PubMed HealthSearch

Biomedical subjects

B W Blount

Publications and source records attributed to B W Blount.

5 recordsLinked to original sources

Family separations in the military.

Family separations are an intrinsic part of military life. The temporary loss of a family member through deployment brings unique stresses to a family in three different stages: predeployment, survival, and reunion. Most families adapt to these stresses well. In families without adequate coping skills, however, these stresses can lead to problems which the family presents to the health care system. Health care providers must be aware of these stresses, the high-risk families, their clinical manifestations, and techniques for preventing and treating them. This article provides some help for health care providers dealing with these issues.

Adult

A comparison of MEDRETE practice content to U.S. ambulatory care.

A U.S. military medical team spent 2 weeks providing medical care in a rural area in Bolivia. Records of presenting complaints and physician diagnoses were kept for 2,169 patients seen during the exercises. Patients seen in Bolivia were younger than in typical U.S. clinics, with 53% being less than 15 years old. Digestive system complaints were the reason for 35% of the visits, compared to 5% in U.S. clinics. Diagnoses made more often than expected on the Bolivian expedition included gastroenteritis, peptic diseases, low back pain, and headaches. Supply and personnel needs are greatly influenced by these patient characteristics.

Adolescent

Two types of metal fume fever: mild vs. serious.

Some physicians recognize the mild form of Metal Fume Fever (MFF); few recognize MFF's serious form. Mild MFF is self-limited and is caused by inhaling metal oxide fumes. Serious MFF may be life-threatening and is caused by inhalation of military smoke. Initial manifestations of the two forms are similar but their pathophysiologies and managements are different. Mild MFF patients recover within 48 hours and rarely require hospitalization. Serious MFF symptoms remit but may relapse 24 to 48 hours later with significant morbidity and mortality. Serious MFF patients require admission for observation. Military physicians need to differentiate these forms of MFF.

Adult

Lightning injuries.

Lightning kills or injures thousands of people in the United States each year. Injuries are caused by the effects of electrical, thermal and mechanical energy, and a wide range of clinical results, involving multiple body systems, is possible. Important differences exist between lightning victims and patients injured by fire or by other forms of electricity. In lightning victims, successful resuscitation is highly likely, even among patients with conventional signs of brain death. With proper management, long-term physical and psychologic sequelae of lightning injury are rare.

Electric Injuries

Gastroesophageal reflux in children.

Pediatric gastroesophageal reflux is a common cause of morbidity in family practice. The numerous presentations of the condition are determined by four factors: the reflux barrier, the reflux material, esophageal clearance and tissue reactivity. Several diagnostic tests are available, but no one test is applicable to all cases. Treatment, which may be dietary, behavioral, pharmacologic or surgical, depends primarily on the clinical presentation.

Child