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https://www.readbyqxmd.com/read/28234496/medical-evacuations-active-and-reserve-components-u-s-armed-forces-2013-2015
#1
Valerie F Williams, Shauna Stahlman, Gi-Taik Oh
From 1 January 2013 through 31 December 2015, a total of 3,912 medical evacuations of service members from the U.S. Central Command area of responsibility were followed by at least one medical encounter in a fixed medical facility outside the operational theater. Overall, there were more medical evacuations for mental disorders than for any other category of illnesses or injuries. Among all service members, annual rates of medical evacuations attributable to battle injuries decreased from 3.4 per 1,000 deployed personyears (dp-yrs) in 2013 to a low of 0...
February 2017: MSMR
https://www.readbyqxmd.com/read/28234495/incidence-rates-of-malignant-melanoma-in-relation-to-years-of-military-service-overall-and-in-selected-military-occupational-groups-active-component-u-s-armed-forces-2001-2015
#2
John F Brundage, Valerie F Williams, Shauna Stahlman, Mark G McNellis
During the 15-year surveillance period, there were 2,233 incident diagnoses of malignant melanoma among members of the active component of the U.S. military (unadjusted incidence rate 1.08 cases per 10,000 person-years [p-yrs]). Unadjusted incidence rates were highest in the fi xed-wing pilot/ crew group (2.45 per 10,000 p-yrs); lowest in the infantry, special operations, combat engineer group (0.77 per 10,000 p-yrs); and intermediate among healthcare providers (1.33 per 10,000 p-yrs) and all others (1.07 per 10,000 p-yrs)...
February 2017: MSMR
https://www.readbyqxmd.com/read/28234494/incident-diagnoses-of-leishmaniasis-active-and-reserve-components-u-s-armed-forces-2001-2016
#3
Shauna Stahlman, Valerie F Williams, Stephen B Taubman
During the surveillance period, there were 2,040 incident diagnoses/reports of leishmaniasis among members of the U.S. Armed Forces. Cutaneous leishmaniasis accounted for more than three-fifths (61.0%) of the total diagnoses/ reports among active component service members and for less than half (48.0%) of the total cases among reserve component members. The visceral form of leishmaniasis represented 1.2% of the total cases. Approximately two-fifths (40.6%) of the total diagnoses/reports were classified as "unspecified" with respect to the type of leishmaniasis...
February 2017: MSMR
https://www.readbyqxmd.com/read/28140606/brief-report-selected-demographic-and-service-characteristics-of-the-u-s-armed-forces-active-and-reserve-components-2001-2009-and-2016
#4
Francis L O'Donnell, Shauna Stahlman, Stephen B Taubman
No abstract text is available yet for this article.
January 2017: MSMR
https://www.readbyqxmd.com/read/28140605/rates-of-chlamydia-trachomatis-infections-across-the-deployment-cycle-active-component-u-s-armed-forces-2008-2015
#5
Shauna Stahlman, Eric C Garges, Saixia Ying, Leslie L Clark
High rates of sexually transmitted infections (STIs), including Chlamydia trachomatis (CT), have been documented among U.S. military service members. However, it is unknown whether phases of the deployment cycle affect risk for CT. This article characterizes the rates of CT infections during the predeployment, deployment, and post-deployment phases for active component members of the U.S. Army, Navy, Air Force, and Marine Corps during 2008-2015. Cases of CT were defined using laboratory, reportable medical event, and prescription data in a sensitivity analysis approach...
January 2017: MSMR
https://www.readbyqxmd.com/read/28140604/diabetes-mellitus-active-component-u-s-armed-forces-2008-2015
#6
Valerie F Williams, Shauna Stahlman, Zheng Hu
From 2008 through 2015, a total of 9,092 incident cases of diabetes mellitus (DM) were reported among active component service members (incidence rate 82.8 cases per 100,000 person-years [p-yrs]). The overall incidence rate of type 1 DM was 3.0 cases per 100,000 p-yrs. The rate of type 2 DM was 74.5 cases per 100,000 p-yrs and rates doubled within each successive age group. Male service members had higher rates of both types of DM, compared to female service members. Black, non-Hispanic service members; service members of other or unknown race/ethnicity; and Hispanic service members had much higher rates of type 2 DM, compared to white, non-Hispanic service members...
January 2017: MSMR
https://www.readbyqxmd.com/read/28140603/update-malaria-u-s-armed-forces-2016
#7
(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 2016, 57 service members were diagnosed with or reported to have malaria, which is the highest number of cases since 2011 (n=124). The relatively low numbers of cases during 2012-2016 mainly reflect decreases in cases acquired in Afghanistan, a reduction due largely to the progressive withdrawal of U...
January 2017: MSMR
https://www.readbyqxmd.com/read/28055222/surveillance-snapshot-findings-from-the-department-of-defense-global-laboratory-based-influenza-surveillance-program-2015-2016-influenza-season
#8
https://www.readbyqxmd.com/read/28055221/zika-virus-infections-in-military-health-system-beneficiaries-since-the-introduction-of-the-virus-in-the-western-hemisphere-1-january-2016-through-30-november-2016
#9
Daniela E Poss, James V Writer, Stric Harris
The introduction and rapid spread of Zika virus (ZIKV) across the Western Hemisphere have posed a risk of infection to Military Health System (MHS) beneficiaries. The associated consequences of infection and the dynamics of transmission may place a unique burden on military personnel, their dependents, and the MHS. This article summarizes the impact of ZIKV transmission on MHS beneficiaries between 1 January and 30 November 2016. Cases were identified from a variety of sources, including direct reporting from the services, extraction of laboratory data, and data from the Defense Medical Surveillance System (DMSS) Reportable Medical Events database...
December 2016: MSMR
https://www.readbyqxmd.com/read/28055220/incident-diagnoses-of-non-melanoma-skin-cancer-active-component-u-s-armed-forces-2005-2014
#10
Terrence Lee, Stephen B Taubman, Valerie F Williams
From 1 January 2005 through 31 December 2014, a total of 8,819 incident diagnoses of non-melanoma skin cancer (NMSC) (incidence rate 64.6 cases per 100,000 person-years [p-yrs]) were documented in the health records of 6,670 active component service members. During the surveillance period, there was a very slight decrease in the annual crude incidence rates of NMSC; rates of NMSC peaked in 2007 (68.3 cases per 100,000 p-yrs) and were at their lowest in 2013 (60.4 cases per 100,000 p-yrs). Increasing age was associated with increased risk of NMSC...
December 2016: MSMR
https://www.readbyqxmd.com/read/27880040/acetaminophen-overdoses-active-component-u-s-armed-forces-2006-2015
#11
Leslie L Clark, Stephen B Taubman
Acetaminophen, a drug commonly used to relieve pain and fever, is generally safe and effective when used as directed. However, acetaminophen overdose can cause serious adverse events, including liver damage and death. From 2006 through 2015, a total of 2,588 cases of acetaminophen overdose were identified in active component military members. Rates of acetaminophen overdose declined during this 10-year surveillance period, from 2.2 cases per 10,000 person-years (p-yrs) in 2006 to 1.2 cases per 10,000 p-yrs in 2015...
November 2016: MSMR
https://www.readbyqxmd.com/read/27880039/importance-of-external-cause-coding-for-injury-surveillance-lessons-from-assessment-of-overexertion-injuries-among-u-s-army-soldiers-in-2014
#12
Michelle Canham-Chervak, Ryan A Steelman, Anna Schuh, Bruce H Jones
Injuries are a barrier to military medical readiness, and overexertion has historically been a leading mechanism of injury among active duty U.S. Army soldiers. Details are needed to inform prevention planning. The Defense Medical Surveillance System (DMSS) was queried for unique medical encounters among active duty Army soldiers consistent with the military injury definition and assigned an overexertion external cause code (ICD-9: E927.0-E927.9) in 2014 (n=21,891). Most (99.7%) were outpatient visits and 60% were attributed specifically to sudden strenuous movement...
November 2016: MSMR
https://www.readbyqxmd.com/read/27880038/excessive-vomiting-in-pregnancy-active-component-service-women-u-s-armed-forces-2005-2014
#13
Valerie F Williams, Leslie L Clark, Gi-Taik Oh
Up to 80% of women experience some form of nausea and vomiting during pregnancy. However, in some women, nausea and vomiting can be excessive and require inpatient and/or outpatient treatment. Data were obtained on 149,071 live births from 116,510 service women from 1 January 2005 through 31 December 2014. A total of 19,175 of the service women with live births had pregnancies complicated by excessive vomiting in pregnancy (EVP) and accounted for 20,511 EVP cases (overall rate of 13.8%). Mild and severe hyperemesis gravidarum (HG) combined accounted for almost two-thirds of the total EVP cases...
November 2016: MSMR
https://www.readbyqxmd.com/read/27792354/surveillance-snapshot-influenza-immunization-among-u-s-armed-forces-healthcare-workers-august-2011-april-2016
#14
(no author information available yet)
No abstract text is available yet for this article.
October 2016: MSMR
https://www.readbyqxmd.com/read/27792353/update-cold-weather-injuries-active-and-reserve-components-u-s-armed-forces-july-2011-june-2016
#15
Francis L O'Donnell, Stephen B Taubman
From July 2015 through June 2016, a total of 447 members of the active (n=383) and reserve (n=64) components had at least one medical encounter with a primary diagnosis of cold injury. The numbers of affected individuals in both components were the lowest since the 2011-2012 cold season, when the total was 394. In the active component, the service-specific incidence rates for each of the four services were lower than the respective rates for the previous (2014-2015) cold season. Frostbite was the most common type of cold injury...
October 2016: MSMR
https://www.readbyqxmd.com/read/27792352/obstructive-sleep-apnea-and-associated-attrition-active-component-u-s-armed-forces-january-2004-may-2016
#16
Amy E Rogers, Shauna Stahlman, Devin J Hunt, Gi-Taik Oh, Leslie L Clark
Obstructive sleep apnea (OSA) is a growing health concern in both civilian and military populations. Individuals who suffer from OSA have increased rates of cardiovascular disease, chronic fatigue, motor vehicle accidents, cognitive impairment, and post-traumatic stress disorder. Data from the Defense Medical Surveillance System (DMSS) were utilized to examine the incidence of OSA and associated attrition from service in active component military members from 1 January 2004 through 31 May 2016. The study identified 223,731 incident cases of OSA with an overall incidence rate of 139...
October 2016: MSMR
https://www.readbyqxmd.com/read/27682629/update-osteoarthritis-and-spondylosis-active-component-u-s-armed-forces-2010-2015
#17
Valerie F Williams, Leslie L Clark, Gi-Taik Oh
During the 6-year surveillance period, a total of 56,935 incident diagnoses of osteoarthritis (OA) and 60,968 incident diagnoses of spondylosis were identified. Age-specific rates of OA and spondylosis increased markedly with age and were higher among Army members and those in armor/motor transport occupations, compared to their respective counterparts. Among service members aged 25 years or older, the rate of OA overall was higher among black, non-Hispanic than other race/ethnicity group members, and the rate of shoulder OA was higher among males than females...
September 2016: MSMR
https://www.readbyqxmd.com/read/27682628/update-diagnoses-of-overweight-and-obesity-active-component-u-s-armed-forces-2011-2015
#18
Leslie L Clark, Stephen B Taubman
Excessive weight and body fat among currently serving active component members have a detrimental effect on operational effectiveness and increase the risk of both acute and chronic health effects related to overweight and obesity. During 2011-2015, the number and prevalence of active component members who received at least one clinical overweight diagnosis increased steadily (2011: n=71,168; 4.5%; 2015: n=113,958; 7.8%). Annual prevalences of clinical overweight increased most rapidly between 2011 and 2013, then remained relatively stable for the remainder of the surveillance period...
September 2016: MSMR
https://www.readbyqxmd.com/read/27682627/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-2011-june-2016
#19
(no author information available yet)
This report contains an update through June 2016 of the results of routine screening for antibodies to the human immunodeficiency virus (HIV) 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 (0.31 per 1,000 tested), up 29% from 2014 (0.24 per 1,000 tested). Seroprevalences among Marine Corps reservists, Navy active component service members, and Navy reservists also peaked in 2015...
September 2016: MSMR
https://www.readbyqxmd.com/read/27602798/incidence-of-hiatal-hernia-in-service-members-active-component-u-s-armed-forces-2005-2014
#20
Francis L O'Donnell, Stephen B Taubman
From 2005 through 2014, a total of 27,276 active component service members had incident diagnoses of hiatal hernia documented in their medical records. The overall incidence rate was 19.7 cases per 10,000 person-years (p-yrs); annual incidence rates ranged from 16.5 to 22.2 cases per 10,000 p-yrs. Rates overall increased monotonically with increasing age and were higher among Air Force and Army members, officers, and healthcare workers than their respective counterparts. During the surveillance period, the 27,276 service members who had incident diagnoses of hiatal hernia accounted for 44,092 hiatal hernia-related encounters overall (1...
August 2016: MSMR
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