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No abstract text is available yet for this article.
April 2018: MSMR
(no author information available yet)
No abstract text is available yet for this article.
April 2018: MSMR
(no author information available yet)
No abstract text is available yet for this article.
April 2018: MSMR
Valerie F Williams, Shauna Stahlman, Gi-Taik Oh
During 2007-2017, there were 574 incident cases of coccidioidomycosis among active component service members, with an overall unadjusted incidence rate of 3.9 cases per 100,000 person-years (p-yrs). Compared to their respective counterparts, the overall rates were highest among those aged 40 years or older, Navy members, enlisted service members, and those in healthcare occupations. Overall incidence rates were similar for males and females. Within race/ethnicity groups, the overall rates of coccidioidomycosis were highest among Asian/Pacific Islanders and lowest among non-Hispanic whites...
April 2018: MSMR
Valerie F Williams, Shauna Stahlman, Saixia Ying
During 2000-2016, a total of 52,895 active component service members received incident diagnoses of herpes zoster (HZ), for an overall unadjusted incidence rate of 2.5 cases per 1,000 person-years (p-yrs). Compared to their respective counterparts, overall incidence rates of HZ were highest among females, those aged 50 years or older, and Air Force members. Overall rates generally increased with increasing age and were highest among non-Hispanic whites and Asian/Pacific Islanders and lowest among non-Hispanic blacks...
March 2018: MSMR
Francis L O'Donnell, Shauna Stahlman, Alexis A Oetting
During 2007-2016, 18.1% of all active component service members were diagnosed with at least one of the five risk factors for cardiovascular disease (CVD) studied in this analysis. In addition, 0.6% of service members were diagnosed with at least one of the four CVDs studied. The most frequently diagnosed risk factors were (in descending order of frequency) obesity, hyperlipidemia, essential hypertension, abnormal blood glucose level, and diabetes mellitus. Incidence rates of both risk factors and CVD were progressively higher with advancing age...
March 2018: MSMR
Shauna Stahlman, Alexis A Oetting
Mental health disorders have historically accounted for significant morbidity, healthcare utilization, disability, and attrition from military service. From 2007 through 2016, a total of 853,060 active component service members were diagnosed with at least one mental health disorder and 115,378 were diagnosed with mental health problems related to family/support group problems, maltreatment, lifestyle problems, or substance abuse counseling. Annual incidence rates of at least one mental health disorder decreased by approximately 6...
March 2018: MSMR
Joseph E Marcus, Bryant J Webber, Thomas L Cropper, Matthew C Wilson, Heather C Yun
Routine blood donor screening for Trypanosoma cruzi , the causative parasitic agent of Chagas disease, began in the U.S. in 2007. Results of follow-up testing and evaluation after a positive screen have not been studied in the armed forces. Among first-time donors at the Joint Base San Antonio- Lackland Blood Donor Center between January 2014 and December 2016 (N=43,402), a total of 23 (0.05%) screened positive for T. cruzi . This descriptive study highlights demographic and follow-up information for all 22 active duty service members who screened positive; a non-active duty member was excluded due to unavailability of clinical records...
February 2018: MSMR
Francis L O'Donnell, Shauna Stahlman, Michael Fan
This report summarizes available health record information about the occurrence of vector-borne infectious diseases among members of the U.S. Armed Forces during a recent 7-year surveillance period. Information about confirmed, possible, and suspected cases was obtained from electronic reports of reportable medical events (RMEs) and records of diagnoses documented during hospitalizations and outpatient healthcare encounters. Lyme disease and malaria were the most common diagnoses among confirmed and possible cases...
February 2018: MSMR
(no author information available yet)
Malaria infection remains an important health threat to U.S. service members who are located in endemic areas because of long-term duty assignments, participation in shorter-term contingency operations, or personal travel. In 2017, a total of 32 service members were diagnosed with or reported to have malaria, which is the lowest number of cases in any given year during the 10-year surveillance period. The relatively low numbers of cases during 2012-2017 mainly reflect decreases in cases acquired in Afghanistan, a reduction due largely to the progressive withdrawal of U...
February 2018: MSMR
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
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
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
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
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
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
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
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
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
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