Abstract：
Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to distinguish between association or a causative role of vitamin D in the pathogenesis of colorectal cancer. Methods:A prospective cohort study was designed, located at a hospital-based screening colonoscopy referral center, including Department of Defense beneficiaries aged 18 yr or older. A serum 25-hydroxyvitamin D level was drawn, and colonoscopy findings were recorded. A power calculation using p = 0.8, alpha = 0.05 generated a necessary sample size of n = 224 to detect an association between vitamin D level and adenomatous polyp. Unconditional multivariable logistic regression modeling was used to evaluate associations between outcomes, adjusted for known risk factors. Results:Of final population (n) = 228, 155 (68%) were diagnosed with vitamin D insufficiency (<30 ng/mL) and 104 (46%) were found to have adenomatous polyps. Adjusted odds ratio for adenomatous colon polyp given vitamin D <30 ng/mL = 1.16 (95% CI 0.57-2.36). Conclusions:Serum vitamin D level was not associated with increased adenomatous polyp detection at screening colonoscopy in this population.
journal_name
Mil Medjournal_title
Military medicineauthors
Bryce Cdoi
10.1093/milmed/usx152subject
Has Abstractpub_date
2018-03-01 00:00:00pages
547-551issue
suppl_1eissn
0026-4075issn
1930-613Xpii
4960033journal_volume
183pub_type
杂志文章abstract：OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00207
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVES:To evaluate a managed care demonstration project in CHAMPUS (Civilian Health and Medical Program of the Uniformed Services), the insurance program covering physical and mental health care services for the dependents of active duty military personnel, military retirees, and the retirees' dependents. The demon...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：:This study analyzed differences in baseline, course of treatment, and post-quit variables of participants in a tobacco-cessation program to identify factors predictive of outcome that could be used as a focus for intervention. The program offered a 10-week course of transdermal nicotine replacement combined with educa...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:A retrospective study reviewed medical records of military personnel who had participated in a vision readiness study the previous year. The review evaluated (1) the number of personnel who returned for an eye examination (as recommended), (2) the number of dilated eye examinations, (3) the number of optical devices o...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：:In this study an all-male population of 256 U.S. Army basic trainees and 98 armor officer basic course students were surveyed concerning extent of use, knowledge of, and factors contributing to the use of smokeless tobacco (ST). The survey was administered at a dental clinic at Fort Knox, Kentucky. The data were analy...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:This article describes, from the perspective of Project HOPE volunteers, the precedent-setting, military-civilian partnership in staffing the USNS Mercy as part of the rapid response of the United States to the overwhelming devastation and loss of life resulting from the tsunami off the coast of Indonesia. The article...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.1s.34
更新日期：2006-10-01 00:00:00
abstract：:This study of 10 patients presents the early results of a protocol of debridement, antibiotic bead placement, and use of the Ilizarov method with a circular external fixator for treatment of infected nonunions of the tibia in a military population. The nonunions resulted from high-energy fractures in nine cases and an...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.9.728
更新日期：2004-09-01 00:00:00
abstract：Introduction:The increasing interest in electronic smoking devices (ESDs) among consumers shows promise for ESDs as a less harmful alternative for smoking and possibly for smoking cessation. Limited data on prevalence of ESD use in the military are available and data on perceptions of ESD use have not yet been publishe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx024
更新日期：2018-01-01 00:00:00
abstract：:Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
abstract：:The results of a drug use evaluation of lisinopril at a large teaching military medical center are reported. Indicators and thresholds were developed and approved by the Pharmacy and Therapeutics Committee. The medical charts of 227 patients for whom lisinopril was prescribed from June 1991 to June 1992 were reviewed ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-02-01 00:00:00
abstract：:Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,2...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00049
更新日期：2010-03-01 00:00:00
abstract：:One of the goals of the 1999 International Conference on Low-Level Radiation Injury and Medical Countermeasures was to review current and anticipated capabilities for measuring the quantity and quality of radiation exposures using personal dosimetry systems, fieldable spectroscopy equipment, and modeling strategies. T...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：:The regulatory aspects of generic drug substitution and the scientific concepts that serve as the basis for generic drug approval are discussed, with emphasis on the source of therapeutic equivalence information compiled by the Food and Drug Administration in Approved Drug Products with Therapeutic Equivalence Evaluat...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:The purpose of this study was to assess changes in alcohol, tobacco, and other drug use after the terrorist attacks of September 11 among a cohort of young military personnel consisting of 661 active duty Navy personnel, including 164 women. Paired sample t tests were computed to assess mean differences in substance u...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.10.829
更新日期：2004-10-01 00:00:00
abstract：:A case is presented of a young active duty woman who experienced nonpsychotic denial of pregnancy until she precipitously delivered a healthy full-term infant. Despite the lack of prenatal care and the requirement for neonatal resuscitation, the child has apparently developed normally. The woman had no ongoing psychia...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：:After the conclusion of major ground combat operations during Operation Iraqi Freedom, the focus of the mission changed, although intense armed conflict continued. Included in this mission was management of security detainees, including provision of their medical care. We retrospectively reviewed the admission records...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.6.501
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVES:This was a pilot study to determine (1) whether it is feasible to effectively blind human subjects to the presence of the insect repellents N,N-diethyl-m-toluamide (DEET) and permethrin; (2) whether DEET affects the absorption of permethrin; and (3) whether combat videotape viewing and mental arithmetic are ...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed.171.2.122
更新日期：2006-02-01 00:00:00
abstract：INTRODUCTION AND SCOPE OF THE PROBLEM:Surgical site infections (SSIs) are associated with increased length of hospital stays, poor patient outcomes, and increased health care costs making prevention of SSI a high priority for the U.S. Military Health Care System. The focus of this project was to develop and pilot a pre...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz186
更新日期：2020-06-19 00:00:00
abstract：:Combat trauma differs from its peacetime counterpart by involving a different spectrum of injuries, occurring in austere environments, dealing with mass casualties, and embodying inherent treatment delays. Thus, civilian trauma practices may be inappropriate in certain combat settings. A review of historical as well a...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：BACKGROUND:Methemoglobinemia is a potentially life-threatening complication of local anesthetic sprays employed in upper endoscopy. There is limited information available on the incidence of this complication, and no prospective trial has ever undertaken to evaluate subclinical levels of methemoglobinemia. OBJECTIVE:T...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/MILMED-D-13-00035
更新日期：2013-06-01 00:00:00
abstract：:Recently, observational studies analyzing prehospital blood product transfusions (PHT) for trauma have become more widespread in both military and civilian communities. Due to these studies' non-random treatment assignment, propensity score (PS) methodologies are often used to determine an intervention's effectiveness...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.1093/milmed/usx137
更新日期：2018-03-01 00:00:00
abstract：:Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00229
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVE:This study assesses the sensitivity of self-collected rectovaginal culture specimens for group B Streptococcus by pregnant patients. METHODS:A volunteer sample of 240 pregnant women at 28 weeks gestation self-collected rectovaginal culture swabs to screen for the presence of group B Streptococcus. The patien...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:The Department of Defense Familial Breast/Ovarian Cancer Research Project has offered genetic counseling and testing for BRCA1 and BRCA2 on a research basis to patients meeting specific diagnostic criteria, with risk for BRCA1 and BRCA2 mutations calculated based on the Couch model. In 2.5 years, 250 patients were eva...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：
更新日期：2002-02-01 00:00:00
abstract：INTRODUCTION:Reiki, a biofield energy therapy, continues to struggle in finding its permanent place among the portfolio of complementary and alternative medicine modalities in many military health care facilities. Although it has been shown to help in the management of pain, lack of knowledge and limited first-hand exp...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz271
更新日期：2020-03-02 00:00:00
abstract：INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa553
更新日期：2021-01-11 00:00:00
abstract：INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz451
更新日期：2020-08-14 00:00:00
abstract：:The prevalence of lifetime exposure to violence, natural disaster, or major accidents involving injuries or fatalities was examined in the largest population-based epidemiologic survey of U.S. military personnel to date. The psychosocial and health effects of types of exposure experience (witness only, victim/survivor...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:Toxic industrial chemicals e.g., phosgene, are widely used as reactive intermediates in industrial processes. Inhalation exposure to these chemicals can result in life-threatening acute lung injury (ALI), to which no specific antidote exists. This study aimed to assess the potential benefit of steroids in treating pho...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00050
更新日期：2009-12-01 00:00:00
abstract：:The Navy Reserve Nurse Corps faces a nursing shortage that reflects the national picture and holds major implications for the military patient care readiness of this nation. This account of the changing climate of nursing practice in the Navy Reserves offers observations on recruitment and retention strategies for the...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
