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The purpose of this research was to evaluate the 60 year old military medical retirement system. Specifically, this thesis answered three research questions regarding a comparison of pay between the current system and the societal standard for injury and illness, identification of current segments of the military population disproportionately affected by the current system, and establishment of a minimal standard for medical retirement compensation. Previous research established the societal standard for compensation as the Value of Statistical Life. This thesis compared the current military medical retirement system with the Value of Statistical Life and identified several segments of the military medical retiree population that were adversely affected by the current system. Further, this thesis proposed a new method for calculating medical retirement pay incorporating the societal standard for injury and illness.

The continuously increasing number of medical investigations using radiological methods imposes the strong necessity of informing patients about benefits and risks regarding radiation absorbed doses. Tracking the radiation doses absorbed by patients must be a future challenge of any medical system. The effective doses received by patients in many types of medical investigations must be calculated, transformed, recorded and cumulated. Doctors and patients must be very responsible in prescribing or demanding new radiological medical investigations. Radiological standards, legislation, guidelines, programmers and practice supervised by international commissions on radiology protection must include new specific measures for patients' cumulated doses. A pilot Romanian project had tried to accomplish some of these tasks.

Includes bibliographical references and index. ; v. 1. Sect. I. Medical ethics. The moral foundations of the patient-physician relationship: the essence of medical ethics / Edmund D. Pellegrino -- Theories of medical ethics: the philosphical structure / David C. Thomasma -- Clinical ethics: the art of medicine / John Collins Harvey -- The science behind the art: empirical research on medical ethics / Daniel P. Sulmasy -- Sect. II. Military ethics. The profession of arms and the officer corps / Anthony E. Hartle -- Honor, combat ethics, and military culture / Faris R. Kirkland -- The military and its relationship to the society it serves / Nicholas G. Fotion -- Just war doctrine and the international law of war / William V. O'Brien, Anthony C. Arend -- The soldier and autonomy / Sandra L. Visser -- Sect. III. The synthesis of medicine and the military. Physician-soldier: a moral profession / William Madden, Brian S. Carter -- Physician-soldier: a moral dilemma? / Victor W. Sidel, Barry Levy -- Mixed agency in military medicine: ethical roles in conflict / Edmund G. Howe -- v. 2. Sect. IV. Medical ethics in the military. Medical ethics on the battlefield: the crucible of military medical ethics / Thomas E. Beam -- Nazi medical ethics: ordinary doctors? / Robert N. Proctor -- Nazi hypothermia research: should the data be used? / Robert S. Pozos -- Japanese biomedical experimentation during the World-War-II era / Sheldon H. Harris -- The Cold War and beyond: covert and deceptive American medical experimentation / Susan E. Lederer -- Medical ethics in military biomedical research / Michael E. Frisina -- The human volunteer in military biomedical research / Paul J. Amoroso, Lynn L. Wenger -- Nursing ethics and the military / Janet R. Southby -- Religious and cultural considerations in military healthcare / David M. DeDonato, Rick D. Mathis -- Societal influences and the ethics of military healthcare / Jay Stanley -- Military medicine in war: the Geneva Conventions today / Lewis C. Vollmar, Jr. -- Military medicine in humanitarian missions / Joan T. Zajtchuk -- Military humanitarian assistance: the pitfalls and promise of good intentions / Elspeth Cameron Ritchie, Robert L. Mott -- A look toward the future / Thomas E. Beam, Edmund G. Howe -- A proposed ethics for military medicine / Thomas E. Beam, Edmund G. Howe. ; Mode of access: Internet.

4th ed. ; 4 p. L., 877 p. incl. illus., plans, tables, forms, diagrs., front. (port.) plates (1 col. fold.) maps (2 fold.)

Contents.--H.R. 14088. Authorizing an improved health benefits program for dependents of military personnel on active duty, for retired members, and their dependents, and for other purposes. S. 3169. Authorizing a special program for the mentally retarded, mentally ill, and physically handicapped spouses and children of members of the uniformed services, and for other purposes. ; Mode of access: Internet.

In a deployed environment, evacuation requests of injured personnel are serviced by multiple forms of evacuation including medical evacuation (MEDEVAC) and casualty evacuation (CASEVAC). This thesis focuses on the optimal dispatching policy for MEDEVAC units when triage classification errors and blood transfusion kits are considered. A discounted, infinite-horizon Markov decision process (MDP) model is formulated to analyze the MEDEVAC dispatching problem and determine the optimal policy based on the status of the MEDEVAC units in the system, the priority level of incoming requests, and the locations from which requests originate. A notional, representational scenario based in Azerbaijan is utilized to compare the optimal policy against the currently practiced policy of always dispatching the nearest available MEDEVAC unit. Multiple excursions are analyzed to understand the impact of altering problem parameters, including the misclassification rate, number of aircraft equipped with blood transfusion kits, arrival rate of incoming service requests, aircraft speed, and types of triage classification errors. Results reveal that with the application of the optimal policy found by the MDP model the performance of the MEDEVAC dispatching system improves, wherein performance is measured in terms of casualty survivability. Additionally, the inclusion of blood transfusion kits on board aircraft increase MEDEVAC system performance. This analysis is of interest to the military medical planning community and may inform the development of tactics, techniques, and procedures of future dispatching policies for MEDEVAC systems.

Intellectual mobility brings change, there is the primary factor in the way of progress and optimal premise of human being development from theoretic and practice regards. Medical Higher Education, worldwide, is generally similar in structure and consistency, but different in typology of presentation, teaching, learning and assessment. In fact, general medicine, as a subject refers to the same biological body, but presented differently depending on culture, space and under various methods of teaching and learning. The idiom of intellectual mobility is not new, but according to globalization, which we live at the present times, brought the mobility in the main plan of Europeanization, a new plan, with continues sustainable development and maybe of success. By institutional mobility, both for students and for academic staff, an exchange means a period of one academic year or a semester, for students and, for two days to several months for academic staff, into a foreign university. These stages of study, practice, and teaching take place most frequently within the Erasmus + framework, have been of 30 years in Europe and 20 years in Romania. Also, there are other programs that can perform intellectual mobility, but the most well-known is Erasmus program, where European Commission has allocated the biggest legal and financial budget framework. Overall activity program features has a variety of tools to be deployed and an inter-institutional framework with qualified staff to manage it.

OBJECTIVE: The purpose of this project was to improve ease and speed of physician comprehension when interpreting daily laboratory data for patients admitted within the Military Healthcare System (MHS). MATERIALS AND METHODS: A JavaScript program was created to convert the laboratory data obtained via the outpatient electronic medical record (EMR) into a "fishbone diagram" format that is familiar to most physicians. Using a balanced crossover design, 35 internal medicine trainees and staff at Naval Medical Center Portsmouth were asked to complete timed comprehension tests for laboratory data sets formatted in the outpatient EMR's format and in fishbone diagram format. The number of responses per second and error rate per response were measured for each format. Participants were asked to rate relative ease of use for each format and indicate which format they preferred. RESULTS: Comprehension speed increased 37% (6.28 seconds per interpretation) with the fishbone diagram format with no observed increase in errors. Using a Likert scale of 1–5 (1 being hard, 5 easy), participants indicated the new format was easier to use (4.14 for fishbone vs 2.14 for table) with 89% expressing preference for the new format. DISCUSSION: The publically available web application that converts tabular lab data to fishbone diagram format is currently used 10 000–12 000 times per month across the MHS, delivering significant benefit to the enterprise in terms of time saved and improved physician experience. CONCLUSIONS: This study supports the use of fishbone diagram formatting for laboratory data for inpatients within the MHS.

The article of record as published may be found at http://dx.doi.org/10.1080/10242694.2017.1403739 ; The U.S. Department of Defense (DoD) and the U.S. Department of Veterans Affairs (VA) need to bridge a gap in their understanding of service members' health outcomes and the issues involved in treatment, such as cost. In addition, clinicians and policy analysts must overcome existing knowledge barriers. Clinicians need to be aware of policy changes that will affect their patient load in numbers and in treatment needs. Policy analysts need to be aware of issues relevant to clinical treatment, such as quality and timeliness of care. Given the need for services and support to military personnel and families, and the fact that the fastest growing expenses in defense are health care costs, a multi-disciplinary line of research will help lawmakers understand the most efficient and effective resource use across the health care services.