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https://www.readbyqxmd.com/read/27880040/acetaminophen-overdoses-active-component-u-s-armed-forces-2006-2015
#1
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
#2
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
#3
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
#4
(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
#5
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
#6
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
#7
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
#8
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
#9
(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
#10
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
https://www.readbyqxmd.com/read/27602797/incidence-of-abdominal-hernias-in-service-members-active-component-u-s-armed-forces-2005-2014
#11
Francis L O'Donnell, Stephen B Taubman
From 1 January 2005 through 31 December 2014, a total of 87,480 incident diagnoses of the five types of abdominal hernia (incidence rate 63.3 cases per 10,000 person-years) were documented in the health records of 72,404 active component service members. The overall incidence rate of inguinal hernias among males was six times the rate among females. However, incidence rates of femoral, ventral/incisional, and umbilical hernias were higher among females than males. During the 10-year interval, annual incidence rates for most of the five types of hernia trended downward, but rates increased for umbilical hernias in both males and females and for ventral/ incisional hernias among females...
August 2016: MSMR
https://www.readbyqxmd.com/read/27501939/incident-diagnoses-of-cancers-in-the-active-component-and-cancer-related-deaths-in-the-active-and-reserve-components-u-s-armed-forces-2005-2014
#12
Terrence Lee, Valerie F Williams, Leslie L Clark
Cancer is the second leading cause of death in the U.S., surpassed only by heart disease. It is estimated that approximately one of every four deaths in the U.S. is due to cancer. Between 2005 and 2014 among active component service members in the U.S. military, crude incidence rates of most cancer diagnoses have remained relatively stable. During this period, 8,973 active component members were diagnosed with at least one of the cancers of interest and no specific increasing or decreasing trends were evident...
July 2016: MSMR
https://www.readbyqxmd.com/read/27501938/use-of-complementary-health-approaches-at-military-treatment-facilities-active-component-u-s-armed-forces-2010-2015
#13
Valerie F Williams, Leslie L Clark, Mark G McNellis
Survey-based research has demonstrated the increasing use and acceptance of complementary and alternative medicine (CAM) in general and military populations. This report summarizes the use of three CAM procedures (chiropractic/osteopathic manipulation, acupuncture, and biofeedback) among active component service members from 2010 through 2015. Findings document a marked increase in the use of chiropractic/osteopathic manipulation and acupuncture procedures since 2010. The majority of the 240 military installations in this analysis provided chiropractic/osteopathic manipulation; more than three-quarters provided acupuncture; and approximately one-third provided biofeedback procedures...
July 2016: MSMR
https://www.readbyqxmd.com/read/27501937/increasing-severity-of-traumatic-brain-injury-is-associated-with-an-increased-risk-of-subsequent-headache-or-migraine-a-retrospective-cohort-study-of-u-s-active-duty-service-members-2006-2015
#14
Vincent P Beswick-Escanlar, Terrence Lee, Zheng Hu, Leslie L Clark
Traumatic brain injury (TBI) is a common injury in the U.S. Compared to the general population, military service members can be at increased risk for TBI because of the nature of their work. Sequelae of TBI, such as headache or migraine, can lead to military duty limitations or separation from service. To determine whether the severity of TBI is associated with the risk of these sequelae, this 2006-2015 retrospective cohort study compared the incidence of diagnosed headache or migraine among all service members with a first-time mild or moderate/severe TBI (N=111,018) against a matched sample without any history of TBI...
July 2016: MSMR
https://www.readbyqxmd.com/read/27362344/incidence-and-recent-trends-in-functional-gastrointestinal-disorders-active-component-u-s-armed-forces-2005-2014
#15
Amelia G Johnson, Zheng Hu, Angelia A Cost
Functional gastrointestinal disorders (FGIDs) are common chronic conditions with an unknown pathophysiology and etiology. FGIDs elevate healthcare costs and cause substantial burden to public health and the military, including diminished readiness, productivity, and quality of life. This retrospective cohort study of active component U.S. military personnel covered a 10-year surveillance period, 2005-2014. The Defense Medical Surveillance System (DMSS) was the data source. Incident cases were identified and rates were calculated and stratified by important covariates...
June 2016: MSMR
https://www.readbyqxmd.com/read/27362343/identification-of-specific-activities-associated-with-fall-related-injuries-active-component-u-s-army-2011
#16
Veronique D Hauschild, Anna Schuh, Bonnie J Taylor, Michelle Canham-Chervak, Bruce H Jones
Although falls continue to be a leading mechanism of serious injuries among military populations, interventions must target activities or hazards that can be controlled or managed. This project aimed to identify activities most frequently associated with Army soldier fall-related injuries to prioritize prevention strategies for this substantial health burden. Narrative data from Army safety, medical evacuation, and casualty reporting systems were reviewed to select incidents meeting inclusion criteria and assign established codes...
June 2016: MSMR
https://www.readbyqxmd.com/read/27255949/surveillance-snapshot-department-of-defense-global-laboratory-based-influenza-surveillance-program-2014-2015-season
#17
Tiffany A Parms
No abstract text is available yet for this article.
May 2016: MSMR
https://www.readbyqxmd.com/read/27255948/surveillance-snapshot-zika-virus-infection-among-military-health-system-beneficiaries-following-introduction-of-the-virus-into-the-western-hemisphere-20-may-2016
#18
https://www.readbyqxmd.com/read/27255947/update-urinary-stones-active-component-u-s-armed-forces-2011-2015
#19
Valerie F Williams, Leslie L Clark, Francis L O'Donnell, Rakel A Larsen, John F Brundage
Urinary stones can cause debilitating morbidity that impairs the operational effectiveness of affected members of the U.S. Armed Forces. This report documents that, during the past 5 years, rates of incident diagnoses of urinary stones decreased by about 17% in the active component of the U.S. military. During the period, annual rates of inpatient diagnosed cases were low and relatively stable, while rates of outpatient diagnosed cases slightly decreased. Incidence rates were slightly higher among females than males in 2011; however, rates were very similar among males and females from 2012 through 2015...
May 2016: MSMR
https://www.readbyqxmd.com/read/27255946/post-refractive-surgery-complications-and-eye-disease-active-component-u-s-armed-forces-2005-2014
#20
Jason B Blitz, Devin J Hunt, Angelia A Cost
Refractive surgery (RS) is a common procedure in the U.S. military population. This report provides an estimation of incident RS for vision correction purposes in the active component of the U.S. military from 1 January 2005 through 31 December 2014 and the prevalence of post-RS complications and eye disease in the 1-year period after RS. During the surveillance period, a total of 121,571 subjects without a diagnosis of eye disease other than hyperopia, myopia, or astigmatism in the previous year received a single incident RS procedure...
May 2016: MSMR
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