| Medical Surveillance Monthly Report (MSMR). Volume 16, Number 10, October 2009 |
Oct-2009 |
29 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
 | This publication is the women's health deployment issue. Articles in the publication include: Health of women after deployment in support of Operation Enduring Freedom/Operation Iraqi Freedom; Medical evacuation for suspected breast cancer, active and reserve components; Department of Defense vaccine guidance for novel H1N1 influenza; and Hospitalization rates for hepatitis A. It also provides summary tables and figures on health assessments, deployments, medical events and training. |
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| Accession Medical Standards Analysis and Research Activity (AMSARA) Annual Report 2009 |
29-Sep-2009 |
99 pages |
| Authors:
Weiwei Han; Matthew E Barker; Li Yuanzhang; Janice K Gary; Jonathan A Mayo; Melinda A Cavicchia; David W Niebuhr; Elizabeth R Packnett; David N Cowan; Sheryl A Bedno; Bin Yi; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD DEPT OF EPIDEMIOLOGY/DIV OF PREVENTIVE MEDICINE
|
| AMSARA's mission is to support the development of evidence based accession standards for the Department of Defense (DoD) by guiding improvement of medical and administrative databases and conducting epidemiologic and special studies analyses. Special studies presented in this AR include analyses of accession medical waivers, existed prior to service (EPTS) discharges and other types of discharges. Descriptive statistics are reported for DoD enlisted accessions who enlisted in 2008. Data are ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 16, Number 4, April 2009 |
Apr-2009 |
37 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| ARTICLES: Hospitalizations among members of active components, U.S. Armed Forces, 2008; Surveillance Snapshot: Deaths among active component service members, 1990-2008; Ambulatory visits among members of active components, U.S. Armed Forces, 2008; Absolute and relative morbidity burdens attributable to various illnesses and injuries, U.S. Armed Forces, 2008; Reportable medical events, active and reserve components, U.S. Armed Forces, 2008. SUMMARY TABLES AND FIGURES: Deployment health assessments update; Acute respiratory disease, basic training ... |
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| Prostate Cancer Survivors with Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life |
Dec-2008 |
12 pages |
| Authors:
Michael A Diefenbach; MOUNT SINAI SCHOOL OF MEDICINE NEW YORK
|
| This study involves patients and their spouses/partners who are attending two cancer centers: the Deane Prostate Health and Research Center in the Department of Urology at Mount Sinai Hospital New York City and the Department of Medical Oncology at Fox Chase Cancer Center Philadelphia. Patients will have been diagnosed with rising PSA but have no clinical evidence of cancer. Eligible patients and their spouse/partners who have agreed to participate (n ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 15, Number 9, November 2008 |
Nov-2008 |
29 pages |
| Authors:
Steven Tobler; Mark V Rubertone; John F Brundage; Robert F DeFraites; Tracy S DuVernoy; Ellen Wertheimer; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| Eye injuries range in severity from minor scratches and bruises to serious trauma resulting in blindness. Eye injuries cause significant morbidity among military members. A review of Army, Navy and Air Force Safety Center data from 1988-1998 indicated that an eye injury results in an average 5.9 days of work lost and $6,295 in treatment costs. Studies of eye injuries during peacetime document that the majority of hospitalized cases are ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 15, Number 3, April 2008 |
Apr-2008 |
33 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| Perceptions of the relative importance of various conditions in military populations often determine the natures, extents, and priorities for resources for primary, secondary, and tertiary prevention activities. However, perceptions of the importance of conditions are inherently subjective; hence, they may have weak relationships with objective measures of their impacts on health, fitness, military operational effectiveness, health care costs, and so on. Several classification systems and morbidity measures have been developed ... |
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| Injury and Illness Casualty Distributions Among U.S. Army and Marine Corps Personnel During Operation Iraqi Freedom |
Mar-2008 |
9 pages |
| Authors:
Amber L Wade; James M Zouris; Cheryl P Magno; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| The objective of this study was to evaluate the distributions of U.S. Marine Corps and Army wounded In action (WIA) and disease and nonbattle injury (DNBI) casualties during Operation Iraqi Freedom Major Combat Phase (OIF-1) and Support and Stability Phase (OIF-2). A retrospective review of hospitalization data was conducted. Chi-square tests were used to assess the Primary International Classification of Diseases, 9th Revision (ICD-9), diagnostic category distributions by phase of ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 15, Number 1, January 2008 |
Jan-2008 |
33 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| The Medical Surveillance Monthly Report (MSMR) is prepared by the Armed Forces Health Surveillance Center (Provisional) (AFHSC-P), US Army Center for Health Promotion and Preventive Medicine (USACHPPM). |
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| US Military Service Members Vaccinated Against Smallpox in 2003 and 2004 Experience a Slightly Higher Risk of Hospitalization Postvaccination |
Jan-2008 |
12 pages |
| Authors:
Besa Smith; Tyler C Smith; Margaret A Ryan; Isabel G Jacobson; Timothy S Wells; Robert J Reed; NAVAL MEDICAL RESEARCH CENTER SILVER SPRING MD
|
| This study explores adverse events severe enough to warrant hospitalization that may have been associated with receiving the smallpox vaccine in conjunction with military service. Cox proportional hazards modeling was used to identify the risk of hospitalization among US active-duty military personnel during a 1-year period following receipt of the smallpox vaccine. The reference group consisted of active-duty military personnel who also received the smallpox vaccine after the conclusion of ... |
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| AMSARA: Accession Medical Standards Analysis and Research Activity. Report of 2006 Attrition and Morbidity Data for 2005 Accessions |
17 DEC 2007 |
77 pages |
| Authors:
Christine T. Scott; Timothy E. Powers; Yuanzhang Li; Weiwei Han; Natalya S. Weber; Janice K. Gary; David W. Niebuhr; Elizabeth Packnett; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD DEPT OF EPIDEMIOLOGY/DIV OF PREVENTIVE MEDICINE
|
| The Accession Medical Standards Analysis and Research Activity (AMSARA) has completed its tenth year of providing the DoD with evidence-based evaluations of accession medical standards. The Annual Report presents descriptive statistics that AMSARA compiles annually and publishes for historical and reference value as well as special studies. Studies in this Annual Report include a study of stress fractures in female military recruits, an abstract from the Assessment of Recruit Motivation ... |
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| Artificial Pancreas for Control of BG and Insulin Levels in Hospitalized Patients with Diabetes and Stress Hyperglycemia |
01 AUG 2007 |
21 pages |
| Authors:
Jeffrey I. Joseph; THOMAS JEFFERSON UNIV PHILADELPHIA PA
|
| This addendum to the final report contains a summary of the data analyses for the research project entitled Artificial Pancreas for Control of BG and Insulin Levels in Hospitalized Patients with Diabetes and Stress Hyperglycemia , (Principal Investigator: Jeffrey Joseph, DO; Award Number: W81XWH-04-1-0004). The original tasks set forth in the statement of work for this research project are given in Table 1 (modifications to the statement of work appear ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 14, Number 2, May 2007 |
May-2007 |
25 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| The Medical Surveillance Monthly Report (MSMR) is prepared by the Army Medical Surveillance Activity, Directorate of Epidemiology and Disease Surveillance, US Army Center for Health Promotion and Preventive Medicine (USACHPPM). |
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| Medical Surveillance Monthly Report (MSMR). Volume 14, Number 1, April 2007 |
Apr-2007 |
33 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| The Medical Surveillance Monthly Report (MSMR) is prepared by the Army Medical Surveillance Activity, Directorate of Epidemiology and Disease Surveillance, US Army Center for Health Promotion and Preventive Medicine (USACHPPM). |
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| Artificial Pancreas for Control of BG and Insulin Levels in Hospitalized Patients with Diabetes and Stress Hyperglycemia |
FEB 2007 |
44 pages |
| Authors:
Jeffrey I. Joseph; THOMAS JEFFERSON UNIV PHILADELPHIA PA
|
| This final report describes the data collected to evaluate the performance of two glucose sensor technologies (an interstitial fluid glucose sensor and a vascular glucose sensor) in perioperative surgical patients with diabetes. To date all 10 patient studies specified in the statement of work have been completed. A description of the data and a formal description of the analyses to be preformed are presented herewith. All analyses will be completed ... |
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| A Randomized Trial of Musculoskeletal Pain Treatment in a Military Population |
FEB 2007 |
24 pages |
| Authors:
Robert Gatchel; Alan Peterson; Christine Hunter; Christopher Hunter; Jeffrey Goodie; Mark Oordt; TEXAS UNIV AT DALLAS
|
| Musculoskeletal system conditions are the leading cause of hospitalization and disability for the U.S. Armed Forces. The department of Defense pays over $1.5 billion per year to disabled service members, and musculoskeletal conditions account for 40-50% of this amount. This study investigates the effectiveness of an interdisciplinary functional restoration approach to the treatment of Active Duty military from all 4 branches suffering from chronic musculoskeletal pain (CMP). The primary aims ... |
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| Targeting MRS-Defined Dominant Intraprostatic Lesions with Inverse-Planned High Dose Rate Brachytherapy |
FEB 2007 |
42 pages |
| Authors:
Jean Pouliot; I-Chow Hsu; John Kurhanewicz; Sue Noworelski; CALIFORNIA UNIV SAN FRANCISCO
|
| During these three years we have obtained CHR approval (December 2004)from the three step process (G.U. P.R.C. and C.H.R.) committees at UCSF. D.O.D. CHR approval was finally obtained in December 2006. Patient enrollment will begin immediately after receiving UCSF-CHR re-confirmation. We have developed a deformable image registration method to improve the quality of registration of (probe-in) MRSI data for (probe-out) radiation treatment planning. A similarity index (SI) of 98.1 % ... |
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| Bone Marrow Function in Development of Childhood Asthma |
OCT 2006 |
22 pages |
| Authors:
Mary B. Hogan; WEST VIRGINIA UNIV RESEARCH CORP MORGANTOWN
|
| Asthma is the most common reason for hospitalization of children in military hospitals. In children with asthma, exposure to allergen results in pulmonary damage due to invasion of eosinophils. Eosinophils are inflammatory cells with limited life spans, and must be continually renewed from the bone marrow. We adapted an animal model of asthma to study the effect of allergen exposure on eosinophil progenitor cells (CFU-eo). These studies have revealed that ... |
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| A Double-Blind, Placebo Controlled Study to Evaluate the Safety and Immunogenicity of the New, Live, Oral Type-4 and Type-7 Adenovirus Vaccines in Military Trainees |
27 SEP 2006 |
57 pages |
| Authors:
Arthur Lyons; Jenice Longfield; Robert Kuschner; Timothy Straight; Leonard Binn; Jitvimol Seriwatana; Raven Reitstetter; Irma B. Froh; David Craft; Kevin McNabb; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD
|
| Adenoviruses have been an important cause of febrile acute respiratory disease(ARD) in military recruits since they were first implicated as a cause of ARD in 1953 in an epidemic at Fort Leonard Wood, MO. Since then, adenovirus type 4 and 7 have been the most important cause of ARD among military recruits in the United States, resulting in significant morbidity, loss of training time, and in rare instances, mortality. Prior ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 12, Number 5, July 2006 |
Jul-2006 |
21 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| Throughout history, heat-related injuries have been significant threats to the health and operational effectiveness of military members. Decades of operational lessons learned and numerous research studies have resulted in doctrine, equipment, and training methods that significantly reduce the adverse effects of heat on U.S. military activities. Still, physical exertion in hot environments causes numerous (and occasionally fatal) injuries of U.S. soldiers. On a regular basis, the MSMR summarizes the heat ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 12, Number 4, May/June 2006 |
Jun-2006 |
21 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| Competent immune function and intact skin are effective defenses against pathogenic microorganisms. However, breakdowns of the physical integrity of skin (e.g., punctures, lacerations, abrasions, blisters, ulcers, stings) are common among military members. Such breakdowns can allow infectious agents (e.g., Staphylococcus aureus, Streptococcus pyogenes) to invade and proliferate in underlying tissues. Cellulitis and abscesses are the clinical expressions of such infections. Diseases of the skin and subcutaneous tissue (ICD-9-CM: 680-709) was ... |
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| Targeting MRS-Defined Dominant Intraprostatic Lesions with Inverse-Planned High Dose Rate Brachytherapy |
FEB 2006 |
26 pages |
| Authors:
Jean Pouliot; SAN FRANCISCO UNIV CA
|
| During this second year, we have obtained CHR approval (December 2004) from the three step process (G.U., P.R.C. and C.H.R.) committees at UCSF. Patient enrollment will begin immediately after receiving CHR approval from D.O.D. We have developed a deformable image registration method to improve the quality of registration of (probe-in) MRS data for (probe-out) radiation treatment planning. A similarity index (SI) of 98.1% was obtained for rigid probe patient data. ... |
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| Predicting Attrition, Performance, Reenlistment, and Hospitalizations from the Smoking History of Women Prior to Entering the Navy |
FEB 2006 |
45 pages |
| Authors:
Terry L. Conway; SAN DIEGO STATE UNIV FOUNDATION CA
|
| This study of women sailors examined whether tobacco use prior to entering the Navy predicted subsequent career outcomes related to length of service, early attrition, misconduct, and hospitalizations over a possible 7-8 year follow-up. For almost 5,500 women entering the U.S. Navy between March 1996 - March 1997, who participated in Operation Stay Quit (OSQ) (USAMRMC Grant #DAMD17-95-1-5075), smoking history data were merged with personnel and medical data from the ... |
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| Understanding Combat Casualty Care Statistics |
FEB 2006 |
6 pages |
| Authors:
John B. Holcomb; Lynn G. Stansbury; Howard R. Champion; Charles Wade; Ronald F. Bellamy; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Maintaining good hospital records during military conflicts can provide medical personnel and researchers with feedback to rapidly adjust treatment strategies and improve outcomes. But to convert the resulting raw data into meaningful conclusions requires clear terminology and well-thought-out equations, using consistent numerators and denominators. The authors' objective was to arrive at terminology and equations that would produce the best insight into the effectiveness of care at different stages of treatment, ... |
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| DoD Military Injury Prevention Priorities Working Group: Leading Injuries, Causes and Mitigation Recommendations |
FEB 2006 |
88 pages |
| Authors:
Bruce Ruscio; Jack Smith; Paul Amoroso; Jerry Anslinger; Steve Bullock; Bruce Burnham; John Campbell; Michelle Chervak; Kurt Garbow; Richard Garver; ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS) WASHINGTON DC
|
| The past decade has witnessed growing recognition that injuries are a leading cause of morbidity and mortality for the U.S. Military, eroding combat readiness more than any other single disease or health condition in this generally healthy and physically active population, which is relatively free of competing causes of death and severe illness. In the 1990s, medical and safety data revealed that across the Services accidental injuries caused (Atlas of ... |
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| Cardiorespiratory Fitness and Unintentional Nonfatal Injury Among the United States Air Force Active Duty |
OCT 2005 |
142 pages |
| Authors:
Margaret F. Haynes; AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
|
| Unintentional nonfatal injuries were the third leading cause of hospitalizations in the United States Air Force in 1992. The Air Force places great emphasis on the need for its personnel to maintain physical fitness as a key to supporting the demanding requirements of its worldwide missions. Despite current surveillance techniques, little extant literature explicates the degree to which cardiorespiratory fitness contributes to nonfatal unintentional injuries within the Air Force active ... |
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| A Baseline Historical Analysis of Neck and Back-Related Morbidity in the U.S. Army: Occupational Risks Potentially Related to Head-Supported Mass |
SEP 2005 |
68 pages |
| Authors:
Paul J. Amoroso; Nicole S. Bell; Holly Toboni; Mark Krautheim; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
|
| This study documents the morbidity of neck and back injuries among U.S. Army Soldiers, focusing on populations at greatest potential risk (e.g.. pilots. parachutists). We hypothesize that individuals in occupations requiring the use of equipment that places a heavy load on the head will be at greater risk for acute and chronic neck and back injuries and musculoskeletal conditions. Analyses include calculation of frequencies and unadjusted rates of each health ... |
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| Gulf War Illnesses: DOD's Conclusions about U.S. Troops' Exposure Cannot Be Adequately Supported |
24 AUG 2005 |
23 pages |
| Authors:
Keith Rhodes; GENERAL ACCOUNTING OFFICE WASHINGTON DC
|
| Since the end of the Gulf War in 1991, many of the approximately 700,000 U.S. veterans have experienced undiagnosed illnesses. They attribute these illnesses to exposure to chemical warfare (CW) agents in plumes -- clouds released from the bombing of Iraqi sites. But in 2000, the Department of Defense (DoD) estimated that of the 700,000 veterans, 101,752 troops were potentially exposed. GAO was asked to evaluate the validity of DoD, ... |
|
| Molecular Epidemiology of Epidemic Severe Malaria Caused by Plasmodium vivax in the State of Amazonas, Brazil |
17 AUG 2005 |
330 pages |
| Authors:
Patricia D. Santos-Ciminera; UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD DEPT OF PREVENTIVE MEDICINE AND BIOMETRICS
|
| Malaria in South America is a major public health problem. In Brazil, most of the cases occur in the Amazon Region, particularly in the State of Amazonas. In Manaus, the capital of Amazonas, atypical cases of Plasmodium vivax infections, including patients presenting with severe thrombocytopenia and bleeding, led to the hypothesis that severe disease could be related to a particular, emergent, and more pathogenic genotype of P. vivax. The authors ... |
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| Recommendation Analysis for an Ambulatory Surgical Center at Brooke Army Medical Center |
10 JUN 2005 |
216 pages |
| Authors:
Kimberlee A. Aiello; BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
|
| At Brooke Army Medical Center (BAMC), both ambulatory and inpatient surgeries are performed within the same operating rooms. This process has led to inefficiencies in surgery and turnover times, prompting the Medical Center's leadership to initiate action to optimize the ambulatory surgery process. An analysis conducted within BAMC showed that ambulatory surgery accounts for 55% of all surgeries performed. A trend is already evident in the private sector to speed ... |
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| Impact of Illness and Non-Combat Injury During Operations Iraqi Freedom and Enduring Freedom (Afghanistan) |
25 MAY 2005 |
8 pages |
| Authors:
John W. Sanders; Shannon D. Putnam; Carla Frankart; Robert W. Frenck; Marshall R. Monteville; Mark S. Riddle; David M. Rockabrand; Trueman W. Sharp; David R. Tribble; NAVAL MEDICAL RESEARCH UNIT NO 3 CAIRO (EGYPT) DEPT OF MEDICAL ZOOLOGY
|
| Historically, non-combatant injuries and illnesses have had a significant impact on military missions. We conducted an anonymous cross-sectional survey to assess the prevalence and impact of common ailments among U.S. military personnel deployed to Iraq or Afghanistan during 2003-2004. Among 15,459 persons surveyed, diarrhea (76.8% in Iraq and 54.4% in Afghanistan), respiratory illness (69.1%), non-combat injuries (34.7%) and leishmaniasis (2.1%) were commonly reported. For all causes 25.2% reported that they ... |
|
| Demand Management: The Primary Care Role at Ireland Army Community Hospital (IACH) |
29 APR 2005 |
57 pages |
| Authors:
Bonnie J. Hall; IRELAND ARMY HOSPITAL FORT KNOX KY
|
| In spite of managed care efforts, the literature indicates that managed care has not proven to be the panacea for pervasive health care issues. If the Military Health System is continuing to parallel civilian health care trends, it is plausible that Military Treatment Facilities also are not effectively managing care. The executive leaders of Ireland Army Community Hospital are concerned about the primary care role in demand management for the ... |
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| Burn Support for Operation Iraqi Freedom and Related Operations, 2003 to 2004 |
01-Apr-2005 |
12 pages |
| Authors:
Mary-Margaret Brandt; Teresa M Buescher; Alfredo E Montalvo; Keith R Charter; Bernard J Kopchinski; David J Barillo; E E Horvath; Leopoldo C Cancio; John B Holcomb; Matthew L Brengman; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Thermal injury historically constitutes approximately 5% to 20% of conventional warfare casualties. This article reviews medical planning for burn care for the war in Iraq and experience with burns during the war at the U.S. Army Burn Center; aboard the USNS Comfort hospital ship; and at Combat Support Hospitals in Iraq and Afghanistan. Two burn surgeons were deployed to the military hospital in Landstuhl, Germany, and to the Gulf Region ... |
|
| Bone Marrow Function in Development of Childhood Asthma |
APR 2005 |
18 pages |
| Authors:
Mary B. Hogan; WEST VIRGINIA UNIV MORGANTOWN
|
| Asthma is the most common reason for hospitalization of children in both military and civilian hospitals. In children with asthma, pulmonary exposure to allergen results in damage to bronchioles by invasion of eosinophils. Eosinophils are inflammatory cells, have limited life spans, and must be continually renewed from hematopoietic tissue. We adapted an animal model of asthma to our laboratory for studies of the effect of pulmonary allergen exposure on eosinophil ... |
|
| Development of the AACN Sedation Assessment Scale for Critically Ill Patients |
03 MAR 2005 |
46 pages |
| Authors:
Marla J. DeJong; Suzanne M. Burns; Margaret L. Campbell; Marianne Chulay; Mary J. Grap; KENTUCKY UNIV LEXINGTON
|
| The purpose of this paper is to present the outcome of Phase 2 of the sedation assessment project, namely, development of a new sedation assessment scale for critically ill patients. The authors define each of the five scale domains and present information on how indicators were selected to assess each domain, while acknowledging that psychometric testing is required before the AACN Sedation Assessment Scale can be recommended for clinical practice. ... |
|
| What Would Major General John A. Lejeune Think? |
08-Feb-2005 |
12 pages |
| Authors:
R D Furman; MARINE CORPS COMMAND AND STAFF COLL QUANTICO VA
|
| Taking care of Marines and their families has been a part of the Marine Corps leaders' ethos since the Marine Corps began. The recognition of this responsibility by officers is vital to the well-being and continued success of the Marine Corps, especially because most of the men and women enlisting are under 21 years of age. These young men and women are in the formative period of their lives. Officers ... |
|
| Predicting Attrition, Performance, Reenlistment, and Hospitalization From the Smoking History of Women Prior to Entering the Navy |
FEB 2005 |
9 pages |
| Authors:
Terry L. Conway; SAN DIEGO STATE UNIV FOUNDATION CA
|
| This is a study of women sailors and whether their tobacco use prior to entering the Navy is predictive of subsequent job performance, including attrition prior to completing the first term of enlistment, performance evaluation and career advancement, disciplinary problems, reenlistment, and hospitalizations of various types. The sample includes over 5,500 women entering the US Navy between March 1996 and March 1997. These women were participants in "Operation Stay Quit" ... |
|
| Looking for Trouble in All the Right Places: The Legal Implications Associated with "Electronic Signatures" and High-Risk Clinical Situations |
2005 |
19 pages |
| Authors:
Gabriel J. Escobar; Bruce F. Folck; Marla N. Gardner; June Ma; Larry I. Palmer; Bryan Liang; Linda K. Nozick; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD
|
| The investigators sought to define probabilistic strategies that could support quality improvement and medical error detection by decreasing the need for unselected manual chart review. Combinations of administrative data and laboratory test results ("electronic signatures") were employed to identify discrete, high-risk clinical situations among health plan members of a large managed care organization. The design used was a retrospective cohort study linking hospitalization records, outpatient records, and laboratory results that ... |
|
| Effectiveness of an Outside-the-Boot Brace in Reducing Parachuting Related Ankle Injuries |
2005 |
8 pages |
| Authors:
M. D. Schmidt; S. I. Sulsky; P. J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV
|
| Objectives: To examine the efficacy of an outside-the-boot parachute ankle brace (PAB) in reducing risk of ankle injury to army paratrooper trainees and to identify inadvertent risks associated with PAB use. Design: The authors compared hospitalization rates for ankle, musculoskeletal, and other traumatic injury among 223 172 soldiers trained 1985-2002 in time periods defined by presence/absence of PAB use protocols. Multiple logistic regression analysis estimated adjusted odds ratios (OR) and ... |
|
| Implementation of an Evidence-Based Protocol for Surgical Infection Prophylaxis |
2005 |
13 pages |
| Authors:
John A. Savino; Jane Smeland; Ellen L. Flink; Angelo Ruperto; Amanda Hines; Thomas Sullivan; Kerri Galvin; Donald A. Risucci; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD
|
| An evidence-based surgical antimicrobial prophylaxis (AMP) protocol was implemented in multiple facilities to determine if compliance led to a decrease in New York State reportable surgical site infections (SSIs). Implementation focused on changing practitioner behavior. An evidence-based protocol was developed and approved by participating clinical divisions in the five hospitals involved in the project. Quality assurance (QA) processes were established at each facility to promote compliance. One facility included repeated ... |
|
| Prevention of Football Injuries: A Review of the Literature |
2005 |
71 pages |
| Authors:
Cynthia Gazal-Carvalho; Keshia M. Pollack; Michelle Canham-Chervak; Bruce H. Jones; Susan P. Baker; JOHNS HOPKINS UNIV BALTIMORE MD BLOOMBERG SCHOOL OF PUBLIC HEALTH
|
| INTRODUCTION. Football has been a leading cause of military and civilian injury hospitalizations and outpatient care. This report provides detailed descriptions of epidemiologic risk factor studies of football-related injuries, and presents evidence supporting and/or refuting the effectiveness of specific interventions to prevent football-related injuries. METHODS. Medical and public health literature (1970-2004) were searched to identify relevant articles. Search terms included football combined with intervention, prevention, injury, and derivations of these ... |
|
| A Review of the Literature on Attrition from the Military Services: Risk Factors for Attrition and Strategies to Reduce Attrition |
OCT 2004 |
105 pages |
| Authors:
Joseph J. Knapik; Bruce H. Jones; Keith Hauret; Salima Darakjy; Eugene Piskator; ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE ABERDEEN PROVING GROUND MD
|
| Attrition is the failure of an enlisted service member to be retained in service within the first term of enlistment. This paper emphasizes health/ fitness-related aspects of attrition but also covers demographic and psychosocial factors. Overall 3-year military attrition steadily rose from 26% in 1985 to 31% in 1995. Demographic and psychosocial risk factors for attrition include lower educational attainment, female gender, White ethnicity, lower Armed Forces Qualification Test scores, ... |
|
| The Total Army Injury and Health Outcomes Database (TAIHOD): Uses and Limitations as a Research Tool for Force Health Protection Research |
SEP 2004 |
70 pages |
| Authors:
Nicole S. Bell; Paul J. Amoroso; Laura Senier; Jeffrey O. Williams; Michelle M. Yore; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV
|
| The Total Army Injury and Health Outcomes Database (TAIHOD) is a research tool with great potential for identifying risk factors, documenting adverse health outcomes,, and evaluating intervention strategies, among deployed and non-deployed active duty servicemembers. The TAIHOD comprises data from multiple Department of Defense agencies, including records of hospitalizations, outpatient visits, deaths, disabilities, flying duty medical examinations, accident reports, clinical evaluations from Gulf War registrants with the Comprehensive Clinical Evaluation ... |
|
| Gulf War Illnesses: DOD's Conclusions about U.S. Troops' Exposure Cannot be Adequately Supported |
JUN 2004 |
117 pages |
| Authors:
GENERAL ACCOUNTING OFFICE WASHINGTON DC
|
| Since the end of the Gulf War in 1991, many of the approximately 700,000 U.S. veterans have experienced undiagnosed illnesses. They attribute these illnesses to exposure to chemical warfare (CW) agents in plumes -- clouds released from the bombing of Iraqi sites. But in 2000, the Department of Defense (DoD) estimated that of the 700,000 veterans, 101,752 troops were potentially exposed. GAO was asked to evaluate the validity of DoD, ... |
|
| 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 ... |
|
| Assessing the Potential Health Impact of the 1991 Gulf War on Saudi Arabian National Guard Soldiers |
10 MAR 2004 |
28 pages |
| Authors:
Gary D. Gackstetter; Mohammed S. Al Qahtani; Tyler C. Smith; Ziad A. Memish; Karen M. Schlangen; David F. Cruess; Drue H. Barrett; Gregory C. Gray; Margaret A. Ryan; Tomoko I. Hooper; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| Background: There has been considerable publicity that the 1991 Gulf War may have caused a wide array of health problems in military personnel. Although postwar health outcomes have been studied in US, British, Canadian, and other deployed troops, this issue has not been previously evaluated in coalition forces native to the Gulf region. Methods: A collaborative team of US and Saudi health researchers was assembled, data sources evaluated, and hospitalizations ... |
|
| First-Term Outcomes Associated With Lower Extremity Injury in Female Marine Corps Recruits: A Historical Prospective Study |
JAN 2004 |
22 pages |
| Authors:
Daniel W. Trone; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| The purpose of this study was to determine the impact of lower extremity musculoskeletal injury (MSI) and of stress fracture (SFX) during recruit training on first-term enlistment (4-yr) hospitalizations and attrition of female Marine Corps recruits. The Naval Health Research Center studied 2,715 female recruit graduates between 1995 and 1999 and evaluated their first-term attrition. No differences by MSI status were seen in hospitalizations, however several differences were found for ... |
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| Accession Medical Standards Analysis and Research Activity (AMSARA) |
2004 |
106 pages |
| Authors:
David W. Niebuhr; Timothy E. Powers; Yuanzsung Li; Weiwei Han; Janice Gary; Amy Millikan; Margot R. Krauss; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD
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| The AMSARA Annual Report 2004 summarizes work done to support the development of evidence-based DoD medical accession standards. Studies included: 1. Attention Deficit with Hyperactivity Disorder Waiver Review, 2. Asthma Waiver Review 3. Hearing Loss Waiver Review, 4. Accuracy of Initial Entry Training Discharge Classification Types at Fort Leonard Wood, 4. Survival analysis of recruits waived for myopia S. Existed Prior to Service (EPTS) Case Series Review of Recruits Discharged ... |
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| Exploration of - "Nurses's Use of Nonpharmacological Interventions for Pain Management of Hospitalized Oncology Patients |
2004 |
79 pages |
| Authors:
Vickie L. Skupski; WRIGHT STATE UNIV DAYTON OH
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| The purpose of this study was to explore nurses' use of nonpharmacological interventions in pain management for hospitalized oncology patients through the following questions. What types of nonpharmacological interventions, were nurses using in the pain management of hospitalized oncology patients? Was there a difference in the patient's numerical rating scale (NRS) score before and after nonpharmacological interventions? Was there a patient gender difference in the frequency and type of nonpharmacological ... |
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| Developing Quality of Care Indicators for the Vulnerable Elderly: The ACOVE Project |
2004 |
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| Authors:
RAND HEALTH SANTA MONICA CA
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 | Far more people are surviving to old age than at any time in our history. Medical interventions can now prevent or postpone many of the health problems traditionally associated with old age. Furthermore, the goal of medical care for the elderly has progressed beyond survival to maximizing quality of life, yet little attention has been paid to the overall quality of medical care that older people receive. In fact, existing ... |
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| Medical Surveillance Monthly Report (MSMR). Volume 9, Number 6, September/October 2003 |
Oct-2003 |
21 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
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| Throughout history, military populations have been at high risk of acute respiratory illnesses. In the US military, acute respiratory illnesses continue to be leading causes of hospitalizations and ambulatory visits of service members. The most frequent acute respiratory illnesses of US service members are upper respiratory infections (URIs) that generally have mild and self-limited clinical courses. URI rates are particularly high among recruits, especially during fall-winter seasons. Infections of the ... |
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