Editorial Boarddoi: 10.1093/milmed/160.11.A2pmid: N/A
Article PDF first page preview Close This content is only available as a PDF. Reprint & Copyright © by Association of Military Surgeons of U.S., 1995
Biological Warfare in the Twentieth Century: Lessons from the Past, Challenges for the FutureMobley, James, A.
doi: 10.1093/milmed/160.11.547pmid: N/A
Abstract Biological warfare and fear of biological warfare have affected our wars, our peace, and our research throughout this century. During World War I, animals were deliberately infected with glanders. During World War II, biowarfare research was carried out by Japan, Germany, England, and the United States. Japan carried out biological warfare attacks in China. England used biological warfare for the assassination of Reinhard Heydrich. In the 1950s and 1960s, Army researchers released bacteria over U.S. cities in biological warfare tests. The most frequent biological warfare terrorist episodes have been contamination of food and water. Although biological warfare can be very low tech, genetic engineering is capable of making biowarfare agents available in vast quantities. Biowarfare research should continue, but the National Institutes of Health should oversee human biological warfare research. This content is only available as a PDF. Reprint & Copyright © by Association of Military Surgeons of U.S., 1995
A Study of the Efficacy of Nonoperative Treatment of Presumed Traumatic Spondylolysis in a Young Patient PopulationDaniel, Joseph, N.;Polly, David, W.;, Van Dam, Bruce E.
doi: 10.1093/milmed/160.11.553pmid: N/A
Abstract The purpose of this study is to report the results of nonoperative treatment of presumed traumatic spondylolysis in a young patient population seen at the Walter Reed Army Medical Center Orthopaedic Surgery Spine Service from 1986 to 1994. A retrospective chart review analysis with recent follow-up was performed on 29 patients diagnosed through clinical examination and plain radiographs. Bone scan was reserved for those patients with an examination consistent with spondylolysis yet inconclusive plain films. All patients were treated with activity modification (to include a temporary profile for active duty military), full-time bracing (most commonly a thoracolumbosacral orthosis), and nonsteroidal anti-inflammatory drugs. Narcotic analgesics were added to this regimen, if indicated. There were 23 males and 6 females with an average age of 21 (range 13–31). There were 7 United States Military Academy cadets, 7 dependent children, 5 noncommissioned officers, 6 enlisted, and 4 officers. Of the 29 patients with spondylolysis, 20 had an L5 defect, 6 had an L4 defect, 4 had an L3 defect, and 1 had an L2 defect. Two of the 29 patients healed their spondylolysis, but the remainder failed nonoperative treatment. In the population of patients referred to our institution, spondylolysis is not a benign process. The literature suggests that the majority of these injuries heal, yet this has not been our experience. We propose that if the patient is diagnosed acutely with a fracture of the pars interarticularis and the aforementioned proven regimen is initiated, the chances for a successful nonoperative outcome are optimized. A delay in diagnosis and therefore treatment may compromise nonoperative treatment and necessitate operative intervention in an attempt to restore the patient to the preinjury level of activity. This content is only available as a PDF. Reprint & Copyright © by Association of Military Surgeons of U.S., 1995
Dental Emergency Visits of Marine Corps PersonnelRodden, Jeffrey, W.;Simecek, John, W.
doi: 10.1093/milmed/160.11.555pmid: N/A
Abstract The purpose of this study was to determine the incidence and distribution of dental emergencies in Marine Corps personnel. Dental emergencies were recorded from June 1989 to June 1990 for personnel who were in garrison, deployed, or participating in field exercises. A standardized data-collection form was distributed to participating Marine Corps dental clinics and to dental officers assigned to Marine Corps deployments or field exercises. A total of 890 dental emergency visits by Marines were recorded: 699 for Marines while in garrison, 136 while deployed, and 55 while participating in field exercises. Tooth/restoration fracture without pulpal involvement and pericoronitis were the most frequent diagnoses at emergency visits in each of the three environments. The mean incidence rate of dental emergencies per 1,000 person-years for deployed Marine Corps personnel was 57.2. This content is only available as a PDF. Author notes 1 The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the U.S. Government. Reprint & Copyright © by Association of Military Surgeons of U.S., 1995