- Urinary Tract Infections Management
- Viral gastroenteritis research and epidemiology
- Travel-related health issues
- Disaster Response and Management
- Hepatitis B Virus Studies
- Hepatitis Viruses Studies and Epidemiology
- Adolescent Sexual and Reproductive Health
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Reproductive tract infections research
- Public Health Policies and Education
- Agriculture and Farm Safety
- Respiratory viral infections research
- Vibrio bacteria research studies
- Occupational Health and Performance
- Antibiotic Resistance in Bacteria
- Influenza Virus Research Studies
- Blood donation and transfusion practices
- Animal Disease Management and Epidemiology
- Viral Infections and Vectors
- Fecal contamination and water quality
- Enterobacteriaceae and Cronobacter Research
- Pleural and Pulmonary Diseases
- Smoking Behavior and Cessation
- Combustion and Detonation Processes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Walter Reed Army Institute of Research
1992-2023
Henry M. Jackson Foundation
2010-2023
Woodruff Health Sciences Center
2012
Emory University
2012
U.S. Army Center for Health Promotion and Preventive Medicine
2005-2010
United States Department of the Navy
2010
Bureau of Medicine and Surgery
2010
United States Army
2010
Armed Forces Health Surveillance Center
2010
Pennsylvania Department of Health
2010
We investigated an outbreak of multidrug-resistant Acinetobacter baumannii-calcoaceticus complex infection among US service members injured in Iraq.The investigation was conducted Iraq and Kuwait, the 2 military hospitals where majority were initially treated. After characterizing outbreak, we evaluated 3 potential sources for period March 2003 to December 2004. The evaluation included screening samples that obtained from skin patients presence colonization assessing soil health care...
ABSTRACT Members of the genus Acinetobacter are ubiquitous in soil and water an important cause nosocomial infections. A rapid method is needed to genotype isolates determine epidemiology clonality during infectious outbreaks. Multilocus PCR followed by electrospray ionization mass spectrometry (PCR/ESI-MS) a that uses amplicon base compositions bacterial species. In order identify regions genome useful for this method, we sequenced six housekeeping genes ( trpE , adk efp mutY fumC ppa )...
To determine the efficacy of loperamide given with long- and short-course quinolone therapy for treating traveler's diarrhea, 142 US military personnel were randomized to receive a single 750-mg dose ciprofloxacin placebo, 750 mg ciproftoxacin loperamide, or 3-day course 500 twice daily loperamide. Culture pretreatment stool specimens revealed campylobacters (41%), salmonellae (18%), enterotoxigenic Escherichia coli (ETEC, 6%), shigellae (4%). Of participants, 87% completely recovered within...
Given the potential worsening clinical severity of 2009 pandemic influenza A (H1N1) virus (pH1N1) infection from spring to fall 2009, we conducted a case series among patients hospitalized with pH1N1 September through October 2009. patient was defined as person who had test results positive for by real-time reverse-transcription polymerase chain reaction. Among 255 patients, 34% were admitted an intensive care unit and 8% died. Thirty-four percent children <18 years age, adults ≥ 65 67%...
Abstract: We describe the precision and accuracy of a liquid chromatographic method, which uses internal standards, 6‐fluoroserotonin 5‐hydroxyindolecarboxylic acid, in quantitating serotonin 5‐hydroxyindoleacetic acid human cerebrospinal fluid, plasma urine. In addition, 5‐hydroxytryptophan is measured fluid. The limit sensitivity this method 0.1 pmol/injection, peak height/concentration ratio linear concentration range pmol to 50 μmol/injection, coefficient variation order 15% at below 10%...
BACKGROUND: Current US military clinical practice guidelines permit emergency transfusions of non–Food and Drug Administration (FDA)‐compliant freshly collected blood products in theaters war. This investigation aimed to characterize the risks transfusion‐transmitted infections (TTIs) associated with battlefield non–FDA‐compliant products. STUDY DESIGN AND METHODS: Service members who received transfusion Iraq Afghanistan (March 1, 2002‐September 30, 2007) were tested for hepatitis C virus...
To assess the impact of exposure to a 2003 sulfur plant fire on health deployed US Army personnel.The authors identified small firefighter group known be at source and larger, more dispersed population. Self-reported status respiratory outcomes for these two groups were reviewed compared with unexposed groups.Self-reported concerns, difficulty breathing, shortness breath common in exposed. Rates chronic conditions increased all from before after deployment. Postdeployment medical encounters...
Outpatient medical surveillance of U.S. troops was conducted during 11 different overseas missions between 1981 and 1990. In addition, at the end each 18 same period, a sample queried regarding illnesses exposures experienced in preceding time overseas. Diarrhea among leading causes morbidity all these short-term missions. incidence rates were found to be highest summer months, higher Thailand (median = 25%, range 20-29%), Latin America 26%, 1-43%), northeastern Africa southwest Asia 19%,...
<h3>Objective.</h3> —Due to recent resurgences of measles, mumps, and rubella among young US adults, we sought generate antibody prevalence data for national military immunization policy evaluations. <h3>Design.</h3> —We used a questionnaire serological survey Army recruits assess status rubella, varicella by enzymelinked immunosorbent assay poliovirus types 1,2, 3 microneutralization assay. <h3>Setting.</h3> —Basic training reception centers at Fort Benning, Ga, Jackson, SC....
This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial associated with 19 cases diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and heat-stable/ heat-labile producers); enteropathogenic E. (5.3%); enteroadherent (42%). Four were enteroaggregative based on probe analysis for heat-stable enterotoxin 1. Protozoan included; Entamoeba histolytica (11%),...
The burning of oil wells in Kuwait 1991 discharged a high volume potentially toxic pollutants into the air. To determine whether there were health-related complaints associated with having lived and worked there, questionnaires administered to 1599 soldiers after their return from 3-month mission Kuwait. Symptoms occurring before, during, queried. Compared baseline, symptoms reported more frequently for period eye upper respiratory tract irritation, shortness breath, cough, rashes, fatigue....
Fort Bragg, a large Army installation with reported high Chlamydia trachomatis (Ct) infection rates, is characterized by highly mobile population and surrounding Ct-endemic community. We assessed the rates of Ct incidence recurrence among installation's active component personnel determined association soldier transience, sociodemographic factors, history sexually transmitted (STI) these rates.A cohort soldiers stationed at Bragg during 2005 to mid-2010 was followed for incident recurrent...
The U.S. Army initiated an investigation in response to observations of a possible increase HIV incidence among soldiers deployed combat. Human immunodeficiency virus (HIV)-infected are not eligible deploy. Combat presents health hazard HIV-infected and they pose threat the safety battlefield blood supply their contacts. All routinely screened for every 2 years those who deploy also both prior after deployment. Seroconversion rates were estimated all Afghanistan or Iraq period 2001–2007...
Most military physicians know that disease and non-battle injuries (DNBIs) have historically caused more death during war than battle injury. DNBIs are preventable, but many unit surgeons physician assistants, especially at battalion/squadron brigade/wing level, may not had the benefit of preventive medicine training or experience. The authors present a logical thorough framework all can use to organize their efforts.
Infectious Disease: A Geographic Guide and Atlas of Human Diseases, 2 books recently published by Wiley-Blackwell, deliver to the global medicine bookshelf diagnostic adjuncts for expatriate clinicians those who see immigrants or returning travelers, while also serving as pretravel references on regional disease risk authoritative sources anyone needing infectious diseases information. Mary Wilson, contributed first book wrote foreword second, filled a similar need in 1991 with World...
Health information booklets deliver to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know materials produced meet this need so they can facilitate booklet distribution. The Walter Reed Army Institute Research within U.S. Medical Material Command has in support deployments Southwest Asia, Somalia, Rwanda, Haiti, former Republics Yugoslavia. This article describes these...
Extract HTML view is not available for this content. However, as you have access to content, a full PDF via the ‘Save PDF’ action button. Extended abstract of paper presented at Microscopy and Microanalysis 2005 in Honolulu, Hawaii, USA, July 31--August 4,