Characterization of Wrist Conditions in Active-Duty Service Members at a Major Medical Center: A Retrospective Review

2020 ◽  
Vol 74 (4_Supplement_1) ◽  
pp. 7411505258p1
Author(s):  
James Contessa ◽  
Brandon Stanely ◽  
Chelsea Truax ◽  
Jamie Bell ◽  
Brian Gregg ◽  
...  
Keyword(s):  
Retrospective Review ◽  
Medical Center ◽  
Active Duty ◽  
Service Members ◽  
Major Medical Center

scholarly journals MON-583 Identifying Active Duty Military Meal Planning Preferences to Maximize Nutrition Therapy for Obesity

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Philip Clerc ◽  
Jana Wardian
Keyword(s):  
Medical Center ◽  
Smart Phone ◽  
Nutrition Therapy ◽  
Daily Basis ◽  
Active Duty ◽  
Service Members ◽  
Grocery Stores ◽  
Military Health ◽  
Meal Planning ◽  
Cooking Classes

Abstract INTRODUCTION: Obesity rates exceed 30% for active duty service members with vitals in the military health system electronic medical records. Although nutrition therapy is a cornerstone of treatment for all individuals with obesity, it is even more important in active duty service members, who have restrictions for obesity medications and are not eligible to receive bariatric surgery. Among nutrition therapy services, online nutritional cooking classes are the most desired intervention by patients at our institution. We currently do not have this resource available. The aim of this survey was to identify meal planning preferences among active duty service members to guide the development of online nutritional cooking classes. METHODS: Surveys were distributed to active duty service members and/or their spouses at San Antonio Military Medical Center and Wilford Hall Medical Center in the summer of 2019. Data included preferences for time spent cooking each meal, weekly grocery budget, meal size, batch cooking preference, available kitchen equipment, most common meals eaten, and desired features in an online nutritional cooking class. RESULTS: 141 surveys were collected, 77% of whom were active duty service members and 23% of whom were spouses of active duty service members. Most respondents stated they could spend 15 minutes or less on cooking breakfast (65%) and lunch (69%) on a daily basis. The majority of respondents (84%) were willing to batch cook. Half of respondents (50%) were willing to spend $100-$150 on food per week. Over 90% of respondents had to cook for a household of 4 people or less. Of respondents with children, 78% fed children the same meal that they cooked for themselves. About half of respondents had a food processor (55%) and an electronic pressure cooker (52%). Few respondents (14%) shopped for food at specialty grocery stores or farmer’s markets. Half of respondents (50%) preferred a 5–10 minute duration for each online nutritional cooking class. Of the many highly desired features for the classes, the option to watch on a smart phone was the most desired feature (97%). CONCLUSION: This sample of active duty service members and their spouses demonstrated a high degree of congruity for meal planning preferences and requested features for online nutritional cooking classes. Development of online nutritional cooking classes targeted to these preferences may lead to a higher success rate of nutrition therapy than current interventions. DISCLAIMER: The views expressed are those of the authors and do not reflect the official views or policy of the Department of Defense or its Components.

scholarly journals Viral Hepatitis C-Related Care in Active Duty and Reserve Service Members: A Retrospective Review

2021 ◽  
Author(s):  
Allison M Bush ◽  
Cara Deegan ◽  
Todd Gleeson
Keyword(s):  
Hepatitis C ◽  
Retrospective Review ◽  
Military Service ◽  
Antiviral Agents ◽  
Retrospective Chart Review ◽  
Active Duty ◽  
Virologic Response ◽  
Service Members ◽  
Military Population ◽  
Viral Hepatitis C

ABSTRACT Introduction Hepatitis C Virus (HCV) infection is a leading cause of chronic liver disease and hepatocellular carcinoma, and universal screening of all adults is recommended. Treatment with new direct antiviral agents are well tolerated and highly effective and decrease morbidity and mortality from HCV. The timely treatment of active-duty Service members (SMs) is essential to prevent complications of HCV and to ensure medical readiness and safety of the Department of Defense blood supply. We performed a retrospective review of the quality of care of Navy Active Duty (AD) and reserve SMs diagnosed with HCV to assess rates of successful treatment and compliance with national guideline recommendations and identify potential challenges to receiving curative HCV therapy. Materials and Methods A retrospective chart review was completed on the health records of 54 AD and reserve US Navy SMs diagnosed with HCV. The records were reviewed for timeliness of subspecialty evaluation, achievement of sustained virologic response (SVR), and documentation of the completion of HCV-associated recommendations from national organizations and guidelines. Challenges and barriers to care were identified. Results Ninety-eight percent of AD and reserve Navy SMs diagnosed with HCV were prescribed treatment, 81% achieved an SVR after completing initial treatment, which reached 92% after initial nonresponders underwent a second round of treatment. Fifty percent of SMs experienced a delay in care due mostly to military-related obligations and patient noncompliance or both. There was a small number of delays in care as a result of prolonged notification of results and referral time. Conclusion As HCV screening recommendations expand to include all adults, more HCV infections will be identified in both the active and reserve components. Modern HCV therapies are both relatively short in duration as well as curative, allowing for the restoration of medical readiness and military service retention. Despite these advantages, we identified challenges of effecting HCV cures in a mobile military population. We recommend centralized compliance monitoring of not only HCV force screening but also HCV treatment to ensure maximized military medical readiness.

Severe Drug-Induced Liver Injury in the Military: A Retrospective Review

2021 ◽  
Author(s):  
Sarah Ordway ◽  
Brett Sadowski ◽  
Kathryn E Driggers ◽  
Ryan Kwok
Keyword(s):  
Liver Injury ◽  
Medical Center ◽  
Active Duty ◽  
Service Members ◽  
Diagnostic Code ◽  
Military Population ◽  
Drug Induced ◽  
Drug Induced Liver Injury ◽  
Toxic Liver Injury ◽  
The Military

ABSTRACT Objectives Drug-induced liver injury (DILI) is a significant cause of morbidity and mortality. Establishing a diagnosis is challenging due to the broad differential diagnosis of liver injury. We retrospectively reviewed patients with severe idiosyncratic DILI at Walter Reed National Military Medical Center in order to define the scope and patterns of injury in the military population. Methods Using the military health database, we identified a total of 110 patients who had an International Classification of Disease (ICD)-10 code for toxic liver injury in the electronic medical record at Walter Reed National Military Medical Center between 2016 and 2019. Each patient record was reviewed, and all pertinent data for included patients were recorded into a database for analysis. Results Twenty-seven out of 110 patients with a diagnostic code for toxic liver injury met inclusion criteria for severe idiosyncratic DILI. Nine cases were caused by supplements, including 5 active duty service members using synthetic anabolic steroids or preworkout supplements. The majority of patients were men and one-third were serving on active duty. The ranges of liver enzyme elevation and patterns of liver injury widely varied. Conclusion Military service members are at particularly high risk for DILI given the frequent use of over-the-counter and other unregulated strength- and performance-enhancing supplements. These injuries not only have significant medical consequences but can profoundly impact military readiness and mission capability. Diagnosis of DILI among active duty service members requires a strong index of suspicion, and inquiry regarding all ingestions is crucial. Educating physicians, providers, and policy makers on the risks of supplement-induced liver injury among service members is crucial. These data will facilitate additional studies exploring susceptibility to severe idiosyncratic DILI among the military population.

scholarly journals A Retrospective Review of Newborn Screening for Congenital Hypothyroidism and Newborn Thyroid Disease at a Major Medical Center

2013 ◽  
Vol 52 (11) ◽  
pp. 1054-1058 ◽  
Author(s):  
Tamara Cameo ◽  
Lindsey Barst Gumer ◽  
Kristen M. Williams ◽  
Jackie Gomez ◽  
Donald J. McMahon ◽  
...  
Keyword(s):  
Newborn Screening ◽  
Congenital Hypothyroidism ◽  
Retrospective Review ◽  
Thyroid Disease ◽  
Medical Center ◽  
Major Medical Center

Development of a Functional Impairment Scale for Active Duty Service Members and Veterans

2009 ◽  
Author(s):  
Brian Marx ◽  
Paula Schnurr ◽  
Paola Rodriguez ◽  
Darren Holowka ◽  
Carole Lunney ◽  
...  
Keyword(s):  
Functional Impairment ◽  
Active Duty ◽  
Service Members

Examining the experiences of active-duty LGB service members in a post-DADT military

2014 ◽  
Author(s):  
Jagruti P. Bhakta ◽  
Jennifer Webb-Murphy ◽  
Theodore C. Morrison ◽  
Peter B. Goldblum ◽  
Scott L. Johnston
Keyword(s):  
Active Duty ◽  
Service Members

Relationship of Pain, Posttraumatic Stress Disorder, Depression, and Disability in Active-Duty Service Members

2011 ◽  
Author(s):  
Jennifer A. Webb-Murphy ◽  
Steven R. Hanling ◽  
Ivan K. Lesnik ◽  
Stephanie C. Raducha ◽  
Eric T. Stedje-Larsen
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Active Duty ◽  
Service Members ◽  
Relationship Of

Health and Service-related Impact of Sexual and Stalking Victimization During United States Military Service on LGBT Service Members

2020 ◽  
pp. 088626052097031
Author(s):  
Cary Leonard Klemmer ◽  
Ashley C. Schuyler ◽  
Mary Rose Mamey ◽  
Sheree M. Schrager ◽  
Carl Andrew Castro ◽  
...  
Keyword(s):  
United States ◽  
Military Service ◽  
The United States ◽  
Active Duty ◽  
Service Members ◽  
United States Military ◽  
Service Outcomes ◽  
Study Participants ◽  
The Military ◽  
Stalking Victimization

Prior research among military personnel has indicated that sexual harassment, stalking, and sexual assault during military service are related to negative health sequelae. However, research specific to LGBT U.S. service members is limited. The current study aimed to explore the health, service utilization, and service-related impact of stalking and sexual victimization experiences in a sample of active-duty LGBT U.S. service members ( N = 248). Respondent-driven sampling was used to recruit study participants. U.S. service members were eligible to participate if they were 18 years or older and active-duty members of the U.S. Army, U.S. Navy, U.S. Marine Corps, or U.S. Air Force. This study included a sizeable portion of transgender service members ( N = 58, 23.4%). Sociodemographic characteristics, characteristics of military service, health, and sexual and stalking victimization in the military were assessed. Regression was used to examine relationships between health and service outcomes and sexual and stalking victimization during military service. Final adjusted models showed that experiencing multiple forms of victimization in the military increased the odds of visiting a mental health clinician and having elevated somatic symptoms, posttraumatic stress disorder symptomatology, anxiety, and suicidality. Sexual and stalking victimization during U.S. military service was statistically significantly related to the mental and physical health of LGBT U.S. service members. Interventions to reduce victimization experiences and support LGBT U.S. service members who experience these types of violence are indicated. Research that examines the role of LGBT individuals’ experiences and organizational and peer factors, including social support, leadership characteristics, and institutional policies in the United States military is needed.

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