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Heat Exhaustion and Heat Stroke Among Active Component Members of the U.S. Armed Forces, 2018-2022. 2018-2022年美国武装部队现役成员中暑和中暑。
MSMR Pub Date : 2023-04-20
{"title":"Heat Exhaustion and Heat Stroke Among Active Component Members of the U.S. Armed Forces, 2018-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most serious types of heat illness, heat exhaustion and heat stroke, are occupational hazards of the military's training and operational environments. These conditions can be mitigated with appropriate situational aware-ness and effective countermeasures. In 2022, the crude incidence rates of heat stroke and heat exhaustion among active component service members were 32.1 and 147.7 per 100,000 person-years, respectively. The rates of incident heat stroke and heat exhaustion generally declined during the 2018 to 2022 surveillance period. In 2022, those at highest risk were men, those younger than age 20, Marine Corps and Army members, recruit trainees, and those in combat-specific occupations. Leaders, training cadres, and supporting medical personnel must inform their supervised and supported service members of heat illness risks, preventive measures, early signs and symptoms, and first-responder actions.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 4","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exertional Rhabdomyolysis Among Active Component Members of the U.S. Armed Forces, 2018-2022. 2018-2022年美国武装部队现役成员的劳累性横纹肌溶解。
MSMR Pub Date : 2023-04-20
{"title":"Exertional Rhabdomyolysis Among Active Component Members of the U.S. Armed Forces, 2018-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Exertional rhabdomyolysis is a pathologic muscle breakdown associated with strenuous physical activity. A largely preventable condition, it persists as an occupational hazard of military training and operations, especially in high heat environments among individuals exerting themselves to endurance limits. During the 5-year surveillance period, unadjusted incidence rates of exertional rhabdomyolysis among U.S. service members declined by approximately 15%, from 43.1 cases per 100,000 person-years (p-yrs) in 2018 to 36.5 cases per 100,000 p-yrs in 2022. Consistent with prior reports, subgroup- specific rates in 2022 were highest among men, those younger than 20 years, non-Hispanic Black service members, Marine Corps or Army members, and those in combat-specific and \"other\" occupations. Recruit trainees had the highest rates of exertional rhabdomyolysis in 2021 and 2022, with incidence rates 10 times higher than all other service members. Prompt recognition of the symptoms of exertional rhabdomyolysis (muscular pain or swelling, limited range of motion, or the excretion of darkened urine after strenuous physical activity, especially in hot, humid weather) by health care providers is crucial to avoid the most severe consequences of this potentially life-threatening condition.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 4","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malaria among members of the U.S. Armed Forces, 2013-2022. 2013-2022年美国武装部队成员中的疟疾。
MSMR Pub Date : 2023-03-20
{"title":"Malaria among members of the U.S. Armed Forces, 2013-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malaria infection remains a potential health threat to U.S. service members located in or near endemic areas due to duty assignment, participation in contingency operations, or personal travel. In 2022, a total of 30 active and reserve component service members were diagnosed with or reported to have malaria, a 42.9% increase from the 21 cases identified in 2021. Over half of the malaria cases in 2022 were caused by Plasmodium falciparum (53.3%; n=16) and one-sixth (16.7%; n=5) were attributed to P vivax. The remaining 9 cases were associated with other or unspecified types of malaria. Malaria cases were diagnosed or reported from 19 different medical facilities-15 in the U.S. and 1 each from Germany, Africa, South Korea, and Japan. Of the 28 cases with a known location of diagnosis, 9 (32.1%) were reported from or diagnosed outside the U.S.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Zika Virus Among Department of Defense Service Members and Beneficiaries, 2013-2022. 2013-2022 年国防部成员和受益人中的寨卡病毒。
MSMR Pub Date : 2023-03-20
Kati Touchstone, Kenji Matsumoto, Nicholas Seliga
{"title":"Zika Virus Among Department of Defense Service Members and Beneficiaries, 2013-2022.","authors":"Kati Touchstone, Kenji Matsumoto, Nicholas Seliga","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexually Transmitted Infections Among Active Component Service Members, U.S. Armed Forces, 2014-2022. 现役军人的性传播感染,美国武装部队,2014-2022。
MSMR Pub Date : 2023-03-20
{"title":"Sexually Transmitted Infections Among Active Component Service Members, U.S. Armed Forces, 2014-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report summarizes incidence rates and trends of sexually transmitted infections (STIs) from 2014 to 2022 among active component service members of the U.S. Armed Forces. The data compiled for this report are derived from medical surveillance of chlamydia, gonorrhea, and syphilis as nation-ally notifiable diseases. Case data for 2 additional STIs, human papilloma virus (HPV) and genital herpes simplex virus (HSV), are also presented. Since 2019 case rates for all STIs have declined, excluding syphilis, which declined briefly but rose among male and female service members by approximately 40% between 2020 and 2022. Overall age- and gender-adjusted case rates for chlamydia, gonorrhea, and syphilis remain somewhat higher within the U.S. Armed Forces than among the general U.S. population, which may be due to factors including mandatory screening, more complete reporting, incomplete adjustment for age distribution, and inequitable comparisons between the active duty military and entire U.S. population. While case rates among female service members for chlamydia, gonorrhea, HPV, and HSV are significantly higher, syphilis rates display a male preponderance for all except the youngest age group. Social restrictions during the COVID-19 pandemic may have contributed to declines in true case rates and screening coverage.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"2-9"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Military Health System Exceeded Healthy People 2020 Goal for Rotavirus Vaccination. 军队卫生系统超额完成 "健康2020 "轮状病毒疫苗接种目标。
MSMR Pub Date : 2023-03-20
David R Sayers, Sarah M Reynolds
{"title":"Military Health System Exceeded Healthy People 2020 Goal for Rotavirus Vaccination.","authors":"David R Sayers, Sarah M Reynolds","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Critical Role of Disease and Non-Battle Injuries in Soldiers Isolated on Pacific Islands During the Second World War. 疾病和非战斗伤害在第二次世界大战期间孤立在太平洋岛屿上的士兵中的关键作用。
MSMR Pub Date : 2023-02-20
Dennis G Shanks
{"title":"The Critical Role of Disease and Non-Battle Injuries in Soldiers Isolated on Pacific Islands During the Second World War.","authors":"Dennis G Shanks","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 2","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospitalizations Among Active Duty Members of the U.S. Coast Guard, Fiscal Year 2021. 美国海岸警卫队现役成员的住院情况,2021财政年度。
MSMR Pub Date : 2023-02-20
Satish Pillai, Mandy Chau, Ibrahim Kamara, Dana Thomas, John Iskander
{"title":"Hospitalizations Among Active Duty Members of the U.S. Coast Guard, Fiscal Year 2021.","authors":"Satish Pillai,&nbsp;Mandy Chau,&nbsp;Ibrahim Kamara,&nbsp;Dana Thomas,&nbsp;John Iskander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 2","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changing of the Guard: MSMR's Second Editor-in-Chief Retires. 换岗:MSMR第二任总编辑退休。
MSMR Pub Date : 2023-02-20
Natalie Wells
{"title":"Changing of the Guard: MSMR's Second Editor-in-Chief Retires.","authors":"Natalie Wells","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 2","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9392337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence and Management of Chronic Insomnia, Active Component, U.S. Armed Forces, 2012 to 2021. 慢性失眠的发病率和管理,现役成分,美国武装部队,2012年至2021年。
MSMR Pub Date : 2023-01-20
Nicole M Hsu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells
{"title":"Incidence and Management of Chronic Insomnia, Active Component, U.S. Armed Forces, 2012 to 2021.","authors":"Nicole M Hsu,&nbsp;Shauna L Stahlman,&nbsp;Michael T Fan,&nbsp;Natalie Y Wells","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Department of Veterans Affairs and Department of Defense Clinical Practice Guideline (VA/DOD CPG) provides evidence-based management pathways to mitigate the negative consequences of common sleep disorders among service members (SMs). This retrospective cohort study estimated the incidence of chronic insomnia in active component military members from 2012 through 2021 and the percentage of SMs receiving VA/DOD CPG-recommended insomnia treatments. During this period, 148,441 incident cases of chronic insomnia occurred, with an overall rate of 116.1 per 10,000 person-years (p-yrs). A sub-analysis of SMs with chronic insomnia diagnosed during 2019-2020 found that 53.9% received behavioral therapy and 72.7% received pharmacotherapy. As case ages increased, the proportion who received therapy decreased. Co-existing mental health conditions increased the likelihood of receiving therapy for insomnia cases. Clinician education about the VA/DOD CPG may improve utilization of these evidence-based management pathways for SMs with chronic insomnia.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 1","pages":"2-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9445475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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