MSMR Pub Date : 2024-09-20

Maura Metcalf-Kelly, Matthew Garrison, Ralph Stidham

引用次数: 0

Lymphatic filariasis in soldiers exposed in INDOPACOM. 在 INDOPACOM 接触过的士兵中发现淋巴丝虫病。

MSMR Pub Date : 2024-08-20

G Dennis Shanks, James K Smith

引用次数: 0

Incidence and risk factors for hip fractures among U.S. Armed Forces active component women compared to men, 2018-2022. 2018-2022 年美国武装部队现役女兵与男兵相比髋部骨折的发生率和风险因素。

MSMR Pub Date : 2024-08-20

Patricia A Vu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells

{"title":"Incidence and risk factors for hip fractures among U.S. Armed Forces active component women compared to men, 2018-2022.","authors":"Patricia A Vu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells","doi":"","DOIUrl":"","url":null,"abstract":"Women, who comprise approximately 18% of the U.S. Armed Forces, suffer disproportionately higher rates of musculoskeletal injuries among active component service members. Using a retrospective study design, this study calculated incidence rates and rate ratios for acute hip fractures and hip stress fractures from January 1, 2018 through September 30, 2022 among female and male active component U.S. military members. Women who were younger than age 20 years, in recruit training, serving in the Army or Marine Corps, engaged in combat-related occupations, and with body mass indexes in the underweight or normal weight categories had the highest rates of both types of fractures. Women who had progressed beyond the recruit training phase had a higher female-to-male rate ratios of hip stress fractures than recruits. Despite an overall decline during the surveillance period, rates of acute hip fracture and hip stress fracture were higher among women than men. Changes in training and fitness policies may have contributed to the hip fracture rate declines among women. Continued efforts are needed to further reduce injuries among women.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 8","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Malaria in the Australian military, 2008-2022. 2008-2022 年澳大利亚军队中的疟疾。

MSMR Pub Date : 2024-08-20

Christopher Moller, Ken Lilley, Fiona McCallum, G Dennis Shanks

{"title":"Malaria in the Australian military, 2008-2022.","authors":"Christopher Moller, Ken Lilley, Fiona McCallum, G Dennis Shanks","doi":"","DOIUrl":"","url":null,"abstract":"Australian Defence Force (ADF) personnel train and operate in malarious regions that include neighboring countries with high burden and species with latent hepatic parasites.1 We summarized longitudinal malaria case data, following a prior 10-year period review to 2007.2 Malaria case entries within the ADF Malaria and Infectious Diseases Institute (ADFMIDI)-managed Central Malaria Register (CMR) were examined. Data from cases confirmed between January 1, 2008 through December 31, 2022 were analyzed. Sixty ADF members were diagnosed with malaria, including 1 with a mixed Plasmodium falciparum and P. vivax infection. Of 61 malaria infections, 69% (42 of 61) were P. vivax. P. vivax infection resulted in delayed initial case presentation (more than 4 weeks after exposure) in at least 36% (15 of 42) of cases, and 5 personnel experienced further relapse. Most P. vivax infections were acquired in the U.S. Indo-Pacific Command (INDOPACOM) and P. falciparum in the U.S. Africa Command (AFRICOM) regions. The ADF experienced ongoing reduced malaria case incidence following high rates in the early 2000s. Maintenance of prophylactic vigilance, both for eradicating dormant hypnozoites and preventing P. vivax relapse, remains important, however.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 8","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vitamin D deficiency trends, risk factors, and occupational risk in active component service members of the U.S. Armed Forces, 2018-2022. 2018-2022 年美国武装部队现役军人维生素 D 缺乏趋势、风险因素和职业风险。

MSMR Pub Date : 2024-08-20

Devin C Kelly, Michael Fan, Richard S Langton, Shauna L Stahlman

{"title":"Vitamin D deficiency trends, risk factors, and occupational risk in active component service members of the U.S. Armed Forces, 2018-2022.","authors":"Devin C Kelly, Michael Fan, Richard S Langton, Shauna L Stahlman","doi":"","DOIUrl":"","url":null,"abstract":"Vitamin D contains 2 related fat-soluble substances, D3 and D2, that are essential for bone health and overall well-being. The burden of vitamin D deficiency within the active component of the armed forces is unknown. This study describes trends of vitamin D deficiency diagnoses in the active component of the U.S. Armed Forces. Risk factors for vitamin D, such as military occupation, were examined to see if preventive measures and targeted vitamin D screening would be beneficial, as the United States Preventive Task Force does not recommend universal screening for vitamin D, nor does TRICARE cover screening for asymptomatic individuals. The surveillance period covered January 1, 2018 through December 31, 2022. The data were derived from the Defense Medical Surveillance System (DMSS). Vitamin D deficiency was measured using ICD-9-CM and ICD-10-CM diagnoses recorded in inpatient and outpatient medical encounters. Incidence rate and average annual prevalence were calculated. A logistic regression was performed to obtain adjusted odds ratios. The rates of vitamin D deficiency diagnoses among active component service members (ACSMs) remained steady during the study period, with an incidence rate of 16.4 per 1,000 person-years and an average annual prevalence of 2.2%. Female service members, those of older age groups, and indoor workers demonstrated higher rates of vitamin D deficiency. Previously described demographic risk factors such as indoor work and history of obesity or malabsorption syndrome were also associated in this study with vitamin D deficiency in ACSMs, although older age groups in this study were not associated with vitamin D deficiency. Pilots and air crew had the lowest rates of vitamin D deficiency, while health care workers had the highest, when evaluating by occupation.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 8","pages":"2-7"},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Illness and injury burdens among reserve component members of the U.S. Coast Guard, 2023. 2023 年美国海岸警卫队预备役成员的疾病和受伤负担。

MSMR Pub Date : 2024-07-20

引用次数: 0

Trends in pharmacy prescriptions by therapeutic class among active component members of the U.S. Armed Forces, 2014-2023. 2014-2023 年美国武装部队现役成员按治疗类别划分的药房处方趋势。

MSMR Pub Date : 2024-07-20

Kristen R Rossi, Edward A Sheriff, Scott Russell

引用次数: 0

Medical evacuations out of U.S. Central and Africa commands among the active and reserve components of the U.S. Armed Forces, 2023 2023 年美国武装部队现役和预备役人员从美国中部和非洲指挥部进行医疗后送的情况

MSMR Pub Date : 2024-07-20

引用次数: 0

Morbidity burdens attributable to various illnesses and injuries among deployed active and reserve component service members of the U.S. Armed Forces, 2023. 2023 年美国武装部队现役和预备役人员因各种疾病和伤害造成的发病率负担。

MSMR Pub Date : 2024-07-20

引用次数: 0

Absolute and relative morbidity burdens attributable to various illnesses and injuries among non-service member beneficiaries of the Military Health System, 2023. 2023 年军队医疗系统非军人受益者因各种疾病和伤害造成的绝对和相对发病率负担。

MSMR Pub Date : 2024-07-20

{"title":"Absolute and relative morbidity burdens attributable to various illnesses and injuries among non-service member beneficiaries of the Military Health System, 2023.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"The Military Health System (MHS) is a global, integrated health delivery system tasked with ensuring the medical readiness of the U.S. Armed Forces while fulfilling the individual health care needs of eligible military personnel and their dependents. The MHS network comprises military hospitals and clinics that ensure the medical readiness of the force, which are complemented by programs that enable beneficiary care in the private sector through the TRICARE insurance program. Mental health disorders accounted for the largest proportions of the morbidity and health care burdens that affected the pediatric and younger adult beneficiary age groups of nonservice member beneficiaries of the Military Health System in 2023. Among adults aged 45-64 years and adults aged 65 years and older, musculoskeletal diseases accounted for the most morbidity and health care burdens. With almost all health care for Medicare-eligible beneficiaries aged 65 years and older at private sector medical facilities, over 91% of health care encounters among non-service member beneficiaries (TRICARE-eligible and Medicare-eligible) occurred at non-military medical facilities.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 7","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11341092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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