On June 14, 2006, the Institute of Medicine released a three-part report on the future of emergency care, underscoring the evolving crisis in access to urgent medical care in the United States.1 The clear threat of future terrorist activity and recent experience with natural disasters highlight the need to develop a comprehensive response system based on the integration of civilian and military...

BACKGROUND There is significant prevalence of physical injuries sustained by civilian recruits at military training garrisons. Civilian recruits sustain these injuries mostly during the intensive and rigorous military combat-training period. OBJECTIVES We sought to determine the prevalence and causes of oral and maxillofacial injuries as the first step in reducing and preventing them in civil...

Military forces from developing countries have become increasingly important as facilitators of their government's foreign policy, taking part in peacekeeping operations, military exercises and humanitarian relief missions. Deployment of these forces presents both challenges and opportunities for infectious disease surveillance and control. Troop movements may cause or extend epidemics by intro...

Military, governmental, and civilian agencies routinely respond to disasters around the world, including large-scale mass casualty events such as the earthquake in Pakistan in 2005, Hurricane Katrina in the United States in 2005, and the earthquake in Haiti in 2010. Potential exists for improved coordination of medical response between civilian and military sectors and for the creation of a pla...

Civilian blast injuries are not rare, but most are not due to military explosives, meaning extrapolation from military texts is often inappropriate. In civilian mass casualty events, emergency departments will see large patient numbers, but few require surgery or intensive care. Survivors of small civilian blasts rarely have blast wave injury and should be treated according to standard trauma p...

Family violence, including both child maltreatment and spouse abuse, is a public health concern in both military and civilian populations. However, there is limited knowledge concerning violence in military families relative to civilian families. This literature review critically reviews studies that examine child maltreatment and spouse abuse among military families and compares family violenc...

BACKGROUND AND OBJECTIVES It is not known whether parental activity levels influence children's physical fitness. Members of the military are required to maintain standards of physical fitness, whereas the civilian population is not. We conducted this study to compare fitness levels of children in military and civilian families. METHODS This was a prospective cohort study of third-grade stude...

OBJECTIVES Quality of sleep (QoS) in individuals is affected by their occupation and is one of the factors affecting the quality of life (QoL). Few studies have evaluated the relationship between QoS and QoL in military women personnel. The aim of this study was to assess QoL and QoS, and compare their relationship among military and non-military women in Tehran. METHODS This cross-sectional ...

Female veterans, the fastest growing segment in the military, have unique pre-military histories and military experiences that are associated with post-military physical and mental health service needs. Successful treatment is contingent on a clearer understanding of the processes underlying these experiences. Data from 20 female veterans who served post-Gulf War were analyzed to generate a sub...