Human papillomavirus (HPV) is a common sexually transmitted infection that major cause of noncervical anogenital and oropharyngeal cancers. Prophylactic HPV vaccine available for primary prevention. However, the population prevalence data male genital not well known, while vaccination coverage low in United States.To estimate rate States among adult men to examine potential risk factors infection.The National Health Nutrition Examination Survey (NHANES) samples representative cross-section...

Neurofilament light chain (NfL) levels serve as a marker of neuroaxonal injury and can be measured in both cerebrospinal fluid serum. Although serum NfL (sNfL) have been shown to increase with the progression various neurological conditions, normative values for healthy individuals not yet established. This study was undertaken determine age-specific sNfL evaluate associations between sociodemographic characteristics.

Despite an increase in the awareness and diagnosis of mild traumatic brain injury (mTBI), there remains a paucity data examining comparative efficacy available assessments. This study aims to validate visual functions as potential biomarkers for mTBI. case–control correlational design utilizes military personnel diagnosed with acute (≤72 h post-injury) mTBI (n = 100) age-matched controls examine relative effectiveness pupillary light reflex (PLR), near point convergence (NPC) break,...

Objective Trichomonas vaginalis (TV) infection is common, curable, and associated with significant reproductive morbidity risk for HIV infection. This analysis updates estimates of the prevalence asymptomatic TV infection, its factors, in non-institutionalized U.S. population. Methods We analyzed data from 4057 individuals who participated National Health Nutrition Examination Survey (NHANES) 2013–2014 collection cycle. Participant interviews ascertained demographic characteristics,...

Toxocariasis is one of the most common neglected infections poverty in U.S. with a reported National Health and Nutrition Examination Survey (NHANES) III (1988-1994) seroprevalence 13.9% based on enzyme immunoassay testing. We reviewed NHANES data from 2011-2014 to assess current levels. Sera collected participants six years older were tested for exposure using rTc-CTL-1 antigen, more sensitive specific recombinant antigen IgG antibodies Toxocara spp. These results subdivided into children...

Herpes zoster (HZ, shingles) affects individuals (60+ years) by reactivation of varicella virus from primary infection. Approximately one-third the general population will develop HZ and are at increased risk stroke. Our objective was describing possible associations between self-reported vaccination stroke with Centers for Disease Control Prevention's Behavioral Risk Factors Surveillance System, a cross-sectional nationwide telephone survey. Non-institutionalized U.S. adults answered items...

Purpose: To examine the long-term efficacy and safety of myopic implantable collamer lens (ICL) implantation in active duty personnel U.S. military. Setting: Hospital practice. Design: Retrospective longitudinal observational study. Methods: 1485 patients (median age 25, interquartile range 22 to 29) underwent ICL surgery. Patients received a preoperative examination including uncorrected distance visual acuity (UDVA), intraocular pressure (IOP), manifest refraction measuring corrected...

The management of postoperative pain is a major health care issue. While the cost intravenous acetaminophen (IVA) significantly greater than its oral (OA) counterpart, less known regarding comparative effectiveness these routes. purpose this study was to determine whether perioperative IVA equivalent in reducing compared with OA for laparoscopic cholecystectomy (LapChole).Double-blinded, prospective, randomized placebo-controlled trial.Womack Army Medical Center, Fort Bragg, North...

The prevalence of obesity among U.S. adults has risen steadily over recent decades. Consequently, interest in identification those at greatest metabolic risk necessitates the periodic assessment underlying population characteristics. Thus, aim this study is to assess efficacy using insulin resistance (IR) as a predictor syndrome (MetS).

ObjectivesThe Department of Defense reported that 344,030 cases traumatic brain injury (TBI) were clinically confirmed from 2000 to 2015, with mild TBI (mTBI) accounting for 82.3% all cases. Unfortunately, warfighters are often identified only when moderate or severe head injuries have occurred, leaving more subtle mTBI undiagnosed. This study aims identify and validate an eye-movement visual test screening acute mTBI.MethodsTwo-hundred active duty military personnel recruited perform the...

To evaluate relationships between an objective biomarker of current tobacco exposure and high-risk genital human papillomavirus (HPV) prevalence among adult women in the United States.We performed a retrospective analysis (aged 18-59 years) using three consecutive 2-year cycles (2009-2014) from cross-sectional National Health Nutrition Examination Surveys. Women who provided self-collected cervicovaginal swabs serum were included. Human genotyping was conducted on samples with Linear Array...

OBJECTIVE: To evaluate whether there was a change in prevalence of human papillomavirus (HPV) the United States correlated with introduction HPV vaccines both vaccinated and unvaccinated women. METHODS: We performed retrospective review data for women aged 18–29 years living using National Health Nutrition Examination Surveys, which is an ongoing series cross-sectional surveys. Participants provided responses to standardized questions self-collected cervicovaginal swabs Linear Array Assay...

Background: While the overweight and obesity epidemic in adolescent population is well described, a comprehensive evaluation of cardiometabolic health markers has not been reported. Our purpose was therefore to determine prevalence risk factors among non-diabetic individuals 12 to19 years age United States. Methods: We analyzed data from nationally representative samples U.S. adolescents (NHANES, 2007-2016). Optimal defined as an absence factors, that is, at least normal values on each...

Abstract Background Patient satisfaction is used to measure physician performance in hospital and governmental practice settings. There limited understanding about factors affecting a chronic pain management setting for patients prescribed opioids. Objective To identify the determinants of patient correlation with recommended outcome measures private clinic. Methods We performed 4‐week quality assessment survey define among who were The data obtained from analyzed descriptive multiple...

Aim: Our goal is to evaluate implications of cotinine cut points in subgroups smokers and nonsmokers. Materials & methods: Data were assessed from 13,357 adult participants collected over a period 6 years by the National Health Nutrition Examination Survey (2009-2014). Receiver operating characteristic curve analysis was used identify optimal points. Rao-Scott χ2 tests measured associations between group characteristics. Results: The serum point cigarette 3.63 ng/ml (sensitivity 96.7%;...

Introduction: Nonalcoholic fatty liver disease (NAFLD) is the most common in world. We evaluated vibration-controlled transient elastography (VCTE) data to determine prevalence of two principle manifestations NAFLD, hepatic steatosis and fibrosis. Methods: Data were sourced from 2017 2018 National Health Nutrition Examination Survey, which provides a representative cross-section noninstitutionalized U.S. population. Participants 18 years age older examined using sera VCTE. Sociodemographic...

Abstract Introduction The purpose of this evaluation was to determine the effectiveness clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one first evaluations conducted document outcomes Nurse Corps (ANC) transition-to practice residency program. Materials and Methods project a prospective pre-test/post-test design licensed registered nurses (RNs) entering military health system from Fall 2017 2018 using Casey-Fink Readiness Practice Survey New Graduate RN...

INTRODUCTION: To determine if the human papillomavirus (HPV) vaccination offers cross-protection against nonvaccine HPV types and whether introduction of has offered herd immunity to unvaccinated women. METHODS: We collected analyzed prevalence data for females aged 18–29 from prevaccine era (2007–2008) postvaccine (2009–2012) using National Health Nutrition Examination Surveys (NHANES); 1628 female respondents 18–29, representing 21,135,134 in United States non-institutionalized civilian...

Objectives: Acupuncture is characterized as an alternative or complementary medicine with a low complication rate and minimal side effects. There lack of robust evidence that shows acupuncture effective treatment for chronic pain. The purpose this study was to determine which (if any) characteristics can predict successful response in pain patients treated at military facilities. Methods: Data from 222 who received condition were collected 2 medical centers. underwent least 4 treatments had...

Adolescent obesity is an important risk factor for cardiovascular disease in part due to its relationship type 2 diabetes. Therefore, screening diabetes recommended. However, since insulin resistance (IR) early precursor of diabetes, it would be beneficial if IR predictors from routine assessments could identify those at greatest metabolic before has developed.Adolescents aged 14-18 years with normal fasting plasma glucose (n = 252) were selected the National Health and Nutrition Examination...

Chronic pain is a major cause of disability across the military, especially for combat Soldier. More than twothirds Americans with chronic are now using complementary medicine.Patients opting reflexology as part their treatment plan received bilateral therapy. Alternating pressure was applied to individual patient's reflex points corresponding sites. Following single session, patients were asked complete short survey.There evidence that therapeutic many conditions, include sleep and anxiety,...