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https://www.readbyqxmd.com/read/28222716/assessing-the-feasibility-of-introducing-health-insurance-in-afghanistan-a-qualitative-stakeholder-analysis
#1
Wu Zeng, Christine Kim, Lauren Archer, Omarzaman Sayedi, Mohammad Yousuf Jabarkhil, Kathleen Sears
BACKGROUND: In the last decade, the health status of Afghans has improved drastically. However, the health financing system in Afghanistan remains fragile due to high out-of-pocket spending and reliance on donor funding. To address the country's health financing challenges, the Ministry of Public Health investigated health insurance as a mechanism to mobilize resources for health. This paper presents stakeholders' opinions on seven preconditions of implementing this approach, as their understanding and buy-in to such an approach will determine its success...
February 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28217246/positive-and-negative-religious-spiritual-coping-and-combat-exposure-as-predictors-of-posttraumatic-stress-and-perceived-growth-in-iraq-and-afghanistan-veterans
#2
Crystal L Park, Philip H Smith, Sharon Y Lee, Carolyn M Mazure, Sherry A McKee, Rani Hoff
We examined religious/spiritual (RS) coping from the Survey of Experiences of Returning Veterans (SERV) Study, 630 participants who reported on their demographics, combat exposure, use of positive and negative RS coping, posttraumatic stress disorder (PTSD) symptoms and perceived posttraumatic growth (PPTG). PTSD symptoms and PPTG were inversely correlated. As hypothesized, negative RS coping was inversely associated with PPTG and positively with PTSD, while positive RS coping was related only to PPTG. Although we expected that RS coping would buffer relations between combat exposure and both PTSD and PPTG, we found only one moderator effect and it was opposite our hypothesized direction: Those with high combat exposure and high positive RS coping had the highest PTSD symptomatology...
2017: Psychology of Religion and Spirituality
https://www.readbyqxmd.com/read/28215661/post-deployment-screening-for-mental-disorders-and-tailored-advice-about-help-seeking-in-the-uk-military-a-cluster-randomised-controlled-trial
#3
Roberto J Rona, Howard Burdett, Mizanur Khondoker, Melanie Chesnokov, Kevin Green, David Pernet, Norman Jones, Neil Greenberg, Simon Wessely, Nicola T Fear
BACKGROUND: The effectiveness of post-deployment screening for mental disorders has not been assessed in a randomised controlled trial. We aimed to assess whether post-deployment screening for post-traumatic stress disorder (PTSD), depression, anxiety, or alcohol misuse was effective. We defined screening as the presumptive identification of a previously unrecognised disorder using tests to distinguish those who probably had the disorder from those who probably did not so that those people with a probable disorder could be referred appropriately, and assessed effectiveness and consequences for help-seeking by the odds ratio at follow-up between those receiving tailored help-seeking advice and those who received general mental health advice...
February 16, 2017: Lancet
https://www.readbyqxmd.com/read/28214434/an-examination-of-alcohol-risk-profiles-and-co-occurring-mental-health-symptoms-among-oef-oif-veterans
#4
Jennifer M Cadigan, Alicia K Klanecky, Matthew P Martens
INTRODUCTION: Compared to the general population, veterans of the wars in Afghanistan and Iraq (OEF/OIF) are more likely to engage in hazardous alcohol use and meet criteria for mental health disorders including Posttraumatic Stress Disorder (PTSD) and Major Depressive Disorder. Less is known how distinct profiles of alcohol use behavior relate to mental health symptoms. METHOD: The current study examined the extent that indicators of alcohol use (i.e., drinks per week, peak blood alcohol concentration, and alcohol-related problems) are categorized into different alcohol risk profiles utilizing a person-centered approach...
February 9, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28211592/a-methodology-for-assessing-deployment-trauma-and-its-consequences-in-oef-oif-ond-veterans-the-tracts-longitudinal-prospective-cohort-study
#5
Regina E McGlinchey, William P Milberg, Jennifer R Fonda, Catherine Brawn Fortier
Many US veterans of Afghanistan and Iraq have multiple physical and psychiatric problems. A major focus of research has been on determining the effects of mild Traumatic Brain Injury (mTBI), but mTBI is rarely diagnosed in the absence of co-occurring conditions such as blast exposure, post-traumatic stress disorder (PTSD), depression, substance abuse, etc. These potentially interactive psychological and physical conditions produce complex patterns of cognitive, psychological, and physical symptoms that impede civilian reintegration and complicate efficient and effective treatment planning...
February 17, 2017: International Journal of Methods in Psychiatric Research
https://www.readbyqxmd.com/read/28210461/the-epidemiology-and-antimicrobial-resistance-of-cholera-cases-in-iran-during-2013
#6
Hossein Masoumi-Asl, Mohammad Mehdi Gouya, Mohammad Rahbar, Roghieh Sabourian
BACKGROUND AND OBJECTIVES: Cholera is an endemic diarrheal disease in Iran, caused by Vibrio Cholerae. The epidemiology, transmission route, environmental determinants and antimicrobial resistant pattern of cholera have been changed during recent years. In this study the epidemiology and antimicrobial resistance of cholera in Iran during 2013 outbreak was investigated. MATERIALS AND METHODS: A retrospective, cross-sectional study was carried out using cholera national surveillance system collected data in 2013...
August 2016: Iranian Journal of Microbiology
https://www.readbyqxmd.com/read/28209409/interplay-between-river-dynamics-and-international-borders-the-hirmand-river-between-iran-and-afghanistan
#7
Saleh Yousefi, Saskia Keesstra, Hamid Reza Pourghasemi, Nicola Surian, Somayeh Mirzaee
Fluvial dynamics in riverine borders can play an important role in political relationships between countries. Rivers move and evolve under the influence of natural processes and external drivers (e.g. land use change in river catchments). The Hirmand River is an important riverine border between Iran and Afghanistan. The present study shows the evolution and lateral shifting of the Hirmand River along the international border (25.6km) over a period of 6 decades (1955-2015). Seven data series of aerial photos, topographic maps and Landsat images were used to analyze land cover and channel changes in the study reach...
February 13, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28206805/facilitating-successful-reintegration-attending-to-the-needs-of-military-families
#8
Virginia Gil-Rivas, Ryan P Kilmer, Jacqueline C Larson, Laura Marie Armstrong
Subsequent to the wars in Afghanistan and Iraq, the experiences of military service members (MSVMs) and veterans have garnered increasing attention. A growing body of work has begun to shed light on their reintegration, a process that can bring with it transitions and challenges for service members and their families. Although many families adapt effectively, some have difficulty navigating this process, which can lead to a host of short- and long-term negative consequences for families. The literature to date is not well-developed regarding strategies for supporting successful reintegration of MSVMs and veterans in the context of military families...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28206803/mental-health-treatment-utilization-in-oif-oef-national-guard-and-reserve-troops-with-and-without-dsm-diagnoses
#9
Jennifer M Primack, Brian Borsari, Madeline B Benz, Madhavi K Reddy, M Tracie Shea
Military service members have an increased risk of developing mental health (MH) problems following deployment to Iraq or Afghanistan, yet only a small percentage seek mental health treatment. The aim of the present study was to explore patterns of MH service utilization within the first 12 months following return from combat deployment. Participants were 169 service members who had returned from war-zone deployment in either Iraq or Afghanistan and had assessments covering a 12-month period following their homecoming...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28204704/a-qualitative-examination-of-pain-centrality-among-veterans-of-iraq-and-afghanistan-conflicts
#10
Samantha D Outcalt, Christina Nicolaidis, Matthew J Bair, Laura J Myers, Edward J Miech, Marianne S Matthias
No abstract text is available yet for this article.
February 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28195856/pharmacoepidemiologic-analyses-of-opioid-use-among-oef-oif-ond-veterans
#11
Teresa J Hudson, Jacob T Painter, Brad Martin, Mark A Austen, James S Williams, John Fortney, Mark D Sullivan, Mark E Edlund
There is a great deal of concern about opioid use in Veterans, particularly those that served in Afghanistan (OEF) and Iraq (OIF and OND). The current study provides a detailed pharmacoepidemiologic analysis of opioid use among OEF/OIF/OND Veterans from FY09 to FY12. Data from three data repositories from the Veterans Health Administration (VHA) were used to describe demographic, clinical, and medication characteristics associated with opioid use among OEF/OIF/OND Veterans and among those with TBI. Logistic regression models were used to identify risks associated with chronic opioid use in FY12...
February 11, 2017: Pain
https://www.readbyqxmd.com/read/28191985/network-models-of-dsm-5-posttraumatic-stress-disorder-implications-for-icd-11
#12
Karen S Mitchell, Erika J Wolf, Michelle J Bovin, Lewina O Lee, Jonathan D Green, Raymond C Rosen, Terence M Keane, Brian P Marx
Recent proposals for revisions to the 11th edition of the International Classification of Diseases (ICD-11) posttraumatic stress disorder (PTSD) diagnostic criteria have argued that the current symptom constellation under the Diagnostic and Statistical Manual of Mental Disorders-5 is unwieldy and includes many symptoms that overlap with other disorders. The newly proposed criteria for the ICD-11 include only 6 symptoms. However, restricting the symptoms to those included in the ICD-11 has implications for PTSD diagnosis prevalence estimates, and it remains unclear whether these 6 symptoms are most strongly associated with a diagnosis of PTSD...
February 13, 2017: Journal of Abnormal Psychology
https://www.readbyqxmd.com/read/28187907/a-correlation-analysis-of-metacarpal-phalangeal-injury-pattern-from-improvised-explosive-devices-amongst-armed-force-personnel
#13
R M T Staruch, G E Glass, A Johnson, J Hodson, S P Hettiaratchy, A R Kay, D Chester
Injuries to the hand during military combat operations, particularly from improvised explosive devices (IEDs) have a significant impact on form, function, mental health and future employment but remain underreported amidst the life and limb-threatening emergencies that garner more attention. An understanding the patterns of hand injuries encountered from IEDs is crucial to optimizing reconstruction and rehabilitation. The aim of this study was to re-evaluate hand injury sustained from IED in order to understand the clinical burden for reconstruction and direct the focus for future hand protection...
January 19, 2017: Injury
https://www.readbyqxmd.com/read/28178973/mortality-from-tetanus-between-1990-and-2015-findings-from-the-global-burden-of-disease-study-2015
#14
Hmwe H Kyu, John Everett Mumford, Jeffrey D Stanaway, Ryan M Barber, Jamie R Hancock, Theo Vos, Christopher J L Murray, Mohsen Naghavi
BACKGROUND: Although preventable, tetanus still claims tens of thousands of deaths each year. The patterns and distribution of mortality from tetanus have not been well characterized. We identified the global, regional, and national levels and trends of mortality from neonatal and non-neonatal tetanus based on the results from the Global Burden of Disease Study 2015. METHODS: Data from vital registration, verbal autopsy studies and mortality surveillance data covering 12,534 site-years from 1980 to 2014 were used...
February 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28177107/trends-in-infectious-disease-incidence-among-children-in-afghanistan-at-a-time-of-public-health-services-expansion
#15
M Y Anwar, G Burnham
This study reviewed trends in the incidence of common communicable diseases among children under five years in Afghanistan between 2005 and 2013, a period of expansion of public health services. New visits to outpatient clinics constituted the denominator for calculating proportions. In 2013, almost three-quarters of all new visits of children to public health services were for an infectious disease, with respiratory infections the most common. Because of inconsistent data collection for some infections early in the period, the trend for infectious diseases as a whole cannot be estimated...
February 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28166898/identification-of-the-emplacement-of-improvised-explosive-devices-by-experienced-mission-payload-operators
#16
Nathan J McNeese, Nancy J Cooke, Russell Branaghan, Ashley Knobloch, Amanda Taylor
Improvised Explosive Devices (IEDs) have become one of the deadliest threats to military personnel, resulting in over 50% of American combat casualties in Iraq and Afghanistan. Identification of IED emplacement is conducted by mission payload operators (MPOs). Yet, experienced MPOs are limited in number, making MPO training a critical intervention. In this article, we implement a Cognitive Engineering Based on Expert Skill methodology to better understand how experienced MPOs identify the emplacement of IEDs for the purposes of improving training...
April 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28163597/development-of-pre-breeding-technology-for-root-system-study-and-selection-of-kihara-afghan-wheat-landraces-kawlr-to-enhance-wheat-breeding-in-the-rain-fed-region
#17
Emdadul Haque, Aziz Ahmad Osmani, Sayed Hasibullah Ahmadi, Tomohiro Ban
To enhance a root trait-based selection program for rain-fed wheat breeding in Afghanistan, we simulated an efficient pre-breeding drought system. Plants were grown in 1 m pipes as control or 2 m pipes to simulate drought conditions soaking ground water up by capillary action supplemented by two different life supporting irrigations from top of the pipes (T1 and T2 droughts). T1 was used for studying genetic diversity in 360 Kihara Afghan wheat landraces (KAWLR). Both drought treatments were used to evaluate root traits in 30 selected genotypes...
December 2016: Breeding Science
https://www.readbyqxmd.com/read/28162665/-419-neurosteroid-levels-are-inversely-associated-with-low-back-pain-in-female-iraq-afghanistan-era-veterans
#18
J Naylor, J Kilts, J Strauss, S Szabo, C Dunn, H Wagner, R Hamer, L Shampine, J Zanga, C Marx
No abstract text is available yet for this article.
April 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/28160994/risk-factors-associated-with-miscarriage-and-impaired-fecundity-among-united-states-servicewomen-during-the-recent-conflicts-in-iraq-and-afghanistan
#19
Andrea C Ippolito, Amber D Seelig, Teresa M Powell, Ava Marie S Conlin, Nancy F Crum-Cianflone, Hector Lemus, Carter J Sevick, Cynthia A LeardMann
BACKGROUND: Research on the reproductive health of U.S. servicewomen deployed in support of the recent operations in Iraq and Afghanistan is sparse. The objective of this study was to evaluate whether military experiences, including combat deployment, deployment length, and life stressors during the recent conflicts, were associated with increased odds for miscarriage or impaired fecundity among U.S. servicewomen. METHODS: We used data from the Millennium Cohort Study, a large longitudinal military study that began in 2001 and includes military personnel from all service branches, including active duty and Reserve/National Guard personnel...
February 1, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28160810/non-battle-injuries-among-u-s-army-soldiers-deployed-to-afghanistan-and-iraq-2001-2013
#20
Avni A Patel, Keith G Hauret, Bonnie J Taylor, Bruce H Jones
INTRODUCTION: Many non-battle injuries among deployed soldiers are due to occupational-related tasks. Given that non-battle injuries are a significant cause of morbidity and mortality, occupational safety and health are of great concern to the military. Some of the leading causes of non-battle injuries in the military are also common in non-military occupational settings. Nationally, falls and motor-vehicle accidents are leading causes of non-fatal occupational injuries in the civilian workforce...
February 2017: Journal of Safety Research
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