Abstract:
:Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population. Adjusting for age and race, men who only use the VA were significantly more likely to have multiple socioeconomic and lifestyle risk factors including current smoking. Their self-reported health status was more often fair or poor and they were more likely to report the presence of multiple chronic diseases ranging from arthritis to previous heart attack to poor mental health. Although the finding that VA-only users are at elevated health risk was anticipated, our study now provides nationally representative estimates of the magnitude of these differences and reinforces the importance of accounting for them when making VA to non-VA comparisons.
journal_name
Mil Medjournal_title
Military medicineauthors
Larson RJ,Welch HGdoi
10.7205/milmed.172.7.690subject
Has Abstractpub_date
2007-07-01 00:00:00pages
690-6issue
7eissn
0026-4075issn
1930-613Xjournal_volume
172pub_type
杂志文章abstract::The effects on hearing thresholds, sound attenuation, and consonant discrimination of wearing a balaclava under hearing-protecting earmuffs were studied. This combination is commonly worn during cold weather military operations. One group of 20 normal-hearing adults (10 male and 10 female subjects) was tested. Within-...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.10.976
更新日期:2006-10-01 00:00:00
abstract::The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00034
更新日期:2011-10-01 00:00:00
abstract::The work of the War Hospital in Tomislavgrad during the war in Bosnia and Herzegovina from 1992 to 1995 is described. The War Hospital in Tomislavgrad was one of the first medical institutions organized in Bosnia and Herzegovina, with the intention of providing surgical treatment and care to soldiers, local civilians,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::Mental health problems are a well-known consequence of combat exposure, and the problem of barriers to receiving mental health care for veterans is well known. The current heavy reliance on reserve component soldiers may aggravate this problem. This study tries to characterize problems with access to mental health car...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00219
更新日期:2011-03-01 00:00:00
abstract::Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00423
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Transfusion of freshly collected blood products (FCBP) is sometimes necessary to save service member (SM) lives in austere deployed environments. Recipients of FCBPs are administratively tracked and offered serial serologic testing via the Armed Services Blood Program "Blood Look Back" (BLB) program to assur...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00512
更新日期:2016-09-01 00:00:00
abstract::A complete dental examination is the basis for identifying the dental readiness of Air Force Reserve Command members. Historically, these were done on an infrequent basis. Recently, an annual dental examination has been mandated for all military members. Current dental personnel manning and resources are not sufficien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.1.26
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Tourniquets are issued to deployed members of both the United States (U.S. military and the Australian Defence Force (ADF). The ease of removing the tourniquet from the pocket of the combat uniform may influence its time to application. The ADF uniform uses buttons to secure the pocket, whereas the U.S. unif...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00028
更新日期:2016-08-01 00:00:00
abstract::The medical literature describes very few cases of bilateral femoral neck stress fractures in healthy adolescents. We studied the case of a healthy adolescent male Marine who suffered severe bilateral femoral neck stress fractures within a span of 7 months. As his level of exercise was no different than his other coll...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.7.711
更新日期:2008-07-01 00:00:00
abstract:STUDY OBJECTIVE:Many studies have shown that community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) is a very prevalent organism. However, no data have been published to date with regard to CAMRSA prevalence in patients presenting to the emergency department (ED) of a military medical facility. Our obj...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.10.945
更新日期:2008-10-01 00:00:00
abstract::Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselv...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::In combat, the tactical situation can prevent rapid evacuation to definitive care, or casualty overload can tie up the surgical teams. All medical personnel and their supporting cadre should have the ability to manage wounds and burns. Controlling bleeding and airways, cleaning and debriding wounds, and dressing or sp...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract:INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz208
更新日期:2020-01-07 00:00:00
abstract::To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy291
更新日期:2019-03-01 00:00:00
abstract::The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex con...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.11.1132
更新日期:2008-11-01 00:00:00
abstract::Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1125
更新日期:2007-10-01 00:00:00
abstract::The aim of this study was to screen leukocyte cell surface markers to identify possible predictors for infection related to physical training. Ten healthy soldiers (mean age, 19.1; mean body mass, 77.4 kg; mean VO2 peak, 4.54 L min(-1)/58.6 mL min(-1) kg(-1)) were included. Blood samples were collected and number of i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00427
更新日期:2011-07-01 00:00:00
abstract::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00482
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Fluid intake during military training is prescribed based on the interactions among work rates, environmental conditions, and uniform configurations. The efficacy of this guidance has not been empirically assessed in over a decade. To determine the acceptability of the fluid intake guidance, sweat losses wer...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy066
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Objective Structured Clinical Examinations (OSCEs) are used at the majority of U.S. medical schools. Given the high resource demands with constructing and administering OSCEs, understanding how OSCEs relate to typical performance measures in medical school could help educators more effectively design curricu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00237
更新日期:2012-09-01 00:00:00
abstract::This study identified chemical and environmental exposures specifically associated with the 1991 Persian Gulf War. Exposures were self-reported in a postal questionnaire, in the period of 2000-2002, by 1,424 Australian male Persian Gulf War veterans in relation to their 1991 Persian Gulf War deployment and by 625 Pers...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.7.632
更新日期:2006-07-01 00:00:00
abstract:INTRODUCTION:Baseline symptom, balance, and neurocognitive scores have become an integral piece of the concussion management process. Factors such as sleep, learning disorders, fitness level, and sex have been linked to differences in performance on baseline assessments; however, it is unclear how tobacco use may affec...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz352
更新日期:2020-03-02 00:00:00
abstract::Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::Previous research has found that individual characteristics play an important role in psychological wellbeing and perception of stress. Although the Five Factor Model of personality has been found to consistently predict psychological well-being in the general population and among military personnel, hardiness has als...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00359
更新日期:2011-04-01 00:00:00
abstract:INTRODUCTION:Respiratory tract infections (RTI), such as those caused by influenza viruses and, more recently, the severe acute respiratory syndrome coronavirus-2, pose a significant burden to military health care systems and force readiness. The gut microbiota influences immune function, is malleable, and may provide ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa261
更新日期:2020-11-02 00:00:00
abstract::The elderly military beneficiary is a valued, high-risk, high-cost, and complex individual with unique medical needs. Attention to common geriatric syndromes (such as incontinence) and quality end-of-life care is critical in this population. Care of older adults is part of every adult medical and surgical specialty an...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-09-00067
更新日期:2010-02-01 00:00:00
abstract::Knowledge of the impact of childhood psychosocial problems on success in military service is scarce. The purpose of the study was to assess whether childhood psychosocial problems are associated with suitability for military service. The subjects were 2,622 Finnish boys born in 1981. They were first assessed with the ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.2.146
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS)...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00010
更新日期:2017-09-01 00:00:00
abstract::Pseudolymphomas of the breast are extremely rare: the etiology of these lesions is unclear, but some believe they may represent a response to local injury. Although morphologically similar to malignant lymphomas, they are benign. Here we report a case of pseudolymphoma of the breast and present a review of the literat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
abstract::Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00