Determining the Mineral Apposition Rate of Heterotopie Ossification in Military Healthcare System Patients after Total Joint Replacement: A Case Series

2016 ◽  
Vol 7 ◽  
pp. BTRI.S38041
Author(s):  
B.M. Isaacson ◽  
B.K. Potter ◽  
R.D. Bloebaum ◽  
R.T. Epperson ◽  
B. Kawaguchi ◽  
...  
Keyword(s):  
Healthcare System ◽  
Joint Replacement ◽  
Bone Growth ◽  
Total Joint Replacement ◽  
Case Series ◽  
Mineral Apposition Rate ◽  
Clinical Predictors ◽  
Ectopic Bone ◽  
Military Healthcare ◽  
Military Healthcare System

Heterotopic ossification (HO) is frequently reported following total joint replacement (TJR) surgery. Symptomatic HO may limit the range of motion, cause pain, and require surgical excision. Deciding an appropriate time for ectopic bone excision is based on clinical judgment, and a more well-defined link between clinical predictors and histological analysis is needed to minimize recurrence. A case series was performed with military healthcare system patients undergoing TJR, who required removal of periarticular ectopic bone. Patients were prescribed oxytetracycline to assess the mineral apposition rate (MAR; ie, bone growth rate) of HO, and excised specimens were analyzed using scanning electron microscopy and light microscopy. Two males and one female were enrolled in this study, with height of 69.0 ± 7.8 inches, weight of 237.7 ± 28.3 pounds, and age of 61 ± 7 years at the time of HO removal. Ectopic bone occurred in two cases following total knee arthroplasty and one total hip arthroplasty. Data indicated that MAR levels were 1.7 times higher than that reported previously for nonpathological human bone (1.7 ± 0.7 µm/day; range: 1.3–2.6 µm/day), and microscopic imaging confirmed that the osseous tissues were still actively remodeling at the time of surgical intervention. Further characterization is needed to optimize HO excision timing and to better understand this pathological bone disorder.

Evolution of Ray's Theory of Bureaucratic Caring

2021 ◽  
Vol 25 (3) ◽  
pp. 159-175
Author(s):  
Marilyn A. Ray
Keyword(s):  
Healthcare System ◽  
Well Being ◽  
Theoretical Development ◽  
Military Healthcare ◽  
The Military ◽  
Health And Well Being ◽  
Military Healthcare System ◽  
Holistic Science ◽  
Ethical Caring ◽  
Bureaucratic Organizations

An overview and evolution of caring and the theory of bureaucratic caring and interpretations of its central categories are described. Data and models representing its theoretical development, the concept of bureaucracy, and emergence of the theory as a holographic theory are included. Central tenets in the new sciences are explored along with Bohm's corresponding ideas of explicate and implicate orders (holistic science) and spiritual-ethical caring. The theory has broad implications for increasing the knowledge of caring inter-professionally, improving the health and well-being of people, and transforming healthcare bureaucratic organizations nationally and globally, with application in the military healthcare system.

scholarly journals The History of Swedish Military Healthcare System and Its Path Toward Civilian-Military Collaboration From a Total Defense Perspective

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1492-e1498 ◽  
Author(s):  
Amir Khorram-Manesh ◽  
Yohan Robinson ◽  
Ken Boffard ◽  
Per Örtenwall
Keyword(s):  
Healthcare System ◽  
System Integration ◽  
Historical Development ◽  
Military Medicine ◽  
Seldinger Technique ◽  
Scientific Papers ◽  
Military Healthcare ◽  
History Of ◽  
Definition Of ◽  
Military Healthcare System

Abstract Introduction The interaction between military and civilian healthcare systems has contributed to the development of medical care. Swedish innovations such as the Seldinger technique for angiography, Leksell Gamma Knife for cranial surgery, and the introduction of pacemakers and ultrasound have contributed to the global development of medicine. Several authors have described the Swedish civilian healthcare system and its development. However, the development and history of its military healthcare system and its influence on the civilian healthcare system remain untold. This review aims to describe the historical development of the Swedish military healthcare system and its path toward civilian-military collaboration and a total defense healthcare system. Material and Methods A search for all published scientific papers in Swedish and English, along with available legal documents and directives, was made. We used CINAHL, PubMed, Scopus, and Gothenburg University’s databases and search engines. The following keywords, Swedish, military, civilian, healthcare, collaboration, and development, were searched for, alone or in combination, using a PRISMA flow chart. Duplicates, abstracts, and nonscientific publications were excluded. Results Each of the four distinct periods of historical development in the Swedish military healthcare system can be characterized by the changes necessary for transforming Sweden from an aggressive to a defensive and collaborative nation, with national and international engagement. Collaboration not only encompasses readiness and willingness to share resources and information, and to adjust routines and guidelines, but also needs a culture of consensus and respect for each other’s limitations and capabilities. The definition of military medicine and the military physician’s role in Sweden is imperative for further civilian-military collaboration. Conclusions Recent global sociopolitical changes necessitate civilian-military healthcare collaboration. Although civilian-military healthcare partnerships in various medical fields have been reported earlier, the Swedish concept of total defense’s healthcare system integration and collaboration may be a more fruitful approach. The collaboration within the total defense healthcare system will result in technical achievements, innovations, and medical advancements for the benefit of the whole nation.

scholarly journals Births to Adolescents in the U.S. Military Healthcare System

2010 ◽  
Vol 175 (11) ◽  
pp. 890-894 ◽  
Author(s):  
David A. Klein ◽  
Ginny Gildengorin ◽  
Peter Mosher ◽  
William P. Adelman
Keyword(s):  
Healthcare System ◽  
Military Healthcare ◽  
The U.S ◽  
Military Healthcare System

scholarly journals All Military Adolescents Are Not the Same: Sexuality and Substance Use among Adolescents in the U.S. Military Healthcare System

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0141430 ◽  
Author(s):  
David A. Klein ◽  
William P. Adelman ◽  
Amy M. Thompson ◽  
Richard G. Shoemaker ◽  
Jane Shen-Gunther
Keyword(s):  
Substance Use ◽  
Healthcare System ◽  
Military Healthcare ◽  
The U.S ◽  
Military Healthcare System
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