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https://www.readbyqxmd.com/read/29381078/assessment-of-12-influenza-like-illness-case-definitions-using-department-of-defense-global-laboratory-based-influenza-surveillance-program-data-2011-2014
#1
Laurie S DeMarcus, Laurel V Soderlund, Jameson D Voss
Despite the growth in influenza surveillance programs, standardization of a globally accepted influenza-like illness (ILI) case definition remains difficult. With 2011-2014 Department of Defense Global, Laboratory-based Influenza Surveillance Program (DISP) data, 12 case definitions were evaluated using a combination of ILI case definitions from the Centers for Disease Control and Prevention, World Health Organization, and the DISP. The sensitivity, specificity, positive and negative predictive values, and odds ratios for each case definition were calculated...
January 2018: MSMR
https://www.readbyqxmd.com/read/29381077/brief-report-department-of-defense-global-laboratory-based-influenza-surveillance-program-s-influenza-vaccine-effectiveness-estimates-and-surveillance-trends-for-2016-2017-influenza-season
#2
https://www.readbyqxmd.com/read/29381076/outbreak-of-influenza-and-rhinovirus-co-circulation-among-unvaccinated-recruits-u-s-coast-guard-training-center-cape-may-nj-24-july-21-august-2016
#3
Krista C Swanson, Nellie Darling, Perry Kremer, Matthew Doepking, Shane C Steiner, Christopher A Myers, Anthony W Hawksworth, Jose L Sanchez, Stic Harris, Michael J Cooper
Military and Coast Guard recruits are particularly susceptible to respiratory infections. Although seasonal influenza vaccinations are mandatory for recruits, the vaccine expires annually in June. On 29 July 2016, the U.S. Coast Guard Training Center Cape May, NJ, identified an increase in febrile respiratory illness (FRI) among recruits. During 24 July-21 August, a total of 115 recruits reported symptoms. A total of 74 recruits tested positive for respiratory infections: influenza A (H3) (n=34), rhinovirus (n=28), influenza/rhinovirus co-infection (n=11), and adenovirus/rhinovirus co-infection (n=1), while 41 recruits had no laboratory-confirmed specimen but were considered suspected cases...
January 2018: MSMR
https://www.readbyqxmd.com/read/29328683/fatigue-and-related-comorbidities-active-component-u-s-armed-forces-2007-2016
#4
Robert M Guido, Shauna Stahlman, Saixia Ying
Fatigue is a common complaint in the civilian population and may be a presenting symptom of more serious physical and mental disorders. Data from the Defense Medical Surveillance System (DMSS) were utilized to characterize the incidence and burden of fatigue in active component military members from 1 January 2007 through 31 December 2016. A subanalysis of 3 years within this surveillance period (2012-2014) was also conducted to assess the burden of comorbidities related to incident fatigue and the strength of the association between fatigue and selected comorbidities...
December 2017: MSMR
https://www.readbyqxmd.com/read/29328682/brief-report-prevalence-of-hepatitis-b-and-c-virus-infections-in-u-s-air-force-basic-military-trainees-who-donated-blood-2013-2016
#5
Douglas F Taylor, Ryan S Cho, Jason F Okulicz, Bryant J Webber, John G Gancayco
Hepatitis B virus (HBV) and hepatitis C virus (HCV) can cause significant morbidity in military service members. Prevalences of HBV and HCV infections among military recruits accessioning into the U.S. Air Force have not previously been described. The Joint Base San Antonio-Lackland Blood Donor Center was queried for the results of HBV and HCV screening tests among all basic military trainees who donated blood between 25 November 2013 and 16 April 2016. Other active and reserve component members were excluded...
December 2017: MSMR
https://www.readbyqxmd.com/read/29328681/seizures-among-active-component-service-members-u-s-armed-forces-2007-2016
#6
Julie A Bytnar, Shauna Stahlman, Saixia Ying
Traumatic brain injury (TBI) is a known risk factor for seizures. Evidence also shows that post-traumatic stress disorder (PTSD) is associated with seizures, but the relationship in the absence of TBI remains unclear. This retrospective study spanning 2007-2016 separately quantifies the rates of seizures diagnosed among deployed and non-deployed active component military service members to understand the factors associated with seizures and whether they differ in deployed settings. Higher rates of seizures were associated with service members who were in the Army or Marine Corps; female; black; younger; lower enlisted; in a combat-specific, armor/motor transport, or healthcare occupation; and who had no more than one previous deployment...
December 2017: MSMR
https://www.readbyqxmd.com/read/29328680/insomnia-and-motor-vehicle-accident-related-injuries-active-component-u-s-armed-forces-2007-2016
#7
Elizabeth A Erickson, Shauna Stahlman, Mark G McNellis
Insomnia is the most common sleep disorder in adults, and its incidence is increasing in the U.S. Armed Forces. A potential consequence of insomnia (including medications used to treat it) is increased risk of motor vehicle accidents (MVAs), which cause significant morbidity and mortality in service members. To examine the relationship between insomnia and MVA-related injuries in the U.S. Armed Forces, this retrospective cohort study compared incidence rates of MVA-related injuries from 2007 through 2016 between service members with diagnosed insomnia and an unexposed cohort...
December 2017: MSMR
https://www.readbyqxmd.com/read/29211493/department-of-defense-birth-and-infant-health-registry-select-reproductive-health-outcomes-2003-2014
#8
Anna T Bukowinski, Ava Marie S Conlin, Gia R Gumbs, Zeina G Khodr, Richard N Chang, Dennis J Faix
Established following a 1998 directive, the Department of Defense Birth and Infant Health Registry (Registry) team conducts surveillance of select reproductive health outcomes among military families. Data are compiled from the Military Health System Data Repository and Defense Manpower Data Center to define the Registry cohort and outcomes of interest. Outcomes are defined using ICD-9/ICD-10 and Current Procedural Terminology codes, and include: pregnancy outcomes (e.g., live births, losses), birth defects, preterm births, and male:female infant sex ratio...
November 2017: MSMR
https://www.readbyqxmd.com/read/29211492/incidence-and-burden-of-gynecologic-disorders-active-component-service-women-u-s-armed-forces-2012-2016
#9
Shauna Stahlman, Valerie F Williams, Stephen B Taubman
This report describes the incidence, burden, and co-occurrence of four common gynecologic disorders among active component service women during 2012-2016. Overall incidence rates were highest for menorrhagia (100.9 per 10,000 person-years [p-yrs]), followed by uterine fibroids (63.2 per 10,000 p-yrs), endometriosis (30.8 per 10,000 p-yrs), and polycystic ovary syndrome (PCOS, 25.3 per 10,000 p-yrs). Annual incidence rates and medical encounters for menorrhagia decreased by roughly 50% from 2012 through 2015, and then increased slightly in 2016...
November 2017: MSMR
https://www.readbyqxmd.com/read/29211491/complications-and-care-related-to-pregnancy-labor-and-delivery-among-active-component-service-women-u-s-armed-forces-2012-2016
#10
Shauna Stahlman, Catherine T Witkop, Leslie L Clark, Stephen B Taubman
Diagnoses of "complications of pregnancy, childbirth, and the puerperium" include both morbid complications and indications for routine care of pregnant women. During 2012-2016, a total of 55,601 U.S. service members with live births (n=63,879) had 657,060 medical encounters with primary diagnoses of "pregnancy complications." The most frequent diagnoses were "other" specified conditions complicating pregnancy, childbirth, or the puerperium. Numbers of medical encounters with a primary (first-listed) diagnosis of any pregnancy-related complication or indication for care decreased marginally each year between 2012 (n=178,703) and 2016 (n=146,282)...
November 2017: MSMR
https://www.readbyqxmd.com/read/29211490/contraception-among-active-component-service-women-u-s-armed-forces-2012-2016
#11
Shauna Stahlman, Catherine T Witkop, Leslie L Clark, Stephen B Taubman
This report summarizes the annual prevalence of permanent sterilization, as well as use of long- and short-acting reversible contraceptives (LARCs and SARCs, respectively), contraceptive counseling services, and use of emergency contraception from 2012 through 2016 among active component U.S. service women. Overall, 262,907 (76.2%) women of childbearing potential used either a LARC or a SARC at some time during the surveillance period. From 2012 through 2016, permanent sterilization decreased from 4.2% to 3...
November 2017: MSMR
https://www.readbyqxmd.com/read/29211489/pregnancies-and-live-births-active-component-service-women-u-s-armed-forces-2012-2016
#12
Shauna Stahlman, Catherine T Witkop, Leslie L Clark, Stephen B Taubman
This report summarizes data on the demographic and military characteristics of women and women of childbearing potential (WOCBP) in the active component of the U.S. Armed Forces during 2012-2016. Data on pregnancy-related care and birth rates are also presented. In 2016, WOCBP comprised the vast majority of active component service women. The largest proportions of WOCBP were in the categories of women who were 20-24 years old, non-Hispanic white, junior enlisted rank, and in a communications/intelligence occupation...
November 2017: MSMR
https://www.readbyqxmd.com/read/29077425/surveillance-snapshot-influenza-immunization-among-u-s-armed-forces-healthcare-workers-august-2012-april-2017
#13
(no author information available yet)
No abstract text is available yet for this article.
October 2017: MSMR
https://www.readbyqxmd.com/read/29077424/surveillance-snapshot-influenza-vaccine-effectiveness-u-s-european-command-as-estimated-by-the-department-of-defense-global-laboratory-based-influenza-surveillance-program-2016-2017-influenza-season
#14
https://www.readbyqxmd.com/read/29077423/update-cold-weather-injuries-active-and-reserve-components-u-s-armed-forces-july-2012-june-2017
#15
Francis L O'Donnell, Shauna Stahlman, Alexis A Oetting
From July 2016 through June 2017, a total of 387 members of the active (n=328) and reserve (n=59) components had at least one medical encounter with a primary diagnosis of cold injury. Among active component service members, the total number of cold injuries in the 2016-2017 cold season was the lowest since 1999 and the overall incidence rate was lower than in any of the previous four cold seasons. Frostbite was the most common type of cold injury. During the five cold seasons in the surveillance period (2012-2017), rates tended to be higher among service members who were in the youngest age groups, female, non-Hispanic black, or in the Army...
October 2017: MSMR
https://www.readbyqxmd.com/read/29077422/measles-mumps-rubella-and-varicella-among-service-members-and-other-beneficiaries-of-the-military-health-system-2010-2016
#16
Valerie F Williams, Shauna Stahlman, Michael Fan
Measles, mumps, rubella, and varicella (MMR/V) are highly communicable infectious diseases whose causative agents are spread through contact with contaminated surfaces or airborne droplets. Individuals at highest risk for MMR/V infections include infants, unvaccinated or inadequately vaccinated persons, individuals living in communities with low vaccination rates or in crowded and unsanitary conditions, and persons with compromised immune systems. During 2010-2016, there were 11 confirmed measles cases and 76 confirmed mumps cases among all Military Health System (MHS) beneficiaries...
October 2017: MSMR
https://www.readbyqxmd.com/read/28953413/brief-report-use-of-icd-10-code-a51-31-condyloma-latum-for-identifying-cases-of-secondary-syphilis
#17
Shauna Stahlman
No abstract text is available yet for this article.
September 2017: MSMR
https://www.readbyqxmd.com/read/28953412/sexually-transmitted-infections-active-component-u-s-armed-forces-2007-2016
#18
Shauna Stahlman, Alexis A Oetting
This report summarizes incidence rates of the five most commonly diagnosed sexually transmitted infections (STIs) among active component service members of the U.S. Armed Forces during 2007-2016. Chlamydia diagnoses were the most common, followed in decreasing order of frequency by diagnoses associated with genital human papillomavirus (HPV), gonorrhea, herpes simplex virus (HSV), and syphilis. Compared to men, women had higher rates of all STIs except for syphilis. In general, compared to their respective counterparts, younger service members, non-Hispanic blacks, soldiers, and enlisted members had higher incidence rates of STIs...
September 2017: MSMR
https://www.readbyqxmd.com/read/28953411/update-routine-screening-for-antibodies-to-human-immunodeficiency-virus-civilian-applicants-for-u-s-military-service-and-u-s-armed-forces-active-and-reserve-components-january-2012-june-2017
#19
(no author information available yet)
This report contains an update through June 2017 of the results of routine screening for antibodies to the human immunodeficiency virus among civilian applicants for military service and among members of the active and reserve components of the U.S. Armed Forces. During the surveillance period, annual seroprevalences among civilian applicants for military service peaked in 2015 (0.33 per 1,000 tested) and then decreased slightly in 2016. Seroprevalences among Marine Corps reservists, Navy active component service members, and Navy reservists also peaked in 2015...
September 2017: MSMR
https://www.readbyqxmd.com/read/28953410/review-of-the-u-s-military-s-human-immunodeficiency-virus-program-a-legacy-of-progress-and-a-future-of-promise
#20
Jason F Okulicz, Charmagne G Beckett, Jason M Blaylock, Shilpa Hakre, Brian K Agan, Nelson L Michael, Sheila A Peel, Paul T Scott, Steven B Cersovsky
No abstract text is available yet for this article.
September 2017: MSMR
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