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Biomedical subjects

M L Dembert

Publications and source records attributed to M L Dembert.

At least 19 recordsLinked to original sources

Common sense strategies for accident and injury prevention.

The author presents a comprehensive set of initiatives and strategies for military line and medical commanders for developing effective injury prevention programs. These are not necessarily taken from preexisting written policies and instructions. Rather, they are based on his experiences in the preventive and occupational medicine field. These recommendations are for military personnel, their dependents, and federal civilian employees, and should be applied at work, at home, and during recreation.

Accident Prevention

Treatment of essential hypertension with yoga relaxation therapy in a USAF aviator: a case report.

A 46-year-old Caucasian male USAF aviator with a 6-year history of mild essential hypertension (medical waiver for flight duty) under unsuccessful treatment with hydrochlorothiazide, dietary modification, and exercise, was subsequently trained in yoga relaxation. After 6 weeks, medication had been discontinued, and his diastolic blood pressure remained within normal levels. The patient was subsequently returned to full flight status without recurrence of diastolic hypertension at followup 6 months later. Relaxation training, of which yoga is one type, has been reported in the medical literature to have wide clinical application. It should be considered as a nonpharmacological therapy adjunct or alternative for medical disorders among personnel in occupations (e.g., aviation) where the side effects from medications are of great concern and could be disqualifying from those duties.

Aerospace Medicine

Cast aluminum denture base.

The laboratory procedures for a cast aluminum base denture have been presented. If an induction casting machine is not available, the "two-oven technique" works well, provided the casting arm is kept spinning manually for 4 minutes after casting. If laboratory procedures are executed precisely and with care, the aluminum base denture can be cast with good results.

Aluminum

Epidemiology of viral hepatitis among US Navy and Marine Corps personnel, 1984-85.

Six hundred and twenty-nine cases of viral hepatitis (A, B, and NonA-NonB) were reported among a total of 768,832 United States Navy and Marine Corps personnel during 1984 and 1985 via a passive surveillance system. Cumulative incidence for all three hepatitis types was higher than those reported for the general population at the same time. Hepatitis B was the most common diagnosis within all sex, rank, and race/ethnic description categories. Enlisted medical personnel (hospital corpsmen) had a disproportionately higher incidence of hepatitis B.

Epidemiologic Methods

Epidemiology of human rabies post-exposure prophylaxis at the US Naval Facility, Subic Bay, Philippines.

Data collected during 1984 from an active animal rabies surveillance system and human rabies post-exposure prophylaxis program at the US Naval Hospital, Subic Bay Naval Facility, Philippines revealed that potential rabies exposure, most commonly from dog bites or scratches, was reported for 311 US military and civilian personnel and four Filipino employees working on the facility. Seventy-nine persons (25 per cent) required complete post-exposure prophylaxis. Brain tissue from two captured dogs implicated in attacks was subsequently found to be positive for rabies antigen on fluorescent antibody testing.

Animals

Tropical pyomyositis: delineation by gray scale ultrasound.

This report describes a case of tropical pyomyositis in a 25-year-old man in which gray scale ultrasound played a critical role in the diagnosis and management. A review of relevant literature is provided, and a recommended approach to the diagnosis of this disease is given.

Adult

Relations of smoking and diving experience to pulmonary function among U.S. Navy divers.

The relations of 4 pulmonary function parameters (measured from the forced expiratory spirogram) with diving experience (in years) and indices of cigarette smoking were examined in a group of 93 healthy U.S. Navy divers. Years of diving was not significantly related to lung function. The value for pack-years of smoking was inversely associated with both percentage of predicted forced expiratory volume in 1 s (FEV1) and percentage of predicted maximal midexpiratory flow rate (MMFR). Divers who have relatively heavy smoking histories may be at greater risk for developing significant decline in pulmonary function, and diving exposure factors other than years of diving may contribute to this risk.

Adult

The accident injury matrix and its use in diving injury investigations.

A conceptual matrix is proposed for the comprehensive investigation and analysis of injuries resulting from diving accidents. Its use allows for the identification of factors which contribute to the occurrence of the injury, factors which directly cause the specific injury, and factors which affect the extent of injury as well as the return of the diver to health. Strategies may be developed from the use of this matrix to prevent the recurrence of specific injuries as well as to lessen individual morbidity or mortality, damage to equipment, and socioeconomic losses which ensue from these accidents.

Accidents

Health risk factors for the development of decompression sickness among U.S. Navy divers.

The relationship between the health status and physical characteristics of 185 U.S. Navy divers and their risk for experiencing decompression sickness was examined utilizing historical cohort design. Data on multiphasic medical examinations performed on these men between 1972-1978 were obtained. Cases of decompression sickness before and after examination were identified. Divers who did experience decompression sickness either before or after examination had significantly higher measures of skinfold thickness and weight when compared to those who remained free of decompression sickness. Those divers in the highest quartile of each of three significant skinfold thicknesses measured had risks for decompression sickness that were generally 9 to 10 times as great as those calculated for the combined lower 3 quartiles and 5 to 6 times as great as the average crude risk calculated for all Navy divers over the past 5 yr. These findings suggest that obesity may be a contributory factor to the occurrence of decompression sickness.

Body Weight