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2.
Mil Med ; 186(Suppl 3): 51-52, 2021 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-34724053

RESUMO

In order to best optimize health care, we need the right combination of individuals working on interprofessional health care teams, each joining with the right mindset, in the right places, and at the right times. In this special issue of Military Medicine, Dr. Lara Varpio and her team share their findings investigating the unique dynamics of Military Interprofessional Healthcare Teams. Such research is fundamental to advance excellence of military health care by finding, exploring, and addressing existing gaps in what we currently employ and capitalizing on what we know works well. In doing so, we can improve the effectiveness of our care teams and, as a result, optimize care of our wounded on the battlefield.


Assuntos
Medicina Militar , Militares , Atenção à Saúde , Feminino , Humanos , Relações Interprofissionais , Equipe de Assistência ao Paciente
3.
Mil Med ; 186(Suppl 3): 1-6, 2021 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-34724058

RESUMO

Military interprofessional healthcare teams (MIHTs) are foundational to the care provided to military members and their families. However, to date, very little research has investigated MIHTs. Notably, we have few insights into what distinguishes successful MIHTs. This manuscript presents findings from a program of research that was carried out to address this gap. We review what is known about MIHTs to date and the Uniformed Services University's (USU) focused efforts to ensure that greater understanding of MIHTs was developed. We provide an overview of the USU-supported research and of the findings that were generated by that inquiry. After summarizing the manuscripts included in this special edition of Military Medicine, we close by acknowledging and thanking key members of the U.S. military healthcare system who supported this research.


Assuntos
Medicina Militar , Militares , Atenção à Saúde , Humanos , Equipe de Assistência ao Paciente
5.
Aerosp Med Hum Perform ; 92(10): 851-852, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34642011
6.
Aerosp Med Hum Perform ; 92(9): 751-753, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34645557
7.
Aerosp Med Hum Perform ; 92(9): 754-755, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34645558
8.
MSMR ; 28(8): 22-27, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34622900

RESUMO

This analysis of population-level health care utilization data evaluates changes in monthly counts and rates of medical encounters for mental and behavioral health (MH/BH) conditions and the proportion of care delivered via telehealth among active component military members of the U.S. Armed Forces during the first 6 months (March-September 2020) of the COVID-19 pandemic. Comparisons are also made to the same time period in the previous year (2019). Telehealth usage increased during the early pandemic and was on average 25% higher during March-September 2020 as compared to the previous year. In contrast, MH/BH outpatient visit rates declined modestly between March and May 2020 before rebounding in June and remaining stable through September 2020. The number of bed days attributable to MH/BH conditions also declined during March and April 2020 and was on average 30% lower during March-September 2020 as compared to the same period in the prior year. Continued surveillance is warranted to track MH/BH health care utilization during the later months of the pandemic to ensure that sufficient resources continue to be directed towards MH/BH care to support the health and readiness of active component service members.


Assuntos
COVID-19/epidemiologia , Saúde Mental/estatística & dados numéricos , Medicina Militar/tendências , Militares/estatística & dados numéricos , Telemedicina/tendências , Atitude Frente a Saúde , Humanos , Relações Profissional-Paciente , Encaminhamento e Consulta/tendências , Estados Unidos
11.
Artigo em Russo | MEDLINE | ID: mdl-34665563

RESUMO

The article presents, on the basis of archival documents and literature sources, the distribution and placement of hospital staff, staffing of physicians and nurses, support of population with medical personnel and medications, changes in beds stock, equipment of hospital institutions on the unoccupied territories of the USSR. An increase of workload, volume and intensity of labor of personnel of civil health care during the first two years of the Great Patriotic War was established. The unreadiness of the Narkomzdrav (the USSR People's Commissariat of Health Care) for making optimal decisions concerning the rational application of human resources in the beginning of the war is proved.


Assuntos
Medicina Militar , II Guerra Mundial , Atenção à Saúde , História do Século XX , Hospitais , Humanos , I Guerra Mundial
12.
Artigo em Russo | MEDLINE | ID: mdl-34665564

RESUMO

The article is devoted to the activities of the military medicine section of the Pirogov congresses of physicians in the late XIX - early XX centuries. A number of contributions of military physicians at the meetings of the section are analyzed. The famous surgeons N. A. Velyaminov, S. P. Kolomnin, V. I. Razumovsky, M. S. Subbotin, N. V. Sklifosovsky and others participated in the military medicine section activities. The study of the materials of the congresses provides notions about the most burning issues of military medicine of the studied period.


Assuntos
Medicina Militar , Militares , Médicos , História do Século XIX , Humanos
13.
JAAPA ; 34(10): 54-56, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34582388
15.
Mil Med ; 186(12 Suppl 2): 35-39, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34469530

RESUMO

INTRODUCTION: The global 2019 coronavirus pandemic (COVID-19) is setting unprecedented demands on the nation and the military and surgical services. Surgical demands include a large backlog of surgical cases, strain on available resources, and the need for additional measures to prevent exposure. The purpose of this project was to evaluate the feasibility, duration, adverse events, and potential gains associated with using a Turbett Sterilization Pod (TSP) for total joint replacements. MATERIALS AND METHODS: A multidisciplinary team used the Plan-Do-Study-Act model to guide this project. A time-motion study was completed in the operating room (OR) to measure the average time required to set up surgical instrumentation for total joint replacement cases that required 12 or more instrument trays. We compared the amount of time it took to complete the setting up of instrumentation using the traditional method versus the TSP method. The traditional method consisted of unwrapping each surgical tray, checking for holes in the blue wrapper, and placing the tray on the back table. In the case of the TSP, the door of the pod was opened, and the instrument trays were transferred directly to the back table. We measured the time the staff took to perform the task using each of these methods. RESULTS: When compared to the traditional method, the use of the TSP resulted in improved turnover time, decreased room setup time, reduced environmental waste, and eliminated both the effect of damage to wrappers and the time previously spent wrapping surgical trays. CONCLUSION: The TSP minimizes the time needed by the staff to set up an OR suite for a total joint replacement, therefore permitting them to focus more on direct patient care. This time improvement suggests that all surgical specialties, including those requiring greater than 12 traditional instrument sets, may experience reduced turnover time between cases. The use of the TSP is one means to help rectify the OR backlog brought on by COVID-19.


Assuntos
COVID-19 , Medicina Militar , Redução de Custos , Humanos , Salas Cirúrgicas , SARS-CoV-2 , Esterilização , Instrumentos Cirúrgicos
16.
Aerosp Med Hum Perform ; 92(8): 692-694, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34503623
17.
Aerosp Med Hum Perform ; 92(8): 695-696, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34503624
18.
Aerosp Med Hum Perform ; 92(7): 606-607, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34503637
19.
Aerosp Med Hum Perform ; 92(7): 607-608, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34503638
20.
Aerosp Med Hum Perform ; 92(7): 608-609, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34503639
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