{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T10:47:13Z","timestamp":1773053233884,"version":"3.50.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Mal de D\u00e9barquement Syndrome (MdDS) is a poorly understood vestibular disorder that frequently affects military personnel exposed to motion during transportation and deployment. It is characterized by a persistent sensation of motion often experienced after disembarking from a ship or other mode of transportation. It can significantly affect a service member\u2019s balance, coordination, attention, and focus, which can then substantially impact their quality of life, ability to perform their military duties, and overall mission readiness. Despite its potential impact, comprehensive studies on MdDS are scarce, especially within the military. The unique conditions of military service, including frequent travel, long flights, maritime deployments, and high-stress environments, make the military well suited to study MdDS. Increased awareness and understanding of MdDS is crucial for everyone in the military\u2014from medical personnel responsible for the diagnosis and treatment of MdDS to commanders who must consider the operational impact of impaired personnel.<\/jats:p>","DOI":"10.1093\/milmed\/usad449","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T23:20:53Z","timestamp":1700608853000},"page":"299-303","source":"Crossref","is-referenced-by-count":2,"title":["The Hidden Enemy: Mal de D\u00e9barquement Syndrome and\u00a0Its Impact on\u00a0Military Operations"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5442-7112","authenticated-orcid":false,"given":"Charlotte K","family":"Hughes","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Naval Medical Center San Diego , San Diego, CA 92134,","place":["USA"]},{"name":"Department of Otolaryngology, University of California San Diego , La Jolla, CA 92093,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Eliason","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Naval Medical Center Portsmouth , Portsmouth, VA 23708,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro J","family":"Matsuoka","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of California San Diego , La Jolla, CA 92093,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"issue":"APR","key":"2024110620113954200_R1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fneur.2017.00114","article-title":"A historical view of\u00a0motion sickness - a plague at sea and\u00a0on land, also with military impact","volume":"8","author":"Huppert","year":"2017","journal-title":"Front Neurol"},{"issue":"5","key":"2024110620113954200_R2","doi-asserted-by":"publisher","first-page":"285","DOI":"10.3233\/VES-200714","article-title":"Mal de d\u00e9barquement syndrome diagnostic criteria: consensus document of\u00a0the Classification Committee of\u00a0the B\u00e1r\u00e1ny Society","volume":"30","author":"Cha","year":"2020","journal-title":"J Vestib Res Equilib Orientat"},{"issue":"FEB","key":"2024110620113954200_R3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fneur.2018.00042","article-title":"Perspective: stepping stones to unraveling the pathophysiology of\u00a0Mal de Debarquement Syndrome with neuroimaging","volume":"9","author":"Mucci","year":"2018","journal-title":"Front Neurol"},{"issue":"5","key":"2024110620113954200_R4","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1212\/01.CPJ.0000472925.22196.a2","article-title":"Mal de D\u00e9barquement Syndrome","volume":"5","author":"Cohen","year":"2015","journal-title":"Neurol Clin Pract"},{"issue":"6","key":"2024110620113954200_R5","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.22cr03278","article-title":"Mal de Debarquement Syndrome complicated by psychiatric comorbidities","volume":"24","author":"Amuk","year":"2022","journal-title":"Prim Care Companion CNS Disord"},{"issue":"5","key":"2024110620113954200_R6","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1007\/s00415-015-7962-6","article-title":"Mal de debarquement syndrome: a systematic review","volume":"263","author":"Van Ombergen","year":"2016","journal-title":"J Neurol"},{"key":"2024110620113954200_R7","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2018.00261","article-title":"Comprehensive clinical profile of\u00a0Mal De Debarquement Syndrome","volume":"9","author":"Cha","year":"2018","journal-title":"Front Neurol"},{"issue":"3","key":"2024110620113954200_R8","first-page":"21","article-title":"The mal de debarquement syndrome","volume":"5","author":"Mair","year":"1996","journal-title":"J Audiol Med"},{"issue":"1","key":"2024110620113954200_R9","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1093\/imammb\/dqac016","article-title":"Mal de Debarquement Syndrome explained by a vestibulo-cerebellar oscillator","volume":"40","author":"Burlando","year":"2023","journal-title":"Math Med Biol"},{"issue":"10","key":"2024110620113954200_R10","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1007\/s11940-022-00735-2","article-title":"Update on\u00a0therapies for\u00a0Mal de D\u00e9barquement Syndrome","volume":"24","author":"Cha","year":"2022","journal-title":"Curr Treat Options Neurol"},{"issue":"4","key":"2024110620113954200_R11","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1007\/s00221-009-1825-2","article-title":"Adaptation of\u00a0the angular vestibulo-ocular reflex to head movements in\u00a0rotating frames of\u00a0reference","volume":"195","author":"Dai","year":"2009","journal-title":"Exp Brain Res"},{"issue":"1","key":"2024110620113954200_R12","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1097\/MAO.0b013e318278bf7c","article-title":"Repetitive transcranial magnetic stimulation for\u00a0Mal de Debarquement Syndrome","volume":"34","author":"Cha","year":"2013","journal-title":"Otol Neurotol"},{"issue":"9","key":"2024110620113954200_R13","doi-asserted-by":"publisher","first-page":"E928","DOI":"10.1097\/MAO.0000000000002341","article-title":"Occipital and\u00a0cerebellar theta burst stimulation for\u00a0Mal de Debarquement Syndrome","volume":"40","author":"Cha","year":"2019","journal-title":"Otol Neurotol"},{"issue":"June 2022","key":"2024110620113954200_R14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2023.120544","article-title":"Novel ways to modulate the vestibular system: magnetic vestibular stimulation, deep brain stimulation and\u00a0transcranial magnetic stimulation\/transcranial direct current stimulation","volume":"445","author":"Tarnutzer","year":"2023","journal-title":"J Neurol Sci"},{"issue":"7","key":"2024110620113954200_R15","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1177\/1359105314553046","article-title":"The relationship between symptom severity, stigma, illness intrusiveness and\u00a0depression in\u00a0Mal de Debarquement Syndrome","volume":"21","author":"Arroll","year":"2016","journal-title":"J Health Psychol"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/189\/11-12\/299\/60454166\/usad449.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/189\/11-12\/299\/60454166\/usad449.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T20:11:52Z","timestamp":1730923912000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/189\/11-12\/299\/7439584"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,21]]},"references-count":15,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2023,11,21]]},"published-print":{"date-parts":[[2024,11,5]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usad449","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2023,11,21]]}}}