics Management Department, Graduate School... Aruna Apte Graduate School of Business and Public Policy Naval Postgraduate School Monterey, CA 93943-5000 Tel: 831-656-7583 Fax: (831) 656-3407 E

  10. The Training and Utilization of Army National Guard Senior Service College Fellows, 1987-1992

    DTIC Science & Technology

    1992-05-01

    State, and ZIP Code) 10. SOURCE OF FUNDING NUMBERS PROGRAM PROJECT TASK WORK UNIT ELEMENT NO. NO. NO. ACCESSION NO. 11. TITLE (Include Security...LTC 13a. TYPE OF REPORT 13b. TIME COVERED 14. DATE OF REPORT (Year, Month, Day) j15. PAGE COUNT Study Project FROM TO 1992 May 281 120 16...Senior Service College Fellows, 1987 - 1992 FORMAT: Individual Study Project DATE: 28 May 1992 PAGES: 120 CLASS: Unclassified Since the Army National

  11. The Medium Tactical Vehicle Replacement Program-An Analysis of a Multi-Service Army and Marine Corps Product Office

    DTIC Science & Technology

    2004-06-01

    TACTICAL VEHICLE REPLACEMENT PROGRAM-AN ANALYSIS OF A MULTI-SERVICE ARMY AND MARINE CORPS PRODUCT OFFICE by Kenneth Edward Schramm June 2004...SUBTITLE: The Medium Tactical Vehicle Replacement Program-An Analysis of a Multi-Service Army and Marine Corps Product Office 6. AUTHOR(S) Kenneth...DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) The Marine Corps is fielding the MTVR Truck as a replacement for its aging fleet of five-ton

  12. Mental health, help seeking, and stigma and barriers to care among 3- and 12-month postdeployed and never deployed U.S. Army Combat Medics.

    PubMed

    Chapman, Paula L; Elnitsky, Christine; Pitts, Barbara; Figley, Charles; Thurman, Ryan M; Unwin, Brian

    2014-08-01

    U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources. Yet little is known about their help-seeking behavior and perceived stigma and barriers to care. Participants were three groups of U.S. Army Combat Medics surveyed at 3- and 12-months postdeployment from assignment with line units vs. those Medics who had never deployed to combat. The primary data source was surveys of mental health service utilization, perceived stigma and barriers to care, and depression and post-traumatic stress disorder screens. Medics who received help in the past year from a mental health professional ranged from 18% to 30%, with 18% to 30% seeking mental health assistance from other sources. Previously deployed Medics were more likely to obtain assistance than those who never deployed. Those meeting a mental health screening criteria were more likely to report associated stigma and barriers to care. Findings indicate that Medics in need of assistance report greater perceived barriers to mental health care, as well as stigma from seeking treatment, and that depression may be a salient issue for Medics. The longitudinal nature of the ongoing study will help determine the actual trajectory and onset of depression and post-traumatic stress disorder. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  13. Homecoming of Citizen Soldiers: Postdeployment Problems and Service Use Among Army National Guard Soldiers.

    PubMed

    Griffith, James

    2017-03-24

    The present study described the types and amount of problems and services sought among returned deployed Army National Guard soldiers (4568 soldiers in 50 units). The study responds to gaps in the research literature to better understand community intervention needs of reservists. About half (48%) of the soldiers reported one or two problems, mostly those of psychological well-being, such as feelings of anger and frustration, upsetting memories, and troubled sleep (34% of the study sample), followed by problems of social support (18%), alcohol use (17%), feelings of isolation including suicidal thoughts (13%), and financial difficulties (11%). Having engaged in direct combat and having wounded or killed someone showed positive relationships with reported problems. One-third (35%) of soldiers who reported having used services went to one service and, generally, soldiers went to services related to their expressed problems. Variance in self-reported problems explained by service use was low, suggesting unsought postdeployment services.

  14. Army and Air Force Exchange Service (AAFES): Its Relevance

    DTIC Science & Technology

    2011-03-24

    its strategic mission, and the benefits it provides to its cliental. It finally considers whether competitive commercial retailers could better...statutes and regulations, its strategic mission, and the benefits it provides to its cliental. It finally considers whether competitive commercial...and the benefits it provides to the uniformed services and its authorized patrons. It also compares AAFES with its commercial retail competitors

  15. Advanced medical video services through context-aware medical networks.

    PubMed

    Doukas, Charalampos N; Maglogiannis, Ilias; Pliakas, Thomas

    2007-01-01

    The aim of this paper is to present a framework for advanced medical video delivery services, through network and patient-state awareness. Under this scope a context-aware medical networking platform is described. The developed platform enables proper medical video data coding and transmission according to both a) network availability and/or quality and b) patient status, optimizing thus network performance and telediagnosis. An evaluation platform has been developed based on scalable H.264 coding of medical videos. Corresponding results of video transmission over a WiMax network have proved the effectiveness and efficiency of the platform providing proper video content delivery.

  16. Department of the Army Supply Bulletin, Army Medical Department Supply Information, SB8-75-S10

    DTIC Science & Technology

    2007-11-02

    space. c. Maintenance/work area and storage space. d. A secure area for Test, Measurement and Diagnostic Equipment (TMDE), i.e., a separate...requirements are outlined in 21 CFR, and the manufacturer’s written specifications. Calibration of diagnostic x-ray equipment shall be on an annual...Army Test and Diagnostic Equipment Program. (3) TB 43-180, Calibration and Repair Requirements for the Maintenance of Army Materiel. (Available

  17. Measuring the Costs and Benefits of Army Service.

    DTIC Science & Technology

    1994-11-01

    information regarding their physical health and mental aptitudes regardless of whether they enter military service. 21 Finally, for those who enter...Ryan, 1990). For example, Fine et al. demonstrated that organizational "realities" differ depending on one’s race, ethnicity, and/or gender . This... differing marginal costs ......... ................ 15 7. Analysis of cost of civilian sector benefits 16 8. An estimation of rent in compensation costs

  18. Personal Affairs: Handbook on Volunteers in Army Community Service

    DTIC Science & Technology

    2007-11-02

    auxiliary therapists in treatment centers for drug addicts; there are programs in which middle–income families voluntarily serve in a supportive and...announce- ment, a newspaper article or window poster, one or two phone calls, or a speech before a civic–service organization. While it is true to state...balance to a 30–60 minute presentation. Short films, film strips, or slides can be used in conjunction with a speech . Tapes can be used to add

  19. The development of HIV research laboratories in the Royal Thai Army Medical Department.

    PubMed

    Chuenchitra, Thippawan; Sukwit, Suchitra; Gaywee, Jariyanart; Viputtikul, Kwanjai; Eamsila, Chirapa; Tabprasit, Sutchana; de Souza, Mark; Sirisopana, Narongrid; Nitayaphan, Sorachai; Brown, Arthur E; Chuenchitra, Cheodchai

    2005-11-01

    The development of HIV research laboratories at the Armed Forces Research Institute of Medical Sciences (AFRIMS), Royal Thai Army Medical Department in supporting of HIV-1 vaccine trials in Thailand was implemented in 1991. The collaboration between AFRIMS, Royal Thai Army Medical Department, and the US Military HIV Research Program with the ultimate goal to conduct the HIV-1 vaccine trial phase III. The HIV serology lab was set up for surveillance program in military recruits. Then, there was a need to strengthen more on the existing laboratories by training personnel to cope with the confidentiality of the lab results, specimen processing and data management which are critical. Later on, the necessary laboratory for measuring of vaccine immunogenicity was developed, such as lymphoproliferation assay. Additionally, a molecular biology lab was also developed. The HIV research laboratory management must include an ability to deal with some problems, such as late specimen receiving, fluctuating of power supply, technical staffs maintained. Good laboratory practices and safety must be strictly implemented. Communication network among facilities also played an important role in HIV laboratory strengthening at AFRIMS.

  20. US Army Medical Bioengineering Research and Development Laboratory Annual Progress Report FY1981.

    DTIC Science & Technology

    1981-10-01

    Medical Fquipment 11 SCIENTIFIC AND TECNOLOGICAL AREAS* 011-’?400 Bioengineer ing ; 009800 !A-cdiral and Hos )ital F uipment; III STiAT DATE...GENERATED PASSED ON TO THE COMBAT DEVELOPER. WORK HAS ALSO BEEN PERFORMED ON THE PACKAGING OF A FUNCTIONAL MOBILE AID STATION IN A LARGER ARMORED...E. NAME " , 22 CEAWDOD Picto, CA ,.t SRly C,.IICItM C. (U) MOBILE LITTER ;(U) LITTER CARRIER ;(U) WHEELED LITTER ) STANDARD ARMY ITTER . l i A ,.T]AE

  1. What is the value of graduate education? An economic analysis of Army Medical Department Graduate Programs.

    PubMed

    Bewley, Lee W; Broom, Kevin D; Bonica, Mark

    2014-01-01

    Current and forward-looking resource constraints within the federal health system and general health market are generating questions of fiscal or economic viability of a number of programs including graduate education. This article establishes a framework for assessing economic value among graduate health-related programs within the Army Medical Department. The findings of this analysis indicated that the programs evaluated in the study generate positive economic value based on a market-based valuation of extrinsic benefits compared to extrinsic costs for conducting graduate education within each of the programs. Suggestions for future research and policy application are also discussed.

  2. The health of the American slave examined by means of Union Army medical statistics.

    PubMed

    Freemon, F R

    1985-01-01

    The health status of the American slave in the 19th century remains unclear despite extensive historical research. Better knowledge of slave health would provide a clearer picture of the life of the slave, a better understanding of the 19th-century medicine, and possibly even clues to the health problems of modern blacks. This article hopes to contribute to the literature by examining another source of data. Slaves entering the Union Army joined an organization with standardized medical care that generated extensive statistical information. Review of these statistics answers questions about the health of young male blacks at the time American slavery ended.

  3. The Health of the American Slave Examined by Means of Union Army Medical Statistics

    PubMed Central

    Freemon, Frank R.

    1985-01-01

    The health status of the American slave in the 19th century remains unclear despite extensive historical research. Better knowledge of slave health would provide a clearer picture of the life of the slave, a better understanding of the 19th-century medicine, and possibly even clues to the health problems of modern blacks. This article hopes to contribute to the literature by examining another source of data. Slaves entering the Union Army joined an organization with standardized medical care that generated extensive statistical information. Review of these statistics answers questions about the health of young male blacks at the time American slavery ended. PMID:3881595

  4. [Clinical features in fatal Spanish influenza: Japanese Army Hospital medical records investigation].

    PubMed

    Fujikura, Yuji; Kawana, Akihiko; Kato, Yasuyuki; Mizuno, Yasutaka; Kudo, Koichiro

    2010-03-01

    Pandemic influenza preparedness requires a thorough knowledge of past pandemics. Tokyo First Army Hospital medical records from January 1918 to December 1920 found recently included 132 consecutive records of those diagnosed with influenza. We report on the clinical features in 8 fatal cases. Inpatient mortality was found to be 6.1% (8/132). Cough was noted in 6 (75%) and thoracic rales in 8 (100%) on admission, mimicking pneumonia. Bloody sputum was noted in 5 (62.5%) and diarrhea in 4 (50%), with marked hemorrhagic and digestive symptoms, resembling highly pathogenic avian influenza. Clinical features may differ from seasonal influenza, making early detection and treatment essential especially in severe cases.

  5. Army Medical Department Officers in Division Assignments: Prepared to Succeed, or Doomed to Fail?

    DTIC Science & Technology

    1992-04-15

    DTIC The Tims eipmad aIs bpvn in’ those of the auto Van do not necainaiiy rec tiw vie" of the Depainnatil of Defeane or mny of Ifs q~wrn. Thka...documnent may not be uileand for open pubikatom utl it hus been deared by the apropriate mity mv~u or Fwenunent apncy. PREPARED TO SUCCEED, OR DOOMED TO...NO. NO. ACCESSION NO. 11. TITLE (Indude Security Classification) ARMY MEDICAL DEPARTMENT OFFICERS IN DIVISION ASSIGNMENTS: PREPARED TO SUCCEED, or

  6. 48 CFR 871.201-3 - Medical services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Medical services. 871.201... Rehabilitation and Employment Service 871.201-3 Medical services. The medical services provided trainees under... any other medical service under the jurisdiction of the Veterans Health Administration to which the...

  7. 48 CFR 871.201-3 - Medical services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Medical services. 871.201... Rehabilitation and Employment Service 871.201-3 Medical services. The medical services provided trainees under... any other medical service under the jurisdiction of the Veterans Health Administration to which the...

  8. 48 CFR 871.201-3 - Medical services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Medical services. 871.201... Rehabilitation and Employment Service 871.201-3 Medical services. The medical services provided trainees under... any other medical service under the jurisdiction of the Veterans Health Administration to which the...

  9. 48 CFR 871.201-3 - Medical services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Medical services. 871.201... Rehabilitation and Employment Service 871.201-3 Medical services. The medical services provided trainees under... any other medical service under the jurisdiction of the Veterans Health Administration to which the...

  10. 48 CFR 871.201-3 - Medical services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Medical services. 871.201... Rehabilitation and Employment Service 871.201-3 Medical services. The medical services provided trainees under... any other medical service under the jurisdiction of the Veterans Health Administration to which the...

  11. Current Dental Health Knowledge of Selected Army Medical Service Personnel.

    DTIC Science & Technology

    1961-01-01

    stzuctures to dental caries. It has boem Awna that not only the ftoo" etat, but also koe often they are taken into the oral cavity is Imortant in the...siuulit•amoet pvenee of bacteria and a substrate readily available as a searee of b"terial metab- lIm. Xiamimting either tfateor from the oral cavity has re...and Wsetic an& mtrlticnal faeters. ne also pointed out that only th wpegasme o atadDAM in teU oral eavity avi te 4V psl! its oarteWyurates sam be

  12. Toward a US Army Pacific (USARPAC) rapid deployment medical component in support of Human Assistance/Disaster Relief (HA/DR) operations: challenges with "Going in Light".

    PubMed

    Johnson, Ralph J

    2016-01-01

    This article reports the exploratory development and study efforts regarding the viability of a novel "going-in light" or "Going Light" medical component in support of US Army Pacific (USARPAC) Humanitarian Assistance/Disaster Relief (HA/DR) missions, namely, a BLU-MED(®) incremental modular equipment package along with a Rapid Deployment Medical Team (RDMT). The study was conducted to uncover a way for the U.S. Army to: (1) better medically support the greater U.S. military Pacific Command, (2) prepare the Army for Pacific HA/DR contingencies, and (3) imprint a swift presence and positive contribution to Pacific HA/DR operations. The findings were derived from an intensive quasi-Military Decision Making Planning (MDMP) process, specifically, the Oracle Delphi. This process was used to: (1) review a needs assessment on the profile of disasters in general and the Pacific in particular and (2) critically examine the viability and issues surrounding a Pacific HA/DR medical response of going in light and incrementally. The Pacific area of operations contains 9 of 15 countries most at risk for disasters in the most disaster-prone region of the world. So, it is not a matter of whether a major, potentially large-scale lethal disaster will occur but rather when. Solid empirical research has shown that by every outcome measured Joint Forces (Army, Navy, Air Force, and Marines) medical HA/DR operations have been inordinately successful and cost-effective when they employed U.S. Army medical assets inland near disasters' kinetic impact and combined sister services' logistical support and expertise. In this regard, USARPAC has the potential to go in light and successfully fill a vital HA/DR medical response gap with the RDMT and a BLU-MED(®). However, initially going in fast and light and expanding and contracting as the situation dictates comes with subsequent challenges as briefly described herein that must be addressed. The challenges to going in light are not

  13. DEMONSTRATION BULLETIN: SITE CHARACTERIZATION ANALYSIS PENETROMETER SYSTEM (SCAPS) LIF SENSOR - U.S. ARMY, NAVY, AND AIR FORCE (TRI-SERVICES)

    EPA Science Inventory

    The Tri-Services Site Characterization Analysis Penetrometer System (SCAPS) was developed by the U.S. Army (U.S. Army Corps of Engineers, Waterways Experiment Station [WES] and the Army Environmental Center [AEC]), Navy (Naval Command, Control and Ocean Surveillance Center), and ...

  14. DEMONSTRATION BULLETIN: SITE CHARACTERIZATION ANALYSIS PENETROMETER SYSTEM (SCAPS) LIF SENSOR - U.S. ARMY, NAVY, AND AIR FORCE (TRI-SERVICES)

    EPA Science Inventory

    The Tri-Services Site Characterization Analysis Penetrometer System (SCAPS) was developed by the U.S. Army (U.S. Army Corps of Engineers, Waterways Experiment Station [WES] and the Army Environmental Center [AEC]), Navy (Naval Command, Control and Ocean Surveillance Center), and ...

  15. Administrative and Technical Support for the U.S. Army Medical Research and Development Command Joint Working Group on Medical Chemical Defense

    DTIC Science & Technology

    1989-08-01

    Development Command Joint Working I PR 3M463807D % Group on Medical Chemical Defense (U) TA 993BO Ai UTHRioS) WU 045 -Mr. Marvin L. Fitts VUDA3O4920...performance from medical treatment and pretreatment drugs used to counter chemical warfare agents. Me ters Industries, Inc. provided administritive and...for the U. S. Army Medical Research and Development Command Joint Working Group on Medical Chemical Defense. FINAL REPORT Marvin L Fitts, MS Cynthia L

  16. Ethics in the marketing of medical services.

    PubMed

    Latham, Stephen R

    2004-09-01

    This paper deals with the ethics of marketing medical services by physicians, medical groups, hospitals and other mainstream medical caregivers in the United States. It does not deal with pharmaceutical marketing, since that raises a number of special issues, some of them legal and some having to do with the unique culture of pharmaceutical marketing, which really ought to be dealt with separately. Nor does it touch on the little-explored field of marketing alternative and complementary medicine. It begins with a general description of what is included in "the marketing process." It then briefly tours some of the difficulties faced by those who would market medical services ethically, and ends with some comments on the relevance of professionalism to ethical marketing.

  17. [Medical entomology for the Armed services: preliminary results from the medical entomology unit].

    PubMed

    Pages, F; Girod, R

    2004-01-01

    Vector-borne diseases constitutes a threat to the operational capability of armed forces personnel operating outside or stationed overseas. To take this risk into account, the French armed forces medical corps created a medical entomology unit in 2003. The primary function of this unit is to monitor the entomological status of French military bases in sub-Saharan Africa (identification of vectors, study of vector behavior, and measurement of resistance to insecticides) as a means of maintaining an effective vector-control strategy. The French medical entomology unit takes part in the Impact Vector project aimed at evaluating the vector-borne disease risks for troops in combat situations, contributes its expertise to the investigation of epidemic disease, and participates in the development of a global strategy for vector-control for the armed services. To improve understanding and control of vector-borne disease risks, the unit provides basic training in medical entomology to army physicians, veterinarians, and pharmacists as well as to others involved in control programs. The purpose of this article is to present the results of the unit's first activities: investigation of a malaria epidemic that occurred in Ivory Coast in 2003, measurement of malaria exposure over a 4-month period in a combat group on duty in rural Africa, and initial evaluation of control techniques (spraying around living quarters and use of insecticide-impregnated battle dress).

  18. Spouse Abuse, Child Abuse, and Substance Abuse Among Army Facilities: Co-Occurrence, Correlations and Service Delivery Issues

    DTIC Science & Technology

    2006-03-01

    as family violence and substance abuse . This study advances existing research by using the Army’s unique data resources to simultaneously study...experiencing violence and/or substance abuse and establish best practices for coordinating multiple service delivery for these families. Researchers...hypothesize significant overlap of child abuse , spouse abuse , and/or substance abuse in Army families experiencing violence , and that Army and civilian

  19. Army Medical Action Plan’s Impact on Access to Healthcare for TRICARE Beneficiaries

    DTIC Science & Technology

    2009-06-02

    OTSG/MEDCOM Policy Memorandum 08-028, entitled, "MEDCOM Military Treatment Facility Access Standards for Active Duty Service Members. These access...members. The WTs include soldiers who have complex medical needs requiring six months or more of treatment or rehabilitation or who require an MEB...Exceptions to access standards by healthcare services are not unusual. Mental health and chiropractor services are two examples of services that have

  20. Calibration services for medical applications of radiation

    SciTech Connect

    DeWerd, L.A.

    1993-12-31

    Calibration services for the medical community applications of radiation involve measuring radiation precisely and having traceability to the National Institute of Standards and Technology (NIST). Radiation therapy applications involve the use of ionization chambers and electrometers for external beams and well-type ionization chamber systems as well as radioactive sources for brachytherapy. Diagnostic x-ray applications involve ionization chamber systems and devices to measure other parameters of the x-ray machine, such as non-invasive kVp meters. Calibration laboratories have been established to provide radiation calibration services while maintaining traceability to NIST. New radiation applications of the medical community spur investigation to provide the future calibration needs.

  1. Epidemiologic Aspects of Medical Retirement from the Republic of Korea Army due to Visual Impairment.

    PubMed

    Jeong, Jae Hoon; Chun, Yeoun Sook; Park, Ki Ho

    2016-04-01

    This study was done to report the epidemiologic characteristics of medical retirement from the Republic of Korea (ROK) Army due to visual impairment and to suggest a practical screening system for the draft. The medical records of 423 eyes of 301 patients who retired from the ROK Army due to visual impairment were reviewed retrospectively between January 2010 and December 2014. The patients were grouped by the presence of trauma, and each group was subdivided by military rank. We analyzed demographic and ophthalmic data, including the etiology of ophthalmologic disease. The etiology was classified into 5 anatomical categories (ocular surface, lens, retina, optic nerve and extraocular visual pathway, and extraocular muscle and orbit), which were then subdivided into the type of disease. The mean age was 24.5 years, and non-traumatic mechanisms accounted for 81.1% (343/423 eyes) of medical retirements. Visual acuity was better in patients without trauma. In enlisted soldiers, disease in the optic nerve and extraocular visual pathway was the most common anatomical category (40.5%), and primary open angle glaucoma (30.8%), retinal dystrophy (18.3%), congenital cataract (14.5%), and retinal detachment (9.7%) were the four most common diseases. Most medical retirements due to visual impairment resulted from non-traumatic mechanisms, even though patients were young. The fundus examination and visual field test would be more useful tools than a conventional vision test for large-scale draft screening for the most common two disease types: primary open angle glaucoma and retinal dystrophy.

  2. Helicopter emergency medical service scene communications made easy.

    PubMed

    Koval, Michael

    2014-01-01

    Narrowbanding has caused numerous communication issues. The solution is to use a mutual aid frequency like 123.025. That frequency is 155.3400, and every helicopter emergency medical service operator and emergency medical service agency should name this frequency as "EMS [Emergency Medical Services] Mutual Aid" and preset this frequency for all helicopter emergency medical service scene operations.

  3. A Study to Determine the Optimal Means of Expediting the Processing of Inpatient Treatment Records at the Walter Reed Army Medical Center, Washington, DC

    DTIC Science & Technology

    1981-08-01

    Graduate Program in Health Care dmin/HSHA-IHC 6c. ADDRESS (City, State, and ZIP Code) 7b. ADDRESS (City, State, and ZIP Code) Ft Sam Houston, TX 78234...number) FIELD GROUP SUB-GROUP j 4 - • " .• Health Care 1hI " ’ /te 19. ABSTRACT (Continue on reverse, , Suiry andA*n, by block number) The study...1980 Health Services Command Annual General Inspection of Walter Reed Army Medical Center (WRAMC) pointed out that the state of delinquent Inpatient

  4. Graphical user interface for a remote medical monitoring system: U.S. Army medic recommendations.

    PubMed

    Kaushik, Sangeeta; Tharion, William J

    2009-11-01

    We obtained recommendations for a graphical user interface (GUI) design for a new medical monitoring system. Data were obtained from 26 combat-experienced medics. Volunteers were briefed on the medical monitoring system. They then completed a questionnaire on background medical treatment experience, provided drawings on how and what information should be displayed on the GUI screens for use on a personal digital assistant, and participated in focus group sessions with four to seven medics per group to obtain group consensus on what information the GUI screens should contain. Detailed displays on seven screens provide the medical and situational awareness information medics need for triage decisions and for early processing of a casualty. The created GUI screens are a combination of object-based and text-based information using a color-coded system. Medics believed the information displayed with these GUI designs would improve treatment of casualties on the battlefield.

  5. Injuries and injury risk factors among men and women in U.S. Army Combat Medic Advanced individual training.

    PubMed

    Henderson, N E; Knapik, J J; Shaffer, S W; McKenzie, T H; Schneider, G M

    2000-09-01

    No previous reports have evaluated injuries or injury risk factors during the advanced individual training (AIT) that follows the Army's initial or basic combat training (BCT). This study examined injuries and injury risk factors among 439 men and 287 women participating in combat medic AIT. A questionnaire addressing demographic and lifestyle characteristics (age, race, tobacco and alcohol use, physical activity, etc.) was administered to all subjects. Stature and body mass were obtained from battalion records. Injuries occurring during both BCT and AIT were transcribed from subject medical records. Results indicated that cumulative injury incidence (subjects with one or more injuries) in BCT was 26% for men and 52% for women (p < 0.01), in consonance with previous investigations. In AIT, injury incidence was 24% for men and 30% for women (p = 0.08). In both BCT and AIT, overuse injuries and lower body injuries accounted for the largest proportions of injuries by diagnosis and anatomical location. Logistic regression revealed that older age (> 25 years), split option (a break in service between BCT and AIT), and higher body mass were independent risk factors for AIT injuries among women. None of the examined variables were independent risk factors for AIT injuries among men.

  6. [Medical Service of the Latvian National Armed Forces].

    PubMed

    Aleinikov, S I; Golota, A S; Krassii, A B; Soldatov, E A; Shalakhin, R A

    2015-08-01

    The article is a brief description of the current state of the Latvian National Armed Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Latvia, its Armed Forces, and their medical service is presented. Then the medical service particular features are described with more detail, namely, the organization of inpatient and outpatient treatment, medical supply, scientific research, combat medicine, medical staff education and training, medical service personnel income.

  7. Emergency Medical Services. Final Survey Report.

    ERIC Educational Resources Information Center

    Huff, Hugh; Caltagirone, Norma

    In this follow-up study, an examination of the level of awareness of and knowledge about the Emergency Medical Services System in Region J of North Carolina was made to detect any changes from the earlier survey which might be due to a six-month campaign publicizing the system. To further pinpoint the channels through which the citizens of the…

  8. Emergency Medical Services. Final Project Report.

    ERIC Educational Resources Information Center

    Huff, Hugh; Caltagirone, Norma

    This report presents the procedures and activities of a year-long Public Education Project conducted in Region J of North Carolina to help citizens of this region learn what Emergency Medical Services (EMS) are available, how to obtain them, and when to call upon them. Previous reports provide the sampling methodology used to survey the…

  9. The Royal Naval Medical Services: delivering medical operational capability. the 'black art' of Medical Operational Planning.

    PubMed

    Faye, M

    2013-01-01

    This article looks to dispel the mysteries of the 'black art' of Medical Operational Planning whilst giving an overview of activity within the Medical Operational Capability area of Medical Division (Med Div) within Navy Command Headquarters (NCHQ) during a period when the Royal Naval Medical Services (RNMS) have been preparing and reconfiguring medical capability for the future contingent battle spaces. The rolling exercise program has been used to illustrate the ongoing preparations taken by the Medical Operational Capability (Med Op Cap) and the Medical Force Elements to deliver medical capability in the littoral and maritime environments.

  10. Army dreamers.

    PubMed

    1988-05-14

    The birth of the Army Nursing Service took place in 1854, when Florence Nightingale, at the request of the Secretary of State for War, recruited and took to Scutari Hospital 38 women to tend the wounded of the Crimean war.

  11. Physician Provider Profiling in Brooke Army Medical Center’s Internal Medicine Clinic: A Multiple Regression and Process Control Model

    DTIC Science & Technology

    1999-12-01

    in Brooke Army Medical Center’s Internal Medicine Clinic during the 3rd & 4th quarter of FY 1998. Data regarding 26,502 individual patient-provider...accomplished by selecting internists and internal medicine residents and a single primary diagnosis. Second level case mix adjustment accounted for other

  12. Better Cost-Control Measures Are Needed on the Army’s Cost-Reimbursable Services Contract for Logistics Support of Stryker Vehicles

    DTIC Science & Technology

    2012-06-18

    Report No. DODIG-2012-102 June 18, 2012 Better Cost-Control Measures Are Needed on the Army’s Cost-Reimbursable Services...Better Cost-Control Measures Are Needed on the Army’s Cost-Reimbursable Services Contract for Logistics Support of Stryker Vehicles 5a. CONTRACT NUMBER...ACQUISITION, TECHNOLOGY, AND LOGISTICS AUDITOR GENERAL DEPARTMENT OF THE ARMY SUBJECT: Better Cost-Control Measures Are Needed on the Army’s Cost

  13. "Separate, but almost equal": the Army's Negro medical field units in World War II.

    PubMed

    Marble, Sanders

    2012-01-01

    Before World War II, the Army had no African American medical units and no plans on how to utilize African American personnel. A first plan to sideline blacks into menial support positions was implemented but then overruled in the middle of the war. Separate units were formed, which performed some support functions, but also focused on preventive medicine work--mainly, insect control. Other duties included cross-loading litter patients in the evacuation chain, a laborious but morale-boosting job for which some units received commendations. Several ambulance companies were organized, performing solidly. In the face of official disapprobation and disinterest in African Americans serving, the men of these units sought to contribute to the war effort and took pride in doing their best.

  14. Organizational determinants of work outcomes and quality care ratings among Army Medical Department registered nurses.

    PubMed

    Patrician, Patricia A; Shang, Jingjing; Lake, Eileen T

    2010-04-01

    The Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and several single-item measures were administered to registered nurses (RNs) working within 23 U.S.-based Army Medical Department (AMEDD) hospitals. Data were analyzed with logistic regression for nested data. Unfavorable nursing practice environments had a substantial association with job dissatisfaction (OR 13.75, p < .01), emotional exhaustion (OR 12.70, p < .01), intent to leave (OR 3.03, p < .01), and fair to poor quality of care (OR 10.66, p < .01). This study provides the first system-wide analyses of nursing practice environments in AMEDD hospitals in the U.S. Similar to findings in civilian samples, poor quality work environments are associated with less favorable RN work outcomes and quality of care ratings.

  15. A fearsome enemy (1); A history of sanitation in the British Army 1899-1914.

    PubMed

    Thompson, S V

    1998-10-01

    The Boer War acted as a catalyst for military reform, including reform of the Army Medical Services (AMS). The subsequent medical debate was centred on the value of sanitation as a provision for war. This article looks at the forces, political, military and economic, that propelled the provision of sanitation to a prominent position in the reforms of the army, and the effect this had on the status and role of the Royal Army Medical Corps (RAMC).

  16. An Analysis of a VA/DoD High-Tech Joint Venture at Womack Army Medical Center.

    DTIC Science & Technology

    1993-07-01

    interest groups to expand the ’ joint venture ’ concept have intensified with the expectation that cost savings will be realized by participating...organizations (Tokarski, 1989). Using a specific example of a local Magnetic Resonance Imager (MRI) joint venture between the Fayetteville Veterans...Administration Medical Center (FVAMC) and Womack Army Medical Center (WAMC), the management problem was to determine how effective this joint venture has been at improving patient access to MRI technology.

  17. Military positions and post-service occupational mobility of Union Army veterans, 1861–1880

    PubMed Central

    Lee, Chulhee

    2009-01-01

    Although the Civil War has attracted a great deal of scholarly attention, little is known about how different wartime experiences of soldiers influenced their civilian lives after the war. This paper examines how military rank and duty of Union Army soldiers while in service affected their post-service occupational mobility. Higher ranks and non-infantry duties appear to have provided more opportunities for developing skills, especially those required for white-collar jobs. Among the recruits who were unskilled workers at the time of enlistment, commissioned and non-commissioned officers were much more likely to move up to a white-collar job by 1880. Similarly, unskilled recruits assigned to white-collar military duties were more likely to enter a white-collar occupation by 1880. The higher occupational mobility of higher-ranking soldiers is likely to have resulted from disparate human capital accumulations offered by their military positions rather than from their superior abilities. PMID:20234792

  18. Medication therapy management services: definitions and outcomes.

    PubMed

    Pellegrino, Annette N; Martin, Michelle T; Tilton, Jessica J; Touchette, Daniel R

    2009-01-01

    In the US, the Medicare Modernization Act of 2003 required that Medicare Part D insurers provide medication therapy management (MTM) services (MTMS) to selected beneficiaries, with the goals of providing education, improving adherence, or detecting adverse drug events and medication misuse. These broad goals and variety in MTM programmes available make assessment of these programmes difficult. The objectives of this article are to review the definitions of MTMS proposed by various stakeholders, and to summarize and evaluate the outcomes of MTMS consistent with those that may be offered in Medicare Part D or reimbursed by State Medicaid programmes. MTM programmes are approved by the Centers for Medicare and Medicaid Services (CMS). Pharmacy, medical and insurance organizations have provided guidelines and definitions for MTM programmes, distinguishing them from other types of community pharmacy activities. MTM has been distinguished from disease state management because of the focus on medications and multiple conditions. It differs from patient counselling because it is delivered independent of dispensing and involves collaboration with patients and providers. There is no consensus on the recommended mode of delivery (i.e. face-to-face or by telephone) for MTM. A MEDLINE search was conducted to identify articles published after 2000 using the search terms 'medication therapy management' and 'medication management'. Studies with outcomes evaluating community-based programmes consistent with MTMS, regardless of MTMS reimbursement source, were included in the review. Seven publications describing four MTMS were identified. For each of the identified articles, we describe the study design, service setting, inclusion criteria and outcomes. An additional three surveys describing multiple MTMS were identified and are summarized. Finally, ongoing efforts by CMS to evaluate the success of MTMS in the US are described. To date, there are limited outcomes available for MTMS

  19. [The system of selection and training of military-medical staff for the 40th army (1979-1989)].

    PubMed

    Ryabinkin, V V

    2015-10-01

    In December 1979 in order to fulfil their internationalist duty troops and units of the 40th Army of the Armed Forces of the USSR was brought into Afghanistan. For complete and qualitative manning of the army with the military doctors it was needed in a short time to create a system capable to carry out candidates selection, their education and specialized training for work in extreme conditions of combat operations. This system was created in a short time. The article presents information about its features, advantages and problems that had to be solved during the entire period of the Soviet-Afghan war. The complex staff arrangements had allowed solving medical support problems of the 40th Army on the high level.

  20. 77 FR 9633 - Army National Cemeteries Advisory Commission (ANCAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-17

    ... Department of the Army Army National Cemeteries Advisory Commission (ANCAC) AGENCY: Department of the Army... Army announces the following committee meeting: Name of Committee: Army National Cemeteries Advisory... in Military Service for America Memorial, Conference Room, Arlington National Cemetery, Arlington,...

  1. Utilization Management of Orthopedic Services by Fitzsimons Army Medical Center and Evans Army Community Hospital

    DTIC Science & Technology

    1993-08-01

    Nerve & Other Nerve System Proc w CC 1 2.72 2.0 -10.0 -10 209 Major Joint & Limb reattachment Procedures, lower Extremity 18 2.37 13.6 3.6 65 216...106 3.0 1.0 108 209 Major Joint & Limb Reattachment Procedures Lower Extremity 101 20.9 10.9 1105 243 Medica. Back Problems 65 9.0 4.0 261 231 Local...231 Local Excision & Removal of Int. Fix Devices exc Hip & Femur 74 4.6 0.6 41 209 Major Joint & Limb Reattachment Procedures Lower Extremity 70 22.3

  2. A Study to Identify Variables Contributing to Length of Stay for Selected Diagnosis Related Groups (DRG) at Madigan Army Medical Center

    DTIC Science & Technology

    1989-06-07

    Groups (DRG) 0a at Madigan Army Medical Center CC 0 m 0 0 mz z-4 mx A Graduate Management Project zM Submitted to the Faculty of Baylor University In...SYMBOL 7a. NAME OF MONITORING ORGANIZATION (if applicable) U.S. ARMfY-BAYLOR UNIVERSITY GRADUATE MADIGAN ARMY MEDICAL CENTER PROGRAM IN HEALTH CARE...the length of )spital stays of 400 cases which fell within four frequently occurring Diagnosis Related coups (DRG) at Madigan Army Medical Center. The

  3. The Statesmanship of William Crawford Gorgas, M.D., Surgeon General, Medical Corps, United States Army.

    PubMed

    Gandy, Roy E; Christopher, Raven M; Rodning, Charles B

    2017-03-01

    If statesmanship can be characterized as a bed rock of principles, a strong moral compass, a vision, and an ability to articulate and effect that vision, then the fortitude, tenacity, imperturbability, and resilience of William Crawford Gorgas cannot be overestimated. As Chief Sanitary Officer in Cuba and as Chief Medical Officer in Panama, he actualized strategies to eradicate the vectors of yellow fever and malaria. His superiors initially pigeonholed his requisitions, refused to provide him with any authority, and clamored for his dismissal. Nevertheless, with dogged persistence he created a coalition of the willing, who eventually implemented those reforms. As Surgeon General in the United States Army, he organized and expanded the Active Duty and Medical Reserve Corps in anticipation of World War I. Skilled university affiliated surgeons and personnel from throughout North America, manned base hospitals in Europe. Those lessons impacted upon subsequent military and civilian surgical care-organizationally, logistically, and clinically. He was universally recognized for his bonhomie, savoir-faire, modesty, discretion, decorum, courtesy, and graciousness. To those attributes must be added his devotion to duty, discipline, integrity, and authenticity, which characterized his leadership and statesmanship. Those attributes are most worthy of emulation and perpetuation by clinicians, academicians, educators, and investigators.

  4. Effectiveness of Case-Based Learning During Small Groups Sessions at Army Medical College.

    PubMed

    Qamar, Khadija; Rehman, Sabah; Khan, Muhammad Alamgir

    2016-03-01

    A pragmatic and sequential mixed method study was conducted at Army Medical College, from October to December 2014 to determine medical students' perceptions regarding effectiveness of small groups during the CBL(case-based learning) sessions. Tutorial Group Effectiveness Instrument (TGEI) was used after written and informed consent. Free text comments about CBL were invited from the respondents and common ones, and were tabulated. The mean scores were calculated and compared among different subgroups of respondents using appropriate independent sample t-test. Content analysis of qualitative segment was done. Ap-value of less than 0.05 was taken as statistically significant. The analysis of qualitative and quantitative variables was integrated in the final interpretation phase to draw conclusion. The average age of the participants was 19.33 ±0.657 years. The difference in scores was statistically insignificant for cognitive (p = 0.537), motivational (p = 0.868), and demotivational (p = 0.125) effectiveness between males and females. Insignificant difference was also observed for qualification of the overall group productivity among male and female students (p = 0.162), and exposed and non-exposed groups (p = 0.272). The perceptions of overwhelming number of participants were in favour of small group discussion as a component of CBL.

  5. The 1998 Guide to the Evaluation of Educational Experiences in the Armed Services. 1: Army.

    ERIC Educational Resources Information Center

    American Council on Education, Washington, DC.

    This guide is the standard reference work for recognizing learning acquired by military personnel for conversion to academic credit in degree work at colleges and universities. This volume contains recommendations for formal courses offered by the Army, Army Reserve, and Army National Guard in 1990 and later years. Ten sections provide the…

  6. A Study of the Wife of the Army Officer; Her Academic and Career Preparation, Her Current Employment and Volunteer Services.

    ERIC Educational Resources Information Center

    Finlayson, Elizabeth Mason

    Using questionnaire responses from the wives of Army officers on duty in the United States, this study explored participation in the areas of education, volunteer services, and employment, and the premise that there are certain characteristics of the military environment which might influence and modify that participation. The study focused on…

  7. Collaborative social and medical service application.

    PubMed

    Petermann, C A; Buffone, G J; Bobroff, R B; Moore, D M; Dargahi, R; Moreau, D R; Gilson, H S; Li, Y; Fowler, J; Beck, J R

    1995-01-01

    Baylor College of Medicine has five Teen Health Clinics (THC) dispersed throughout Harris county. The population served by the clinics includes inner-city adolescent boys and girls 19 years of age and under. Patients receive services such as family planning, sexually transmitted disease screening and treatment, perinatal care, counseling, and support services. Adolescents may receive services at any one of the clinics at no cost to the adolescent or their dependents. Given the geographical distribution of the clinics and the reliance on paper-based records, client services cannot be provided efficiently or expeditiously. According to the statistics developed by Clinic staff, ineffective coordination of service needs and client schedules undermine the follow-up needed for effective care. For example, a counselor will often need to balance a school schedule, clinic visits, well baby follow-up, and the Best Friends Program for a new mother. In addition, the lack of ready access to patient information impairs the ability of clinical and social service staff to provide continuity of care. In fact, some cases of client dropout are attributable to these difficulties. We have developed the Collaborative Social and Medical Service Application (CSMSA) to facilitate the provision of social and medical services to this population. The CSMSA is a domain-specific application based on a robust infrastructure known as the Ambulatory Services Architecture (ASA). This system is designed to support integrated social and ambulatory care. The ASA is a Baylor developed application framework and architecture for the computerization of the patient medical record in the ambulatory care setting. The working environment for the CSMSA user is an integrated desktop which provides an operating environment for both third-party applications and the CSMSA, as well as a fundamental set of services. The integrated desktop services include a mechanism for object organization or grouping, a facility

  8. The association between US Army enlistment waivers and subsequent behavioral and social health outcomes and attrition from service.

    PubMed

    Gallaway, M Shayne; Bell, Michael R; Lagana-Riordan, Christine; Fink, David S; Meyer, Charles E; Millikan, Amy M

    2013-03-01

    Soldiers granted enlistment waivers for medical concerns, misconduct, or positive alcohol/drug tests may or may not be associated with an increased likelihood of negative behavioral outcomes. Soldiers in the population examined (n = 8,943) who were granted enlistment waivers from 2003 to 2008 were significantly more likely to subsequently be screened for alcohol/substance abuse, test positive for illicit substances, or receive an Army separation for behavioral misconduct. These associations were highest among Soldiers granted waivers for nonlawful alcohol/drug violations. Soldiers granted waivers for felony offenses and serious nontraffic violations were significantly less likely to separate from the Army compared with Soldiers not granted enlistment waivers.

  9. Primary trauma care experience of army reserve combat medics: is a new approach needed?

    PubMed

    Ben-Abraham, R; Paret, G; Kluger, Y; Shemer, J; Stein, M

    1999-01-01

    Combat medics play a significant role in any fighting unit. In recent years, during times of peace and low-intensity military conflicts, as well as in operations other than war, reserve combat medics have been challenged to treat major casualties in the field. Although this work requires important manual skills, the medics perform basic treatment maneuvers that are not necessarily for saving of lives. A sample survey of reserve combat medics revealed that most (70%) were engaged in medical care for trauma victims during their regular and reserve service. Many (32.5%) were involved in incidents with multiple casualties. These incidents included seriously injured victims, with 39.2% of the medics being involved with air evacuation and 44.4% with fatalities. Not all medics are exposed to major trauma, but for those who are, the numbers of patients per medic is not large. Therefore, the need to educate the medics in cognitive, and more importantly, in manual skills, is obvious. Suggestions for the means to do so are provided.

  10. Elective Course on Medication Therapy Management Services

    PubMed Central

    Kuhn, Catherine; Sterrett, James J.

    2010-01-01

    Objectives To determine the impact of active-learning strategies in a medication therapy management (MTM) elective on pharmacy students' preparedness to participate in real-life MTM counseling sessions. Design The elective included active-learning assignments such as patient cases, group discussions, role playing, and use of actual patients to prepare students for MTM services. Assessment A survey was administered before (week 11) and after (week 15) completing a face-to-face comprehensive medication review (CMR) to evaluate achievement of course objectives and students' preparedness to participate in MTM. In the pre-CMR survey, 66.7% of the students strongly agreed that the course prepared them to provide MTM services. In the post-CMR survey, 88.9% of the students strongly agreed (p = 0.046). Conclusion The active-learning strategies used in the MTM elective course provided students with the skills necessary to participate in MTM counseling sessions. Face-to-face CMRs better prepared pharmacy students to provide MTM services. PMID:20498733

  11. 42 CFR 409.24 - Medical social services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Medical social services. 409.24 Section 409.24... PROGRAM HOSPITAL INSURANCE BENEFITS Posthospital SNF Care § 409.24 Medical social services. Medicare pays for medical social services as posthospital SNF care, including— (a) Assessment of the social and...

  12. 42 CFR 409.24 - Medical social services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Medical social services. 409.24 Section 409.24... PROGRAM HOSPITAL INSURANCE BENEFITS Posthospital SNF Care § 409.24 Medical social services. Medicare pays for medical social services as posthospital SNF care, including— (a) Assessment of the social and...

  13. 42 CFR 409.24 - Medical social services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Medical social services. 409.24 Section 409.24... PROGRAM HOSPITAL INSURANCE BENEFITS Posthospital SNF Care § 409.24 Medical social services. Medicare pays for medical social services as posthospital SNF care, including— (a) Assessment of the social and...

  14. 42 CFR 409.24 - Medical social services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Medical social services. 409.24 Section 409.24... PROGRAM HOSPITAL INSURANCE BENEFITS Posthospital SNF Care § 409.24 Medical social services. Medicare pays for medical social services as posthospital SNF care, including— (a) Assessment of the social and...

  15. 31 CFR 590.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 590.507 Section 590.507 Money and Finance: Treasury Regulations Relating to Money and...

  16. 31 CFR 588.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 588.508 Section 588.508 Money and Finance: Treasury Regulations Relating to Money and...

  17. 31 CFR 576.509 - Authorization of emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Authorization of emergency medical services. 576.509 Section 576.509 Money and Finance: Treasury Regulations Relating to Money and...

  18. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Emergency medical services... NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer must insert the clause at 1852.242-78, Emergency Medical Services and Evacuation, in all solicitations...

  19. 31 CFR 594.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Authorization of emergency medical services. 594.507 Section 594.507 Money and Finance: Treasury Regulations Relating to Money and...

  20. 31 CFR 594.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency medical services. 594.507 Section 594.507 Money and Finance: Treasury Regulations Relating to Money and...

  1. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Emergency medical services... NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer must insert the clause at 1852.242-78, Emergency Medical Services and Evacuation, in all solicitations...

  2. Highway Safety Program Manual: Volume 11: Emergency Medical Services.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    Volume 11 of the 19-volume Highway Safety Program Manual (which provides guidance to State and local governments on preferred highway safety practices) concentrates on emergency medical services. The purpose of the program, Federal authority in the area of medical services, and policies related to an emergency medical services (EMS) program are…

  3. 31 CFR 588.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency medical services. 588.508 Section 588.508 Money and Finance: Treasury Regulations Relating to Money and...

  4. 31 CFR 547.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 547.508 Section 547.508 Money and Finance: Treasury Regulations Relating to Money and...

  5. 29 CFR 1915.87 - Medical services and first aid.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Working Conditions § 1915.87 Medical services and first aid. (a) General requirement. The employer shall ensure that emergency medical services and first aid are readily accessible. (b) Advice and consultation... 29 Labor 7 2012-07-01 2012-07-01 false Medical services and first aid. 1915.87 Section...

  6. 31 CFR 547.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 547.508 Section 547.508 Money and Finance: Treasury Regulations Relating to Money and...

  7. 31 CFR 593.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency medical services. 593.508 Section 593.508 Money and Finance: Treasury Regulations Relating to Money and...

  8. 31 CFR 590.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Authorization of emergency medical services. 590.507 Section 590.507 Money and Finance: Treasury Regulations Relating to Money and...

  9. 31 CFR 544.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 544.508 Section 544.508 Money and Finance: Treasury Regulations Relating to Money and...

  10. 31 CFR 576.509 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency medical services. 576.509 Section 576.509 Money and Finance: Treasury Regulations Relating to Money and...

  11. 31 CFR 594.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 594.507 Section 594.507 Money and Finance: Treasury Regulations Relating to Money and...

  12. 31 CFR 576.509 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 576.509 Section 576.509 Money and Finance: Treasury Regulations Relating to Money and...

  13. 31 CFR 547.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency medical services. 547.508 Section 547.508 Money and Finance: Treasury Regulations Relating to Money and...

  14. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Emergency medical services... NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer must insert the clause at 1852.242-78, Emergency Medical Services and Evacuation, in all solicitations...

  15. 31 CFR 545.517 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 545.517 Section 545.517 Money and Finance: Treasury Regulations Relating to Money and...

  16. 31 CFR 544.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency medical services. 544.508 Section 544.508 Money and Finance: Treasury Regulations Relating to Money and...

  17. 31 CFR 594.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Authorization of emergency medical services. 594.507 Section 594.507 Money and Finance: Treasury Regulations Relating to Money and...

  18. 31 CFR 588.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 588.508 Section 588.508 Money and Finance: Treasury Regulations Relating to Money and...

  19. 31 CFR 590.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Authorization of emergency medical services. 590.507 Section 590.507 Money and Finance: Treasury Regulations Relating to Money and...

  20. 31 CFR 576.509 - Authorization of emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of emergency medical services. The provision of nonscheduled emergency medical services in the United... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Authorization of emergency medical services. 576.509 Section 576.509 Money and Finance: Treasury Regulations Relating to Money and...

  1. 29 CFR 1915.87 - Medical services and first aid.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Working Conditions § 1915.87 Medical services and first aid. (a) General requirement. The employer shall ensure that emergency medical services and first aid are readily accessible. (b) Advice and consultation... 29 Labor 7 2014-07-01 2014-07-01 false Medical services and first aid. 1915.87 Section...

  2. 31 CFR 594.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... medical services. The provision of nonscheduled emergency medical services in the United States to persons... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 594.507 Section 594.507 Money and Finance: Treasury Regulations Relating to Money and...

  3. 31 CFR 593.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 593.508 Section 593.508 Money and Finance: Treasury Regulations Relating to Money and...

  4. 31 CFR 593.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency medical services. 593.508 Section 593.508 Money and Finance: Treasury Regulations Relating to Money and...

  5. 42 CFR 409.24 - Medical social services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Medical social services. 409.24 Section 409.24... PROGRAM HOSPITAL INSURANCE BENEFITS Posthospital SNF Care § 409.24 Medical social services. Medicare pays for medical social services as posthospital SNF care, including— (a) Assessment of the social and...

  6. A Study of the Medical Support of the Union and Confederate Armies during the Battle of Chickamauga: Lessons and Implications for Today’s US Army Medical Department Leaders

    DTIC Science & Technology

    1990-06-01

    Confederacy." Military Medicine 118.1 (1956): 54; Cunningham, Doctors 31. 18. Julian Chisolm, A Manual of Military Surgery For the Use of Surgeons in the...the Battles Illustrated Thereon. Washington: GPO, 1902. Chisolm, J. Julian . A Manual of Military Surgery For the Use of Surgeons in the Confederate...NOT CITED BOOKS Ashburn, Percy . A History of the Medical Department of the United States Army. Boston: Houghton Mifflin, 1929. Beers, Henry. Guide to

  7. An assessment of the accuracy and utility of the primary care electronic medical record as used by the British Army.

    PubMed

    Cox, Andrew T; Gillingham, S; Johnson, S A; Sharma, S; Wilson, D

    2016-10-01

    For the purposes of patient safety, audit and research, the electronic patient record (EPR) must be accurate and searchable. No evaluation of the accuracy of EPRs compared with paper records has been made. Furthermore, the use of Read codes is known to be heterogeneous. This study was designed to evaluate the EPR used by the UK Armed Forces. A cross-sectional study reviewing the paper records and EPRs of 50 consecutive soldiers posted to a British Army Training Regiment. There was a pre-enlistment summary in only 38% of the paper notes, although 24% had some primary care records from prior to enlistment. There were 357 entries that should have been transferred to the EPR. Of these, only 190 (53.2%) were transferred with appropriate Read codes, while only 24% of patients reviewed had all their entries appropriately Read coded. There were 168 secondary care letters discovered with 122 (72.6%) generically Read coded and 46 (27.4%) using an appropriate Read code. Of those letters with more than one potential Read code, 34 (73.9%) were coded using all appropriate Read codes. Several incidental errors in the medical records were also discovered with significant patient safety implications. The historical paper-based medical record was found to have many data missing. The transfer of these paper records to the EPR has been inaccurate with many records not transferred or transferred ineffectively. These findings have an impact on patient safety, audit and data security and should trigger a review of how the Armed Forces manage their primary care records. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  8. Army Posture Statement 2007

    DTIC Science & Technology

    2007-02-14

    and overhead. We are now well underway in deploying the Lean Six Sigma methodology as a vehicle to seek continuous process improvement, eliminate...and morale. • Implemented Lean Six Sigma methodology within all Army Commands, Direct Reporting Units, Army Service Components of Joint Commands...between 2007 and 2013. • Implemented Lean Six Sigma methodology within all Army Commands, Direct Reporting Units, Army Service Components of Joint

  9. The Emergency Medical Services Safety Champions

    PubMed Central

    Patterson, P. Daniel; Anderson, Michelle S.; Zionts, Nancy D.; Paris, Paul M.

    2014-01-01

    The overarching mission of prehospital Emergency Medical Services (EMS) is to deliver life-saving care for people when their needs are greatest. Fulfilling this mission is challenged by threats to patient and provider safety. The EMS setting is high-risk because care is delivered rapidly in the out-of-hospital setting where patient-benefiting resources are limited. There is growing evidence that safety culture varies widely across EMS agencies. A poor safety culture may manifest as error in medication, back injuries, and other poor outcomes for patient and provider. Recently, federal and national leaders of EMS (i.e., the National Highway Traffic Safety Administration) have made improving EMS safety culture a national priority. Unfortunately, there are few initiatives that can help local EMS leaders achieve that priority. We describe the successful EMS Champs Fellowship program supported by the Jewish Healthcare Foundation (JHF) designed to train EMS leaders to improve safety for patients and providers. PMID:23150883

  10. Emergency Medical Service Personnel Recognize Pediatric Concussions.

    PubMed

    Speirs, Joshua N; Lyons, Matthew I; Johansson, Bert E

    2017-01-01

    Concussions are a major cause of morbidity in pediatrics. Many concussions occur during activities with emergency medical service (EMS) providers present to determine if a higher level of care is needed. Data are limited on how capable these providers are. We assessed the ability of EMS providers to recognize pediatric concussions. Fifty-six total responses were included, 38 from EMS and 18 from our MD/RN (medical doctor/registered nurse) group. No statistical differences were found between the 2 groups when adjusted for age, gender, number of years in practice, and number of pediatric concussions managed. This first of its kind pilot study was designed to assess EMS personnel's ability to recognize and triage pediatric concussions. Our findings show EMS providers are statistically identical in their ability to recognize and triage concussions to physicians. The performance of our MD participants was lower than expected. Larger studies are needed to further investigate EMS providers' ability to recognize a concussion.

  11. Military services fitness database: development of a computerized physical fitness and weight management database for the U.S. Army.

    PubMed

    Williamson, Donald A; Bathalon, Gaston P; Sigrist, Lori D; Allen, H Raymond; Friedl, Karl E; Young, Andrew J; Martin, Corby K; Stewart, Tiffany M; Burrell, Lolita; Han, Hongmei; Hubbard, Van S; Ryan, Donna

    2009-01-01

    The Department of Defense (DoD) has mandated development of a system to collect and manage data on the weight, percent body fat (%BF), and fitness of all military personnel. This project aimed to (1) develop a computerized weight and fitness database to track individuals and Army units over time allowing cross-sectional and longitudinal evaluations and (2) test the computerized system for feasibility and integrity of data collection over several years of usage. The computer application, the Military Services Fitness Database (MSFD), was designed for (1) storage and tracking of data related to height, weight, %BF for the Army Weight Control Program (AWCP) and Army Physical Fitness Test (APFT) scores and (2) generation of reports using these data. A 2.5-year pilot test of the MSFD indicated that it monitors population and individual trends of changing body weight, %BF, and fitness in a military population.

  12. Military Services Fitness Database: Development of a Computerized Physical Fitness and Weight Management Database for the U.S. Army

    PubMed Central

    Williamson, Donald A.; Bathalon, Gaston P.; Sigrist, Lori D.; Allen, H. Raymond; Friedl, Karl E.; Young, Andrew J.; Martin, Corby K.; Stewart, Tiffany M.; Burrell, Lolita; Han, Hongmei; Hubbard, Van S.; Ryan, Donna

    2009-01-01

    The Department of Defense (DoD) has mandated development of a system to collect and manage data on the weight, percent body fat (%BF), and fitness of all military personnel. This project aimed to (1) develop a computerized weight and fitness database to track individuals and Army units over time allowing cross-sectional and longitudinal evaluations and (2) test the computerized system for feasibility and integrity of data collection over several years of usage. The computer application, the Military Services Fitness Database (MSFD), was designed for (1) storage and tracking of data related to height, weight, %BF for the Army Weight Control Program (AWCP) and Army Physical Fitness Test (APFT) scores and (2) generation of reports using these data. A 2.5-year pilot test of the MSFD indicated that it monitors population and individual trends of changing body weight, %BF, and fitness in a military population. PMID:19216292

  13. An experimental predeployment training program improves self-reported patient treatment confidence and preparedness of Army combat medics.

    PubMed

    Gerhardt, Robert T; Hermstad, Erik L; Oakes, Michael; Wiegert, Richard S; Oliver, Jeffrey

    2008-01-01

    To develop and assess impact of a focused review of International Trauma Life Support (ITLS) and combat casualty care with hands-on procedure training for U.S. Army medics deploying to Iraq. The setting was a U.S. Army Medical Department Center and School and Camp Eagle, Iraq. Investigators developed and implemented a command-approved prospective educational intervention with a post hoc survey. Subjects completed a three-day course with simulator and live-tissue procedure laboratories. At deployment's end, medics were surveyed for experience, confidence, and preparedness in treating various casualty severity levels. Investigators used two-tailed t-test with unequal variance for continuous data and chi-square for categorical data. Twenty-nine medics deployed. Eight completed the experimental program. Twenty-one of 25 (84%) available medics completed the survey including six of the eight (75%) experimental medics. The experimental group reported significantly greater levels of preparedness and confidence treating "minimal," "delayed," and "immediate" casualties at arrival in Iraq. These differences dissipated progressively over the time course of the deployment. This experimental program increased combat medic confidence and perceived level of preparedness in treating several patient severity levels. Further research is warranted to determine if the experimental intervention objectively improves patient care quality and translates into lives saved early in deployment.

  14. Advising and assisting an Iraqi Army medical clinic: observations of a U.S. military support mission.

    PubMed

    Lynn, David C; De Lorenzo, Robert A

    2011-09-01

    Medical civil-military operations are important for deployed military medical units engaged in counter-insurgency missions. There are few reports on military support for a host nation's military medical infrastructure, and we describe an initiative of the 21st Combat Support Hospital in 2010 during the postsurge phase of Operation Iraqi Freedom and Operation New Dawn. The goal was to incrementally improve the quality of care provided by Iraqi 7th Army medical personnel using existing clinic infrastructure and a low budget. Direct bedside teaching to include screening and treatment of ambulatory patients (sick call), focused pharmacy and medical supply system support, medical records documentation, and basic infection control compliance were the objectives. Lessons learned include the requirement to implement culturally relevant changes, maintain focus on system processes, and maximize education and mentorship through multiple modalities. In summary, a combat hospital can successfully implement an advise and assist mission with minimal external resources.

  15. A Project to Determine a More Efficient Method for Management of Commercial Accounts Payable at Walter Reed Army Medical Center

    DTIC Science & Technology

    1989-05-26

    x In Partial Fulfillment of the m Requirements for the Degree of Master of Health Administration by Lieutenant Colonel Tommy W. Mayes, MS 26 May 1989...Method for Management of Commercial Accounts Payable at Walter Reed Army Medical Center 12. PERSONAL AUTHOR(S) Mayes, Tommy W. 13a. TYPE OF REPORT...TELEPHONE (Include Area Code) 122c. OFFICE SYMBOL Mayes, Tommy W. (202)576-3955 AV291 ,HSHL-CS DD Form 1473, JUN 86 Previous editions are obsolete. SECURITY

  16. Pediatric emergency medical services and their drawbacks

    PubMed Central

    Al-Anazi, Abdullah Foraih

    2012-01-01

    Aim: To survey the literature on Pediatric Emergency Medical Services (PEMS) with an aim to focus its drawbacks and emphasize the means of improvement. Materials and Methods: Published articles selected for inclusion were based on the significance and understanding of literature search on different aspects of PEMS. To meet this criterion, PubMed, PubMed Central, Science Direct, Uptodate, Med Line, comprehensive databases, Cochrane library and the Internet (Google, Yahoo) were thoroughly searched. Results: PEMS provide out-of-hospital medical care and/or transport the patients to definitive care. The task force represents specialties of ambulance transport, first aid, emergency medical care, life saving, trauma, emergency medicine, water rescue, and extrication. Preliminary care is undertaken to save the patients from different medical exigencies. The techniques and procedures of basic and advanced life-support are employed. A large number of weaknesses are recorded in PEMS system, such as ambulance transport irregularities, deficit equipment, lack of expertise, and ignorance of the pre-hospital care providers. These are discussed with special reference to a few examples of medical exigencies. Conclusions: The appointments in PEMS should be regularized with specific qualifications, experience, and expertise in different areas. Responsibility of PEMS should not be left to pre-hospital care providers, who are non clinicians and lack proper education and training. Pediatricians should be adequately trained to play an active role in PEMS. Meetings should be convened to discuss the lapses and means of improvement. Networks of co-operation between pre-hospital providers and experts in the emergency department should be established. PMID:22988399

  17. Prehospital emergency medical services in Malaysia.

    PubMed

    Hisamuddin, N A R Nik; Hamzah, M Shah; Holliman, C James

    2007-05-01

    Once a very slowly developing country in a Southeast Asia region, Malaysia has undergone considerable change over the last 20 years after the government changed its focus from agriculture to developing more industry and technology. The well-known "Vision 2020," introduced by the late Prime Minister, set a target for the nation to be a developed country in the Asia region by the year 2020. As the economy and standard of living have improved, the demand from the public for a better health care system, in particular, emergency medical services (EMS), has increased. Despite the effort by the government to improve the health care system in Malaysia, EMS within the country are currently limited, best described as being in the "developing" phase. The Ministry of Health, Ministry of Education, Civil Defense, and non-governmental organizations such as Red Crescent and St. John's Ambulance, provide the current ambulance services. At the present time, there are no uniform medical control or treatment protocols, communication systems, system management, training or education, or quality assurance policies. However, the recent development of and interest in an Emergency Medicine training program has gradually led to improved EMS and prehospital care.

  18. Experienced and potential medical tourists' service quality expectations.

    PubMed

    Guiry, Michael; Scott, Jeannie J; Vequist, David G

    2013-01-01

    The paper's aim is to compare experienced and potential US medical tourists' foreign health service-quality expectations. Data were collected via an online survey involving 1,588 US consumers engaging or expressing an interest in medical tourism. The sample included 219 experienced and 1,369 potential medical tourists. Respondents completed a SERVQUAL questionnaire. Mann-Whitney U-tests were used to determine significant differences between experienced and potential US medical tourists' service-quality expectations. For all five service-quality dimensions (tangibles, reliability, responsiveness, assurance and empathy) experienced medical tourists had significantly lower expectations than potential medical tourists. Experienced medical tourists also had significantly lower service-quality expectations than potential medical tourists for 11 individual SERVQUAL items. Results suggest using experience level to segment medical tourists. The study also has implications for managing medical tourist service-quality expectations at service delivery point and via external marketing communications. Managing medical tourists' service quality expectations is important since expectations can significantly influence choice processes, their experience and post-consumption behavior. This study is the first to compare experienced and potential US medical tourist service-quality expectations. The study establishes a foundation for future service-quality expectations research in the rapidly growing medical tourism industry.

  19. Chilled water study EEAP program for Walter Reed Army Medical Center. Book 1. Final Submission

    SciTech Connect

    1996-02-01

    The Energy Engineering Analysis Program (EEAP) Study for Walter Reed Army Medical Center (WRAMC) was to provide a thorough examination of the central chilled water plants on site. WRAMC is comprised of seventy-one (71) buildings located on a 113-acre site in Washington, D.C. There are two (2) central chilled water plants (Buildings 48 and 49) each with a primary chilled water distribution system. In addition to the two (2) central plants, three (3) buildings utilize their own independent chillers. Two (2) of the independent chillers (Buildings 7 and T-2), one of which is inoperative (T-2), are smaller air-cooled units, while the third (Building 54) has a 1,900-ton chilled water plant comprised of three (3) centrifugal chillers. Of the two (2) central chilled water plants, Building 48 houses six (6) chillers totalling 7,080 tons of cooling and Building 49 houses one (1) chiller with 660 tons of cooling. The total chiller cooling capacity available on site is 9,840 tons.

  20. Chilled water study EEAP program for Walter Reed Army Medical Center: Book 2. Final report

    SciTech Connect

    1996-02-01

    The Energy Engineering Analysis Program (EEAP) Study for Walter Reed Army Medical Center (WRAMC) was to provide a thorough examination of the central chilled water plants on site. WRAMC is comprised of seventy-one (71) buildings located on a 113-acre site in Washington, D.C. There are two (2) central chilled water plants (Buildings 48 and 49) each with a primary chilled water distribution system. In addition to the two (2) central plants, three (3) buildings utilize their own independent chillers. Two (2) of the independent chillers (Buildings 7 and T-2), one of which is inoperative (T-2), are smaller air-cooled units, while the third (Building 54) has a 1,900-ton chilled water plant comprised of three (3) centrifugal chillers. Of the two (2) central chilled water plants, Building 48 houses six (6) chillers totalling 7,080 tons of cooling and Building 49 houses one (1) chiller with 660 tons of cooling. The total chiller cooling capacity available on site is 9,840 tons. The chilled water systems were reviewed for alternative ways of conserving energy on site and reducing the peak-cooling load. Distribution systems were reviewed to determine which buildings were served by each of the chilled water plants and to determine chilled water usage on site. Evaluations were made of building exterior and interior composition in order to estimate cooling loads. Interviews with site personnel helped Entech better understand the chilled water plants, the distribution systems, and how each system was utilized.

  1. Observation on the Joint Service Military Medical Facility What Does the Future Hold

    DTIC Science & Technology

    2007-03-30

    base hospitals at Mather and McClellan , Sacramento , CA; March AFB hospital, CA; Fitzsimmons Medical Center, Aurora, CO, among others.20 Unlike...Medical Center, San Diego, CA and David Grant Medical Center, Travis AFB , CA for Army RC units, such as the 921st Field Hospital (FH) from Sacramento ...with Malcolm Grow Medical Center at Andrews AFB , Dewitt Army Community Hospital at Ft. Belvoir, and associated area clinics.14 But the Office of

  2. 42 CFR 440.50 - Physicians' services and medical and surgical services of a dentist.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Physicians' services and medical and surgical services of a dentist. 440.50 Section 440.50 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS...

  3. Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight

    DTIC Science & Technology

    2015-03-04

    and Surgery CAC Common Access Card CRS Centralized Receivables Service DoD FMR DoD Financial Management Regulation MSA Medical Service Account MTF...H 4 , 2 0 1 5 Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight Report No. DODIG-2015...04 MAR 2015 2. REPORT TYPE 3. DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Delinquent Medical Service Accounts at Naval

  4. Accession Medical Standards Analysis and Research Activity (AMSARA) 2014, Annual Report, and four Supplemental Applicants and Accessions Tables for: Army, Air Force, Marine, and Navy

    DTIC Science & Technology

    2016-02-02

    Accession Medical Standards Analysis & Research Activity Attrition & Morbidity Data for 2013 Accessions Annual Report 2014 Published...Distributed 2nd Quarter of Fiscal Year 2016 Accession Medical Standards Analysis & Research Activity 2014 Annual Report Published & Distributed 2nd...of the Department of the Army or the Department of Defense. i Contents Introduction: Accession Medical Standards Analysis & Research Activity

  5. Insurance and the utilization of medical services.

    PubMed

    Meer, Jonathan; Rosen, Harvey S

    2004-05-01

    Most data sets indicate a positive correlation between having health insurance and utilizing health care services. Yet the direction of causality is not at all clear. If we observe a positive correlation between the utilization of health care services and insurance status, we do not know if this is because people who anticipate poor health buy more insurance (or take jobs with generous medical coverage), or because insurance lowers the cost of health care, increasing the quantity demanded. While a few attempts have been made to implement an instrumental variables (IV) strategy to deal with endogeneity, the instruments chosen have not been entirely convincing. In this paper we revisit the IV estimation of the reduced form relationships between insurance and health care utilization taking advantage of what we argue is a good instrument-the individual's self-employment status. Our main finding is that a positive and statistically significant effect of insurance continues to obtain even after instrumenting. Indeed, instrumental variables estimates of the impact of insurance on utilization of a variety of health care services are larger than their non-instrumented counterparts. The validity of this exercise depends on the extent to which self-employment status is a suitable instrument. To argue this case, we analyze panel data on transitions from wage-earning into self-employment and show that individuals who select into self-employment do not differ systematically from those who remain wage-earners with respect to either the utilization of health care or health status. While this finding does not prove that self-employment status is an appropriate instrument, it is encouraging that there appear to be no underlying differences that might lead to self-employment per se affecting health services utilization.

  6. U.S. Army Medical Department Journal, July-September 2005

    DTIC Science & Technology

    2005-09-01

    transmission cycle between wild birds and the Centersfor Disease Control and Prevention. Available at URL: mosquitoes principally in the genus Culex , with virus...Dyar & Knab) 4,110 2,283 or civilian laboratories in 2003 with the following results: Culex nigripalpus Theobald 681 1,069 Goodfellow Air Force Base had...Medical Zoology Branch, infection rates in Culex nigripalpus (Diptera:Culicidae) do not reflect Department of Preventive Health Services, Academy of

  7. [About economic aspects of provision of medical services].

    PubMed

    Gerasimov, P A

    2014-01-01

    The contradiction between economic and social components of medical services is present in any state. Initially, the state undertakes the commitment no provide citizen with equal access to medical services. However, this means to provide social equity between all members of society which not always is effective from economic point of view. The article analyzes the problems originated in public system of provision of medical services. These problems are determined by service specificity itself model of provision of medical services and public priorities in social sector.

  8. 31 CFR 597.511 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false In-kind donations of medicine... Licensing Policy § 597.511 In-kind donations of medicine, medical devices, and medical services. (a... medicine, medical devices, and medical services to the Palestinian Authority Ministry of Health,...

  9. Perspectives on medical school library services in Turkey.

    PubMed Central

    Brennen, P W; Blackwelder, M B; Kirkali, M

    1987-01-01

    This paper gives a brief overview of medical education in Turkey and shows the impact of established social, educational, and economic patterns upon current medical library services. Current statistical information is given on the twenty-two medical school libraries in Turkey. Principal problems and chief accomplishments with library services are highlighted and discussed. PMID:3676535

  10. 10 CFR 35.2080 - Records of mobile medical services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Records of mobile medical services. 35.2080 Section 35.2080 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL Records § 35.2080 Records of mobile medical services. (a) A licensee shall retain a copy of each letter that permits the use...

  11. 48 CFR 752.228-70 - Medical Evacuation (MEDEVAC) Services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Medical Evacuation... Clauses 752.228-70 Medical Evacuation (MEDEVAC) Services. As prescribed in 728.307-70, for use in all contracts requiring performance overseas: Medical Evacuation (MEDEVAC) Services (JUL 2007) (a) Contractor...

  12. 28 CFR 115.182 - Access to emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Access to emergency medical services. 115... to emergency medical treatment. (b) Treatment services shall be provided to the victim without... ACT NATIONAL STANDARDS Standards for Lockups Medical and Mental Care § 115.182 Access to...

  13. 28 CFR 115.182 - Access to emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Access to emergency medical services. 115... to emergency medical treatment. (b) Treatment services shall be provided to the victim without... ACT NATIONAL STANDARDS Standards for Lockups Medical and Mental Care § 115.182 Access to...

  14. 28 CFR 115.182 - Access to emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Access to emergency medical services. 115... to emergency medical treatment. (b) Treatment services shall be provided to the victim without... ACT NATIONAL STANDARDS Standards for Lockups Medical and Mental Care § 115.182 Access to...

  15. 48 CFR 752.228-70 - Medical Evacuation (MEDEVAC) Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Medical Evacuation... Clauses 752.228-70 Medical Evacuation (MEDEVAC) Services. As prescribed in 728.307-70, for use in all contracts requiring performance overseas: Medical Evacuation (MEDEVAC) Services (JUL 2007) (a) Contractor...

  16. 78 FR 76061 - Authorization for Non-VA Medical Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ... AFFAIRS 38 CFR Part 17 RIN 2900-AO46 Authorization for Non-VA Medical Services AGENCY: Department of... VA's regulations regarding payment by VA for medical services under VA's statutory authority for non-VA medical care. In the Federal Register on November 28, 2012, VA proposed to remove an outdated...

  17. [Quality of German medical services: a review].

    PubMed

    Braun, J; Robbers, J; Lakomek, H-J

    2016-02-01

    In the current draft of the law on the reform of the support structures of hospital provision (German Hospital Structure Law) the future quality of provision is highly significant. Quality assurance measures are mandatory for hospitals. The Federal General Committee was legally charged with developing the relevant quality indicators for structural, procedural and outcome quality that are designed to form the criteria and the basis for planning decisions in the federal states. This involves a paradigm shift in quality assurance measures in hospitals. In the future, subject to the verified quality, this should have an influence on hospital planning, and the funding or regulation of hospital departments should also adhere to this prescribed quality. This review reveals the course of quality or quality assurance measures in medical services in Germany. The status of the institutions responsible for the quality of care in hospitals and the significance of quality indicators are explained.

  18. Hazard perception in emergency medical service responders.

    PubMed

    Johnston, K A; Scialfa, C T

    2016-10-01

    The perception of on-road hazards is critically important to emergency medical services (EMS) professionals, the patients they transport and the general public. This study compared hazard perception in EMS and civilian drivers of similar age and personal driving experience. Twenty-nine EMS professionals and 24 non-professional drivers were given a dynamic hazard perception test (HPT). The EMS group demonstrated an advantage in HPT that was independent of simple reaction time, another indication of the validity of the test. These results are also consistent with the view that professional driving experience results in changes in the ability to identify and respond to on-road hazards. Directions for future research include the development of a profession-specific hazard perception tool for both assessment and training purposes.

  19. Chat reference service in medical libraries: part 2--Trends in medical school libraries.

    PubMed

    Dee, Cheryl R

    2003-01-01

    An increasing number of medical school libraries offer chat service to provide immediate, high quality information at the time and point of need to students, faculty, staff, and health care professionals. Part 2 of Chat Reference Service in Medical Libraries presents a snapshot of the current trends in chat reference service in medical school libraries. In late 2002, 25 (21%) medical school libraries provided chat reference. Trends in chat reference services in medical school libraries were compiled from an exploration of medical school library Web sites and informal correspondence from medical school library personnel. Many medical libraries are actively investigating and planning new chat reference services, while others have decided not to pursue chat reference at this time. Anecdotal comments from medical school library staff provide insights into chat reference service.

  20. Service Learning in Medical Education: Project Description and Evaluation

    ERIC Educational Resources Information Center

    Borges, Nicole J.; Hartung, Paul J.

    2007-01-01

    Although medical education has long recognized the importance of community service, most medical schools have not formally nor fully incorporated service learning into their curricula. To address this problem, we describe the initial design, development, implementation, and evaluation of a service-learning project within a first-year medical…

  1. 76 FR 37201 - Reimbursement Offsets for Medical Care or Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Care or Services; Final Rule #0;#0;Federal Register / Vol. 76, No. 122 / Friday, June 24, 2011 / Rules... Offsets for Medical Care or Services AGENCY: Department of Veterans Affairs. ACTION: Final rule. SUMMARY... reimbursement of medical care and services delivered to veterans for nonservice-connected conditions. This...

  2. Emergency Medical Service Personnel Recognize Pediatric Concussions

    PubMed Central

    Speirs, Joshua N.; Lyons, Matthew I.; Johansson, Bert E.

    2017-01-01

    Concussions are a major cause of morbidity in pediatrics. Many concussions occur during activities with emergency medical service (EMS) providers present to determine if a higher level of care is needed. Data are limited on how capable these providers are. We assessed the ability of EMS providers to recognize pediatric concussions. Fifty-six total responses were included, 38 from EMS and 18 from our MD/RN (medical doctor/registered nurse) group. No statistical differences were found between the 2 groups when adjusted for age, gender, number of years in practice, and number of pediatric concussions managed. This first of its kind pilot study was designed to assess EMS personnel’s ability to recognize and triage pediatric concussions. Our findings show EMS providers are statistically identical in their ability to recognize and triage concussions to physicians. The performance of our MD participants was lower than expected. Larger studies are needed to further investigate EMS providers’ ability to recognize a concussion. PMID:28812053

  3. AMEDD Clinical Psychology Short Course, 10 - 15 May 1992, Eisenhower Army Medical Center, Augusta, Georgia

    DTIC Science & Technology

    1993-01-01

    MONITORING ORGANIZATION US Army Health Care Studies & (If applicable) Clinical Investigation Activity HSHN-T Office of the Surgeon General 6c. ADDRESS ( City ...State, and ZIP Code) 7b. ADDRESS ( City , State, and ZIP Code) Clinical Psychology Consultant/SGPS-CP 5 Skyline Place Fort Sam Houston, TX 78234-6060...applicable) Department of the Army I 8c. ADDRESS ( City , State, and ZIP Code) 10. SOURCE OF FUNDING NUMBERS PROGRAM PROJECT TASK WORK UNIT ELEMENT NO. NO. NO

  4. Clinical laboratories: production industry or medical services?

    PubMed

    Plebani, Mario

    2015-06-01

    The current failure to evidence any link between laboratory tests, clinical decision-making and patient outcomes, and the scarcity of financial resources affecting healthcare systems worldwide, have put further pressure on the organization and delivery of laboratory services. Consolidation, merger, and laboratory downsizing have been driven by the need to deliver economies of scale and cut costs per test while boosting productivity. Distorted economics, based on payment models rewarding volume and efficiency rather than quality and clinical effectiveness, have underpinned the entrance of clinical laboratories into the production industry thus forcing them to relinquish their original mission of providing medical services. The sea change in laboratory medicine in recent years, with the introduction of ever newer and ever more complex tests, including 'omics', which impact on clinical decision-making, should encourage clinical laboratories to return to their original mission as long as payments models are changed. Rather than being considered solely in terms of costs, diagnostic testing must be seen in the context of an entire hospital stay or an overall payment for a care pathway: the testing process should be conceived as a part of the patient's entire journey.

  5. Clinical prediction of musculoskeletal-related "medically not ready" for combat duty statuses among active duty U.S. army soldiers.

    PubMed

    Nelson, D Alan; Kurina, Lianne M

    2013-12-01

    No evidence-based mechanism currently exists to inform U.S. Army clinicians of soldiers at risk of being found "Medically Not Ready" for combat duty. Historically, musculoskeletal conditions represent high-frequency medical problems among Army soldiers. We explored the feasibility of using centrally archived medical and administrative data on Army soldiers in the automated prediction of musculoskeletal-related Medically Not Ready soldiers who did not deploy. We examined 56,443 active duty U.S. Army soldiers who underwent precombat medical screening during March through December 2009 and in March 2010. Musculoskeletal problems were associated with 23.0% of nonreadiness cases in the study population. We used multivariable logistic regression in derivation cohorts to compute risk coefficients and cut points. We then applied these coefficients to covariates in validation cohorts, simulating predictions 2 to 3 months before their medical screenings. The analysis yielded c statistics ranging from 83 to 90%. The predictions identified 45 to 73% and 50 to 82% of the individual male and female outcome-positive soldiers, respectively, while obtaining 83 to 95% specificity. Our findings demonstrate the potential of Army data to create evidence-based estimates of nonreadiness risk. These methods could enable earlier patient referrals and improved management, and potentially reduce medically related nondeployment.

  6. Customer satisfaction measurement in emergency medical services.

    PubMed

    Kuisma, Markku; Määttä, Teuvo; Hakala, Taisto; Sivula, Tommi; Nousila-Wiik, Maria

    2003-07-01

    The annual patient volume in emergency medical services (EMS) systems is high worldwide. However, there are no comprehensive studies on customer satisfaction for EMS. The authors report how a customer satisfaction survey on EMS patients was conducted, the results, and the possible causes for dissatisfaction. Two prospective customer satisfactions surveys were conducted in an urban EMS system. Consecutive patients treated by EMS received a postal questionnaire approximately two weeks after service. Satisfaction was measured in a scale from 1 (very poor) to 5 (excellent). Neither EMS personnel nor patients were made aware prospectively that patient satisfaction would be measured. Response rates to the surveys were 36.8% (432/1,175) in 2000 and 40.0% (464/1,150) in 2002. The mean general grades for the service were 4.6 and 4.5, respectively. Patients reported the highest degree of dissatisfaction when they were not taken to their hospital of choice, when they perceived that the paramedics were not able to meet their needs, and when paramedics did not introduce themselves or communicate directly with the patient's relatives. In high-volume calls (i.e., frequent chief complaints), the general satisfaction was highest in patients with arrhythmias, breathing difficulties, and hypoglycemia. Patients with drug overdose included the highest proportion of unsatisfied patients. None of the background variables (e.g., gender, transport decision, working shift) was statistically related to general patient satisfaction. This study shows that customer satisfaction surveys can be successfully conducted for EMS. EMS systems should consider routinely using customer satisfaction surveys as a tool for quality measurement and improvement.

  7. Army Efficiency Initiatives

    DTIC Science & Technology

    2011-04-28

    directed the military services to incorporate Total Quality Management ( TQM ) principles throughout their organizations. Beginning in 1992, Total Army...Quality (TAQ) was the Army’s new management philosophy, responding to the DOD TQM mandate. This was a significant change of the Army’s culture. In...business practices to meet the Army’s current challenges, it must be determined if TQM is an effective management tool and more importantly if TAQ is

  8. Mental Health Treatment Among Soldiers With Current Mental Disorders in the Army Study to Assess Risk and Resilience in Service Members (Army STARRS).

    PubMed

    Colpe, Lisa J; Naifeh, James A; Aliaga, Pablo A; Sampson, Nancy A; Heeringa, Steven G; Stein, Murray B; Ursano, Robert J; Fullerton, Carol S; Nock, Matthew K; Schoenbaum, Michael L; Zaslavsky, Alan M; Kessler, Ronald C

    2015-10-01

    A representative sample of 5,428 nondeployed Regular Army soldiers completed a self-administered questionnaire (SAQ) and consented to linking SAQ data with administrative records as part of the Army Study to Assess Risk and Resilience in Service members. The SAQ included information about prevalence and treatment of mental disorders among respondents with current Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) internalizing (anxiety, mood) and externalizing (disruptive behavior, substance) disorders. 21.3% of soldiers with any current disorder reported current treatment. Seven significant predictors of being in treatment were identified. Four of these 7 were indicators of psychopathology (bipolar disorder, panic disorder, post-traumatic stress disorder, 8+ months duration of disorder). Two were sociodemographics (history of marriage, not being non-Hispanic Black). The final predictor was history of deployment. Treatment rates varied between 4.7 and 71.5% depending on how many positive predictors the soldier had. The vast majority of soldiers had a low number of these predictors. These results document that most nondeployed soldiers with mental disorders are not in treatment and that untreated soldiers are not concentrated in a particular segment of the population that might be targeted for special outreach efforts. Analysis of modifiable barriers to treatment is needed to help strengthen outreach efforts.

  9. The University of Pennsylvania/Walter Reed Army Medical Center proton therapy program.

    PubMed

    McDonough, James; Tinnel, Brent

    2007-08-01

    The design of the proton therapy center being constructed at the University of Pennsylvania is based on several principles that distinguish it from other proton facilities. Among these principles is the recognition that advances in imaging, and particularly in functional imaging, will have a large impact on radiotherapy in the near future and that the conformation of proton dose distributions can utilize that information to a larger degree than other treatment techniques. The facility will contain four-dimensional CT-simulators, an MR-simulator capable of spectroscopy, and a PET-CT scanner. A second principle applied to the facility design is to incorporate into proton radiotherapy the recent progress in conventional radiotherapy; including imaging and monitoring of patients during treatment, imaging of soft tissue, accounting for respiratory motion, and expanding the use of intensity-modulated treatments. A third principle is to understand that the facility must be operated efficiently. To that end the specifications for the equipment have included requirements for high beam intensity, fast switching times between treatment rooms, a multileaf collimator to permit multiple fields to be treated quickly, and plans for an intelligent beam scheduler to determine where the beam can be best used at any given time. We expect to use "universal" nozzles, which can switch rapidly from scattering mode to scanning mode, and there will be a set-up room used for the first day of treatment to verify alignment rather than spend valuable time in a gantry room. Many of these ideas require development, including the applications of existing radiotherapy techniques to proton gantries, so a series of research and development projects have started to address these issues. Walter Reed Army Medical Center, which will provide a portal through which military personnel and their dependants can receive proton radiotherapy, is involved in several of these development projects as well as the

  10. Comparative effectiveness of helicopter emergency medical services compared to ground emergency medical services.

    PubMed

    Galvagno, Samuel M

    2013-07-16

    The use of helicopter emergency medical services (HEMS) for the transportation and treatment of trauma patients, while commonplace in most developed nations, remains controversial. The purported beneficial effects of HEMS compared to ground emergency medical services is likely to be some combination of speed, crew expertise, and the fact that HEMS is part of an organized trauma system. When the HEMS literature is assessed as a whole, considerable heterogeneity of effects and study methodologies preclude an accurate estimate of composite effect. However, when the outcome of mortality is studied using advanced multivariable regression techniques to control for multiple known confounders, an improved odds of survival has been repeatedly demonstrated. Future HEMS research must rely on robust observational study designs and assessments of a variety of patient outcomes. Questions about the role of speed, distance, and other potentially beneficial elements of HEMS remain.

  11. Army Active Duty Members’ Linkage to Veterans Health Administration Services After Deployments to Iraq or Afghanistan and Following Separation

    PubMed Central

    Vanneman, Megan E.; Harris, Alex H. S.; Chen, Cheng; Mohr, Beth A.; Adams, Rachel Sayko; Williams, Thomas V.; Larson, Mary Jo

    2015-01-01

    This study described the rate and predictors of Operation Enduring Freedom/Operation Iraqi Freedom active duty Army members’ enrollment in and use of Veterans Health Administration (VHA) services (linkage), as well as variation in linkage rates by VHA facility. We used a multivariate mixed effect regression model to predict linkage to VHA, and also calculated linkage rates in the catchment areas of each facility (n = 158). The sample included 151,122 active duty members who deployed to Iraq or Afghanistan and then separated from the Army between fiscal years 2008 and 2012. Approximately 48% of the active duty members separating utilized VHA as an enrollee within one year. There was significant variation in linkage rates by VHA facilities (31–72%). The most notable variables associated with greater linkage included probable serious injury during index deployment (odds ratio = 1.81), separation because of disability (odds ratio = 2.86), and various measures of receipt of VHA care before and after separation. Information about the individual characteristics that predict greater or lesser linkage to VHA services can be used to improve delivery of health care services at VHA as well as outreach efforts to active duty Army members. PMID:26444467

  12. Service-Oriented Security Framework for Remote Medical Services in the Internet of Things Environment.

    PubMed

    Lee, Jae Dong; Yoon, Tae Sik; Chung, Seung Hyun; Cha, Hyo Soung

    2015-10-01

    Remote medical services have been expanding globally, and this is expansion is steadily increasing. It has had many positive effects, including medical access convenience, timeliness of service, and cost reduction. The speed of research and development in remote medical technology has been gradually accelerating. Therefore, it is expected to expand to enable various high-tech information and communications technology (ICT)-based remote medical services. However, the current state lacks an appropriate security framework that can resolve security issues centered on the Internet of things (IoT) environment that will be utilized significantly in telemedicine. This study developed a medical service-oriented frame work for secure remote medical services, possessing flexibility regarding new service and security elements through its service-oriented structure. First, the common architecture of remote medical services is defined. Next medical-oriented secu rity threats and requirements within the IoT environment are identified. Finally, we propose a "service-oriented security frame work for remote medical services" based on previous work and requirements for secure remote medical services in the IoT. The proposed framework is a secure framework based on service-oriented cases in the medical environment. A com parative analysis focusing on the security elements (confidentiality, integrity, availability, privacy) was conducted, and the analysis results demonstrate the security of the proposed framework for remote medical services with IoT. The proposed framework is service-oriented structure. It can support dynamic security elements in accordance with demands related to new remote medical services which will be diversely generated in the IoT environment. We anticipate that it will enable secure services to be provided that can guarantee confidentiality, integrity, and availability for all, including patients, non-patients, and medical staff.

  13. Service-Oriented Security Framework for Remote Medical Services in the Internet of Things Environment

    PubMed Central

    Lee, Jae Dong; Yoon, Tae Sik; Chung, Seung Hyun

    2015-01-01

    Objectives Remote medical services have been expanding globally, and this is expansion is steadily increasing. It has had many positive effects, including medical access convenience, timeliness of service, and cost reduction. The speed of research and development in remote medical technology has been gradually accelerating. Therefore, it is expected to expand to enable various high-tech information and communications technology (ICT)-based remote medical services. However, the current state lacks an appropriate security framework that can resolve security issues centered on the Internet of things (IoT) environment that will be utilized significantly in telemedicine. Methods This study developed a medical service-oriented frame work for secure remote medical services, possessing flexibility regarding new service and security elements through its service-oriented structure. First, the common architecture of remote medical services is defined. Next medical-oriented secu rity threats and requirements within the IoT environment are identified. Finally, we propose a "service-oriented security frame work for remote medical services" based on previous work and requirements for secure remote medical services in the IoT. Results The proposed framework is a secure framework based on service-oriented cases in the medical environment. A com parative analysis focusing on the security elements (confidentiality, integrity, availability, privacy) was conducted, and the analysis results demonstrate the security of the proposed framework for remote medical services with IoT. Conclusions The proposed framework is service-oriented structure. It can support dynamic security elements in accordance with demands related to new remote medical services which will be diversely generated in the IoT environment. We anticipate that it will enable secure services to be provided that can guarantee confidentiality, integrity, and availability for all, including patients, non-patients, and medical

  14. [Current problems of information technologies application for forces medical service].

    PubMed

    Ivanov, V V; Korneenkov, A A; Bogomolov, V D; Borisov, D N; Rezvantsev, M V

    2013-06-01

    The modern information technologies are the key factors for the upgrading of forces medical service. The aim of this article is the analysis of prospective information technologies application for the upgrading of forces medical service. The authors suggested 3 concepts of information support of Russian military health care on the basis of data about information technologies application in the foreign armed forces, analysis of the regulatory background, prospects of military-medical service and gathered experience of specialists. These three concepts are: development of united telecommunication network of the medical service of the Armed Forces of the Russian Federation medical service, working out and implementation of standard medical information systems for medical units and establishments, monitoring the military personnel health state and military medical service resources. It is noted that on the assumption of sufficient centralized financing and industrial implementation of the military medical service prospective information technologies, by the year 2020 the united information space of the military medical service will be created and the target information support effectiveness will be achieved.

  15. Realizing Major William Borden's dream: military medicine, Walter Reed Army Medical Center, and its wounded warriors, 1909-2009: an essay review.

    PubMed

    Connor, J T H

    2011-07-01

    This essay review examines three books dealing with the founding and subsequent activities of Walter Reed Army Medical Center (WRAMC) and the evolution of military medicine from 1909 to 2009 recently published by the US Army's Borden Institute. Established by fellow army doctor William Borden to honor Walter Reed himself, WRAMC, located in Washington, DC, soon became the public and professional face of medical care for American soldiers. The discussion highlights the ongoing issue of the care and treatment of combat amputees; aspects of gender within military medicine; and WRAMC's function as an educational and research facility. Also discussed are the archival and documentary bases for these books and their utility for historians. Complimentary analysis of two of the books which are, in particular, explicitly about the history of WRAMC is contextualized within the celebration of the centennial of this army post contemporaneously with its closure, amalgamation, and relocation primarily to Maryland.

  16. The State of Emergency Medical Services (EMS) Systems in Africa.

    PubMed

    Mould-Millman, Nee-Kofi; Dixon, Julia M; Sefa, Nana; Yancey, Arthur; Hollong, Bonaventure G; Hagahmed, Mohamed; Ginde, Adit A; Wallis, Lee A

    2017-02-23

    Introduction Little is known about the existence, distribution, and characteristics of Emergency Medical Services (EMS) systems in Africa, or the corresponding epidemiology of prehospital illness and injury.

  17. Service to the Nation, Strength for the Future. Fiscal Year 2013 United States Army Annual Financial Report

    DTIC Science & Technology

    2013-01-01

    unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 1  A Soldier negotiates a water obstacle during pre-mobilization training. (New...September 25, 2013. Forward-stationed Army forces in the Republic of Korea, Japan, Europe , and elsewhere provide Geographic Combatant Commands with...Command USARAF US Army Africa USARCENT Army Central USAREUR US Army Europe USARNORTH Army North USARPAC US Army Pacific USARSOUTH Army South

  18. Biomedical equipment and medical services in India.

    PubMed

    Sahay, K B; Saxena, R K

    Varieties of Biomedical Equipment (BME) are now used for quick diagnosis, flawless surgery and therapeutics etc. Use of a malfunctioning BME could result in faulty diagnosis and wrong treatment and can lead to damaging or even devastating aftermath. Modern Biomedical Equipments inevitably employ highly sophisticated technology and use complex systems and instrumentation for best results. To the best of our knowledge the medical education in India does not impart any knowledge on the theory and design of BME and it is perhaps not possible also. Hence there is need for a permanent mechanism which can maintain and repair the biomedical equipments routinely before use and this can be done only with the help of qualified Clinical Engineers. Thus there is a genuine need for well organized cadre of Clinical Engineers who would be persons with engineering background with specialization in medical instrumentation. These Clinical engineers should be made responsible for the maintenance and proper functioning of BME. Every hospital or group of hospitals in the advanced countries has a clinical engineering unit that takes care of the biomedical equipments and systems in the hospital by undertaking routine and preventive maintenance, regular calibration of equipments and their timely repairs. Clinical engineers should be thus made an essential part of modern health care system and services. Unfortunately such facilities and mechanism do not exist in India. To make BME maintenance efficient and flawless in India, study suggests following measures and remedies: (i) design and development of comprehensive computerized database for BME (ii) cadre of Clinical engineers (iii) online maintenance facility and (iv) farsighted managerial skill to maximize accuracy, functioning and cost effectiveness.

  19. National Emergency Medical Services Information System (NEMSIS).

    PubMed

    Dawson, Drew E

    2006-01-01

    The absence of emergency medical services (EMS) patient care data has hindered development and evaluation of EMS systems. The National Highway Traffic Safety Administration (NHTSA), in cooperation with the Health Resources and Services Administration (HRSA), has provided funding to the National Association of State EMS Directors to develop a National EMS Information System (NEMSIS). NEMSIS is being designed to provide a uniform national EMS dataset, with standard terms, definitions, and values, as well as a national EMS database, with aggregated data from all states on a limited number of data elements. Forty-eight of the states, the District of Columbia, and three territories signed a memorandum of agreement documenting support for the NEMSIS project and expressing a desire for full implementation of the NEMSIS dataset. NHTSA has agreed to house the National EMS Database at its National Center for Statistics and Analysis. NHTSA, in cooperation with HRSA and the Centers for Disease Control and Prevention, recently entered into a cooperative agreement with the University of Utah School of Medicine to operate a NEMSIS Technical Assistance Center that will provide related assistance to official EMS agencies and to commercial software vendors. The Technical Assistance Center will also biannually assess state and territorial capabilities to provide data to the national EMS database. NEMSIS will provide a uniform national EMS dataset, with standard terms, definitions, and values, as well as a national EMS database, with aggregated data from all states on a limited number of data elements. Many of the potential benefits of implementation of NEMSIS are enumerated in this report.

  20. Hand hygiene in emergency medical services.

    PubMed

    Teter, Jonathan; Millin, Michael G; Bissell, Rick

    2015-01-01

    Hospital-acquired infections (HAIs) affect millions of patients annually (World Health Organization. Guidelines on Hand Hygiene in Healthcare. Geneva: WHO Press; 2009). Hand hygiene compliance of clinical staff has been identified by numerous studies as a major contributing factor to HAIs around the world. Infection control and hand hygiene in the prehospital environment can also contribute to patient harm and spread of infections. Emergency medical services (EMS) practitioners are not monitored as closely as hospital personnel in terms of hand hygiene training and compliance. Their ever-changing work environment is less favorable to traditional hospital-based aseptic techniques and education. This study aimed to determine the current state of hand hygiene practices among EMS providers and to provide recommendations for improving practices in the emergency health services environment. This study was a prospective, observational prevalence study and survey, conducted over a 2-month period. We selected participants from visits to three selected hospital emergency departments in the mid-Atlantic region. There were two data components to the study: a participant survey and hand swabs for pathogenic cultures. This study recruited a total sample of 62 participants. Overall, the study revealed that a significant number of EMS providers (77%) have a heavy bacterial load on their hands after patient care. All levels of providers had a similar distribution of bacterial load. Survey results revealed that few providers perform hand hygiene before (34%) or in between patients (24%), as recommended by the Centers for Disease Control and Prevention guidelines. This study demonstrates that EMS providers are potential vectors of microorganisms if proper hand hygiene is not performed properly. Since EMS providers treat a variety of patients and operate in a variety of environments, providers may be exposed to potentially pathogenic organisms, serving as vectors for the exposure of

  1. An Assessment of Customer Satisfaction: Using Patient Information for Quality Improvement Tripler Army Medical Center Hawaii

    DTIC Science & Technology

    1993-05-01

    overall goal in constructing a survey instrument is to develop a reliable and valid device to obtain information necessary to test research hypotheses. The...Health Services Research, 19(3), 291-306. Ware, J. E., Jr. (1981). How to survey patient satisfaction. Drug Intelligence and Clinical Pharmacy, 15(11...som things about the medwl careIreceiveatTAMCthat 1 2 3 4 5 could be better 39. The medicI care I have been roeeivig at TAMC is just about perfect 1 2

  2. Department of the Army Supply Bulletin, Army Medical Department Supply Information, SB8-75-S7

    DTIC Science & Technology

    2007-11-02

    with a shelf life code (SLC) of less than 60 months ( shelf life codes of A-H, J-M, P-R, or 1-9) for EAD FP1 and 2 units that deploy within the first...items with a shelf life of less than 60 months (SLC A-H, J-M, P-R, or 1-9) and will consider these items part of the Unit Basic Load (UBL...b) All Reserve Component (RC) EAD units will receive non-medical UDP items with a shelf life of less than 60 months (SLC A-H, J-M, P-R, or 1-9

  3. U.S. Army Public Health Command (Provisional ) - Organization Overview and Environmental Health Engineering Services

    DTIC Science & Technology

    2010-06-15

    Veterinary Medical care for Government-Owned Animals Zoonotic disease surveillance and control Food safety and food defense quality assurance...surveillance and epidemiology • Laboratory services • Health risk assessment • Zoonotic disease surveillance and control • Food safety and food...Command vs Technical – Lack of flexibility in resource cross leveling • 1994: VETCOM activated with HQ at Ft. Sam Houston Texas VETCOM Mission Food

  4. [The historical experience of medical service in cooperation with state healthcare facilities during the Great Patriotic War 1941-1945].

    PubMed

    Budko, A A; Gribovskaia, G A; Zhuravlev, D A

    2014-05-01

    Cooperation issues between military-medical service and civil healthcare in the field of delivery of medical aid to patients in the rear of country are considered in the artic. The rear is a final stage of the care by echelon and the main medical reserve force for front and army areas. Wide hospital network in the rear consisted mainly of evacuation hospitals of the People's Commissariat of the USSR healthcare. Cooperation between military-medical service and civil healthcare facilities was required. Sometimes necessary cooperation failed and made mutual helming of evacuation hospitals difficult. But despite the problems the main problem - return of maximum wounded soldiers to active duty was solved during the Great Patriotic War.

  5. Chat reference service in medical libraries: part 1--An introduction.

    PubMed

    Dee, Cheryl R

    2003-01-01

    Chat reference services offer the opportunity to provide immediate access to quality information to meet the medical information needs of students, faculty, staff, physicians, nurses, and allied health care professionals. Part 1 of this two-part article on chat reference service in medical libraries is an introduction to the management of chat reference services and to features available for chat reference. The management of chat reference services raises issues of planning, staffing, selecting, and marketing. Planning issues focus on the identification of the users, the users' medical information needs, and the users' information-seeking behavior. Staffing issues relate to the selection of chat hours, the location of the chat service, and participation in collaborative agreements. Selecting chat software weighs the sophistication of the chat features against the related cost. Marketing uses techniques similar to traditional reference services and often begins slowly as chat expertise develops. Part 2 of the article discusses trends in chat reference services in medical libraries.

  6. [Characteristics of occupational medical service development at JSC "Kamaz"].

    PubMed

    Nagimzianov, A A; Zakirova, A B; Glushkov, G N

    2011-01-01

    The authors formulated concept on development of occupational medical service of JSC Medical Society "Salvation" for its accomplishment on enterprises of JSC "Kamaz" Group. The concept is based on united technologic line of diagnosis and treatment, including primary care, establishments for specialized medical care and rehabilitation. Within the concept, medical departments, occupational safety protection, staff management and trade union organizing health centers on industrial enterprizes are organized for cooperation, and partnerships between medical professionals and the enterprise staffers are established.

  7. Army ’New Standards’ Personnel: Effect of Remedial Literacy Training on Performance in Military Service

    DTIC Science & Technology

    placed in remedial training programs (Army Preparatory Training, APT), designed to upgrade their literacy status to a fifth-grade level or higher. The...research sought to determine whether success in remedial literacy training was associated with superior military performance. Another objective was...to develop an equation for predicting terminal literacy scores. Analysis for 9,000 Army personnel was carried out on data extracted from the

  8. A Cost Analysis for Deciding Service Levels in Korean Army with a Constraint for Single Period

    DTIC Science & Technology

    1990-06-01

    LEVELS IN KOREAN ARMY WITH A CONSTRAINT FOR SINGLE PERIOD by Yoo, Choong Keun Major, Republic of Korea Army B.S., Korea Military Academy, 1981...Sciences ABSTRACT Since the Korean War there has been a fierce military competition between the Republic of Korea (ROK) and the Democratic People’s...Republic of Korea (DPRK). The DPRK has committed over 10 percent of its GNP since 1963 to defense expenditures, whereas, the ROK has spent a relatively

  9. 78 FR 30727 - Emergency Medical Services Week, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-22

    ... Documents#0;#0; ] Proclamation 8982 of May 17, 2013 Emergency Medical Services Week, 2013 By the President... calm under pressure delivers comfort to neighbors in need. During Emergency Medical Services Week, we... society's well-being. In recent weeks, we have again seen the critical role EMS professionals play in...

  10. 77 FR 31143 - Emergency Medical Services Week, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ... President Proclamation 8824--Emergency Medical Services Week, 2012 Proclamation 8825--National Safe Boating Week, 2012 Proclamation 8826--National Small Business Week, 2012 Proclamation 8827--World Trade Week... Medical Services Week, 2012 By the President of the United States of America A Proclamation Day and night...

  11. Expanding the Role of Emergency Medical Services in Homeland Security

    DTIC Science & Technology

    2013-03-01

    Medical Services FEMA Federal Emergency Management Agency FBI Federal Bureau of Investigation H1N1 Influenza a Virus HIPAA Health Information...Smyth, William G. Manley, Daniel E. Summers, Nels D. Sanddal, Teri L. Sanddal, et al. “Realities of Rural Emergency Medical Services Disaster

  12. [Nurse anesthetist for the French emergency medical services].

    PubMed

    Dinot, Emmanuel

    2013-10-01

    Nurse anaesthetist for the French emergency medical services. Emmanuel Dinot is a nurse anaesthetist for the emergency medical services in Yvelines, France. Fascinated by the management of emergency situations in non-hospital settings, he paints the portrait of a nursing context where teamwork, rigour, technical expertise and flexibility in spite of stress increase the efficiency of care.

  13. Systems design criteria for ATM-oriented broadband medical services

    NASA Astrophysics Data System (ADS)

    Lemke, Heinz U.; Wong, Stephen T. C.; Huang, H. K.

    1995-02-01

    In many parts of the world, telemedical services are being implemented for improving the quality of the health care system. Increasingly, however, they can also be seen as a potential for cost reduction of medical diagnostic and therapeutic activities. The technical basis for satisfying very demanding quality of service parameters in medical environments is made possible through networks with high bandwidths.

  14. Educational technology infrastructure and services in North American medical schools.

    PubMed

    Kamin, Carol; Souza, Kevin H; Heestand, Diane; Moses, Anna; O'Sullivan, Patricia

    2006-07-01

    To describe the current educational technology infrastructure and services provided by North American allopathic medical schools that are members of the Association of American Medical Colleges (AAMC), to present information needed for institutional benchmarking. A Web-based survey instrument was developed and administered in the fall of 2004 by the authors, sent to representatives of 137 medical schools and completed by representatives of 88, a response rate of 64%. Schools were given scores for infrastructure and services provided. Data were analyzed with one-way analyses of variance, chi-square, and correlation coefficients. There was no difference in the number of infrastructure features or services offered based on region of the country, public versus private schools, or size of graduating class. Schools implemented 3.0 (SD = 1.5) of 6 infrastructure items and offered 11.6 (SD = 4.1) of 22 services. Over 90% of schools had wireless access (97%), used online course materials for undergraduate medical education (97%), course management system for graduate medical education (95%) and online teaching evaluations (90%). Use of services differed across the undergraduate, graduate, and continuing medical education continuum. Outside of e-portfolios for undergraduates, the least-offered services were for services to graduate and continuing medical education. The results of this survey provide a benchmark for the level of services and infrastructure currently supporting educational technology by AAMC-member allopathic medical schools.

  15. 75 FR 27917 - Emergency Medical Services Week, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ... emergency medical services (EMS) professionals and volunteers for critical care in our homes, on our roads, in our hospitals, and wherever needs exist. EMS teams serve all Americans, standing ready to respond... Emergency Medical Services Week, we recommit to supporting all EMS providers, and we celebrate...

  16. 31 CFR 546.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 546.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  17. 31 CFR 595.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 595.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services to a specially designated terrorist... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Authorization of emergency...

  18. 31 CFR 595.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 595.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services to a specially designated terrorist... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  19. 31 CFR 595.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 595.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services to a specially designated terrorist... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency...

  20. 31 CFR 537.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations and Statements of Licensing Policy § 537.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  1. 31 CFR 549.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 549.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  2. 31 CFR 595.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 595.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services to a specially designated terrorist... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  3. 31 CFR 570.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 570.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  4. 31 CFR 541.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations and Statements of Licensing Policy § 541.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  5. 31 CFR 549.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 549.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  6. Emergency Medical Services - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Are Here: Home → Multiple Languages → All Health Topics → Emergency Medical Services URL of this page: https://medlineplus.gov/languages/ ... V W XYZ List of All Topics All Emergency Medical Services - Multiple Languages To use the sharing features on ...

  7. 31 CFR 541.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations and Statements of Licensing Policy § 541.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  8. 31 CFR 587.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Licensing Policy § 587.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons designated in or pursuant to § 587.201(a) is... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency...

  9. 31 CFR 570.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 570.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Authorization of emergency...

  10. 31 CFR 543.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Licenses, Authorizations and Statements of Licensing Policy § 543.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Authorization of emergency...

  11. 31 CFR 543.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations and Statements of Licensing Policy § 543.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  12. 31 CFR 595.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 595.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services to a specially designated terrorist... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Authorization of emergency...

  13. 31 CFR 570.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 570.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  14. 31 CFR 537.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations and Statements of Licensing Policy § 537.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  15. 31 CFR 570.507 - Authorization of emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 570.507 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Authorization of emergency...

  16. 31 CFR 546.508 - Authorization of emergency medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Licenses, Authorizations, and Statements of Licensing Policy § 546.508 Authorization of emergency medical services. The provision of nonscheduled emergency medical services in the United States to persons whose... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Authorization of emergency...

  17. Shuttle abort landing site emergency medical services

    NASA Technical Reports Server (NTRS)

    Mckenas, David K.; Jennings, Richard T.

    1991-01-01

    NASA and DOD studies of medical-planning and logistical problems are reviewed as applicable to providing emergency medical care at remote transoceanic abort landing (TAL) sites. Two options are analyzed including a modified surgical response team and a combination physician/medical technician team. The two concepts are examined in terms of cost-effectiveness, specific types of medical support such as blood procurement, and search-and-rescue requirements. It is found that the physician/technician team is more economically efficient, and the description of the concept permits the development of an effective TAL-site astronaut medical-support system. A balance is struck between the competing problems of cost and medical capability by planning for on-scene medical stabilization and air evacuation to DOD tertiary medical centers.

  18. 31 CFR 595.513 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false In-kind donations of medicine, medical... donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of medicine, medical...

  19. 31 CFR 595.513 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false In-kind donations of medicine, medical... donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of medicine, medical...

  20. 31 CFR 595.513 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false In-kind donations of medicine, medical... donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of medicine, medical...

  1. 31 CFR 595.513 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false In-kind donations of medicine, medical... donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of medicine, medical...

  2. Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight

    DTIC Science & Technology

    2016-04-28

    L 2 8 , 2 0 1 6 Report No. DODIG-2016-079 Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management...Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight Visit us at www.dodig.mil April 28, 2016 Objective Our...objective was to determine whether Landstuhl Regional Medical Center (LRMC) effectively managed accounts delinquent over 120 days by properly

  3. [SOROKA UNIVERSITY MEDICAL CENTER: THE ROAD TO LEADERSHIP IN QUALITY OF MEDICAL CARE, SERVICE AND RESEARCH].

    PubMed

    Davidson, Ehud; Sheiner, Eyal

    2016-02-01

    Soroka University Medical Center is a tertiary hospital, and the sole medical center in the Negev, the southern part of Israel. Soroka has invested in quality, service and research. The region has developed joint programs in order to advance the quality of medical care whilst optimizing the utilization of available resources. In this editorial we describe the path to leadership in quality of medical care, service and research.

  4. [Medical services at Paris-Charles-de-Gaulle airport].

    PubMed

    Bargain, Philippe

    2015-01-01

    Charles-de-Gaulle airport in Roissy, a 3 400 hectare citadel, contains a multitude of airlines, service companies, businesses, retailers and public services, including firefighters, police officers, customs officers, ministers and medical teams. This article presents its missions, notably with regard to health services.

  5. [Reflections concerning the care process in the emergency medical services].

    PubMed

    Castañón-González, Jorge Alberto; Barrientos-Fortes, Tomás; Polanco-González, Carlos

    2016-01-01

    In this paper we share some reflections regarding the care process in the emergency medical services, as well as some of the challenges with which these fundamental services deal. We highlight the increasing amount of patients and the complexity of some of the clinical cases, which are some of the causes that lead to the overcrowding of these services.

  6. Helicopter emergency medical service in mountainous areas.

    PubMed

    Tomazin, Iztok

    2009-01-01

    The outcome of patient care can be dramatically improved by bringing rapid rescue-medical treatment to the scene and by rapid transport to a medical facility. In mountainous areas this is usually possible only with the use of helicopters. ICAR MEDCOM suggests international standards for competent and safe response to medical problems in mountainous and wilderness areas. Rescue helicopters should work within the existing emergency medical system with appropriate mountain rescue and medically-trained personnel and with medical and rescue equipment on board. Safety is most important issue in mountain rescue. Activation and approach time should be as short as possible. All persons responsible for activation and realization of a helicopter rescue operation should be aware of all specific problems in the mountains and wilderness.

  7. Linking radiology equipment service and medical physics survey databases.

    PubMed

    David, George; Burnett, Lou Ann; Schenkel, Robert

    2004-01-01

    During the performance of medical physics surveys on diagnostic imaging equipment, it is not unusual to find problems requiring service. In the work described in this article, two existing and separate databases, one for radiology equipment maintenance and the other for medical physics surveys were linked. By linking the two databases we have closed the loop in our documentation. The two databases are integrated so that when logging a survey, a single mouse click will allow the user to initiate a service call and link it to the survey. In addition, any survey linked to a service call permits the user to view the service record with a single mouse click. This allows us within the medical physics database to document the resolution of problems as well as to keep track of the status of service calls initiated as a result of medical physics surveys.

  8. Abortion Services and Military Medical Facilities

    DTIC Science & Technology

    2010-07-08

    payments prohibited for drugs or devices to prevent implantation of the fertilized ovum , or for medical procedures necessary for the termination of an...fertilized ovum , or for medical procedures necessary for the termination of an ectopic pregnancy: Provided, however, That the several States are and

  9. Abortion Services and Military Medical Facilities

    DTIC Science & Technology

    2010-12-16

    are payments prohibited for drugs or devices to prevent implantation of the fertilized ovum , or for medical procedures necessary for the termination...the fertilized ovum , or for medical procedures necessary for the termination of an ectopic pregnancy: Provided, however, That the several States are

  10. Market Assessment of Brooke Army Medical Center - A Strategy for Today and the Future

    DTIC Science & Technology

    1985-08-01

    ticipation and representation in communitywide social or sports activi- ties are invited and strongly supported by the BAMC leadership. The purpose of...or individuals with supervisory responsibility in the outpatient setting (e.g., chief of podiatry , chief of occupational therapy, chief of physical... Sports events and activities (e.g., nutrition care run and wellness fair). c. Television and newspaper health spots. II. Increase Brooke Army

  11. The United States Army Medical Department Journal. October-December 2011

    DTIC Science & Technology

    2011-12-01

    things, system-based care depends on standardization of clinical practices such that all caregivers share the same guidelines for their approach to...care delivery from the expert-based practice approach, to a system-based care paradigm. In essence, the caregiver in the system- based care...environment of military medicine, so the shift in Army Nursing’s approach is timely and will be beneficial to both the patients and caregivers . Among other

  12. Physiological and Medical Considerations of the US Army Physical Readiness Training Program

    DTIC Science & Technology

    1985-05-28

    by exercising large muscle groups for 30 minutes or more at submaximal heartrate intensity, several times per week. Walking, marching, and jogging...average amount of time lost for these injuries was 13 days. Underlying strength factors in many military jobs demand exercises to develop upper and/or...from the Director of Unit Training to The Surgeon General , United States Army to recommend what exercise schedule would be the most effective in

  13. U.S. Army Medical Department Journal (January-March 2004)

    DTIC Science & Technology

    2004-03-01

    lack of an enzyme, such as glucose-6-phosphate dehydrogenase (G6PD), or the presence/absence of a gene or genes ( sickle cell trait or disease), is...Army realized that a central point of coordination would be necessary. A cell at USACHPPM was set up to deal with the issue and, in particular, to... cell executed its responsibility, other issues emerged, the first being Foot and Mouth Disease. Response to this health issue was much more rapid and

  14. U.S. Army Medical Department Journal, April-June 2008

    DTIC Science & Technology

    2008-06-01

    SFC Roye L. Patton, USA; HMCS William Adams, USN Malaria Risk Assessment for the Republic of Korea 46 Based on Models of Mosquito Distribution...character of military conflict has evolved from the classic model of conventional warfare between armies into operations against shadowy, low-tech...development of the risk assessment. Dr Desmond Foley and his coauthors present a new approach they developed to model the distribution of malaria vectors

  15. The United States Army Medical Department Journal. Force Health Protection April - June 2009

    DTIC Science & Technology

    2009-06-01

    Mazel; 1995. 15. Figley CR. Compassion fatigue: psychotherapists ’ chronic lack of self care . Psychother Pract. 2002;58 (11):1433-1441. 16. Gentry...addition to systemic support, individuals can take steps to fortify themselves against the rigors of com- bat. While a self - care plan is necessarily...army unprepared for vast numbers of prisoners, a lack of understanding or guidance of how to take care of them, and an unfortunate officer , CPT Henry

  16. Traveling abroad for medical care: U.S. medical tourists' expectations and perceptions of service quality.

    PubMed

    Guiry, Michael; Vequist, David G

    2011-01-01

    The SERVQUAL scale has been widely used to measure service quality in the health care industry. This research is the first study that used SERVQUAL to assess U.S. medical tourists' expectations and perceptions of the service quality of health care facilities located outside the United States. Based on a sample of U.S. consumers, who had traveled abroad for medical care, the results indicated that there were significant differences between U.S. medical tourists' perceived level of service provided and their expectations of the service that should be provided for four of the five dimensions of service quality. Reliability had the largest service quality gap followed by assurance, tangibles, and empathy. Responsiveness was the only dimension without a significantly different gap score. The study establishes a foundation for future research on service quality in the rapidly growing medical tourism industry.

  17. Air Weather Service Support to the United States Army Tet and the Decade After

    DTIC Science & Technology

    1979-08-01

    Alpine Friendship 77...........................129-30 Tactical Weather System............................134 TSgt Henderson, M -561 Gama Goat, and M ...SWPT OWANEATION DEUM OF n*AWMT~N OF THE AltFR AUS " .weahe WIN Groupnnta U.S ryUUAy .. m .. m Army Cewad W Europe Pbife ed Cu6bon (CONARC) (USAREUR) I...Units In U.S. Ins 64u In Ane In "l Gummy Jopus Csrthbeon Frace Korea Italy Howell Army CoAma Ciurna a&= - -am m m m mAr Foroo Coammrd Chueie 00.00000

  18. Medical Services: Nursing Records and Reports

    DTIC Science & Technology

    2007-11-02

    Record—Nursing Discharge Summary) • 2–11, page 5 SF 511 (Clinical Record—Vital Signs Record) • 2–12, page 6 SF 536 (Clinical Record— Pediatric Nursing...Notes) • 2–13, page 6 SF 537 (Medical Record— Pediatric Graphic Chart) • 2–14, page 6 SF 539 (Medical Record—Abbreviated Medical Record) • 2–15, page 6...the 24–hour total of the patient’s intake and output. 2–13. SF 536 (Clinical Record— Pediatric Nursing Notes) This form may be used for pediatric

  19. Emergency medical services in crisis: an Italian case study.

    PubMed

    Koff, S Z

    1975-01-01

    This paper deals with the system of emergency medical services in Italy. More specifically, it is a case study of the organization and operation of this system in the region of Tuscany. Recent decentralization decrees have established regional governments with major responsibilities for health care, including emergency medical services. The effects of a long history of social and political cleavages on provision of these services at the regional level are presented and discussed. The paper concludes that prospects for rational reform of emergency care service are dim.

  20. The 1980 Guide to the Evaluation of Educational Experiences in the Armed Services. [Volume] 2: Army.

    ERIC Educational Resources Information Center

    Sullivan, Eugene J.; And Others

    For more than 35 years, this Guide has been the standard reference work for recognizing learning acquired in military life. All the courses offered by the Army are listed and briefly described. Each course description includes the course title and number: the length of the course, and where and when it was offered; the course objectives; the type…

  1. Childhood IQ and In-Service Mortality in Scottish Army Personnel during World War II

    ERIC Educational Resources Information Center

    Corley, Janie; Crang, Jeremy A.; Deary, Ian J.

    2009-01-01

    The Scottish Mental Survey of 1932 (SMS1932) provides a record of intelligence test scores for almost a complete year-of-birth group of children born in 1921. By linking UK Army personnel records, the Scottish National War Memorial data, and the SMS1932 dataset it was possible to examine the effect of childhood intelligence scores on wartime…

  2. Childhood IQ and In-Service Mortality in Scottish Army Personnel during World War II

    ERIC Educational Resources Information Center

    Corley, Janie; Crang, Jeremy A.; Deary, Ian J.

    2009-01-01

    The Scottish Mental Survey of 1932 (SMS1932) provides a record of intelligence test scores for almost a complete year-of-birth group of children born in 1921. By linking UK Army personnel records, the Scottish National War Memorial data, and the SMS1932 dataset it was possible to examine the effect of childhood intelligence scores on wartime…

  3. National Disaster Medical System; medical manpower component establishment--Health Resources and Services Administration, HHS. Notice.

    PubMed

    1988-04-20

    This notice announces the creation of the medical manpower component within the Health Resources and Services Administration (HRSA), Department of Health and Human Services/Public Health Service (HHS/PHS) as a part of the National Disaster Medical System (NDMS). The NDMS is an organized resource that may be activated to serve national needs in the event of disasters or other major emergencies requiring extraordinary medical services. The manpower component will contain volunteer medical response personnel and technical staff that will be made available in situations requiring substantial medical services from outside the area affected by the disaster or emergency. The manpower component of NDMS is being established by HRSA/HHS/PHS in cooperation with the Department of Defense (DoD), Federal Emergency Management Agency (FEMA), and the Veterans Administration (VA).

  4. Tuberculosis diagnosis: primary health care or emergency medical services?

    PubMed Central

    Andrade, Rubia Laine de Paula; Scatolin, Beatriz Estuque; Wysocki, Anneliese Domingues; Beraldo, Aline Ale; Monroe, Aline Aparecida; Scatena, Lúcia Marina; Villa, Tereza Cristina Scatena

    2013-01-01

    OBJECTIVE To assess primary health care and emergency medical services performance for tuberculosis diagnosis. METHODS Cross-sectional study were conducted with 90 health professionals from primary health care and 68 from emergency medical services, in Ribeirao Preto, SP, Southeastern Brazil, in 2009. A structured questionnaire based on an instrument of tuberculosis care assessment was used. The association between health service and the variables of structure and process for tuberculosis diagnosis was assessed by Chi-square test, Fisher's exact test (both with 5% of statistical significance) and multiple correspondence analysis. RESULTS Primary health care was associated with the adequate provision of inputs and human resources, as well as with the sputum test request. Emergencial medical services were associated with the availability of X-ray equipment, work overload, human resources turnover, insufficient availability of health professionals, unavailability of sputum collection pots and do not request sputum test. In both services, tuberculosis diagnosis remained as a physician's responsibility. CONCLUSIONS Emergencial medical services presented weaknesses in its structure to identify tuberculosis suspects. Gaps on the process were identified in both primary health care and emergencial medical services. This situation highlights the need for qualification of health services that are the main gateway to health system to meet sector reforms that prioritize the timely diagnosis of tuberculosis and its control. PMID:24626553

  5. Medical Services: Medical Record Administration and Health Care Documentation

    DTIC Science & Technology

    1999-05-03

    bowel movement BMR basal metabolic rate BP blood pressure BPH benign prostatic hypertrophy BR bed rest BSO bilateral salpingo-oophorectomy BSR blood...Social Work Service sx signs; symptoms sys system T temperature T&A tonsillectomy and adenoidectomy tab tablet TAH total abdominal hysterectomy TB

  6. Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities

    PubMed Central

    Seyedin, Hesam; Jamshidi-Orak, Roohangiz

    2014-01-01

    Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs' decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: “degree of perceived risk in EMS staffs and their patients.” This theme consisted of two main categories: (1) patient's condition' and (2) the context of the EMS mission'. The patent's condition category emerged from “physical health statuses,” “socioeconomic statuses,” and “cultural background” subcategories. The context of the EMS mission also emerged from two subcategories of “characteristics of the mission” and EMS staffs characteristics'. EMS system managers can consider adequate technical, informational, financial, educational, and emotional supports to facilitate the decision making of their staffs. Also, development of an effective and user-friendly checklist and scoring system was recommended for quick and easy recognition of patients' needs for transportation in a prehospital situation. PMID:24891953

  7. Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities.

    PubMed

    Ebrahimian, Abbasali; Seyedin, Hesam; Jamshidi-Orak, Roohangiz; Masoumi, Gholamreza

    2014-01-01

    Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs' decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: "degree of perceived risk in EMS staffs and their patients." This theme consisted of two main categories: (1) patient's condition' and (2) the context of the EMS mission'. The patent's condition category emerged from "physical health statuses," "socioeconomic statuses," and "cultural background" subcategories. The context of the EMS mission also emerged from two subcategories of "characteristics of the mission" and EMS staffs characteristics'. EMS system managers can consider adequate technical, informational, financial, educational, and emotional supports to facilitate the decision making of their staffs. Also, development of an effective and user-friendly checklist and scoring system was recommended for quick and easy recognition of patients' needs for transportation in a prehospital situation.

  8. 31 CFR 597.511 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false In-kind donations of medicine, medical... § 597.511 In-kind donations of medicine, medical devices, and medical services. (a) Effective July 6... provision by nongovernmental organizations that are U.S. persons of in-kind donations of medicine,...

  9. 31 CFR 594.515 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false In-kind donations of medicine, medical...-kind donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of...

  10. 31 CFR 594.515 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false In-kind donations of medicine, medical...-kind donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of...

  11. 31 CFR 597.511 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false In-kind donations of medicine, medical... § 597.511 In-kind donations of medicine, medical devices, and medical services. (a) Effective July 6... provision by nongovernmental organizations that are U.S. persons of in-kind donations of medicine,...

  12. 31 CFR 594.515 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false In-kind donations of medicine, medical...-kind donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of...

  13. 31 CFR 597.511 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false In-kind donations of medicine, medical... § 597.511 In-kind donations of medicine, medical devices, and medical services. (a) Effective July 6... provision by nongovernmental organizations that are U.S. persons of in-kind donations of medicine,...

  14. 31 CFR 597.511 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false In-kind donations of medicine, medical... § 597.511 In-kind donations of medicine, medical devices, and medical services. (a) Effective July 6... provision by nongovernmental organizations that are U.S. persons of in-kind donations of medicine,...

  15. 31 CFR 594.515 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false In-kind donations of medicine, medical...-kind donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of...

  16. Intelligent Medical Systems for Aerospace Emergency Medical Services

    NASA Technical Reports Server (NTRS)

    Epler, John; Zimmer, Gary

    2004-01-01

    The purpose of this project is to develop a portable, hands free device for emergency medical decision support to be used in remote or confined settings by non-physician providers. Phase I of the project will entail the development of a voice-activated device that will utilize an intelligent algorithm to provide guidance in establishing an airway in an emergency situation. The interactive, hands free software will process requests for assistance based on verbal prompts and algorithmic decision-making. The device will allow the CMO to attend to the patient while receiving verbal instruction. The software will also feature graphic representations where it is felt helpful in aiding in procedures. We will also develop a training program to orient users to the algorithmic approach, the use of the hardware and specific procedural considerations. We will validate the efficacy of this mode of technology application by testing in the Johns Hopkins Department of Emergency Medicine. Phase I of the project will focus on the validation of the proposed algorithm, testing and validation of the decision making tool and modifications of medical equipment. In Phase 11, we will produce the first generation software for hands-free, interactive medical decision making for use in acute care environments.

  17. Enhancing the effectiveness of the U.S. Army's participation in medical diplomacy: implications from a case study in Trinidad.

    PubMed

    Haims, Marla C; Duber, Herbert C; Chang, Lie-Ping

    2014-06-01

    Medical diplomacy is a complex, yet increasingly important strategy of the U.S. government. In this article, we present a unique program that was jointly developed by the U.S. Army Reserves 807 th Medical Deployment Support Command and the Trinidad Ministry of Health to address the large backlog of untreated cataracts in Trinidad and Tobago. This partnership evolved over time, but began with a commitment to help address a critical public health issue as determined by the host country, with investment in both local capacity and attention towards sustainability. The 807 th Medical Deployment Support Command utilized its connection to the military and civilian worlds, bringing in outside expertise and a long-term university partner allowing for sustainability without protracted U.S. government support. This program resulted in multiple positive outcomes, including building a strong partnership with a key U.S. interest; enhancing the legitimacy of the Trinidadian government through the development of a sustainable cataract program; and providing a platform for the United States to be seen by the Trinidadian public in a very positive light. This new model for medical diplomacy may have significant benefit for both the host country and U.S. government, and deserves further evaluation in other contexts. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  18. A Case Study to Improve Emergency Room Patient Flow at Womack Army Medical Center

    DTIC Science & Technology

    2009-06-01

    and School; (Army-Baylor Program in Health 3151 Scott Road, Suite 1411; 78234-6135 11 . SPONSOR/MONITOR’S REPORT NUMBER(S) 2-09 12. DISTRIBUTION...leadership over the last year , provided a realistic perspective that allowed me to truly grasp the challenges of being the front door for Fort Bragg...and completing this project over the last two years . Womack ED Patient Flow case study 2 Abstract This graduate project is a case study on how to

  19. Emergence of multidrug resistance in bacteria and impact on antibiotic expenditure at a major army medical center caring for soldiers wounded in Iraq and Afghanistan.

    PubMed

    Zapor, Michael J; Erwin, Daniel; Erowele, Goldina; Wortmann, Glenn

    2008-07-01

    Since the invasions of Iraq and Afghanistan, the epidemiologic traits of clinical isolates at Walter Reed Army Medical Center have shifted toward drug-resistant strains of microorganisms, particularly among the gram-negative bacteria. Moreover, antibiotic prescribing patterns during this period have changed remarkably and mirror the emergence of these organisms at our institution.

  20. The Emergency Medical Services Survey of Metro Atlanta Employers.

    ERIC Educational Resources Information Center

    DeKalb Tech. Inst., Clarkston, GA.

    A survey was conducted in the Atlanta, Georgia, metropolitan area to determine emergency medical services (EMS) employer needs for persons with basic emergency medical technician (EMT) skills and higher paramedic skills. Information was gathered through a telephone survey to which 24 (60 percent) of the 40 EMS employers in the area responded. The…

  1. 10 CFR 35.80 - Provision of mobile medical service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Provision of mobile medical service. 35.80 Section 35.80 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL General Technical Requirements... use of byproduct material at the client's address and clearly delineates the authority...

  2. 10 CFR 35.80 - Provision of mobile medical service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Provision of mobile medical service. 35.80 Section 35.80 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL General Technical Requirements... use of byproduct material at the client's address and clearly delineates the authority...

  3. 10 CFR 35.80 - Provision of mobile medical service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Provision of mobile medical service. 35.80 Section 35.80 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL General Technical Requirements... use of byproduct material at the client's address and clearly delineates the authority...

  4. 10 CFR 35.80 - Provision of mobile medical service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Provision of mobile medical service. 35.80 Section 35.80 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL General Technical Requirements... use of byproduct material at the client's address and clearly delineates the authority...

  5. 10 CFR 35.2080 - Records of mobile medical services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Records of mobile medical services. 35.2080 Section 35.2080 Energy NUCLEAR REGULATORY COMMISSION MEDICAL USE OF BYPRODUCT MATERIAL Records § 35.2080 Records... instrument used to make the survey, and the name of the individual who performed the survey....

  6. The Emergency Medical Services Survey of Metro Atlanta Employers.

    ERIC Educational Resources Information Center

    DeKalb Tech. Inst., Clarkston, GA.

    A survey was conducted in the Atlanta, Georgia, metropolitan area to determine emergency medical services (EMS) employer needs for persons with basic emergency medical technician (EMT) skills and higher paramedic skills. Information was gathered through a telephone survey to which 24 (60 percent) of the 40 EMS employers in the area responded. The…

  7. [The digital information platform after-sale service of medical equipment].

    PubMed

    Cao, Shaoping; Li, Bin

    2015-01-01

    This paper describes the after-sale service of medical equipment information management platform, with large data sharing resources to further enhance customer service in the whole management process of medical service, to strengthen quality management, to control medical risk.

  8. 75 FR 61819 - National Emergency Medical Services Advisory Council (NEMSAC); Teleconference Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... National Highway Traffic Safety Administration National Emergency Medical Services Advisory Council (NEMSAC... recognized council of emergency medical services representatives and consumers to provide advice and recommendations regarding Emergency Medical Services (EMS) to the U.S. DOT's NHTSA. DATES: The...

  9. 77 FR 27278 - National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-09

    ... National Highway Traffic Safety Administration National Emergency Medical Services Advisory Council (NEMSAC... services representatives and consumers to provide advice and recommendations regarding Emergency Medical... Transportation, Office of Emergency Medical Services, 1200 New Jersey Avenue SE., NTI-140, Washington, DC...

  10. 77 FR 12908 - Appointment/Reappointment to the National Emergency Medical Services Advisory Council (NEMSAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-02

    ... the National Emergency Medical Services Advisory Council (NEMSAC). SUMMARY: NHTSA is soliciting... nationally recognized council of emergency medical services (EMS) representatives and consumers to provide..., Office of Emergency Medical Services, Attn: NEMSAC, 1200 New Jersey Avenue SE., NTI-140, Washington,...

  11. 76 FR 64174 - National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ... TRANSPORTATION National Highway Traffic Safety Administration National Emergency Medical Services Advisory... emergency medical services representatives and consumers to provide advice and recommendations regarding Emergency Medical Services (EMS) to DOT's NHTSA. DATES: The meeting will be held on December 13, 2011,...

  12. 76 FR 4151 - National Emergency Medical Services Advisory Council Teleconference Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-24

    ... National Highway Traffic Safety Administration National Emergency Medical Services Advisory Council... Transportation (DOT). Title: National Emergency Medical Services Advisory Council Teleconference Meeting. ACTION: National Emergency Medical Services Advisory Council (NEMSAC); notice of Teleconference Meeting....

  13. 77 FR 9297 - National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-16

    ... National Highway Traffic Safety Administration National Emergency Medical Services Advisory Council (NEMSAC... council of emergency medical services (EMS) representatives and consumers to provide advice and..., Director, U.S. Department of Transportation, Office of Emergency Medical Services, 1200 New Jersey...

  14. 78 FR 801 - National Emergency Medical Services Advisory Council (NEMSAC); Notice of Federal Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-04

    ... National Highway Traffic Safety Administration National Emergency Medical Services Advisory Council (NEMSAC... to the public. The purpose of NEMSAC, a nationally recognized council of emergency medical services representatives and consumers, is to provide advice and recommendations regarding Emergency Medical Services...

  15. International Conference on Remote Emergency Medical Services

    NASA Technical Reports Server (NTRS)

    1975-01-01

    An emergency medical system is characterized. Applications of NASA technology in biomedical telecommunication and bioinstrumentation are explored. The training and effectiveness of paramedics, technicians, nurses, and physicians are evaluated as applied to emergency situations and the operations of trauma centers. Civilian and military aeromedical evacuation is discussed.

  16. City emergency medical services system issues

    NASA Astrophysics Data System (ADS)

    Persse, David E.; Bradley, Richard N.

    2003-09-01

    The City of Houston is continuously improving its preparedness for disasters and terrorism. This preparation requires strong and clear leadership. This includes a designated individual to lead the region"s preparation in the health and medical arena. An effective leader requires an effective command and control center. Real-time information on the situation is imperative.

  17. The Economics of Air Force Medical Service Readiness

    DTIC Science & Technology

    2010-01-01

    deployable medical force by providing professional opportunities that help attract high- quality medical personnel. Graduate medical education and...institution that helps improve policy and decisionmaking through research and analysis. This electronic document was made available from www.rand.org as a...public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND

  18. Nordic venue medical services during the 2002 Winter Olympics.

    PubMed

    Grissom, Colin K; Finnoff, Jonathan T; Murdock, Doug C; Culberson, John T

    2006-02-01

    This article represents a retrospective analysis of medical care provided to spectators, athletes, officials, and workforce at the cross country skiing and biathlon venue, Soldier Hollow, during the 2002 Winter Olympic Games. A retrospective chart review was performed of the primary diagnosis category assigned to each patient on medical encounter forms completed at the time medical care was provided in the athlete or spectator medical clinics. Descriptive statistics were used to characterize data from the primary diagnosis categories for groups of patients. There were 590 total medical encounters among athlete and spectator medical services over 19 operational days with 227,847 total visitors (includes spectators, athletes, and workforce). The incidence of medical encounters was 26 per 10,000 visitors. There were 215 medical encounters that were evaluated and treated by a physician in the athlete (69 cases) or spectator (146 cases) medical clinics. The most common diagnoses were related to respiratory infection or respiratory disease. There were 177 patients discharged without follow-up and 26 referred to a medical facility off venue. Six patients were transported to a hospital by ground ambulance. In conclusion, the injuries and illnesses evaluated and treated were consistent with prior studies on medical care at Olympic Games. Although some patients required ground ambulance transport off venue due to injury or illness, there were no critical injuries or illnesses that resulted in death. The level of services available to both athletes and spectators was more than adequate for the injuries and illnesses encountered.

  19. Utilization of counseling services at one medical school.

    PubMed

    Chang, Elaine; Eddins-Folensbee, Florence; Porter, Ben; Coverdale, John

    2013-08-01

    The purpose of this study was to assess the usage of mental health counseling services by medical students. Medical students experience high rates of burnout, depression, and suicidal ideation. Our medical school (Baylor) provides free professional counseling services. The authors administered a survey that included a burnout scale; a depression screen; and questions about demographics, usage of counseling services, and helpful coping mechanisms for 526 first-through third-year students (336 respondents) at one school. Approximately 24% of students with high rates of burnout and 24% of students with depressive symptoms took advantage of counseling services at least once. Of the students who had not used counseling services, approximately 49% were found to have high rates of burnout in the domain of emotional exhaustion. Similarly, of the students who had not accessed counseling services, 56% had depressive symptoms. A large percentage of medical students across three classes did not use mental health counseling services provided by the school. Students should be clearly informed about the availability of counseling services and their potential utility. In addition, specific barriers to attendance should be identified and reduced.

  20. 75 FR 62348 - Reimbursement Offsets for Medical Care or Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-08

    ... reimbursement. A basic statutory characteristic of VA health care and services is that veterans have no... preconditions that are inconsistent with the basic nature of medical care and services provided to veterans in... annual effect on the economy of $100 million or more or adversely affect in a material way the economy,...

  1. Domestic Action and the All-Volunteer Army

    DTIC Science & Technology

    1973-01-01

    detachment of the regular army compos- ed of officers and privates sworn in for a special service. "I The command was shared by Meriwether Lewis and...I9’T1-e Pathfinder. ’ His name has been perpetuated in various cities and counties of the West.,,3 It is appropriate to note that the Army was in a...military chaplains. The garrison guardhouse was often the first county jail. Army physicians provided medical care to military, civilians A 3New

  2. Effects of Age and Military Service on Strength and Physiological Characteristics of U.S. Army Soldiers.

    PubMed

    Abt, John P; Perlsweig, Katherine; Nagai, Takashi; Sell, Timothy C; Wirt, Michael D; Lephart, Scott M

    2016-02-01

    Soldiers must maintain tactical performance capabilities over the course of their career. Loss in physical readiness may be a function of age and the operational demands associated with increasing years of service. The purpose of this study was to assess strength and physiological characteristics in different cohorts of U.S. Army Soldiers based on years of service and age. A total of 253 Soldiers (age: 28.1 ± 6.8 years; height: 1.76 ± 0.11 m; mass: 84.1 ± 12.2 kg) participated. Individual subject cohorts were created based on years of service (1-5 years, 6-10 years, 11-15 years) and age (20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years). Testing included shoulder, knee, ankle, and torso strength, aerobic capacity/lactate threshold, anaerobic power/capacity, and body composition/total mass. Those with 11 to 15 years of service and between ages 30 and 34 had a higher percentage of body fat, and lower aerobic capacity and lactate threshold than younger Soldiers with fewer years of service. Physical training interventions should focus on maintenance of physiological characteristics to offset the loss of readiness at the similar time point of 11 to 15 years of service and 30 to 34 years of age.

  3. Accession Medical Standards Analysis and Research Activity (AMSARA) 2014, Annual Report, and four Supplemental Applicants and Accessions Tables for: Army, Air Force, Marine, and Navy

    DTIC Science & Technology

    2016-02-02

    Utilization for Overuse Musculoskeletal Injuries among US Army Active Duty TAPAS Test-Takers...conditions prompting disability evaluation in the first year of service included prosthetic implants and diseases of the musculoskeletal system, and...who are physically unfit and those who exceed body fat standards are at higher risk of musculoskeletal injury [3-5]. The following descriptive

  4. The contribution of hospital library services to continuing medical education.

    PubMed

    Gluck, Jeannine Cyr

    2004-01-01

    Much of the literature relating to continuing medical education programs laments the lack of effectiveness of traditional lecture-based format, the most often used method of presentation in hospitals. A gap exists between the content taught in lectures and the application of that knowledge in actual patient care. The services of the medical librarian, already employed in most hospitals, can help ameliorate this problem. Further, libraries help to support quality improvement efforts. These three functions (library services, continuing medical education, and quality improvement) are interdependent. Each lends strength to the other, and, ideally, all are coordinated within the hospital structure.

  5. Tele-pharmacy in remote medical practice: the Royal Flying Doctor Service Medical Chest Program.

    PubMed

    Margolis, S A; Ypinazar, V A

    2008-01-01

    In recent times remote medical practice has been developed into a unique discipline in its own right with telehealth one of the eight defining key features. Since 1942, the telemedicine consultation service provided by the Royal Flying Doctor Service in Australia has been supported by a tele-pharmacy program known as the Medical Chest Program. The contents of the chest comprise more than 85 items, including medications and equipment which can be prescribed during a telehealth consultation to cover both emergency care and definitive treatment for less serious conditions. By 2006 there were 3500 medical chests placed throughout Australia. Specifically, the state of Queensland had 21 470 telehealth consultations from 1 July 2005 to 30 June 2006, resulting in the prescription of at least one medical chest item in 2938 (13.7%) consultations. Queensland data regarding medication indicate that antibiotics (26%), analgesics (23%) and gastrointestinal medications (12%) were the most common categories of dispensed medications, and that the most common clinical diagnostic categories for the consultation resulting in dispensed medications were respiratory (17%), skin (15%) and abdominal conditions (13%). In summary, the RFDS medical chest program continues to be a successful large scale provider of medications to those living in remote Australia, enabling early access to medications for both emergencies and definitive care, while minimising the need for mail-order pharmacy or patient travel. This model of care may provide an important template for those designing service delivery models in other remote jurisdictions.

  6. The Temporal Relationship Between lntrafamilial Violence, Deployment, and Serious Mental Illness in US Army Service Members

    DTIC Science & Technology

    2015-03-27

    and child abuse . The team will pursue longitudinal analyses to: 1) Establish the temporal relationship between deployment, diagnosis of mental...COL Cox, Dr. Robichaux, and Dr. Gable from the Army F AP, and partners across the Presidential Commissions to Eliminate Child Abuse and Neglect...our study cohort, 17.8per1,000 children received a child physical abuse diagnosis. The preliminary findings also show that among the 4,367 child

  7. Using Simulation Analysis to Evaluate Enlistment Programs for Non Prior Service Army Reserve Enlistments

    DTIC Science & Technology

    2010-06-01

    UNITED STATES ARMY RECRUITING COMMAND 1307 3d Avenue Fort Knox , KY 40121 10. SPONSORING/MONITORING AGENCY REPORT NUMBER A 11...B.D. Department of Defense Instruction 1215.19 Change 1, 8 Mar. 2001. 10 Jun. 2010 <http://biotech.law.lsu.edu/ blaw /dodd/corres/pdf2/i121519p.pdf...Virginia 2. Dudley Knox Library Naval Postgraduate School Monterey, California 3. Rachel T. Johnson Naval Postgraduate School Monterey

  8. Army Library Institute V: Product/Marketing/Service - Volume I, Report of Proceedings

    DTIC Science & Technology

    1981-11-01

    Strategy for Survival" College and Research Libraries (July) pg. 328-332. Kotler , Philip (1975) Marketing for Nonprofit Organizations (Englewood...refer you to Philip Kotler’s, "Marketing for Non-Profit Organizations" (Prentice-Hall, 1975). The essential Idea of marketing concerns the process by...927-5017 Casey, Philip M. U.S. Army ARRCOM ATTN: DRSAR-LEP-L Rock Island, XL 61299 AV: 793-4208 Cass, Ed C. Chief Archivist, USMA West

  9. Medical students' attitudes toward abortion and other reproductive health services.

    PubMed

    Rosenblatt, R A; Robinson, K B; Larson, E H; Dobie, S A

    1999-03-01

    This paper investigated the attitude toward abortion and other reproductive health services of first- and second-year medical students at the Seattle campus of the University of Washington, a large regional primary care-oriented medical school, in 1996-97. A total of 219 (76.6%) students responded. The majority of the students support the availability of a broad range of reproductive health services including abortion; 58.1% felt that first-trimester abortions should be available to patients under most circumstances. Of the 43.4% of students who anticipated a career in family practice, most expected to provide abortions in their future practices. Moreover, older students and women were more likely to support the provision of abortion services. This study concludes that despite the continuing pressure on abortion providers, most first- and second-year medical students at a fairly state-supported medical school intend to incorporate this procedure into their future practices.

  10. Web-Based Medical Service: Technology Attractiveness, Medical Creditability, Information Source, and Behavior Intention.

    PubMed

    Wang, Shan Huei

    2017-08-02

    Web-based medical service (WBMS), a cooperative relationship between medical service and Internet technology, has been called one of the most innovative services of the 21st century. However, its business promotion and implementation in the medical industry have neither been expected nor executed. Few studies have explored this phenomenon from the viewpoint of inexperienced patients. The primary goal of this study was to explore whether technology attractiveness, medical creditability, and diversified medical information sources could increase users' behavior intention. This study explored the effectiveness of web-based medical service by using three situations to manipulate sources of medical information. A total of 150 questionnaires were collected from people who had never used WBMS before. Hierarchical regression was used to examine the mediation and moderated-mediation effects. Perceived ease of use (P=.002) and perceived usefulness (P=.001) significantly enhance behavior intentions. Medical credibility is a mediator (P=.03), but the relationship does not significantly differ under diverse manipulative information channels (P=.39). Medical credibility could explain the extra variation between technology attractiveness and behavior intention, but not significant under different moderating effect of medical information sources.

  11. Web-Based Medical Service: Technology Attractiveness, Medical Creditability, Information Source, and Behavior Intention

    PubMed Central

    2017-01-01

    Background Web-based medical service (WBMS), a cooperative relationship between medical service and Internet technology, has been called one of the most innovative services of the 21st century. However, its business promotion and implementation in the medical industry have neither been expected nor executed. Few studies have explored this phenomenon from the viewpoint of inexperienced patients. Objective The primary goal of this study was to explore whether technology attractiveness, medical creditability, and diversified medical information sources could increase users’ behavior intention. Methods This study explored the effectiveness of web-based medical service by using three situations to manipulate sources of medical information. A total of 150 questionnaires were collected from people who had never used WBMS before. Hierarchical regression was used to examine the mediation and moderated-mediation effects. Results Perceived ease of use (P=.002) and perceived usefulness (P=.001) significantly enhance behavior intentions. Medical credibility is a mediator (P=.03), but the relationship does not significantly differ under diverse manipulative information channels (P=.39). Conclusions Medical credibility could explain the extra variation between technology attractiveness and behavior intention, but not significant under different moderating effect of medical information sources. PMID:28768608

  12. [The helicopter emergency medical service and essential related nursing skills].

    PubMed

    Shen, Hsin-Mao; Chao, Shu-Yuan

    2012-06-01

    Nurses play a critical role in Taiwan's helicopter emergency medical service, an essential healthcare response service for residents of outlying islands. The care skillsets required of nurses in special care and urgent care environments are significantly more specialized than those in other professional care environments. This article discusses the development of the civil helicopter emergency medical service (HEMS) and elements essential to HEMS nursing care efficacy. These elements can be grouped under the categories of pre-flight preparation, assessment for flight-readiness and in-flight care, decision-making abilities, personal physical characteristics, training and experience. These categories should be referenced to improve the effectiveness of relevant education / training programs, enhance HEMS nurse readiness and effectiveness, and maximize the role of HEMS nurses in the civil helicopter medical service.

  13. A Call for Innovation: Reflective Practices and Clinical Curricula of US Army Special Operations Forces Medics.

    PubMed

    Rocklein, Kate

    2014-01-01

    Special Operations Forces (SOF) medics have written and published numerous practice reflections that intricately describe their practice environments, clinical dilemmas, and suggestions for teaching and practice. The lack of translation of SOF medics experiential evidence to their curriculum has created a gap in evidence-based curriculum development. This study analyzed SOF medics learning and practice patterns and compared it to the evidence in the interdisciplinary clinical literature. After framing the problem, the literature was reviewed to determine appropriate tools by which perceptions and attitudes toward reflection-centered curricula could be measured. A recognizable practice reflection was extracted from the published SOF clinical literature and presented in writing to self-identified SOF medics and medic instructors via a descriptive crossover design, to ensure possible biases were mitigated. To measure SOF medics perceptions of reflection-based curricula, the Dundee Ready Education Environment Measure survey instrument was used, as it has validated psychometric properties and is used worldwide. SOF medics averaged scores of perceptions of their medic education indicated positive but not completely statistically significant preferences toward reflection-based curricula over traditional curriculum. Special Operations, medics, reflective practice, curricula BACKGROUND Special Operations Forces (SOF) medics practice in environments that are violent, austere, clandestine, and far removed from definitive hospital facilities. What was true almost 20 years ago?". . . academic demands of [Special Forces medic training] are roughly equivalent to those of an upper-level undergraduate curriculum in science or perhaps to those of first year medical school"?is even more challenging today. During this study, medics, physicians, and educators within the SOF medical community publicly and privately (ergo, names were redacted) expressed the need for curricular changes to

  14. 42 CFR 410.10 - Medical and other health services: Included services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... furnishes to its outpatients for diagnostic study. (e) Diagnostic laboratory and X-ray tests (including... other diagnostic tests. (f) X-ray therapy and other radiation therapy services. (g) Medical supplies... § 410.71. (w) Clinical social worker services, as provided in § 410.73. (x) Services of physicians and...

  15. New York Chapter History of Military Medicine Award. U.S. Army medical helicopters in the Korean War.

    PubMed

    Driscoll, R S

    2001-04-01

    Medical evacuation helicopters are taken for granted in today's military. However, the first use of helicopters for this purpose in the Korean War was not done intentionally but as a result of the necessity of moving patients rapidly over difficult Korean terrain and of the early ebbing of the main battle line. The objective of this essay is to increase the historical awareness of military medical evacuation helicopters in the Korean War during this 50th anniversary year. By describing the many challenges and experiences encountered in implementing the use of helicopters for evacuation, the reader will appreciate how a technology developed for another use helped in the success of evacuating nearly 22,000 patients while contributing to establishing a mortality rate of wounded of 2.4%. The preparation to write this essay included archival research of historical reports, records, and oral histories from the archives of the U.S. Army Center for Military History. Additionally, a search of journal articles written during and after the Korean War was conducted. The result is a comprehensive description of the use of medical evacuation helicopters in the Korean War.

  16. An overview of infusing service-learning in medical education

    PubMed Central

    Wubbena, Zane

    2014-01-01

    Objectives To identify and review existing empirical research about service-learning and medical education and then to develop a framework for infusing service-learning in Doctor of Medicine or Doctor of Osteopathic Medicine curricula. Methods We selected literature on service-learning and medical education. Articles were screened with a protocol for inclusion or exclusion at two separate stages. At stage one, articles were screened according to their titles, abstracts, and keywords. The second stage involved a full-text review. Finally, a thematic analysis using focused and selective coding was conducted. Results Eighteen studies were analyzed spanning the years 1998 to 2012. The results from our analysis informed the development of a four-stage service-learning framework: 1) planning and preparation, 2) action, 3) reflection and demonstration, and 4) assessment and celebration. Conclusions The presented service-learning framework can be used to develop curricula for the infusion of service-learning in medical school. Service-learning curricula in medical education have the potential to provide myriad benefits to faculty, students, community members, and university-community partnerships. PMID:25341224

  17. An overview of infusing service-learning in medical education.

    PubMed

    Stewart, Trae; Wubbena, Zane

    2014-08-04

    To identify and review existing empirical research about service-learning and medical education and then to develop a framework for infusing service-learning in Doctor of Medicine or Doctor of Osteopathic Medicine curricula. We selected literature on service-learning and medical education. Articles were screened with a protocol for inclusion or exclusion at two separate stages. At stage one, articles were screened according to their titles, abstracts, and keywords. The second stage involved a full-text review. Finally, a thematic analysis using focused and selective coding was conducted. Eighteen studies were analyzed spanning the years 1998 to 2012. The results from our analysis informed the development of a four-stage service-learning framework: 1) planning and preparation, 2) action, 3) reflection and demonstration, and 4) assessment and celebration. The presented service-learning framework can be used to develop curricula for the infusion of service-learning in medical school. Service-learning curricula in medical education have the potential to provide myriad benefits to faculty, students, community members, and university-community partnerships.

  18. Content-based management service for medical videos.

    PubMed

    Mendi, Engin; Bayrak, Coskun; Cecen, Songul; Ermisoglu, Emre

    2013-01-01

    Development of health information technology has had a dramatic impact to improve the efficiency and quality of medical care. Developing interoperable health information systems for healthcare providers has the potential to improve the quality and equitability of patient-centered healthcare. In this article, we describe an automated content-based medical video analysis and management service that provides convenience and ease in accessing the relevant medical video content without sequential scanning. The system facilitates effective temporal video segmentation and content-based visual information retrieval that enable a more reliable understanding of medical video content. The system is implemented as a Web- and mobile-based service and has the potential to offer a knowledge-sharing platform for the purpose of efficient medical video content access.

  19. [Pediatric emergencies in the emergency medical service].

    PubMed

    Silbereisen, C; Hoffmann, F

    2015-01-01

    Out-of-hospital pediatric emergencies occur rarely but are feared among medical personnel. The particular characteristics of pediatric cases, especially the unaccustomed anatomy of the child as well as the necessity to adapt the drug doses to the little patient's body weight, produce high cognitive and emotional pressure. In an emergency standardized algorithms can facilitate a structured diagnostic and therapeutic approach. The aim of this article is to provide standardized procedures for the most common pediatric emergencies. In Germany, respiratory problems, seizures and analgesia due to trauma represent the most common emergency responses. This article provides a practical approach concerning the diagnostics and therapy of emergencies involving children.

  20. Pilot study to determine the feasibility of training Army National Guard medics to perform focused cardiac ultrasonography.

    PubMed

    Backlund, Brandon H; Bonnett, Carl J; Faragher, Jeffrey P; Haukoos, Jason S; Kendall, John L

    2010-01-01

    To assess the ability of Army National Guard combat medics to perform a limited bedside echocardiography (BE) to determine cardiac activity after a brief training module. Twelve Army National Guard health care specialists trained to the level of emergency medical technician-basic (EMT-B) underwent an educational session consisting of a 5-minute lecture on BE followed by hands-on practical training. After the training session, each medic performed BEs, in either the subxiphoid (SX) or parasternal (PS) location at his or her discretion, on four healthy volunteers. The time required to complete the BE and the anatomic location of the examination (SX vs. PS) was documented. A 3-second video clip representing the best image was recorded for each BE. These clips were subsequently reviewed independently by two of the investigators with experience performing and interpreting BE; each BE was graded on a six-point scale designed for the study, the Cardiac Ultrasound Structural Assessment Scale (CUSAS). A score of 3 or greater was considered to be adequate to assess for the presence of cardiac activity. Where there was disagreement on the CUSAS score, the reviewers viewed the clip together and agreed on a consensus CUSAS score. We calculated the median time to completion and interquartile range (IQR) for each BE, the median CUSAS scores and IQR for examinations performed in the SX and PS locations, and kappa for agreement between the two reviewers on the CUSAS. A total of 48 BEs were recorded and reviewed. Thirty-seven of 48 (77%) were obtained in the SX location, and 11 of 48 (23%) were obtained in the PS location. Forty-four of 48 (92%) were scored as a 3 or higher on the CUSAS. Median time to completion of a BE was 5.5 seconds (IQR: 3.7-10.9 seconds). The median CUSAS score in the SX location was 4 (IQR: 4-5), and the median CUSAS score in the PS location was 4 (IQR: 4-4). Weighted kappa for the CUSAS was 0.6. With minimal training, the vast majority of the medics in our

  1. Real-time medical collaboration services over the web.

    PubMed

    Andrikos, Christos; Rassias, Georgios; Tsanakas, Panayiotis; Maglogiannis, Ilias

    2015-08-01

    The gradual shift in modern medical practice, from working alone clinical doctors to MDTs (Multi-Disciplinary Teams), raises the need of online real-time collaboration among geographically distributed medical personnel. The paper presents a Web-based platform, featuring an efficient medical data management and exchange, for hosting real-time collaborative services. The presented work leverages state-of-the-art features of the web (technologies and APIs) to support client-side medical data processing. Moreover, to address the typical bandwidth bottleneck and known scalability issues of centralized data sharing, an indirect RPC (Remote Process Call) scheme is introduced through object synchronization over the WebRTC paradigm.

  2. Analyzing the costs to deliver medication therapy management services.

    PubMed

    Rupp, Michael T

    2011-01-01

    To provide pharmacy managers and consultant pharmacists with a step-by-step approach for analyzing of the costs of delivering medication therapy management (MTM) services and to describe use of a free online software application for determining costs of delivering MTM. The process described is applicable to community pharmacies and consultant pharmacists who provide MTM services from nonpharmacy settings. The PharmAccount Service Cost Calculator is an Internet- based software application that uses a guided online interview to collect information needed to conduct a comprehensive cost analysis of any specialized pharmacy service. In addition to direct variable and fixed costs, the software automatically allocates indirect and overhead costs to the service and generates an itemized report that details the components of service delivery costs. The service cost calculator is sufficiently flexible to support the analysis of virtually any specialized pharmacy service, irrespective of whether the service is being delivered from a physical pharmacy. The software application allows users to perform sensitivity analysis to quickly determine the potential impact that alternate scenarios would have on service delivery cost. It is therefore particularly well suited to assist in the design and planning of a new pharmacy service. Good management requires that the cost implications of service delivery decisions are known and considered. Analyzing the cost of an MTM service is an important step in developing a sustainable business model.

  3. Implementing the Army NetCentric Data Strategy in a ServiceOriented Environment

    DTIC Science & Technology

    2009-04-23

    Governance Services Data Discovery & AccessData Discovery & Access Shared Services Shared Services Metadata Profiles Query Profiles Contex t Profile... Shared Services Shared Services Metadata Profiles Query Profiles Contex t Profile s Conten t Profile s Task Profile s Transfor m Profiles 19 Data

  4. [A census of medical genetics services in Argentina].

    PubMed

    Liascovich, Rosa; Rozental, Sandra; Barbero, Pablo; Alba, Liliana; Ortiz, Zulma

    2006-02-01

    To describe the medical genetics services in Argentina, in order to help organize a network to coordinate those services, decrease inequity in access to them, and promote the comprehensive development of medical genetics in the country. In April-August 2004 a survey was conducted of centers providing medical genetics services in Argentina, looking at their human resources, diagnostic procedures, the services that patients use, and funding. The survey covered service centers that conduct genetic assessment, cytogenetic diagnostic testing, molecular biology testing, and biochemical testing to detect birth defects or genetic disorders. Centers that were devoted exclusively to research were not surveyed. A total of 134 centers fulfilled the selection criteria for the survey; 84 of them were private services, and the other 50 were publicly managed services, at universities and hospitals. The 50 public facilities had a total of 67 physicians who had studied clinical genetics, plus 133 non-medical laboratory professionals. A majority of the 50 centers performed clinical and cytogenetic diagnoses, with a smaller number performing molecular, biochemical, and prenatal diagnoses. More than 70% of the centers and human resources were located in an area that includes the city of Buenos Aires, the province of Buenos Aires, and the nearby north-central provinces of Córdoba and Santa Fe. The 50 public centers were found mainly in large cities; 10 of the country's 23 provinces had no public services. There is a great geographic disparity in the availability of resources as well as wide variability in the diagnostic procedures that are provided in the different service centers. The unequal distribution of the facilities is an organizational problem that will require the application of policies to guarantee minimum services for people in all regions of the country, as well as access to more complex diagnostic procedures.

  5. Survival benefit of helicopter emergency medical services compared to ground emergency medical services in traumatized patients

    PubMed Central

    2013-01-01

    Introduction Physician-staffed helicopter emergency medical services (HEMS) are a well-established component of prehospital trauma care in Germany. Reduced rescue times and increased catchment area represent presumable specific advantages of HEMS. In contrast, the availability of HEMS is connected to a high financial burden and depends on the weather, day time and controlled visual flight rules. To date, clear evidence regarding the beneficial effects of HEMS in terms of improved clinical outcome has remained elusive. Methods Traumatized patients (Injury Severity Score; ISS ≥9) primarily treated by HEMS or ground emergency medical services (GEMS) between 2007 and 2009 were analyzed using the TraumaRegister DGU® of the German Society for Trauma Surgery. Only patients treated in German level I and II trauma centers with complete data referring to the transportation mode were included. Complications during hospital treatment included sepsis and organ failure according to the criteria of the American College of Chest Physicians/Society of Critical Care Medicine (ACCP/SCCM) consensus conference committee and the Sequential Organ Failure Assessment (SOFA) score. Results A total of 13,220 patients with traumatic injuries were included in the present study. Of these, 62.3% (n = 8,231) were transported by GEMS and 37.7% (n = 4,989) by HEMS. Patients treated by HEMS were more seriously injured compared to GEMS (ISS 26.0 vs. 23.7, P < 0.001) with more severe chest and abdominal injuries. The extent of medical treatment on-scene, which involved intubation, chest and treatment with vasopressors, was more extensive in HEMS (P < 0.001) resulting in prolonged on-scene time (39.5 vs. 28.9 minutes, P < 0.001). During their clinical course, HEMS patients more frequently developed multiple organ dysfunction syndrome (MODS) (HEMS: 33.4% vs. GEMS: 25.0%; P < 0.001) and sepsis (HEMS: 8.9% vs. GEMS: 6.6%, P < 0.001) resulting in an increased length of ICU treatment and in-hospital time

  6. 3D Medical Volume Reconstruction Using Web Services

    PubMed Central

    Kooper, Rob; Shirk, Andrew; Lee, Sang-Chul; Lin, Amy; Folberg, Robert; Bajcsy, Peter

    2008-01-01

    We address the problem of 3D medical volume reconstruction using web services. The use of proposed web services is motivated by the fact that the problem of 3D medical volume reconstruction requires significant computer resources and human expertise in medical and computer science areas. Web services are implemented as an additional layer to a dataflow framework called Data to Knowledge. In the collaboration between UIC and NCSA, pre-processed input images at NCSA are made accessible to medical collaborators for registration. Every time UIC medical collaborators inspected images and selected corresponding features for registration, the web service at NCSA is contacted and the registration processing query is executed using the Image to Knowledge library of registration methods. Co-registered frames are returned for verification by medical collaborators in a new window. In this paper, we present 3D volume reconstruction problem requirements and the architecture of the developed prototype system at http://isda.ncsa.uiuc.edu/MedVolume. We also explain the tradeoffs of our system design and provide experimental data to support our system implementation. The prototype system has been used for multiple 3D volume reconstructions of blood vessels and vasculogenic mimicry patterns in histological sections of uveal melanoma studied by fluorescent confocal laser scanning microscope. PMID:18336808

  7. Pharmaceutical services at a medical site after Hurricane Andrew.

    PubMed

    Nestor, A; Aviles, A I; Kummerle, D R; Barclay, L P; Rey, J A

    1993-09-01

    The experiences of a group of volunteer clinical pharmacists who provided pharmacy services as part of a disaster relief effort following a hurricane are reported. Hurricane Andrew left many people in southern Florida without shelter and other basic necessities, including health care services. A group of seven pharmacists volunteered to provide services at a temporary medical site set up in a community center. The pharmacy stock consisted of donated drugs. The pharmacists dispensed medications directly to patients and worked closely with other volunteer medical personnel to make sure proper medications were used. Because the pharmacy stock was limited, physicians relied upon the pharmacists for information about therapeutic interchanges, dosage conversions, and new medications. Prescriptions were often ordered and dispensed with only oral instructions. The pharmacists also provided patient counseling, although problems caused by inexperience with certain types of patients, a language barrier, and substandard living conditions after the hurricane made counseling more difficult. The contributions of seven pharmacists who provided services at an emergency medical site after Hurricane Andrew were well received by other health care personnel and by the community.

  8. Social Work Services Utilization by Children with Medical Complexity.

    PubMed

    Coquillette, Madeline; Cox, Joanne E; Cheek, Sara; Webster, Romi A

    2015-12-01

    Children with medical complexity (CMC) are a growing population in pediatric primary care practices, and families caring for these children face increased medical, developmental, education and social needs. The objective of this study was to quantify hospital-wide social work services utilization by CMC compared to non-medically-complex children (non-CMC) to inform the development of family-centered care models that support these vulnerable patients and families. Social work department records from a tertiary children's hospital were used to compare CMC aged 0-17 (n = 564) with age- and sex-matched non-CMC (n = 1128) over a 16-month retrospective period. The main outcomes measures were the proportion of patients who used social work services and mean number of hours of services provided per patient, both by social work providers in the primary care setting and throughout the hospital. A greater percentage of CMC used social work services than non-CMC (60.3 vs. 18.9%), and CMC used more hours per child (5.50 h/child vs. 0.69). In multivariate analysis, medical complexity was associated with 6.23-fold greater odds of using social work services (95% CI 4.94-7.85) and with 8.07 times more hours of services per child (95% CI 6.30-10.34), independent of primary health insurance, age, or sex. This study confirms that CMC use significantly more social work services in the medical setting. This must be considered when designing proactive medical home models to provide high quality family-centered care for this population, and further research is needed to elucidate the factors that drive this utilization.

  9. Twenty-first-century medical microbiology services in the UK.

    PubMed

    Duerden, Brian

    2005-12-01

    With infection once again a high priority for the UK National Health Service (NHS), the medical microbiology and infection-control services require increased technology resources and more multidisciplinary staff. Clinical care and health protection need a coordinated network of microbiology services working to consistent standards, provided locally by NHS Trusts and supported by the regional expertise and national reference laboratories of the new Health Protection Agency. Here, I outline my thoughts on the need for these new resources and the ways in which clinical microbiology services in the UK can best meet the demands of the twenty-first century.

  10. A Study of the Handling of Referrals for Supplemental Care by Military Medical Treatment Facilities with Proposed Changes to Improve the Handling of Such Referrals at Cutler Army Community Hospital, Fort Devens, Massachusetts

    DTIC Science & Technology

    1982-08-01

    Supplemental Care. ......... 21 Specific Models: Combinations of Building Bh-ockq.- . 29 ALTERNATIVES FOR CUTLER ARMY HOSPITAL. ........... 34 RECOMMENDED...20 3. Alternatives for control points ..... .............. .. 30 vi I. INTRODUCTION Conditions Which Prompted this Study Army medical...use them to develop feasible alternatives for the handling of supplemental care referrals. L. To systematically evaluate the alternatives developed

  11. Conscription in the Afghan Army. Compulsory Service Versus an All Volunteer Force

    DTIC Science & Technology

    2011-04-01

    7.0% 8.07% West Bengal 2.8% 5.7% 7.79% Haryana n/a 5.1% 2.06% Andhra Pradesh 4.0% 4.9% 7.41% Tamil Nadu 5.4% 4.9% 6.07% Himachal Pradesh 1.4...north and east for 26 years. The Tamil Tigers were one of the most well-organized and militarily ef- fective insurgent groups in the world. With...after dramatic gains against the Tamil Tigers . Recruitment increased from about 3,000 per year in the 1990s to 32,000 in 2007. The army was able to

  12. Responsibilities of Army Health Nurses and Services Presently Being Furnished to the Military Member and His Family

    DTIC Science & Technology

    1962-04-01

    13 2. Distribution of Non-Professional Aersonnel in Krmy Heilth Nursing Program, 27 Army Vedical Facilities . . 14 3...orkshops, 7T alter Teed Army Institute of Research , Walter Reed Army Yiedical Center, ’,ashingtcn, D. C. (Yay 1958), v. 208, Elizabeth Pagels

  13. 32 CFR Appendix C to Part 68 - Addendum for Education Services Between [Name of Educational Institution] and the U.S. Army

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Educational Institution), hereafter referred to as the “Institution,” and the United States Army. The purpose of this agreement is to provide guidelines and procedures for the delivery of educational services to... Office of the Under Secretary of Defense for Personnel and Readiness and the Institution. This...

  14. 32 CFR Appendix C to Part 68 - Addendum for Education Services Between [Name of Educational Institution] and the U.S. Army

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 1 2013-07-01 2013-07-01 false Addendum for Education Services Between and the U.S. Army C Appendix C to Part 68 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN VOLUNTARY EDUCATION PROGRAMS Pt. 68, App. C Appendix C to Part...

  15. Walter Reed Army Medical Center, Washington, D. C. - Annual Progress Report FY-89. Volume 1

    DTIC Science & Technology

    1990-01-02

    88) 2585 Mitchell, Deborah CPT MC. Incidence of Maxillary Sinusitis 451 in Nasally Intubated Patients (3/88) I 2586 Chi-Fishman, Gloria DAC. Acoustic...immunity, 333 maturation factor, 190 maxillary sinusitis , 451 measurement techniques, 123 medical education, 177 medical interviewing, 177...Human studies 3 accounted for 93% of the investigations, with 36% involving research therapies including investigational drugs or devices and

  16. 31 CFR 594.515 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false In-kind donations of medicine....515 In-kind donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of...

  17. 31 CFR 595.513 - In-kind donations of medicine, medical devices, and medical services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false In-kind donations of medicine...-kind donations of medicine, medical devices, and medical services. (a) Effective July 6, 2006, nongovernmental organizations that are U.S. persons are authorized to provide in-kind donations of...

  18. Bibliometric study of Medical Reference Services Quarterly, 1982-2009.

    PubMed

    Kenefick, Colleen; Werner, Susan E

    2011-01-01

    Medical Reference Services Quarterly began publication in 1982, covering topics of current interest and practical value to public services librarians in medical and related specialties. Since then, it has expanded in scope to include more aspects of health sciences librarianship. This article is a systematic study of all 428 peer-reviewed articles published from 1982 through 2009, with a comprehensive description of content and a citation analysis. Content is extensively analyzed for article subject, and cited references are examined for subject, type of cited material, and average age. In addition, author, institutional, and regional productivity is determined and ranked.

  19. Medication discrepancies at discharge from an internal medicine service.

    PubMed

    Herrero-Herrero, José-Ignacio; García-Aparicio, Judit

    2011-02-01

    Medication errors most commonly occur at the time of medication prescribing and particularly at the moment of the transitions of care. The objectives of this study were to identify and characterize the discrepancies between the physicians' discharge medication orders and the medication lists at admission obtained by an internal medicine specialist physician in a general internal medicine service. This descriptive, retrospective, study was carried out at a tertiary care university teaching hospital in Spain. It was based on the review of non selected, consecutive, hospital discharge reports. Discrepancies were identified, categorized and characterized through the analysis of the information (medication lists, laboratory tests results, diagnosis, and clinical evolution) contained in them. We analyzed 954 discharge reports. In the medication reconciliation process, we find discrepancies in 832 (87.2%) of them. Justified discrepancies were found in 828 (86.8%) reports and unjustified discrepancies in 52 (5.4%). Omission of a medication was the most frequent medication error detected in 86.4% of cases, followed by incomplete prescription (9.6%). The number of diagnosis, the length of hospital stay and the number of permanent medications at admission were the characteristics of cases associated with medication discrepancies in multivariate linear regression (P<0.01). Although considering the limitations in its design, it is remarkable the low number of medication errors detected in our study. Appropriate routines to ensure an accurate medication history collection and a methodical elaboration of the medication list at discharge, when performed by trained internists, are important for an adequate medication reconciliation process. Copyright © 2010 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  20. Operations of and Challenges to the Army Medical Department during the US-Mexican War, 1846-1848

    DTIC Science & Technology

    2015-06-12

    Faculty of the U.S. Army Command and General Staff College in partial fulfillment of the requirements for the degree MASTER OF MILITARY ART AND...NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) U.S. Army Command and General Staff College ATTN: ATZL-SWD-GD Fort...compiled histories of the Army Medial Department. The field operations of Major Generals Winfield Scott and Zachary Taylor are used as case studies. This