| The Career History Archival Medical and Personnel System (CHAMPS): An Epidemiological Data Resource for Force Health Protection |
JUN 2004 |
11 pages |
| Authors:
Edward D. Gorham; Frank C. Garland; Milan Miller; E. K. Gunderson; OFFICE OF THE SURGEON GENERAL (AIR FORCE) WASHINGTON DC
|
 | The concept of force health protection depends on the ability to readily ascertain environmental factors that may be related to deployments or occupational exposures and examine subsequent medical and personnel outcomes, including hospitalizations (1). The Career History Archival Medical and Personnel System (CHAMPS) is a comprehensive database that provides an archival career and medical history for active-duty military personnel organized at the level of the individual in a chronological narrative ... |
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| Medical Situational Awareness in Theater Advanced Concept Technology Demonstration Project Proposal |
JUN 2004 |
7 pages |
| Authors:
Frank C. Garland; Ellen Embrey; Anthony DeNicola; Lester Martinez- Lopez; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| There is a need for greater medical situation awareness in theater and for greater integration of theater medical information into the net-centric rapid communications structure envisioned by the Department of Defense (DoD). Current information systems are not well integrated and do not provide optimal trend analysis or alerts that identify health and readiness risks that can be rapidly used by Combatant Commanders and Joint Command Medical Departments. This project is ... |
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| The Relationship Between Aerobic Activity Health Conditions and Medical Visits Among Men and Women Serving Aboard Navy Ships |
2002 |
27 pages |
| Authors:
Linda M. Hughes; Cedric F. Garland; Frank C. Garland; Edward D. Gorham; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Incidence of Lymphoid and Myeloid Leukemia in US Active-Duty Military Men According to Occupation and Comparisons with Incidence from the US surveillance Epidemiology and End Results (SEER) Populations |
2002 |
47 pages |
| Authors:
Edward D. Gorham; Frank Groves; Cedric F. Garland; Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This historical prospective study determined incidence rates, based on first hospitalizations, of lymphoid, myeloid, and all leukemias among military men serving on active duty between 1 January 1989 and 31 December 1999. Standardized incidence ratios (SIRs) were calculated to determine if incidence of leukemia in military men differed from incidence rates In the 9 area U.S. Surveillance, Epidemiology and End Results (SEER) civilian population. Military occupations were grouped into 35 ... |
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| Women Aboard Navy Ships: A Comprehensive Health and Readiness Research Project. Volume 1 |
31 DEC 1996 |
377 pages |
| Authors:
Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This is a final report for year two (FY 96) of a comprehensive epidemiologic research study of a large population of military women assigned to Naval ships. This multi-year project was conducted under the Congressionally established Defense Women's Health Research Program (DWHRP). The objectives of this study included descriptions of the health status, health care utilization patterns, health care needs, reproductive characteristics, birth control availability and pregnancy-related issues, psychological characteristics, ... |
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| Women Aboard Navy Ships: A Comprehensive Health and Readiness Research Project |
MAR 1996 |
627 pages |
| Authors:
Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This is a final report for year one of a comprehensive epidemiologic research study of a large population of military women and men in an operationally deployed situation, assignment to Naval ships. This study addresses factors affecting the health and performance of women serving aboard ship, utilizing three data collection methods: questionnaires administered aboard ship, sick call visits ascertained aboard ship, and structured discussions with medical department staff. During year ... |
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| Hospitalization Rates for Military Women: Feasibility and Design of a Tri-Service Relational Database Architecture Allowing Service-Specific and Tri- Service Reporting |
31 JAN 96 |
269 pages |
| Authors:
Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| Congress authorized a multi-service research program focusing on defense women's health needs and mandated development of a database to support it. Collaboration with the Air Force and Army on data architecture and design throughout this project in response to that mandate resulted in the development of a plan and the completion of initial steps to evaluate the feasibility of a relational database architecture to support future joint service research. Accomplishments ... |
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| Hospitalization Rates for Military Women: Feasibility and Design of a Tri-Service Relational Database Architecture Allowing Service-Specific and Tri- Service Reporting |
28 AUG 95 |
267 pages |
| Authors:
Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This project was initiated in response to the Congressionally mandated Defense Women's Health Research Program to advance women's health research and to design, develop, and maintain databases necessary to support research in women's health. An Institute of Medicine report in response to this mandate recommended that such databases should include armed services women in epidemiological research on gynecological conditions and other disorders of special concern to women. Close collaboration with ... |
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| Women Aboard Navy Ships: A Comprehensive Health and Readiness Research Project |
24 AUG 95 |
295 pages |
| Authors:
Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This is a progress report of a comprehensive epidemiologic research study of a large population of women in an operationally deployed situation -- assignment to ships. This study is designed to address aspects of the four major research topic areas specified in an Institute of Medicine Report which provided recommendations for research on the Health of Military women. |
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| Cross-Sectional Demographic Characteristics of Human Immunodeficiency Virus Seropositive Navy and Marine Corps Active-Duty Personnel |
21 MAR 90 |
10 pages |
| Authors:
Frank C. Garland; Edward D. Gorham; Milan R. Miller; Thomas M. Hickey; Louis L. Balazs; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This report describes the demographic characteristics of HIV seropositive Navy and Marine Corps personnel on active duty on Dec 31, 1989. There were 1,200 seropositive Navy and Marine Corps personnel (point prevalence rate of 1.50 per 1,000). Officers had lower prevalence rates (Navy: 1.01, Marine: 0.41) than enlisted personnel (Navy: 1.86, Marine: 0.76). HIV seroprevalence rates were higher in men, who had a rate of 0.60 compared to 0.38 for ... |
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| Parasitic Disease in the U.S. Navy |
21 JUL 89 |
11 pages |
| Authors:
Laurence D. Mueller; Frank C. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Computerized inpatient medical records for enlisted naval personnel from 1975-1983 were searched for first hospitalizations due to any of 33 parasitic diseases. Average annual age-adjusted incidence rates were calculated per 100,000 person-years and were found to range from 0.0 (viral encephalitis, louse-borne typhus, trypanosomiasis, schistosomiasis) to 2.7 for acariasis. Overall, seamen (SIR = 1.5, p<0.05) and hospital corpsmen (SIR = 2.6, p < 0.05) were at increased risk for hospitalization ... |
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| Leukemia in US Navy Enlisted Personnel |
03 FEB 89 |
11 pages |
| Authors:
Frank C. Garland; Eddie Shaw; Edward D. Gorham; Cedric F. Garland; Martin R. White; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Leukemia is the fourth most commonly occurring cancer in the Navy and in the United States general population between the ages of 15 to 34 years. Historical computerized military career records maintained at the Naval Health Research Center were used to determine person-years at risk (4,072,502 person- years) by demographic characteristics and occupation for active-duty Naval personnel during 1974-1984. Computerized inpatient medical records were searched for first hospitalizations for leukemia. ... |
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| Incidence of HIV (Human Immunodeficiency Virus) Seroconversion in U.S. Navy and Marine Corps Personnel 1986-1988: Results of Total Screening |
89 |
8 pages |
| Authors:
Frank C. Garland; Douglas L. Mayers; Thomas M. Hickey; Milan R. Miller; Eddie K. Shaw; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| During the period 1986 to 1988, the U.S. Navy and Marine Corps administered 1,956,631 ELISA screening tests for antibodies to the Human Immunodeficiency Virus (HIV) to 1,080,511 active-duty enlisted and officer personnel. This study identified all persons with an initial negative test. This population was then followed and those who later tested positive for HIV were identified as seroconverters. Incidence rates of seroconversion per 1,000 person-years were calculated. There were ... |
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| Malignant Melanoma in U.S. Navy Personnel |
11 JUL 88 |
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| Authors:
Martin R. White; Frank C. Garland; Cedric F. Garland; Eddie Shaw; Edward D. Gorham; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
 | Melanoma is the second most common form of cancer after testicular cancer in males in the US Navy. A wide range of occupations with varying exposures to sunlight and other possible etiologic agents occur within the Navy. In order to target possible preventive strategies this study was done to identify occupational groups which may be at excess risk of melanoma. One hundred seventy-six confirmed cases of melanoma were ascertained in ... |
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| A Guide to the Computerized Medical Data Resources of the Naval Health Research Center |
09 APR 87 |
91 pages |
| Authors:
Frank C. Garland; James C. Helmkamp; E. K. Gunderson; Edward D. Gorham; Milan W. Miller; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This report describes in detail the Inpatient follow-up Data system. Data files included in this system are: The Service History File, the Medical History File, and the Career History File. The format and sources of the data elements in these files and the coding schemes used to construct variables within the files are fully described. |
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| Disease and Injury in U.S. Navy Engineering Occupations |
31 DEC 86 |
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| Authors:
Edward D. Gorham; Frank C. Garland; James C. Helmkamp; E. K. Gunderson; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This study assessed the risk of occurrence of disease and injury in active-duty enlisted Navy engineering personnel compared of the total Navy during two time periods, 1974-79, and 1980-83. All Navy engineering occupational combined had about 20% higher risks for nervous system disorders (principally hearing loss), musculoskeletal disorders, and accidents. This excess was statistically significant. A large proportion of this excess was contributed by one occupatinal group: Boiler Technicians. Boiler ... |
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| Disease and Injury in U.S. Navy Engineering Occupations |
31 DEC 86 |
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| Authors:
Edward D. Gorham; Frank C. Garland; James C. Helmkamp; E. K. Gunderson; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| This prospective study assessed the risk of occurrence of disease and injury in active-duty enlisted Navy engineering personnel compared to the total Navy during two time periods, 1974-79 and 1980-83. All white male active-duty enlisted personnel in 10 Navy engineering occupations were identified from the NHRC Career History File for the two time periods. Hospitalizations were identified from the NHRC Medical History File and diagnoses were grouped into 15 disease ... |
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| Non-Hodgkin's Lymphomas in U.S. Navy Personnel |
OCT 86 |
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| Authors:
Frank C. Garland; Edward D. Gorham; Cedric F. Garland; Jay A. Ferns; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Incidence of non-Hodgkin's lymphomas was examined in a prospective study of all white U.S. Navy enlisted men during 1974-83 to test for existence of any short-term risk possibly related to occupation. A total of 103 cases were detected during active service. Examination of pathology records and specialist board reviews confirmed 68 cases: 44 diffuse; 13 nodular; and 11 unspecified or other. Risk was unrelated to length of service, and no ... |
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| Testicular Cancer in U.S. Navy Personnel |
SEP 85 |
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| Authors:
Frank C. Garland; Edward D. Gorham; Cedric F. Garland; Alan M. Ducatman; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| The risk of the development of testicular cancer is greatest in white men aged 20-29. The U.S. Navy is one of the largest defined populations available of men in the high incidence age group receiving health care through a centralized, computer-based medical records system. For these reasons, and the wide variety of occupational exposures present in the Navy, the Naval Health Research Center initiated a prospective study of the incidence ... |
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| Hodgkin's Disease in the U.S. Navy |
FEB 84 |
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| Authors:
Frank C. Garland; Edward D. Gorham; Cedric F. Garland; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| U.S. Naval personnel are involved in a wide variety of occupational specialities which may involve exposure to agents implicated in the development of Hodgkin's disease. Other aspects of naval life-style foster the spread of infectious diseases and increase the need for frequent routine immunizations. These factors led us to hypothesize that there may be an increased risk of Hodgkin's disease in naval personnel as compared to the U.S. population, and ... |
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